06/03/2025 globalmagnet Health and Safety Health & Safety Form Fill this in before you start any work Assess whether the following general health & safety procedures & risk controls are in place. As a guide, refer to the Construction Safety Procedures & Hazard Cards in your HazardCo Pack:Location of site:*Time site entered: Hours : Minutes AM PM AM/PM Date MM slash DD slash YYYY PUBLIC SAFETY:The hazard board and barriers (particularly for public protection) are in place, hazard boards are regularly updated: Yes No N/A PERSONAL PROTECTIVE EQUIPMENT (PPE):Is being worn, is in good condition and used correctly: Yes No N/A INDUCTION:All workers/clients have been inducted to the workplace: Yes No N/A EMERGENCY PROCEDURES:Are available, relevant to the work and all have read them: Yes No N/A TRAINING:All workers are competent for the work they are doing or they are supervised by a person who is: Yes No N/A PLANT & EQUIPMENT:Is in good condition, regularly checked and recorded on a Plant & Equipment Register: Yes No N/A HAZARDOUS SUBSTANCES:Are recorded on a Hazardous Substance Register, stored and handled as per HZSNO requirements: (Safety Data Sheets (SDS) are available in the workplace) Yes No N/A DELIVERIES & VEHICLES:There is an adequate set-down area and vehicle access for site deliveries away from any pedestrian or work areas: Yes No N/A TIDINESS:The site is clean and tidy with no trip / slip hazards, clear access to work areas, and waste bins are on site and being used: Yes No N/A NOTIFIABLE WORKS:Have been reported to WorkSafe NZ 24 hours prior to the start of work: (Appropriate forms held on site) Yes No N/A WORKING AT HEIGHT:Appropriate fall protection is in place to Eliminate or Minimise the risk of harm when working at height - internal netting and external scaffolding fully in place: Yes No N/A SCAFFOLDING:Installed as per SARNZ best practice guidelines: Yes No N/A FALLING OBJECTS: Tools and materials are secured and/or work areas are cordoned to prevent objects falling onto workers when doing overhead work: Yes No N/A TOTAL RESTRAINT/FALL ARREST SYSTEMS:Only used if no other fall protection options practical. Only NZQA trained workers. Equipment in good condition, set up correctly, regularly checked and certified: Yes No N/A ELECTRICAL APPLIANCES:All electrical leads and appliances are tagged and tested, RCDs are in place: Yes No N/A FIRE:Combustible / flammable materials properly stored used, workplace is tidy with no rubbish lying around: Yes No N/A LADDERS:Used for short duration work or access to work areas only: (No domestic ladders to be used) Yes No N/A HAND/POWER TOOLS:In good condition, have appropriate guards and workers have been trained in their use: Yes No N/A EXCAVATIONS:Are being conducted in accordance with Approved Code of Practice: Yes No N/A NOISE:Levels are below 85 decibels, or staff are wearing hearing protection: Yes No N/A CONFINED/RESTRICTED SPACES:Roof or under floor access requires appropriate training, a TA (Task Analysis) and must have specialised emergency procedures: Yes No N/A LIGHTING:Sufficient for task: Yes No N/A ROAD WORK:Traffic is being controlled where required as per Traffic Management Best Practice Guidelines. Pedestrians are kept clear of work areas: Yes No N/A WORKER HEALTH:Environmental hazards (biological/air contaminants etc) are being managed appropriately eg. through air monitoring, PPE, health monitoring etc: (First Aid trained workers and kits available on site) Yes No N/A Completed by:For any “No’s” identified above, explain the actions required:
