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Pre-Start Inspection Form
Site Address *
Conducted Date *
Conducted By *
Please provide a description of the work:
Is this work notifiable to WorkSafe?
Yes
No
Approximate Start Date
Have contractors been selected?
Please email your programme and names of contractors to Nicole Bignell
Site Set Up
Does this site have good access (wide driveway, parking for deliveries and contractors away from public walkways)?
Yes
No
Have all existing underground services been identified?
N/A
Yes
No
Do we have underground service plans available?
N/A
Yes
No
Are there any overhead powerlines on site?
N/A
Yes
No
Is traffic management required?
Yes
No
Method of exclusion zone:
Permanent Fencing
Temporary Fencing
Road Cones and Tape/Bee Sticks
Is there stormwater close to the site?
Yes
No
Is there known asbestos on site?
Yes
No
High Critical Risk Activities
Is there working at heights?
Yes
No
Are there deep excavation work to be completed?
Yes
No
Does this work involve any concrete breaking?
Yes
No
Is this work going to create dust?
Yes
No
Does this work involve a confined space?
Yes
No
Are there any unusual works being undertaken?
Please describe:
Photos
Please take photos of the full site including the access way (Please choose all files at once):
Upload files
Supported Formats: (mp4, jpg, png, jpeg, gif, jfif)
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