5.10.1 v3

• 5.10.1 Daily Prestart, Site Diary & JSEA

  Select 5.10.1 Daily Prestart, Site Diary & JSEA

  • 5.10.1 Daily Prestart, Site Diary & JSEA

• Conducted on

  Date

• Prepared by

• Job Number

• Site address
  Address

• Weather

  Select Fine Showers Windy Storms Overcast

  • Fine
  • Showers
  • Windy
  • Storms
  • Overcast

Hazards (only select what is relevant to today)

• Traffic, pedestrians, EWPs & plant

• Select all relevant controls (at least one)

  Select Separate Work Activities Exclusion Zone Traffic Controllers

  • Separate Work Activities
  • Exclusion Zone
  • Traffic Controllers

• Overhead / underground services

• Select all relevant controls (at least one)

  Select Competent Spotter Required Live services identified

  • Competent Spotter Required
  • Live services identified

• Hazardous substances

• Select all relevant controls (at least one)

  Select Obtain SDS PPE to be worn

  • Obtain SDS
  • PPE to be worn

• Work at Heights

• Select all relevant controls (at least one)

  Select Edge protection Scaffold stair access EWP

  • Edge protection
  • Scaffold stair access
  • EWP

• Repairs to existing / new roof

• Select all relevant controls (at least one)

  Select Safety Anchors in place Full body harness

  • Safety Anchors in place
  • Full body harness

• Manual Handling (large objects)

• Select all relevant controls (at least one)

  Select Use mechanical means Team lifting

  • Use mechanical means
  • Team lifting

• Reversing on site

• Select all relevant controls (at least one)

  Select Spotter available Communication agreed

  • Spotter available
  • Communication agreed

• Rain, fog, high winds

• Select all relevant controls (at least one)

  Select Monitor through day Re-assess after rain

  • Monitor through day
  • Re-assess after rain

Environment

• Contamination / leakage

• Select all relevant controls (at least one)

  Select Use spill kits and bunds

  • Use spill kits and bunds

• Noise / vibration / community / heritage items

• Select all relevant controls (at least one)

  Select Identify service receptors Monitor noise & vibration

  • Identify service receptors
  • Monitor noise & vibration

• Emergency preparedness

• Select all relevant controls (at least one)

  Select First Aid Kit Rescue Kit Spill Kit Assembly Point

  • First Aid Kit
  • Rescue Kit
  • Spill Kit
  • Assembly Point

Checklist

• Scope of works discussed with crew

• SWMS available

• Plant prestart is completed

• Emergency procedures available

• Incident report available

• Steel sign off received

  Yes

  No

  N/A

• Safety Mesh sign off received

  Yes

  No

  N/A

• Prestart meeting completed

Hot Works Permit

• Any hot works (anything with Spark or Flame)

  Yes

  No

• Have you completed a Hot Works Permit

  Yes

  No

  N/A

Rescue Plan / Working at Heights Permit

• Has a Rescue Plan been completed for this site and is it still current

  Yes

  No

  N/A

• Are you working from EWPs or in Fall Arrest

  Yes

  No

• Please select what activity you are doing

  Select Using an EWP Working in fall arrest

  • Using an EWP
  • Working in fall arrest

Rescue Plan

• How accessible is the location in an emergency

  Safe

  At Risk

  N/A

• What are the access issues?

• Is there an issue with housekeeping or uneven ground

  Safe

  At Risk

  N/A

• What are the issues?

• How can workers communicate to people outside the work area in an emergency

  Select Verbal Phone

  • Verbal
  • Phone

• How will the alarm be raised and by whom

  Select Verbal Phone By PIC

  • Verbal
  • Phone
  • By PIC

• Rescue & emergency personnel can access the workplace during night shift, weekends and holiday periods

  Yes

  No

  N/A

• What kinds of emergencies are contemplated

  Select EWP failure Driver incapacitated Other

  • EWP failure
  • Driver incapacitated
  • Other

• If "Other" explain further

• If "EWP failure" select rescue options

  Select Lower EWP from ground controls Rescue from another EWP Other

  • Lower EWP from ground controls
  • Rescue from another EWP
  • Other

• If "Other" explain further

• If "Driver incapacitated" select rescue options

  Select Lower EWP from ground controls Rescue from another EWP Other

  • Lower EWP from ground controls
  • Rescue from another EWP
  • Other

• If "Other" explain further

• The provision of suitable rescue equipment will depend on the potential emergencies identified. Select type of rescue equipment needed to effect the rescue.

