Information
-
TASK RISK ASSESSMENT CHECKLIST
-
Task/Job Name
-
TRA Number:
-
Conducted on
Part A - TASK SUMMARY
-
Date Checklist Completed
-
Date of Task Commencement
-
Task Description / Name of Task/Job
-
TRA No.
-
Please take photo of task/work area if necessary
-
Department
-
Location
-
References (e.g. Council Policies and Procedures, SWPs SOPs
-
PPE Required?
-
Tick all PPE required
- Eye Protection
- Hard Hat
- Steel Cap Boots
- High Viz Attire
- Welding Helmet & Apron
- Broad Brim Hat and Sunglasses
- Respirator
- Gloves
- Hearing Protection
- Face Shield
- Harness
-
DETAILS OF PERSON UNDERTAKING CHECKLIST
-
Name
-
Position
-
Signature
-
Date
-
DETAILS OF PERSON UNDERTAKING CHECKLIST
-
Name
-
Position
-
Signature
-
Date
-
WHS Representative (HSR)
-
Department Manager/Coordinator
-
Select date
Part B - HAZARD CHECKLIST
-
Use the following prompts to identify the hazards associated with the task. If the prompt is applicable or relevant tick "YES" and continue, a separate risk assessment on the "Task Risk Assessment Form" will then need to be completed addressing each hazard ticked "YES". If the prompt is not applicable to the plant tick "NO" If it does not apply to the plant at all, tick "N/A".
-
Code A - WORK ENVIRONMENT
-
A1 - Confined Space
-
A2 - Access & Egress
-
A3 - Lighting
-
A4 - Ventilation/Asphyxiation
-
A5 - Noise/Vibration
-
A6 - Working Space
-
A7 - Adjacent/Overhead Works
-
A8 - Works Below
-
A9 - Adjacent Services
-
A10 - Security/Public Protection
-
A11 - Nightshift
-
A12 - Out of Hours Work
-
A13 - Edges/Penetrations
-
A14 - Working at Height/Falls
-
A15 - Heat Stress
-
A16 - Ground Stability
-
A17 - Wet Weather
-
A18 - Surfaces - Wet/Rough/Slippery
-
A19 - UV Exposure
-
A20 - Tripping Hazards
-
A21 - Radiation Exposure
-
A22 - Underground Services
-
A23 - Emergency Response
-
A24 - Wind/Dust
-
A25 - Hot Surfaces
-
A26 - Sharp Surfaces/Projections
-
A27 - Housekeeping/Hygiene
-
A28 - Weld Flash
-
A29 - Traffic/Pedestrians
-
A30 - Plant Movement
-
A31 - Items Under Pressure/Stress
-
A32 - Snake Bites/Bee Stings etc.
-
A33 - Storm/Lighting
-
A34 - Dogs - Bites
-
Code B - ENGINEERING
-
B1 - Special Procedures
-
B2 - Inspections
-
B3 - Drawings & Specs
-
Code C - ELECTRICITY
-
C1 - Isolation & Tagging
-
C2 - Separation Distances
-
C3 - Overhead Lines
-
C4 - Underground
-
C5 - Power Surge
-
C6 - Water/Damp Areas
-
C7 - Metal Surfaces
-
Code D - NOTICES/AUTHORITIES
-
D1 - Dial Before You Dig
-
D2 - Services/Disconnected
-
D3 - ETSA
-
D4 - SA Water
-
D5 - Gas
-
D6 - Council Approval
-
D7 - Permits/Restrictions
-
D8 - Fire Protection
-
Code E - MATERIALS
-
E1 - Delivery of Materials
-
E2 - Lifting Method/Heavy Item
-
E3 - Lifting Overhead
-
E4 - Stockpile Locations
-
E5 - Stockpile Stability
-
E6 - Compatibility of Materials
-
E7 - Curing/Setting
-
E8 - Storage/Disposal of Excess Materials
-
Code F - WORK PRACTICES/PROCEDURES
-
F1 - Regulations & Standards
-
F2 - Codes of Practices
-
F3 - Manual Handling
-
F4 - Ergonomics/Posture
-
F5 - Repetitive Movement
-
F6 - Shift Rostering/Handover
-
F7 - Compressed Air
-
F8 - Cleanup/Washout
-
Code G - PEOPLE
-
G1 - Competency
-
G2 - Training/Licences/Tickets
-
G3 - Fitness for Work
-
G4 - Language/Literacy
-
G5 - Working Alone/Isolation
-
G6 - Fatigue
-
G7 - First Aid Attendance
-
G8 - Physical Requirements
-
G9 - Boredom/Morale
-
Code H - PLANT/EQUIPMENT
-
H1 - Tools Tagged
-
H2 - Licences/Certificates
-
H3 - Cranes/Hoists
-
H4 - Ladders/Scaffolding
-
H5 - Plant Servicing/Maintenance
-
H6 - Isolation/Lockout
-
H7 - Design Capacity
-
H8 - Mechanical Guards
-
H9 - Stability/Overturn
-
H10 - PPE
-
H11 - Harness/Fall Protection
-
Code I - HAZARDOUS MATERIALS
-
I1 - MSDS Sheets
-
I2 - Alternative Materials
-
I3 - Additional First Aid Requirements
-
I4 - Ingestion
-
I5 - Noxious Gases
-
I6 - Radioactive Substances
-
I7 - Asbestos (Telstra Pits Only)
-
I8 - Biological Chemicals
-
I9 - Explosion
-
I10 - Combustion
-
I11 - Exposure to Flames/Sparks
-
Code J - OTHER
-
I1 - Other not Listed
