FO 08 Plumbing Site Pre-Start Checklist - SA

Site*

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Date

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Client*

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

The above details have been submitted by:

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Mobile

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Date

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Your Office Email Address*

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

Yes

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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?

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Trip hazards are identified*

YesNoN/A Invalid Input

Any Comment e.g. Need JSEA?

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PPE available and appropriate for task As or SWMS*

YesNoN/A Invalid Input

Any Comment eg Need JSEA?

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Fall protection in place*

YesNoN/A Invalid Input

Any Comment e.g. Need JSEA?

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All voids are covered, or barriers are in place*

YesNoN/A Invalid Input

Any Comment e.g. Need JSEA?

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Overhead Obstacles, Scaffold, Structures*

YesNoN/A Invalid Input

Any Comment e.g. Need JSEA?

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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?

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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)

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FO 08 Plumbing Site Pre-Start Checklist - SA

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

Full Names of those present

WHSE HAZARD & RISK ASSESSMENT CHECKLIST