PRE WORK SUBMISSION

JOB/SITE LOCATION

SUBMISSION COMPLETED BY

DATE

 

ADMINISTRATIVE

Give Yes or No

Contractor has read and understood Manor Group Contractor Commitment and Expectation Handbook

YesNo

Contractor has completed and returned Manor Group Pre Work Application

YesNo

SITE STAFF

 

All staff on site will be qualified and/or registered to perform their task(s)

YesNo

PERSONAL PROTECTIVE EQUIPMENT

 

All PPE required will be worn and used correctly

YesNo

PLANT AND EQUIPMENT

 

All plant and equipment being used will be in good working order and possess a current test tag.

YesNo

WORKING FROM HEIGHTS

 

Will the job involve working from a height of 3 meters or more? If so what fall prevention measures will be in place? ( please list below)

YesNo

Will the job require access or work from a ladder of more than 3 steps? If so, please detail below the prevention measures which will be in place.

YesNo

SITE HAZARDS

 

All practicable steps have been taken to identify and minimise any onsite hazard(s). Work will not commence until this has occurred. List specific site hazards and the prevention measures in place below.

YesNo

 

WORKING FROM HEIGHTS PREVENTION MEASURES.

SITE HAZARDS AND PREVENTION MEASURES.

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