Pre Start Safety Form - Final Fix
Please complete this form daily. Most contractors require it now.
Client / Site *
Supervisor *
Who's on Site *
Required
Date *
MM
/
DD
/
YYYY
Has all staff been signed in and inducted? *
Work site area *
i.e Grid d level 2
Your answer
Site Harzards
PPE Required *
Required
Work at height *
Yes
No
Work at height
Over 2 metres
Should work be carried out from ladder
Should work be carried out from scaffold
Should work be carried out from scissor lift
Should work be carried out from cherry picker
Hazardous Tools Required *
Yes/Trained
No
Core drill
Nail Gun
Gas Plant
Aquatherm tool
Crimping tools
Battery powered hand tools
Hazardous Substances *
Yes/ Correct PPE
No
PVC Glue / PVC Primer
Silicon
2 Pot Epoxy
Paints and Sprays
Comments
i.e Additional site hazards
Your answer
Are you satisfied job is safe to start? *
Submit
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