Pre-Execution Safety ChecklistSubcontract Agreement No:
Subcontractor Name:
Item
/ Assessment Details and any Agreed Remedial Actions (Including Numerical Parameters) / Agreed Action Dates / Score [1-3]1 / Subcontractor has provided documentary evidence that all personnel have received the following training, where appropriate for their jobs:
- Site Induction (Worksite Hazard Management)
- Safety Intervention (Worksite Hazard Management)
- Defensive Driving (Road Safety)
- Journey Management (Road Safety)
- In Vehicle Monitoring (Road Safety)
- Permit to Work (Process Safety)
2 / Subcontractor confirms that the current workforce does not include anyone who it has previously dismissed for infringements relating to road safety or other serious infringement.
3 / Subcontractor commits to provide full time supervision for each work location by supervisors who have been trained in Permit to Work, Safety Intervention, and Journey Management where required
4 / Subcontractor confirms that all professional drivers are over the age of 21 and have more than 2 years driving experience. All drivers (professional and non-professional) have passed the PDO Defensive Driving course
5 / Subcontractor confirms that all plant, equipment and vehicles on the contract have been offered for inspection and have been issued with a valid inspection certificate. For vehicles this means there are no defects to safety critical items (such as seatbelts, tyres, brakes, steering)
6 / All vehicles supplied by the subcontractor, including busses and pick-up trucks, have been fitted with IVMS. Applicable restrictions to speed and use of vehicles are monitored and enforced by the Contractor/Sub-contractor
7 / Subcontractor commits to implement the PDO Journey Management Procedure or own/main Contractor equivalent procedure to assess, approve, control and monitor road journeys as per the Procedure. Subcontractor commits to employ adequate journey managers/dispatchers/key controllers
8 / Subcontractor commits to provide a fully functional means of communication to teams working in remote areas and where required by Journey Management Plans.
9 / Subcontractor has notified Contractor of all Sub-subcontractors employed on the work and will not employ any Sub-subcontractors without express approval of the Contractor
10 / Subcontractor does not pay incentives or apply penalties which could cause unsafe behaviour such as speeding, making excessive working hours, overloading of vehicles or continuation of work with defective vehicles or lack of PPE
Scores: [1]: Not compliant and no remedial plan in place
[2]: Remedial plan in progress and partially compliant
[3]: Substantially compliant
Confirmed by Subcontractor Representative:Endorsed by Integrated Team Representative:
Name:Name:
Signature:Signature
Date:Date:
Rev0 – PDO PDO Subcontractor Checklist.doc
Pre-Execution Safety ChecklistSubcontract Agreement No:
Subcontractor Name:
Rev0 – PDO PDO Subcontractor Checklist.doc