  Select EWP Gotcha Rescue Kit Spotter First Aid Kit Other

  • EWP
  • Gotcha Rescue Kit
  • Spotter
  • First Aid Kit
  • Other

• If "Other" explain further

• Are the rescuers properly trained and sufficiently fit to carry out their task.

  Yes

  No

  N/A

• Is appropriate First Aid available and someone trained to administer if required.

  Yes

  No

  N/A

• How will local emergency services be notified of an incident.

  Select Call 000 Call Site Foreman Call Site Supervisor

  • Call 000
  • Call Site Foreman
  • Call Site Supervisor

• Any other information emergency services need to know (plant in area, cranes, trenches, allergies)

• Supervisor / Person In Charge

  Sign

Working at Height Permit

• Work location

• Supervisor / Person In Charge responsible for task

• Worker/s name/s undertaking the task

• Task description

• Plant & Equipment to be used

  Select EWP under 11m EWP over 11m Fall Restraint System Fall Arrest System Other

  • EWP under 11m
  • EWP over 11m
  • Fall Restraint System
  • Fall Arrest System
  • Other

• Training and competencies to carry out works

  Select Working at Heights Training EWP Yellow Card High Risk Boom Ticket (WP)

  • Working at Heights Training
  • EWP Yellow Card
  • High Risk Boom Ticket (WP)

Access /Egress

• Safe access to work areas for all employees in place

  Yes

  No

  N/A

• Firm level ground for EWP / mobile access plant

  Yes

  No

  N/A

• Overhead services have been identified & communicated or isolated

  Yes

  No

  N/A

• Systems for the safe removal of waste materials are in place

  Yes

  No

  N/A

Fall Prevention / Protection System

• Exclusion Zone established around work area

  Yes

  No

  N/A

• An appropriate fall restraint / arrest system has been installed by suitably competent person

  Yes

  No

  N/A

• An appropriate full body harness / lanyard / ropes have been selected and inspected for the task

  Yes

  No

  N/A

• Tools and materials secured against falls

  Yes

  No

  N/A

• Authorised by

  Sign

• Issue Date

  Date

• Expiry Date

  Date

Working Alone

• Are there any isolated works or are you working alone

  Yes

  No

• What is the length of time the worker may be alone

• What time of day are they required to work alone

Potential Hazards

• Mobile phone contact is available at all times

  Yes

  No

  N/A

• How will the alarm de raised in an emergency

• Designated contact times have been established with the office

  Yes

  No

  N/A

• What is the time interval (in minutes)

• Will the emergency communication system work properly in all situations

  Yes

  No

  N/A

• Is the work in a remote location that makes immediate rescue from emergency services difficult

  Yes

  No

• How will this be remedied

• What is likely to happen if there is a vehicle breakdown

  Call RACQ

  Call Office

• What machinery, tools and equipment may be used

• Are high risk activities involved

  Select Working at Heights Working near live services Working on or near mobile plant Demolition No high risk activities

  • Working at Heights
  • Working near live services
  • Working on or near mobile plant
  • Demolition
  • No high risk activities

• What controls are to be used

• Is fatigue likely to increase risk (eg: long driving hours)

  Yes

  No

• Is there an increased risk of violence or aggression when workers have to deal with clients or customers by themselves

  Yes

  No

• Can environmental factors affect the safety of the worker (exposure to hot or cold environments)

  Yes

  No

• What controls are in place for this

• Is there a risk of attack by animals - including reptiles, insects

  Yes

  No

• Does the worker have the required training for the works

  Yes

  No

  N/A

• Can the worker able to make sound judgements about their own safety

  Yes

  No

  N/A

• Are there any pre existing medical conditions that may increase risk

  Yes

  No

• Please list

• Reviewed by

  Sign

• Does a manager need to be notified

  Yes

  No

• Have they been notified

  Yes

  No

  N/A

• Any additional hazards and associated risks identified not covered in SWMS

  Safe

  At Risk

  N/A

• Use the Risk Matrix pictured to complete the Risk Assessment below for items not covered by the SWMS

  
Hazard

• What are the hazards and risks

• Risk Score before controls (refer to matrix)

  1-4 Insignificant

  5-9 Minor

  10-14 Moderate

  15-19 Major

  20-25 - Extreme

• What controls will be implemented

• Risk score after controls in place (refer to matrix)

  1-4 Insignificant

  5-9 Minor

  10-14 Moderate

  15-19 Major

  20-25 - Extreme

• Supervisor / Person In Charge

  Sign

• 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.

• Supervisor / Person In Charge

  Sign
Attendee

• I am Fit 4 Work

• Name

  Sign