Title Page

  • Carry out the collection of data, records of previous experience, and any available risk assessments relevant to the work under analysis. Evaluate the requirements linked to the work in hand. Appoint the personnel who will take part in the work. Invite these persons to a pre-start meeting and ensure all hazards have been identified, the correct PPE is worn, communication methods have been established, sensitive areas and weather conditions identified, and any other pre-checks completed. Cambrilea shall identify potential hazards to personnel, the environment or material assets linked to each task and make an assessment of the potential impact of identified hazards and their probability of occurrence based on the group's experience and best judgement. The risk matrix may be of some assistance here.

  • Owner/Occupier/Client Name:

  • Trading as

  • Location
  • GPS Co-ordinates

  • Conducted on

  • Cambrilea Supervisor

  • P/O No.

  • Third Party Personnel Involved, Job Titles and Company

  • Description of activity being carried out

  • Machinery Involved

  • Environmental Conditions (weather. wind etc.)

  • Communication Method

  • PPE Requirements have been assessed, being worn and in good condition

Hazards & Controls


  • Ensure containers are upright and labelled correctly. Always use in accordance with manufacturer’s instructions. Do not mix without authorisation. Wear correct PPE, and ensure Safety Data Sheets are readily available. Refer to spray plan.

Steep, slippery, narrow tracks

  • Use chains on all four wheels and use 4WD at all times, or take an alternative route. Ask if there is an alternative and safer route.

Slips on tracks, tomos, swamps, waterways, offal holes, rubbish dumps

  • Seek Farmers and note locations.


  • Seek Farmers advice and document locations. If in doubt, stop and undertake a full visual check.

Aggressive animals and livestock

  • Seek Farmers advice and document locations. Always leave gates as you find them.


  • Beware of machinery on route and in the work area.

Other Contractors and workers

  • Ensure unauthorised persons are kept well clear of the spraying operation.

Visitors, Hunters & Firearms

  • Ask Farmers if visitors or hunters are onsite

Overhead power wires or low hanging wires and cables

  • Undertake a visual inspection of overhead services. Ask Farmers advice and ensure all staff to act as spotters.

Hidden drains

  • Ask Farmers advice and note as hazards. Ensure all staff to act as spotters.

Beehives and Wasps

  • Anthisan in vehicles, stay well clear of hives and nests if you are able.

Electric fencing

  • Avoid crossing if possible. Use grass blade to check if live. Do not spray overhead.


  • Avoid running vehicle through flood waters as hazards will be hidden from view.

Other hazards to be aware of

  • Sensitive Areas (Description and location of neighbouring crops/schools/houses/roads – especially those used by children such as school bus routes)

  • Factors to consider before spraying and measures to be used to avoid contamination of sensitive areas (e.g. low drift nozzles, no-spray buffer zones, favourable wind direction, school holidays)

  • Type any other hazards to be aware of: Eg. Tomos in paddock 58

Cambrilea Checklist

Documentation and empirical data

  • Is this a known work operation?

  • Are there suitable procedures/instructions for the work?

  • Do we have knowledge/experience of unwanted incidents in similar jobs?


  • Do we have the necessary personnel and skills for the work?

  • Have the personnel involved received enough information about the job?

  • Are there other personnel who should have attended the pre-start meeting?

Communication and co-ordination

  • Are signalling methods and communications clarified and familiar to everybody?

  • Is there potential for conflicts with simultaneous activities?

  • Has it been determined who is to lead the work?

  • Has sufficient time been planned for the work?

  • Has the handling of any alarm or emergency situations been considered?

Key physical safety systems

  • Is there adequate fire protection?

  • Are there first aid kits and trained first aiders on site?

Equipment for performance of the work

  • Have all machinery and other equipment and materials been identified, made available, inspected and approved?

  • Has a pre-use inspection of any machinery and equipment been carried out?

  • Have all personnel been issued with adequate protective equipment?

  • Is there a danger of uncontrolled motion of equipment or tools?

The area

  • Have inflammable gas, liquids and materials in the area been taken into consideration?

  • Has the possibility of exposure to noise, smoke, dust or chemical been taken into consideration?

  • Are the necessary data sheets accessible?

  • Does the weather present challenges to the assignment?

  • Can high temperature be a danger?

  • Has the need for marking, signage and cordoning been taken into consideration?

Staff Sign-off

  • Cambrilea Staff: I/we confirm that I/we have been briefed on, and understand the Hazards and Controls.

  • Supervisor in charge

  • Staff

  • Staff

  • Staff

  • Staff

Owner/Occupier/Client Sign-off

  • I confirm that i have been briefed on, and understand the Hazards and Controls. I have read the client Acknowledgement and Indemnity. Notifications to neighbours has been made as required by WRC Air Plan.

  • Name

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.