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Site Specific Safety Plan - Site Safe

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7. Pre-start <strong>Site</strong> Assessment<br />

PROJECT/SITE ASSESSOR SIGNED<br />

DATE<br />

Hazards √ Controls<br />

Height/Overhead Work:<br />

Falling material<br />

Ladders<br />

Scaffolds<br />

Roofs<br />

Cranes<br />

Elevated work platforms<br />

Trenches/Confined Spaces:<br />

Pits and trenches<br />

Tanks<br />

Shafts<br />

Confined spaces<br />

<strong>Plan</strong>t:<br />

WoF/current test tag<br />

Machine guards<br />

RCDs<br />

Leads<br />

Vibration<br />

General Environment:<br />

Public access/protection<br />

Signage/barriers<br />

Organisation/housekeeping<br />

Wet/slippery environment<br />

Hazardous materials<br />

Chemicals<br />

Services (gas/water/power)<br />

Exposure to weather<br />

Extreme temperatures<br />

Traffic<br />

Noise<br />

Dust and debris<br />

Explosion/fire<br />

Machinery<br />

Mobile plant<br />

Personal Protective Equipment:<br />

<strong><strong>Safe</strong>ty</strong> boots<br />

Hearing protection<br />

Eye protection<br />

Hi viz clothing<br />

<strong><strong>Safe</strong>ty</strong> helmet<br />

Respiratory protection<br />

October 2012 Page 15

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