AV Installation Pre-Start Checklist

• Date:

  Date

• Project/Job Name:

• Client:

• Site Location:
  Address

• Personnel Onsite (initials):

  Select

• Emergency Evacuation Point:

• Do all personnel have current First Aid & CPR certificates?

  Yes

  No

• Have all personnel completed a General Construction Induction (White Card)?

  Yes

  No

• Have all personnel completed Manual Handling training?

  Yes

  No

• Is the weather likely to affect works today?

  Yes

  No

• Discuss a plan to avoid exposure to hazardous weather...

• Does anyone have any injuries or illness that may impact their work?

What tasks we are doing today?

• Describe the task:

• Describe the task:

• Describe the task:

• Describe the task:

Identify Hazards & Controls

• Identify a Hazard:

• How will the Hazard be controlled?

• Identify a Hazard:

• How will the Hazard be controlled?

• Identify a Hazard:

• How will the Hazard be controlled?

• Identify a Hazard:

• How will the Hazard be controlled?

• Does the site have specific PPE requirements?

  Select Hard Hat Hearing Protection Gloves Steel cap boots Hi--Vis vest Safety Glasses Respiratory aid Full Length shirts/pants

  • Hard Hat
  • Hearing Protection
  • Gloves
  • Steel cap boots
  • Hi--Vis vest
  • Safety Glasses
  • Respiratory aid
  • Full Length shirts/pants

• Additional PPE required for specific tasks?

• Is the required PPE available and in good condition?

  Yes

  No

Have any required Permits been completed?

• Confined Space Entry

• Electrical Isolation

• Hot Works

• Environmental / Land Access

• Utility Providers or Council

• Other:

General Equipment & Fire Isolation

• Are ladders in good condition?

  Yes

  No

  N/A

• Are the available ladders appropriate for the tasks?

  Yes

  No

• Does electrical equipment have valid test tags?

  Yes

  No

  N/A

• Do the tasks being completed require isolation of the fire alarm system?

  Yes

  No

• Who is repsponsible for isolating the fire alarm system?

Select tasks requiring HRW tickets or other competencies

• Cabling Works under AS/CA S009

• Do personnel have valid Open Cabling Registration with the required endorsements?

  Yes

  No

• If unfamiliar, consult the SWMS for this task:

• TCA1 Form can be downloaded here:

• Working at Heights

Describe the task:

• Briefly describe the work at heights task:

• Briefly describe the associated fall hazard:

Hierarchy of controls for access / fall prevention:

• Can the task be completed using an EWP?

  Yes

  No

• Yes

  No

• Can the task be completed using Scaffold (fixed or portable)?

  Yes

  No

• Yes

  No

• Can temporary guard rails be installed to remove the fall hazard?

  Yes

  No

• Yes

  No

• Can permanent fall prevention anchors and fall restraint be installed?

  Yes

  No

• Yes

  No

• Can this task be completed using qualified rope access personnel?

  Yes

  No

• Can this task be completed using a temporary fall arrest system?

  Yes

  No

• Yes

  No

• Forklift Use

• Do personnel have the required HRWL?

  Yes

  No

• If unfamiliar, consult the SWMS for this task:

• Working with Vulnerable People

• Have personnel completed a Working with Vulnerable people check?

  Yes

  No

• Are there any incidents, positive events/news, etc. that require discussing?

  Yes

  No

• Any other notes here:

Pre-start Sign on

• I, the undersigned, hereby certify that I have been inducted to this job site by (X) or Site Supervisor, and that I have actively participated in the identification of hazards, assessment and control of risks associated with working at this location by way of this pre-start briefing. I agree to implement the control measures identified, including the use of the appropriate PPE:

Add person:

• Name and Signature:

  Sign