A&J Job Sheet + JRA + Test report

• Document No.

• Customer Name & Job Number:

• Worker ID:

  Rod Knowels

  Dean Westlake

  Matt Baguley

  Allan Miller

• Date:

  Date

A&J Electrical Services. E.C.N.- 9009

PO Box 6383, Upper Mt Gravatt, Qld, 4122

ABN- 28 474 378 319. ACN- 010 831 188.

Ph- 07 38495387. Fax- 07 38495484. Email- enquiries@aandjelectrical.com.au

• Has the Risk Assessment Form been completed ?

  YES

  NO

• Job Date:

  Date

• Job Number:

• Job Complete ?

  YES

  NO

• Customer Name:

• Customer Address:

• Customer Phone Number & Email Address:

• Customer Order Number:

• Job Site Address:

• Job Description:

• Materials/Parts Used:

• Electrical Worker # 1:

  Rod, 110819

  Dean, 126785

  Matt,

  Allan, c5306

  Joel

• Electrical Worker # 2:

  Rod, 110819

  Dean, 126785

  Matt,

  Allan, c5306

  Joel

• Electrical Worker # 3:

  Rod, 110819

  Dean, 126785

  Matt,

  Allan, c5306

  Joel

• Electrical Worker # 4:

  Rod, 110819

  Dean, 126785

  Matt,

  Allan, c5306

  Joel

• Additional Electrical Worker(s):

I agree that the electrical work was performed at the above address and accept responsibility for the payment of the work. I acknowledge that all parts remain the property of A&J Electrical Services until full payment has been completed. Settlement regarding purchase or transfer of these premises was prior to 1/9/2002. I understand that if this is not true, then I may be held liable for action to be taken.

• Customer's Signiture:

  Sign

I certify that the electrical installation, to the extent it is affected by the electrical work, has been tested to ensure it is electrically safe and is in accordance with the requirements of the wiring rules and any other standard applying to the electrical installation under the Electrical Safety Regulation 2002.

I certify that the cabling work provided, complies with the Australian Communications Industry Wiring Rules technical standard AS/ACIF S009:2001.

• Worker's Signiture:

  Sign

• Have the Electrical Test Results been recorded ?

  YES

  NO

• M.E.N. checked and proof of testing noted on the switchboard ?

  YES

  NO

• Safety Switches fitted & Tested ?

  YES

  NO

Additional Information:

• Sketch :

  Drawing

• Photographic Information :

  Media

RISK. ASSESSMENT: Identify Hazards......

• Overhead Power Lines

  YES

  NO

• High Voltage

  YES

  NO

• Electrical Contact

  YES

  NO

• Fire/Explosion

  YES

  NO

• Mechanical

  YES

  NO

• Noise

  YES

  NO

• Lighting

  YES

  NO

• Plant / Vehicles

  YES

  NO

• Roads / Traffic

  YES

  NO

• Pedestrians / Children / Animals

  YES

  NO

• Excavation

  YES

  NO

• Trench Collapses

  YES

  NO

• Confined Spaces

  YES

  NO

• Access / Exits

  YES

  NO

• Fatigue

  YES

  NO

• Slip / Trip

  YES

  NO

• Falling / Flying Objects

  YES

  NO

• Heights / Falls

  YES

  NO

• Weather Conditions

  YES

  NO

• Hot Envoirenment

  YES

  NO

• Sun Exposure

  YES

  NO

• Ultra-violet Radiation

  YES

  NO

• Manual Handling

  YES

  NO

• Vibration

  YES

  NO

• Pinch Points

  YES

  NO

• Sharp Edges

  YES

  NO

• Cuts and Abrasions

  YES

  NO

• Dust

  YES

  NO

• Fumes

  YES

  NO

• Gases

  YES

  NO

• Liquids

  YES

  NO

• Chemicals / Substances

  YES

  NO

• Ceiling Space

  YES

  NO

RISK MATRIX:

