Pre Start Check List

Date on site

Case ID

Pit ID

	Yes	No
Personal Safety 1.Protective clothing, Safety Vest, Helmets, Boots and glasses work. (Helmet less than 3 years old)
2.Noise level above 85 DB (A) - Hearing protection provided and Worn.
3.Sunscreen provided and used.
4.Worksite practices are observed and traffic controllers and trained as per 1742.3
Traffic Control & Job Set out 5.Signs are current type, Legible, undamaged and appropriately placed.
6.Advanced warning is appropriate to site and correctly spaced from Vehicle.
7. Worksite is established to provide protection of workers and public on and from the site activities.
8.Adequate Instruction and guidance is provided to drivers through and around the worksite
9.All personnel working on road and reserve wear florescent safety vests correctly.
10.Where site is left overnight, adequate protection measures, lighting etc is provided
11.Appropriate ground support installed where necessary (must be installed where depth exceeds 1.5 mtrs)
12.Ladder installed for access where other method for entry/ exit is not available.
13.All lifting chains and slings are correctly stored, inspected, stamped and certified.
14.Have confined spaces been identified and marked, permit/ entry/ standby/ rescue procedure, Gas monitoring equipment available.
Electrical 15.Check safe working distance when under powerlines (1.5 metre no go area)
16.All electrical equipment included on register and tagged.
17.No broken plugs or switches.
Public Health Safeguards 18.Are there potential sources of contamination, if so take steps to minimise any risks as per procedure
19.Where the is exposure to sewerage wear disposable overalls
Environmental Check 20.Check Hazardous substances and secured
21.Vibration from equipment
22.Check dust output.
23.Check noise outputs.
24.Soil erosion and re-instatement - All storm water drains to be considered.
25.Mains waste Disposal.
26.Waste Management controlled - Including contamination into stormwater drains.
27.Silt Containment - Concrete cutting and manhole de-watering.
28.Safe Asbestos removal.
Procedures 29.Job procedures are available on site.
30.Job procedures are being followed correctly.
Materials 31.Approved Materials are being used.

By completing this activity form means you have undertaken the above checks and found everything to be satisfactory. If any items is not satisfactory, please type in the details and notify your supervisor.

Comments

Staff Name

SJC Maintenance Pre Start Checklist