Your DetailsName* First Last Email* Select your course* Confined Space Training Work Safely at Heights Before Starting Work1. Do you know what to do in the event of an emergency?* Yes No 2. What is the first step in the Maxwell Emergency Response procedure?*3. Do you know who to see for First Aid treatment?* Yes No N/A 4. When completing your SWMS & Permit which documents did you refer to? (Select from list) Sample SWMS Emergency Response Guide Code of Practice Safety Data Sheet 5. Do you have all the equipment including PPE for your task?* Yes No N/A 6. Are the isolations for your task correct?* Yes No N/A Hazard / IssueControl / ActionDuring the Work1. Is the weather affecting your work?* Yes No N/A 2. Are other people affecting your work (general public / other work groups)?* Yes No N/A 3. Has your task changed (scope, location, or timing)?* Yes No N/A 4. Have you identified any new hazards?* Yes No N/A 5. Have any new workers joined your task?* Yes No N/A Hazard / IssueControl / ActionAt the Completion of Work1. Have you carried out an inspection & maintenance of any equipment?* Yes No N/A 2. Have you disposed of any chemicals or other materials correctly?* Yes No N/A 3. Have you removed all barricades, safety tape & signs?* Yes No N/A 4. Have you left the site safe & ready for normal operation?* Yes No N/A 5. Who did you notify that work was complete and any permits could be closed?* Permit Issuer Supervisor Trainer / Assessor Hazard / IssueControl / ActionSign & DateSignature*Date DD slash MM slash YYYY
