This form is used to identify hazards and control measures in landscape projects

1. On Site, Daily Hazard Identification
Recording Sheet
(Tailgate Meeting).
> School of Natural Resources
Site Address: __________________________________________________________________________
Date: __________________________________________________________________________
Time (In): ____________________________________ (Out): ______________________________
Job Specifications: _______________________________________________________________________
Type of Hazard E. I. M. Awareness or Control
Intended Action
(One or More)
PPE for all students
in safe order
Handtools in safe
order
Power tools in safe
order
Task/Manual
handling
Site
- Terrain
Equipment
Weather
Buildings / Fences
Services
- Above/Below
Traffic
- Foot and Vehicle
Public
Other
Emergency  First Aid Kit: Fully Stocked/Checked
procedures  Two Current First Aiders On Site
 Fire Extinguisher in Proximity
 Two Cellphones – Reception Checked and Charged
 Student Safety Supervisor for Site and Lecturer
All equipment and machinery are checked daily prior to use for defects or faults. Yes / No
All in attendance are to initial once all hazards are identified and appropriate
controls are in place prior to work commencement. Yes/ No
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2. I as the Site Safety Supervisor acknowledge that all persons on site or visiting this site have been made aware of
all identified hazards. I understand my requirements of responsibility under the terms of Otago Polytechnic Health
and Safety and the Health and Safety Employment Act 1992.
Student Safety Supervisor for site: ___________________________________ ___ Date: _________________
Lecturer: _________________________________________________________ Date: _________________
Student Name: Signature
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