Client OHS&W Procedural guide
(form 3.3)
Your Name
*
Please Select
Cameron Fox
Chris Holwell
Don Mossuto
David Tierney
Oz Bin Cleaning WA
Oz Bin Cleaning NSW
OZ Bin Cleaning QLD
Oz Bin Cleaning SA
Other
Date
*
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Day
-
Month
Year
Date
Client Company Name
*
Client Site Name
Site Address
HAZARD - RISK CONTROL MEASURES / GENERAL REQUIRMENTS ON CLIENT SITES
Clear definition of scope of work carried out by Enviropoles personnel
Identify any potential workplace hazards and potential risks that Enviropoles personnel may be exposed to during the course of their duties on respective sites.
Name and Contact details of Clients OH&S Officers, Fire wardens ad First Aid officers for each respective site.
OH&S Officer contact number
OH&S Officers email address
Fire Warden contact number
Fire Warden email address
Client to state preferred means of communication between Enviropoles and Clients Emergency response personnel.
Phone
Email
Other
Identify any workplace health and safety policies and procedures compulsory for each site.
Identify any heavy lifting involved in order to gin access for the purpose of installation / cleaning services of Enviropoles products
Attach maps of first aid facilities, fire exits and assembly locations for sites where you may be attending.
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of
Additional notes and information pertaining to first aid facilities, fire exits and assembly locations
Attach client emergency evacuation procedures associated with each site.
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Additional notes and information pertaining to client emergency evacuation procedures associated with each site.
Pease attach any client certificates of induction and training
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Additional notes and information pertaining to the client inductions and training certificates.
Attach any additional files which may support this form
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