Title Page

  • 5.10.1 Daily Prestart, Site Diary & JSEA

  • Conducted on

  • Prepared by

  • Job Number

  • Site address
  • Weather

Hazards

Hazards (only select what is relevant to today)

  • Traffic, pedestrians, EWPs & plant

  • Select all relevant controls (at least one)

  • Overhead / underground services

  • Select all relevant controls (at least one)

  • Hazardous substances

  • Select all relevant controls (at least one)

  • Work at Heights

  • Select all relevant controls (at least one)

  • Repairs to existing / new roof

  • Select all relevant controls (at least one)

  • Manual Handling (large objects)

  • Select all relevant controls (at least one)

  • Reversing on site

  • Select all relevant controls (at least one)

  • Rain, fog, high winds

  • Select all relevant controls (at least one)

Environment

  • Contamination / leakage

  • Select all relevant controls (at least one)

  • Noise / vibration / community / heritage items

  • Select all relevant controls (at least one)

  • Emergency preparedness

  • Select all relevant controls (at least one)

Checklist

Checklist

  • Scope of works discussed with crew

  • SWMS available

  • Plant prestart is completed

  • Emergency procedures available

  • Incident report available

  • Steel sign off received

  • Safety Mesh sign off received

  • Prestart meeting completed

Hot Works Permit

Hot Works Permit

  • Any hot works (anything with Spark or Flame - Grinding)

  • What works are being undertaken

  • Are you working in an open area with adequate ventilation

  • Are all flammable & combustible materials clear of the area

  • Is fire control equipment required to be on standby

  • What do you have in the area ready for use

  • If "other" please specify

  • Is there any risk of sparks or flame falling to lower levels or on people below

  • Do you have exclusion zone in place

  • Do smoke alarms need to be disconnetced

  • Approved by

Rescue Plan / Working at Heights Permit / Working alone

Rescue Plan / Working at Heights Permit

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

  • Are you working from EWPs or in Fall Arrest

  • Please select what activity you are doing

Rescue Plan

  • How accessible is the location in an emergency

  • What are the access issues?

  • Is there an issue with housekeeping or uneven ground

  • What are the issues?

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

  • How will the alarm be raised and by whom

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

  • What kinds of emergencies are contemplated

  • If "Other" explain further

  • If "EWP failure" select rescue options

  • If "Other" explain further

  • If "Driver incapacitated" select rescue options

  • 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.

  • If "Other" explain further

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

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

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

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

  • Supervisor / Person In Charge

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

  • Training and competencies to carry out works

Access /Egress

  • Safe access to work areas for all employees in place

  • Firm level ground for EWP / mobile access plant

  • Overhead services have been identified & communicated or isolated

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

Fall Prevention / Protection System

  • Exclusion Zone established around work area

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

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

  • Tools and materials secured against falls

  • Authorised by

  • Issue Date

  • Expiry Date

Working Alone

  • Are there any isolated works or are you working alone

  • 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

  • How will the alarm de raised in an emergency

  • Designated contact times have been established with the office

  • What is the time interval (in minutes)

  • Will the emergency communication system work properly in all situations

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

  • How will this be remedied

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

  • What machinery, tools and equipment may be used

  • Are high risk activities involved

  • What controls are to be used

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

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

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

  • What controls are in place for this

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

  • Does the worker have the required training for the works

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

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

  • Please list

  • Reviewed by

  • Does a manager need to be notified

  • Have they been notified

JSEA - Job Safety and Environment Analysis

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

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

    Risk Matrix.JPG
  • Hazard
  • What are the hazards and risks

  • Risk Score before controls (refer to matrix)

  • What controls will be implemented

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

Job steps / extra information

  • Specify any specific job steps or items relevant for today:

  • Add any relative supporting information / photos

  • List any printed documents referenced during this prestart:

Acknowledgement and Signatures

  • 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

  • Attendee
  • I am Fit 4 Work

  • Name

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