Step 1 of 3 33% No guns, no knives, no traditional weapons allowed. Appropriate PPE to be worn at all times: Hard hat, ear and eye protection, dust masks, gloves, reflective vests, overalls and safety boots/shoes. No alcohol, no dagga, no illegal drugs allowed. No-one to enter the site whilst under the influence. No fighting is allowed Horseplay is not permitted on site. No naked flames or fires allowed. Do not operate or use machinery/equipment or tools that you are not trained to use. Barricaded areas are no go areas. Pay attention to all signage and signage is to be obeyed at all times. Use the right tool for the job on hand. When lifting, ensure that you use the correct method. When using a ladder/scaffold, ensure that the ladder/scaffold is stable and secure and use a carry for tools. Safety guards, scaffold barriers, firefighting equipment or signs may not be removed or tampered with. All injuries/incidents to be reported immediately. Obey all site rules and regulations. No access will be allowed without an induction. A high level of housekeeping is to be maintained at all times. Report any unsafe act or condition immediately. A safe position to be taken whilst talking on a cell phone. Personal Details:Have You Previously Worked on Heights?(Required) Yes No Are You Afraid of Heights?(Required) Yes No Are You On Any Medication Which Could Make You Drowsy?(Required) Yes No PLEASE NOTE THE FOLLOWING HIGH-RISK ACTIVITIES/ AREAS WHICH HAVE BEEN IDENTIFIED ON SITE: Working at Heights/ Fall Risk Positions - a. Scaffolding, b. Unprotected edges and openings Lifting Operations / Overhead activities Operational Mobile Plant – Man-machine interface Public Interface and Management Poor Underfoot Conditions – slip and trip hazards. Direct Contractors DON’T WALK BY – SEE IT, SORT IT AND REPORT ITName(Required) First Last ID No.(Required)Company(Required)Date(Required) DD slash MM slash YYYY Contract: Bay Eye HospitalSignature(Required)Presented by: Rennasance Construction Indemnity for the Bay Eye Hospital site visit: I do hereby indemnify the organisers of this event - bela - from any liability for any loss, damage, death, illness or injury of whatsoever nature (whether direct, consequential or otherwise) that may arise out of any damage, death, illness or injury of whatsoever nature (whether direct, consequential or otherwise) that may arise out of the consumption, use or abuse of any alcoholic drinks and beverages served at the function. I acknowledge and agree that I have read and understood the indemnity terms and I agree to be bound by the terms thereof.Name(Required) First Last Signature(Required) Home
