SI form updates test page

SI form updates test page

Project

Task/Work Activities

Principal Contractor

Project Manager

Job Number

Your Email Address

Date

Time of Inspection

SITE OFFICE & WELFARE

1.1 Have all persons completed the Site Induction?
Choose a Rating from the list below :

If you selected Major or Minor, please complete the fields below
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If you selected Satisfactory, Not Applicable or Not Inspected the fields below are optional
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1.2 Are all persons on site signed in?
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If you selected Major or Minor, please complete the fields below
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If you selected Satisfactory, Not Applicable or Not Inspected the fields below are optional
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1.3 Are RAMS suitable & sufficient for the task/work activity?
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If you selected Major or Minor, please complete the fields below
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If you selected Satisfactory, Not Applicable or Not Inspected the fields below are optional
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1.4 Are all statutory notices displayed?
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If you selected Major or Minor, please complete the fields below
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If you selected Satisfactory, Not Applicable or Not Inspected the fields below are optional
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1.5 Are all TBTs, Alerts, Bulletins up to date & signed off?
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If you selected Major or Minor, please complete the fields below
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If you selected Satisfactory, Not Applicable or Not Inspected the fields below are optional
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1.6 Are welfare arrangements suitable, sufficient & clean?
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If you selected Major or Minor, please complete the fields below
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If you selected Satisfactory, Not Applicable or Not Inspected the fields below are optional
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EMERGENCY PROCEDURES

2.1 Are fire safety arrangements suitable?
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If you selected Major or Minor, please complete the fields below
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If you selected Satisfactory, Not Applicable or Not Inspected the fields below are optional
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2.2 Are first aid arrangements suitable?
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If you selected Major or Minor, please complete the fields below
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If you selected Satisfactory, Not Applicable or Not Inspected the fields below are optional
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GENERAL SITE SAFETY

3.1 Is access, egress & working areas controlled?
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If you selected Major or Minor, please complete the fields below
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If you selected Satisfactory, Not Applicable or Not Inspected the fields below are optional
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3.2 Is the site tidy and materials stored safely?
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If you selected Major or Minor, please complete the fields below
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If you selected Satisfactory, Not Applicable or Not Inspected the fields below are optional
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3.3 Are Site Safety rules followed?
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If you selected Major or Minor, please complete the fields below
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If you selected Satisfactory, Not Applicable or Not Inspected the fields below are optional
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3.4 Are personnel wearing the required PPE?
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If you selected Major or Minor, please complete the fields below
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If you selected Satisfactory, Not Applicable or Not Inspected the fields below are optional
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SIGNIFICANT RISKS

4.1 Overhead Services
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If you selected Major or Minor, please complete the fields below
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4.2 Excavations
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If you selected Major or Minor, please complete the fields below
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If you selected Satisfactory, Not Applicable or Not Inspected the fields below are optional
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4.3 Working at Height/Edge Protection/Falling Objects
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If you selected Major or Minor, please complete the fields below
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If you selected Satisfactory, Not Applicable or Not Inspected the fields below are optional
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4.4 Fixed scaffolding
Choose a Rating from the list below :

If you selected Major or Minor, please complete the fields below
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If you selected Satisfactory, Not Applicable or Not Inspected the fields below are optional
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4.5 Mobile scaffold towers
Choose a Rating from the list below :

If you selected Major or Minor, please complete the fields below
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If you selected Satisfactory, Not Applicable or Not Inspected the fields below are optional
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4.6 Mobile Elevated Working Platforms
Choose a Rating from the list below :

If you selected Major or Minor, please complete the fields below
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If you selected Satisfactory, Not Applicable or Not Inspected the fields below are optional
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4.7 Use of ladders and step ladders
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If you selected Major or Minor, please complete the fields below
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If you selected Satisfactory, Not Applicable or Not Inspected the fields below are optional
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4.8 Cranes and lifting equipment
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If you selected Major or Minor, please complete the fields below
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If you selected Satisfactory, Not Applicable or Not Inspected the fields below are optional
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4.9 Tools and machinery
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If you selected Major or Minor, please complete the fields below
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If you selected Satisfactory, Not Applicable or Not Inspected the fields below are optional
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4.10 Permit systems
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If you selected Major or Minor, please complete the fields below
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If you selected Satisfactory, Not Applicable or Not Inspected the fields below are optional
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4.11 Confined spaces
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If you selected Major or Minor, please complete the fields below
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If you selected Satisfactory, Not Applicable or Not Inspected the fields below are optional
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OCCUPATIONAL HEALTH

5.1 Hazardous Substances
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If you selected Major or Minor, please complete the fields below
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5.2 Noise and Vibration
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If you selected Major or Minor, please complete the fields below
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If you selected Satisfactory, Not Applicable or Not Inspected the fields below are optional
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5.3 Manual Handling
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If you selected Major or Minor, please complete the fields below
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If you selected Satisfactory, Not Applicable or Not Inspected the fields below are optional
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5.4 Asbestos
Choose a Rating from the list below :

If you selected Major or Minor, please complete the fields below
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If you selected Satisfactory, Not Applicable or Not Inspected the fields below are optional
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ENVIRONMENTAL

6.1 Is waste stored and disposed of correctly?
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If you selected Major or Minor, please complete the fields below
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If you selected Satisfactory, Not Applicable or Not Inspected the fields below are optional
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6.2 Are environmental conditions suitable for the task/work/activity?
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If you selected Major or Minor, please complete the fields below
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If you selected Satisfactory, Not Applicable or Not Inspected the fields below are optional
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ADDITIONAL INFORMATION

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