(Your business name here)
PRE-START / SITE ASSESSMENT ~ CHECK LIST
( to be completed prior to the set up of each job)
ClientBusiness Name: / Assessment Date:Client Contact: / Contact No:
Pre-start Check – System Used (please tick) / Yes / No / N/A
1 / Does everyone have the correct paperwork and have they read and understood it?
2 / Is all equipment, tools etc to be used at the site, clean and in good working order?
3 / Have you signed out the appropriate quantities of chemical as stated on the job sheet?
4 / Do you have the appropriate fuel/2 Stroke mix and sufficient quantity for the job?
5 / Do you have any keys that you need to gain entry to the job site(s)?
6 / Do you have the appropriate signage and enough to cover the treatment area?
7 / HAVE YOU CHECKED THE WEATHER CONDITIONS – WIND & RAIN
Safety – System Used (please tick) / Yes / No / N/A
1 / Has a risk assessment been completed?
2 / Are SWMS available for the activity?
5 / Are Label copies / SDS available for all chemicals in use?
6 / Do you have your AQF 3 TrainingCard with you?
7 / Do you have the appropriate PPE as per the label of the chemical you are to use?
Environmental – System Used (please tick) / Yes / No / N/A
1 / Are site specific environmental requirements known? If unsure call client contact.
3 / Are wastes being managed appropriately?Are fuels and chemicals appropriately contained?
5 / Has equipment been checked for defects (oils spills, leaks, damaged hoses etc)?
6 / Is the Spill Kit easily accessible and complete?
Quality – System Used (please tick) / Yes / No / N/A
1 / Is the client known and their requirements understood?
4 / Is rectification work carried out to achieve conformance if required?
5 / Is application equipment maintained, checked and calibrated regularly?
Traffic / Signs – System Used (please tick) / Yes / No / N/A
1 / Do you have the appropriate TCP and/or signage for the client site requirements?
3 / Are Signs and Devices clean and well maintained?
4 / Are the needs of pedestrians, cyclists, motorists and the general public considered when carrying out the works?
Post Start Check – System Used (please tick) / Yes / No / N/A
1 / Have the local weather conditions changed?
3 / Have you had any requests from site staff that may affect the work/timing/results?
4 / Has ANYTHING else happened that may affect the work/outcomes?
Job Complete Check – System Used (please tick) / Yes / No / N/A
1 / Has the site been cleaned of all rubbish, especially empty pesticide containers?
2 / Have signs been removed if required to do so?
4 / Back at the shed – has the tanks/backpacks been emptied, cleaned and put away?
5 / Has all other equipment used at the site been signed back in cleaned and put away?
Comments and/or Corrective Actions Recommended
Checklist Supervisor: / Signature: / Date:Work Supervisor: / Corrective Action Taken: Yes / No / Date: