Title Page
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Site conducted
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5.10.1 Daily Prestart, Toolbox & JSEA
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Conducted on
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Prepared by
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Job Number or Name
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Site address
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Weather
- Fine
- Showers
- Windy
- Storms
- Overcast
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COVID 19 - I acknowledge that I or any workers at work today do not identify themselves to have or have signs of cold or flu like symptoms and do not have any COVID symptoms described by QLD Health/Government. Workers have confirmed that they are not a close contact as defined by the Government. If anyone has any symptoms or are classified as a close contact they must be sent home immediately and notify the office. Where possible maintain social distancing, wash hands regularly, limit car pooling. <br>Do any workers identify themselves with any COVID symptoms and are not a close contact?
Hazards
Hazards (only select what is relevant to today)
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Traffic, pedestrians, EWPs & plant
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Select all relevant controls (at least one)
- Separate Work Activities
- Exclusion Zone
- Traffic Controllers
- Safety Observer
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Name and phone number of the safety observer:
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Is the safety observer competent in the ground controls of the EWP and can call for Fist Aid if required?
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Overhead / underground services
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Select all relevant controls (at least one)
- Competent Spotter Required
- Live services identified
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Hazardous substances
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Select all relevant controls (at least one)
- Obtain SDS
- PPE to be worn
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Work at Heights
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Select all relevant controls (at least one)
- Edge protection
- Scaffold stair access
- EWP
- Fall Restraint System
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Repairs to existing / new roof
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Select all relevant controls (at least one)
- Safety Anchors in place
- Full body harness
- Edge Protection
- EWP
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Manual Handling (large objects)
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Select all relevant controls (at least one)
- Use mechanical means
- Team lifting
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Reversing on site
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Select all relevant controls (at least one)
- Spotter available
- Communication agreed
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Rain, fog, high winds
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Select all relevant controls (at least one)
- Monitor through day
- Re-assess after rain
Environment
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Contamination / leakage
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Select all relevant controls (at least one)
- Use spill kits and bunds
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Noise / vibration / community / heritage items
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Select all relevant controls (at least one)
- Identify service receptors
- Monitor noise & vibration
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Emergency preparedness
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Select all relevant controls (at least one)
- First Aid Kit
- Rescue Kit
- Spill Kit
- Assembly Point
Checklist
Checklist
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Scope of works discussed with crew
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SWMS/JSA available
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Plant prestart is completed (if machines on site)
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Emergency procedures available
Hot Works Permit
Hot Works Permit
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Any hot works (anything with Spark or Flame - Grinding)
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What works are being undertaken
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Are you working in an open area with adequate ventilation
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Are all flammable & combustible materials clear of the area
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Is fire control equipment required to be on standby
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What do you have in the area ready for use
- Water
- Powder
- Hose Reel
- Foam
- CO2
- Fire Blanket
- Other
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If "other" please specify
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Is there any risk of sparks or flame falling to lower levels or on people below
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Do you have exclusion zone in place
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Do smoke alarms need to be disconnetced
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Approved by
Rescue Plan / Working at Heights Permit / Working alone
Rescue Plan / Working at Heights Permit
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Has a Rescue Plan been completed for this site and is it still current
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Are you working from EWPs or in Fall Arrest
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Please select what activity you are doing
- Using an EWP
- Working in fall arrest
Rescue Plan
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How accessible is the location in an emergency
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What are the access issues?
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Is there an issue with housekeeping or uneven ground
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What are the issues?
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How can workers communicate to people outside the work area in an emergency
- Verbal
- Phone
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How will the alarm be raised and by whom
- Verbal
- Phone
- By PIC
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Rescue & emergency personnel can access the workplace during night shift, weekends and holiday periods
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What kinds of emergencies are contemplated
- EWP failure
- Driver incapacitated
- Other
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If "Other" explain further
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If "EWP failure" select rescue options
- Lower EWP from ground controls
- Rescue from another EWP
- Other
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If "Other" explain further
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If "Driver incapacitated" select rescue options
- Lower EWP from ground controls
- Rescue from another EWP
- Other
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If "Other" explain further
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The provision of suitable rescue equipment will depend on the potential emergencies identified. Select type of rescue equipment needed to effect the rescue.
