Pre-Shift Information

Focus for this shift is: *

Date *

Location *

Job # *

1. Detail any incidents or Hazards that occurred on the previous shift: *

2. Detail all Hazards Discussed at the daily pre-shift: *

3. Detail all maintenance planned for the shift: *

4. Detail all deliveries/dumping planned for the shift: *

5. Detail the procedures/JHA's that are current and determine if any are required: *

6. Detail any visitors/sub-contractors scheduled: *

7. Are all personnel fit for duty? Yes/No, Is anyone on medication? Yes/No) *

8. Does any personnel need PPE replaced? E.g. Torn, Damaged, Discoloured or passed its expiration. *

9. Activities planned for the shift: (clearing, stripping, trenching etc) *

10. Are all employees working on the project aware of the emergency process? Yes/No *

11. Workplace Inspection (daily) Tick When Complete *

Comments

11. Personnel assignments for the shift: (Driver, Operatiors, Ground Pers etc)

1. Task/Role *

1. Name *

1. Signature *

Clear

2. Task/Role

2. Name

2. Signature

Clear

3. Task/Role

3. Name

3. Signature

Clear

4. Task/Role

4. Name

4. Signature

Clear

5. Task/Role

5. Name

5. Signature

Clear

6. Task/Role

6. Name

6. Signature

Clear

7. Task/Role

7. Name

7. Signature

Clear

8. Task/Role

8. Name

8. Signature

Clear

9. Task/Role

9. Name

9. Signature

Clear

10. Task/Role

10. Name

10. Signature

Clear

Meeting Notes

Meeting Conducted By: *

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Additional Copy Email Address (Optional)

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Signature *

Clear

11. Personnel assignments for the shift: (Driver, Operatiors, Ground Pers etc)

Meeting Notes

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