Title Page
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Site conducted
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Conducted on
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Prepared by
Key Points
New Workers
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please name below all new workers on site for today's tasks
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1. Introduce New Workers?
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Please name new workers introduced
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2. Have they completed site induction?
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Contact site manager for induction for all new workers named in this section!
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3. Any safety/environmental concerns from previous day/shift?
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Description of safety/environmental concerns
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Controls put in place to reduce safety/environmental concerns
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4. Any permits in place in any of the Buildings?
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Please provide the details of all permits in place
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in section below name all major tasks for today's work
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5. Today's tasks:
Today's Hazards - is risk applicable?
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All risks identified to have controls in place below prior to any commencement of work
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6. Traffic
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pleased attach traffic control plan via "media" button
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Description of the hazard
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Controls put in place to reduce the risk
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7. Falls
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Description of the hazard
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Controls put in place to reduce the risk
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8. EWP/Guarding/Scaffold
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Description of the hazard
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Controls put in place to reduce the risk
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9. Maypole or other restraining
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Description of the hazard
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Controls put in place to reduce the risk
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10. Lanyard/Harness/Belt
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Description of the hazard
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Controls put in place to reduce the risk
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11. Ladder
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Description of the hazard
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Controls put in place to reduce the risk
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12. Barrier/Tape/Observer
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Description of the hazard
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Controls put in place to reduce the risk
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13. Live Mains Overhead
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Description of the hazard
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Controls put in place to reduce the risk
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14. Live Mains Underground
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Description of the hazard
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Controls put in place to reduce the risk
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15. Uneven Working Ground
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Description of the hazard
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Controls put in place to reduce the risk
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16. Worksite Access
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Description of the hazard
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Controls put in place to reduce the risk
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17. Open Flame
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Description of the hazard
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Controls put in place to reduce the risk
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18. Animals (insects included)
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Description of the hazard
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Controls put in place to reduce the risk
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19. Weather Conditions (Rain/Hot/Cold/etc.)
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Description of the hazard
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Controls put in place to reduce the risk
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20. Open Pits
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Description of the hazard
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Controls put in place to reduce the risk
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21. Excessive Noise
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Description of the hazard
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Controls put in place to reduce the risk
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22. Failing Objects
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Description of the hazard
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Controls put in place to reduce the risk
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23. Evacuation in case of Emergency
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Description of the hazard
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Controls put in place to reduce the risk
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24. Hazardous Substances and/or Dangerous Goods
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Description of the hazard
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Controls put in place to reduce the risk
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25. Night Work/Poor Lighting
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Description of the hazard
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Controls put in place to reduce the risk
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26. Confined Spaces
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Description of the hazard
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Controls put in place to reduce the risk
Other risks not captured above
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27. Other
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Description of the hazard
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Controls put in place to reduce the risk
Environmental Hazards
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Does the task involve any of the following?
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28. Asbestos?
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Description of the hazard
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Controls put in place to reduce the risk
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29. Contaminated Soil
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Description of the hazard
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Controls put in place to reduce the risk
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30. Industrial (Water) Waste
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Description of the hazard
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Controls put in place to reduce the risk
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31. Working near Stormwater or Watercourses
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Description of the hazard
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Controls put in place to reduce the risk
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32. Spill Kits in place
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Description of the hazard
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Controls put in place to reduce the risk
Other environmental hazards not captured above
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33. Other
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Description of the hazard
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Controls put in place to reduce the risk
Manual Handling
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Does the task involve any of the following?
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34. Excessive bending/twisting?
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Description of the hazard
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Controls put in place to reduce the risk
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35. Long duration or sustained postures
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Description of the hazard
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Controls put in place to reduce the risk
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36. Lifting/Lowering or sudden forces
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Description of the hazard
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Controls put in place to reduce the risk
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37. Pushing or pulling
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Description of the hazard
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Controls put in place to reduce the risk
Other manual handling hazards not captured above
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38. Other
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Description of the hazard
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Controls put in place to reduce the risk
Are all required skills, precautions and equipment available on site and in-test to complete work safety?
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All risks identified to be provided or have appropriate controls in place prior to any commencement of work
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39. PPE (long sleeved shirt, long trousered pants, steel capped boots, Hi-Vis vest or shirt, hard hat and safety glasses)
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Description of the hazard
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Controls put in place to reduce the risk
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40. Earths/Bonders
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Description of the hazard
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Controls put in place to reduce the risk
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41. All tools and equipment in good working order
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Description of the hazard
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Controls put in place to reduce the risk
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42. Electrical tools in good working order and tagging is current
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Description of the hazard
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Controls put in place to reduce the risk
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43. Existing SWMS reviewed, understood and signed by all workers
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Description of the hazard
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Controls put in place to reduce the risk
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44. New or updated SWMS on site introduced from today
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Description of the hazard
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Controls put in place to reduce the risk
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45. All Permits in place and understood
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Description of the hazard
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Controls put in place to reduce the risk
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46. Housekeeping issues discussed and understood
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Description of the hazard
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Controls put in place to reduce the risk
Other risks related to required skills, precautions and equipment available on site and not captured above
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47. Other
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Description of the hazard
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Controls put in place to reduce the risk
Participants of the meeting - Australian Tanks Employees and Other Members/Contractors (sign at the conclusion of the meeting)
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Prior to signing all employees must be aware of the risks involved in performing the task, aware of the control measures in place and are satisfied that all foreseeable risks have been controlled and documented
Name (Australian Tanks Employee)
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Full Name and Signature of Australian Tanks Employee
Name (Other Members/Contractors)
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Full Name and Signature of Other Members/Contractors