FO 08 Plumbing Site Pre-Start Checklist - QLD

Site*

Invalid Input

Date

Invalid Input

Client*

Invalid Input

Complete the following individual check list before commencement, If answering No, give reasons or instructions below

Conducted site hazard/risk assessment? *

YesNo Invalid Input

SWMS Available on-site and hazards are controlled as/SWMS?*

YesNo Invalid Input

JSEA is available to cover new hazards/risks as required*

YesNo Invalid Input

Personal Protective Equipment on Site?*

YesNo Invalid Input

First Aid available and accessible?*

YesNo Invalid Input

Safety Signs and Barricades available for use if necessary?*

YesNo Invalid Input

Site safe, and ready to start work?*

YesNo Invalid Input

Work carried out at above address complies with the following:
Qld WHS Act 2011, Qld WHS Regulation 2011, Environmental Protection Act 1994, Environmental Protection Regulation 2008
Regulations, Australian Standards and Codes of Practice relevant to tasks (refer SWMS)

TOOLBOX / Comments / Points Raised

Invalid Input

Full Names of those present

Please list all names of those present

Invalid Input

The above details have been submitted by:

Invalid Input

Mobile

Invalid Input

Date

Invalid Input

Your Office Email Address*

Invalid Input

I hereby Consent that I have carried out the Prestart Checklist, FO8, with the above-mentioned personnel and authorise work to commence.

Yes

Invalid Input

WHSE HAZARD & RISK ASSESSMENT CHECKLIST

Access to work area is clear and free of debris*

YesNoN/A Invalid Input

Any Comment e.g. Need JSEA?

Invalid Input

Trip hazards are identified*

YesNoN/A Invalid Input

Any Comment e.g. Need JSEA?

Invalid Input

PPE available and appropriate for task As or SWMS*

YesNoN/A Invalid Input

Any Comment eg Need JSEA?

Invalid Input

Fall protection in place*

YesNoN/A Invalid Input

Any Comment e.g. Need JSEA?

Invalid Input

All voids are covered, or barriers are in place*

YesNoN/A Invalid Input

Any Comment e.g. Need JSEA?

Invalid Input

Overhead Obstacles, Scaffold, Structures*

YesNoN/A Invalid Input

Any Comment e.g. Need JSEA?

Invalid Input

Tools and equipment are in a safe condition*

YesNoN/A Invalid Input

Any Comment e.g. Need JSEA?

Invalid Input

Overhead Services*

YesNoN/A Invalid Input

Any Comment e.g. Need JSEA?

Invalid Input

Underground Services*

YesNoN/A Invalid Input

Any Comment e.g. Need JSEA?

Invalid Input

Flammable material*

YesNoN/A Invalid Input

Any Comment e.g. Need JSEA?

Invalid Input

Other Trades*

YesNoN/A Invalid Input

Any Comment e.g. Need JSEA?

Invalid Input

Vehicle Movement / Traffic Control identified*

YesNoN/A Invalid Input

Any Comment e.g. Need JSEA?

Invalid Input

Plant / procedures in place, prestart, logbook*

YesNoN/A Invalid Input

Any Comment e.g. Need JSEA?

Invalid Input

Weather conditions*

YesNoN/A Invalid Input

Any Comment e.g. Need JSEA?

Invalid Input

SDS's available for products used.*

YesNoN/A Invalid Input

Any Comment e.g. Need JSEA?

Invalid Input

Dust *

YesNoN/A Invalid Input

Any Comment e.g. Need JSEA?

Invalid Input

Barriers / Signage*

YesNoN/A Invalid Input

Any Comment e.g. Need JSEA?

Invalid Input

Excavations*

YesNoN/A Invalid Input

Any Comment e.g. Need JSEA?

Invalid Input

Lighting*

YesNoN/A Invalid Input

Any Comment e.g. Need JSEA?

Invalid Input

Ventilation appropriate for task*

YesNoN/A Invalid Input

Any Comment e.g. Need JSEA?

Invalid Input

Gas Bottles*

YesNoN/A Invalid Input

Any Comment e.g. Need JSEA?

Invalid Input

Spill Kit Available*

YesNoN/A Invalid Input

Any Comment e.g. Need JSEA?

Invalid Input

Checklist completed by (Name)

Invalid Input