Smart Form DirectorySite Pre-Start Checklist Powered by Bedrock Solutions Smart Form Site Pre-Start Checklist Project/ Site Address * Project/ Site Address * Project/Site Address in dropdown list? Yes No Site First Aider * Site First Aider * Site First Aider in dropdown list? Yes No Site Control: Hazards have been identified at site, discussed with team, and a toolbox meeting completed? * Yes Upload a photo of the completed toolbox meeting * Drop a file here or click to upload Choose File Maximum file size: 67.11MB Hazard Board current and present * YesNA Site Induction completed * YesNA Site secured fencing/hoardings * YesNA PPE being worn * YesNA First aid available * YesNA Scaffolding Inspected: Scaff tag current * YesNA Toe boards * YesNA Handrails/mid rails * YesNA Ties/bracing adequate * YesNA Ladders/stairs secure * YesNA Planks tied down * YesNA Emergency Preparedness: First Aid Kit/s have been checked and have correct supplies? * YesNA Fire Extinguisher/s have been secured on Scaffold on different levels/places * YesNA Job Safety Analysis forms have been discussed with team prior to work activity commencing as part of Toolbox * YesNA Hazardous Substances/ Chemicals and procedures including asbestos jobs, have been discussed with team prior to work activity commencing? * YesNA Team have discussed and understand what actions are required in the event of a serious accident? * YesNA An emergency plan has been developed for high risk work activities, documented, discussed with team at Toolbox Meeting * YesNA Hot Works Permit checks have been made and issued? * YesNA Upload a photo of the completed Hot Works Permit * Drop a file here or click to upload Choose File Maximum file size: 67.11MB Team members are aware of process to report new hazards/ near misses/ incidents? * YesNA The appropriate hazard/ near miss/ incident reporting forms are readily accessible? * YesNA If there is an emergency at site what actions will be taken? * *Stop works and ensure the scene is safe before assisting *Summons for type of help required in loud clear voice and/or Mobile Phones *Call 111 if required *First Aider to provide any required first aid *Notify Site Manager and Senior Management *Complete the "Notify Someone" SmartForm SITE LEADER NAME: * Site Leader Signature * signature keyboard Clear Declaration: site pre-start checklist/toolbox requirements have been completed prior to any work activity commencing and submitted to operations manager Select company person/s to email * Send a copy to self or third party? * Yes No Report Copied to: Email Address * plus1 Add minus1 Remove If you are human, leave this field blank. Submit