• Drawing:

  Drawing

• Photographic:

  Media

RISK SCORE:

• High : Moderate : Low

  High

  Medium

  Low

IMPLEMENT CONTROL MEASURES:

• Isolate overhead lines:

  YES

  NO

• Isolation:

  YES

  NO

• Mechanical Locking Device:

  YES

  NO

• Switchboard rescue kit

  YES

  NO

• Safety Observer

  YES

  NO

• Barricade / Fence

  YES

  NO

• Rubber Matt / Barrier Matt

  YES

  NO

• Insulating gloves

  YES

  NO

• Safety Gloves

  YES

  NO

• Helmet

  YES

  NO

• Face Shield / Safety Glasses

  YES

  NO

• Dust Mask

  YES

  NO

• Other PPE

  YES

  NO

• Fire Blanket

  YES

  NO

• Fire Extinguishers

  YES

  NO

• Mechanical Aid

  YES

  NO

• Safety Equipment / Devices

  YES

  NO

• Water

  YES

  NO

• Solar Protection

  YES

  NO

• Ventilation

  YES

  NO

• Lighting

  YES

  NO

• Scaffolding / Mobile Work Platform / EPV / Cherry Picker

  YES

  NO

• Safety Harness

  YES

  NO

• Signage / Signalling

  YES

  NO

• Communications Equipment

  YES

  NO

• Emergency Procedures

  YES

  NO

• Work Procedures

  YES

  NO

• Inductions / Briefings

  YES

  NO

• Discussion with Supervising Adult / Person in Charge

  YES

  NO

• Training

  YES

  NO

• Work Out of Hours

  YES

  NO

WORK METHOD STATEMENT Working TO:

• SWMS 1. Basic fault finding on LV MCC or similar panels

  YES

  NO

• SWMS 2. Working in a trench or pit at a depth of 1.5m or more

  YES

  NO

• SWMS 3. Working in a Confined Space

  YES

  NO

• SWMS 4. Working with Asbestos

  YES

  NO

• SWMS 5. Live work

  YES

  NO

• SWMS 6. Isolation and work on electrical equipment

  YES

  NO

• SWMS 7. Conduit installation, prior to pouring concrete

  YES

  NO

• SWMS 8. Conduit installation in ground

  YES

  NO

• SWMS 9. Conduit installation in walls and ceilings

  YES

  NO

• SWMS 10. Cable and ladder tray installation

  YES

  NO

• SWMS 11. Working in risers

  YES

  NO

• SWMS 12. Using portable ladders

  YES

  NO

• SWMS 13. Installing light fittings

  YES

  NO

• SWMS 14. Installation of switchboards

  YES

  NO

• SWMS 15. Installation of Pyrotenax ( MIMS) cable

  YES

  NO

• SWMS 16. Installation of lighting looms

  YES

  NO

• SWMS 17. Installation of cable supports

  YES

  NO

• SWMS 18. Installation of mains

  YES

  NO

• SWMS 19. Installation of switchboard connections

  YES

  NO

• SWMS 20. New work on existing switchboards

  YES

  NO

• SWMS 21. Installation of sub-mains

  YES

  NO

• SWMS 22. Installation of power and lighting cables

  YES

  NO

• SWMS 23. Installation of power points

  YES

  NO

• SWMS 24. manual handling

  Yes

  No

  N/A

• SWMS 25. Working with elevated platforms

  YES

  NO

• SWMS 27. Isolate, lockout and test

  YES

  NO

• SWMS 28. Working at heights

  YES

  NO

• SWMS 29. Installing ceiling mounted lights and speakers

  YES

  NO

• SWMS 30. Removal of PCB's

  Yes

  No

  N/A

• SWMS 32. Disconnecting and existing installation

  YES

  NO

• SWMS 33. Installation of SELV cabling

  YES

  NO

• SWMS 34. Demolition and dismantling

  Yes

  No

  N/A

• SWMS 35. Hazardous substances

  YES

  NO

• SWMS 36. Plant

  YES

  NO

• SWMS 37. Testing and tagging of electrical appliances and equipment

  Yes

  No

  N/A

• SWMS 38. Using mobile scaffolds

  YES

  NO

• SWMS 39. Working on a Road / Driveway or Railway

  Yes

  No

  N/A

RECORD PROCEDURES:

