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DSTI

This document provides a daily safety checklist for construction work. It lists safety requirements and hazards that must be addressed before starting tasks. Workers must sign to acknowledge reviewing the hazards and requirements.

Uploaded by

Munaku Tafadzwa
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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2K views4 pages

DSTI

This document provides a daily safety checklist for construction work. It lists safety requirements and hazards that must be addressed before starting tasks. Workers must sign to acknowledge reviewing the hazards and requirements.

Uploaded by

Munaku Tafadzwa
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 4

LULWORTH Building DAILY SAFE TASK INSTRUCTION Document Number

FORM SHE DSTI Form


Services
Rev 0

Company name: LULWORTH IMIVUYO JV Supervisor:

Project :THE PROVISION OF MOBILE UNITS OF Date:


CLASSROOMS AND INFRASTRUCTURE AT NONKQUBELA
SENIOR SECONDARY SCHOOL ON BEHALF OF THE
EASTERN CAPE DEPARTMENT OF EDUCATION
Weather conditions: Area:

Description of work/activity

DESCRIPTION TO STANDARD CORRECTIVE DATE


Yes No MEASURES
Safe access to work area – clean and tidy
Sufficient / correct barricading erected
Electrical equipment in good condition
Machine guarding adequate
All tools / equipment pre-inspected
Safe access and egress available and used
Scaffolding tagged accordingly
Gas cutting equipment and hoses
Correct PPE (Utilized and available)
Safe working platforms for elevated work
Safe lifting & rigging equipment
SMI lifting & rigging equipment
Correct permits for application
PERMITS valid
Lock-out required & in place?
Correct tools and equipment available
No overhead work allowed
All employees trained accordingly
The list does not exclude and or wave any other checklist and or legal requirements
Risk Assessment Reference No.:
CURRENT JOB WHAT ARE THE HAZARDS LIST CONTROL
List main tasks of job Job & Environment Required/Implemented
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LULWORTH Building DAILY SAFE TASK INSTRUCTION Document Number
FORM SHE DSTI Form
Services
Rev 0

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Note

 If tasks change this list and the Risk Assessment must be revised before proceeding with
new changed task.

Approval

I hereby certify that the above items were checked and all employees under my supervision
received a safe task instruction.
CR 8.7 (Construction
Supervisor)

Name and Surname Designation Signature Date

CR 8(5) Construction
Health and Safety Officer/
OHS Act Section 17

Name and Surname Designation Signature Date

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LULWORTH Building DAILY SAFE TASK INSTRUCTION Document Number
FORM SHE DSTI Form
Services
Rev 0

Pre-Job Acknowledgement Post-Job Confirmation


By signing this document, I acknowledge that I By signing this document, I declare that I was not
was informed of the hazards associated with my involved in any incident that had an effect on my
task and that I understand the content of this health or safety during the task that I performed.
document.
Name & Surname Signature Name & Surname Signature

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LULWORTH Building DAILY SAFE TASK INSTRUCTION Document Number
FORM SHE DSTI Form
Services
Rev 0

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