4 Brothers Limited
Operational Management System · Tauranga, Bay of Plenty NZ
4B.FRM.001
Version 1.0
Field Form

Daily Job Sheet

Complete at start of day. Supervisor retains and files at end of shift. | Basis: WorkSafe NZ worker engagement obligations; Employment NZ time record requirements (ERA 2000 s130)

1 — Job Details
2 — Crew on Site (record required under ERA 2000 s130)
Worker Full Name Start Time Finish Time Break (mins) Status
Breaks: Rest breaks (paid) — 10 min per 2 hrs worked. Meal break — 30 min (unpaid) for shifts 4 hrs+. ERA 2000 s69ZD.
3 — Hazards Identified Today (HSWA 2015 s36 — hazard management obligation)
Any hazard must be reported immediately. Workers have the right to refuse work they believe poses serious risk (HSWA 2015).
Hazard Identified Control Applied By Whom Incident Report?
4 — Daily Compliance Checks
Toolbox talk conducted and recorded (4B.FRM.002)
All workers wearing required PPE
Machinery pre-start inspections complete (4B.FLT.002)
Emergency contact sheet at site (4B.FRM.008)
First aid kit present and checked
KVH biosecurity — boots, tools, vehicles clean on entry
Site-specific hazards identified and communicated
All workers are fit for work (not impaired)
Emergency assembly point communicated
Weather conditions assessed — safe to proceed
5 — Tasks Completed / Production Record
6 — Supervisor Sign-Off
Supervisor / Team Leader
Full name
Sign here
Date
Time
Operations Manager (if required)
Full name
Sign here
Date
Notes
4B.FRM.001 v1.0 · Retain 6 years (ERA 2000 s130)
4 Brothers Limited
Review: May 2027 · Uncontrolled if printed