• Hazards:

• Risk Score 1

  High

  Medium

  Low

• Apply Control Measures / SWMS

• Risk Score 2

  High

  Medium

  Low

IF RESIDUAL NOT LOW, RE DO CONTROL MEASURES:

• If residual risk low, commence work......

  YES

  NO

• Monitor and Review Effectiveness....

  YES

  NO

RISK ASSESSMENT CARRIED OUT BY:

• Name # 1

  Rod, 110819

  Dean, 126785

  Matt,

  Allan, c5306

  Joel

• Name # 2

  Rod, 110819

  Dean, 126785

  Matt,

  Allan, c5306

  Joel

• Name # 3

  Rod, 110819

  Dean, 126785

  Matt,

  Allan, c5306

  Joel

• Name # 4

  Rod, 110819

  Dean, 126785

  Matt,

  Allan, c5306

  Joel

ELECTRICAL TEST. RESULTS:

• #1 Circuit or Equipment Type:

• Visual Inspection Complete ?

  YES

  NO

• Circuit Number

• Protection Size & Type ?

• Neutral Number

• Phase Type ?

  1

  2

  3

• Continuity Test : OHMs

• Insulation Resistance : MEGOHMs

• Polarity Test Equipment or Circuit

  YES

  NO

• Fault. loop Impedance : OHMs

• Operational Test

  YES

  NO

• # 2 Circuit or Equipment Type:

• Visual inspection Complete ?

  YES

  NO

• Circuit Number

• Protection Size and Type

• Neutral Number

• Phase Type

  1

  2

  3

• Cable Size in MM

• Continuity Test : OHMs

• Insulation Resistance : MEGOHMs

• Polarity Test Equipment or Circuit

  YES

  NO

• Fault. loop Impedance : OHMs

• Operational Test

  YES

  NO

• # 3 Circuit or Equipment Type:

• Visual Inspection Complete ?

  YES

  NO

• Circuit Number

• Protection Size & Type ?

• Neutral Number

• Phase Type ?

  1

  2

  3

• Cable Size in MM:

• Continuity Test : OHMs

• Insulation Resistance : MEGOHMs

• Polarity Test Equipment or Circuit

  YES

  NO

• Fault. loop Impedance : OHMs

• Operational Test

  YES

  NO

• # 4 Circuit or Equipment Type:

• Visual Inspection Complete ?

  YES

  NO

• Circuit Number

• Protection Size & Type ?

• Neutral Number

• Phase Type ?

  1

  2

  3

• Cable Size in MM:

• Continuity Test : OHMs

• Insulation Resistance : MEGOHMs

• Polarity Test Equipment or Circuit

  YES

  NO

• Fault. loop Impedance : OHMs

• Operational Test

  YES

  NO

• # 5 Circuit or Equipment Type:

• Visual Inspection Complete ?

  YES

  NO

• Circuit Number

• Protection Size & Type ?

• Neutral Number

• Phase Type ?

  1

  2

  3

• Cable Size in MM:

• Continuity Test : OHMs

• Insulation Resistance : MEGOHMs

• Polarity Test Equipment or Circuit

  YES

  NO

• Fault. loop Impedance : OHMs

• Operational Test

  YES

  NO

• Tests carried out and signed off by:

  Rod, 110819

  Dean, 126785

  Matt,

  Allan, c5306

  Joel

This Document has been developed by and for the sole use of A&J Electrical Services and it's Staff. 18/1/2014