Title Page

  • Document No.

  • Conducted on

  • Prepared by

  • Location

Mobilization and Initial Work Design

  • Card in pouch and hazard board understood

  • Correct PPE worn for the situation and in good condition

  • Employee understands the task they have been given

  • Work order document on person

  • Correct functional location

Critical Control

  • Electrocution

  • For electrical work?

  • Has the installation been tested to AS3000?

  • Are barriers in place for exposed live electrical conductors?

  • Is test equipment and tools in good working order?

  • Was the isolation and proving process followed (including test before touch)?

  • Is insulating PPE is being worn for testing?

  • Are permit conditions and work instructions being adhered to?

  • Are controls in place for working in a lighting prone environment?

  • Is the correct supervision in place for apprentices and contractors?

  • Does the work team have the required qualifications?

  • For electrical appliances?

  • Have portable RCD devices been tested prior to use?

  • Are portable appliances tagged and in good order?

  • For arc welding?

  • Are arc welding machines fitted with Voltage Reduction Devices?

  • Is the return clamp adjacent to the activity?

  • Is the welding PPE dry?

Critical Control

  • Switchboard Explosion or Arc Flash

  • For Operator Switching?

  • Is CAT4 PPE being worn?

  • Is the correct remote racking device being used?

  • Does the work team have the required qualifications?

  • For Electrical work?

  • Is PPE being worn in accordance with the Arc Flash Dossier?

  • Is the correct isolation process being followed?

  • Are mitigating controls in place (Maintenance mode used)?

  • Are the correct testing for dead and earthing practices being followed?

  • Does the work team have the required qualifications?

Critical Control

  • Work at Heights & Dropped Objects

  • Are identified anchor points being used, 100% hookup, equipment fitted correctly, tagged and compliant to site standard.

  • Has a quality prestart been conducted on the EWP?

  • Dropped objects hazard is controlled; minimal risk of dropping objects below, or having objects dropped from other workgroups above.

  • Is the barricade and drop protection erected as per design?

  • Does the work group understand the no go zone?

  • Does the work team have the required qualifications?

Critical Control

  • Confined Space

  • Is a positive isolation in place to cover the work scope and all energy sources included?

  • Is there a safe atmosphere - Ventilation plan in place, current atmospheric test, no introduced hazards?

  • Stored energy managed, hangups, dropped object potential etc

  • Access points have hard barricading and signs, standby person to be used and conpetent

  • Does the work team have the required qualifications?

Critical Control

  • Lifting Operations

  • Is the lift being executed as per lift study design?

  • Is the crane in the designated location?

  • Is the landing area identified being used?

  • Has a quality prestart been conducted on the crane?

  • Is the rigging gear tagged and rated, and has it been inspected prior to use?

  • Does the work group understand the no go zone?

  • Is the barricade erected as per design?

  • Does the work team have the required qualifications?

Critical Control

  • Isolation of Hazardous Energy

  • Recipient has checked isolation points exist and are locked and check integrity

  • Equipment ID tag hung on correct equipment

  • Electricians are Isolation officer trained if doing isolations

  • WOLE: All conditions of WOLE are being met

Task Photo

  • Task Photo

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