RMIT- Health and Safety Manual Policy No. 4.9.1.27

RMIT- Health and Safety Manual Policy No. 4.9.1.27

CONTRACT ACCESS

HAZARD AND SPECIAL REQUIREMENTS CHECKLIST

No. / Hazard/Danger Description / Acknowledgement
by University
Rep. / Acknowledgement
by Property Services Group. / Acknowledgement by Contractor(s)
1. / Moving machinery or running equipment.
2. / Inadequate access (need for scaffolding).
3. / Falling material.
4. / Lifting weights (manual or mechanical).
5. / Corrosive, toxic or radioactive material.
6. / Hot or irritant material.
7. / Gas, fume or dust (injurious or offensive)
Asbestos, SMF’s.
8. / Fluids or gas under pressure.
9. / Steam or Water.
10. / Fire/explosion (ignition or flammable/explosive solid, liquid, gas or dust) particularly related to burning/welding, use of tools, footwear, any source of spark.
11. / Electricity (mains, battery or static).
12. / Damage to concealed services (underground or in walls)
13. / Excavation
14. / Flooding
15. / Traffic (road or mobile handling
16. / Other people working in the area.
No. / Isolation Reminder / Acknowledgement
by University
Rep. / Acknowledgement
by Property Services
Group. / Acknowledgement by Contractor(s)
17. / Which isolators locked off.
18. / Which fuses withdrawn
19. / Which valves closed or closed and locked.
20. / Which spades, slips, blanking plates inserted.
21. / Which pipelines disconnected.
22. / Which blank flanges/lens rings fitted
23. / Hazards warnings in position.
24. / Isolators provided.
No / Protective Equipment and Precautions
25. / Burning/welding flame is/is not permissible
26. / Headgear (state type)
27. / Eye Protection (state type)
28. / Protective Suit (state type)
29. / Gloves (state type)
30. / Footwear (state type)
31. / Breathing Apparatus (state type)
32. / Spark Proof tools must be used.
33. / Flameproof electrical equipment must be
used.
34. / State here the details of additional equipment or precautions needed (if none, state
none)
______
______
______
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CERTIFICATION

We have considered this checklist of foreseeable hazards and other safety requirements. We have identified or annotated those items on the list foreseen as applicable and relevant. We have also listed other foreseeable hazards that are known to us.

Signature and Date

University Representative ______/_____/_____

Property Services Representative ______/_____/_____

Contractor or representative ______/_____/_____

Health and Safety representative (if applicable) ______/_____/_____