- EWP
- Gotcha Rescue Kit
- Spotter
- First Aid Kit
- Other
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If "Other" explain further
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Are the rescuers properly trained and sufficiently fit to carry out their task.
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Is appropriate First Aid available and someone trained to administer if required.
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How will local emergency services be notified of an incident.
- Call 000
- Call Site Foreman
- Call Site Supervisor
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Any other information emergency services need to know (plant in area, cranes, trenches, allergies)
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Supervisor / Person In Charge
Working at Height Permit
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Work location
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Supervisor / Person In Charge responsible for task
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Worker/s name/s undertaking the task
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Task description
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Plant & Equipment to be used
- EWP under 11m
- EWP over 11m
- Fall Restraint System
- Fall Arrest System
- Other
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Training and competencies to carry out works
- Working at Heights Training
- EWP Yellow Card
- High Risk Boom Ticket (WP)
Access /Egress
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Safe access to work areas for all employees in place
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Firm level ground for EWP / mobile access plant
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Overhead services have been identified & communicated or isolated
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Systems for the safe removal of waste materials are in place
Fall Prevention / Protection System
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Exclusion Zone established around work area
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An appropriate fall restraint / arrest system has been installed by suitably competent person
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An appropriate full body harness / lanyard / ropes have been selected and inspected for the task
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Tools and materials secured against falls
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Authorised by
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Issue Date
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Expiry Date
Working Alone
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Are there any isolated works or are you working alone
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What is the length of time the worker may be alone
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What time of day are they required to work alone
Potential Hazards
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Mobile phone contact is available at all times
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How will the alarm de raised in an emergency
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Designated contact times have been established with the office
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What is the time interval (in minutes)
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Will the emergency communication system work properly in all situations
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Is the work in a remote location that makes immediate rescue from emergency services difficult
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How will this be remedied
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What is likely to happen if there is a vehicle breakdown
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What machinery, tools and equipment may be used
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Are high risk activities involved
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What controls are to be used
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Is fatigue likely to increase risk (eg: long driving hours)
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Is there an increased risk of violence or aggression when workers have to deal with clients or customers by themselves
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Can environmental factors affect the safety of the worker (exposure to hot or cold environments)
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What controls are in place for this
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Is there a risk of attack by animals - including reptiles, insects
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Does the worker have the required training for the works
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Can the worker able to make sound judgements about their own safety
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Are there any pre existing medical conditions that may increase risk
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Please list
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Reviewed by
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Does a manager need to be notified
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Have they been notified
JSEA - Job Safety and Environment Analysis
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Any additional hazards and associated risks identified not covered in SWMS
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Use the Risk Matrix pictured to complete the Risk Assessment below for items not covered by the SWMS
Hazard
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What are the hazards and risks
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Risk Score before controls (refer to matrix)
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What controls will be implemented
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Risk score after controls in place (refer to matrix)
Toolbox Talk details or extra items to note
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Specify any Toolbox Talk items, job steps or information relevant for today:
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Add any relative supporting information / photos
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List any printed documents referenced during this prestart:
Acknowledgement and Signatures
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Attendee Acknowledgement:
NOTE: by signing below you agree to the following points:
I have read and understand this Daily JSEA and will work in accordance with this JSEA.
I will consult with the Supervisor / PIC if changes are required and assist in re-issuing this form if required.
I have been consulted on the specific safety and environmental requirements of the activity.
I understand that I am responsible for my own and fellow worker’s safety.
I have ticked the Fit 4 Work acknowledging that I am indeed fit for work and not affected by fatigue, alcohol or prescription or other drugs.
I have ticked the Fit 4 Work acknowledging that I do not show any signs of fever, cough, sore throat or shortness of breath. If I do - I know not to come to work and follow the instructions as per current QLD Health and Government regulations.
I agree to abide by the advice provided by QLD Health/Australian Government in regards COVID 19 including but not limited to mask wearing, COVID 19 social distancing recommendations, reporting and not coming to work when sick or showing signs of Covid 19. -
Supervisor / Person In Charge
Attendee
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Name