Daily Task Risk Management Plan - Form (GNI QLD)

• Project No:

• Description of works:

• Client Name:

• Site address / Location:
  Address

• PICW Name:

• PICW Contact No.:

• Date:

  Date

• Completed by:

  Select

• Identify Work Activity and Implement Control Measures Documented in Safe Work Method Statement & Work Instructions (Review hazards and control measures as site and / or conditions change)

• SAFE WORK METHOD STATEMENTS (Select all applicable SWMS)

  Select 001 Working at Height 002 Working with Asbestos 003 Working in Confined Space 004 Dig & Excavate 005 Working on or near Road and Rail 006 Elevated Work Platform 007 Crane Operations 008 Operating Mobile Plant Equipment and Vehicles 009 Testing and Commissioning 010 Working on HV Apparatus 011 Working on LV Apparatus 012 Helicopter Powerline Works 013 Switching Operations 014 Demolition of Tx Towers 015 Tilt-up & Concrete Precast Works 016 Directional Drilling 017 Working with Crystalline Silica

  • 001 Working at Height
  • 002 Working with Asbestos
  • 003 Working in Confined Space
  • 004 Dig & Excavate
  • 005 Working on or near Road and Rail
  • 006 Elevated Work Platform
  • 007 Crane Operations
  • 008 Operating Mobile Plant Equipment and Vehicles
  • 009 Testing and Commissioning
  • 010 Working on HV Apparatus
  • 011 Working on LV Apparatus
  • 012 Helicopter Powerline Works
  • 013 Switching Operations
  • 014 Demolition of Tx Towers
  • 015 Tilt-up & Concrete Precast Works
  • 016 Directional Drilling
  • 017 Working with Crystalline Silica

• ADDITIONAL / SUBCONTRACTOR SWMS

  Applicable

  Not Applicable

• SWMS Name:

• SAFE WORK PRACTICE (SWP) (Select all applicable SWP)

  Select 001 Manual Handling & Hazardous Manual Tasks 002 Hazardous Substances 003 Operate Powered Hand Tools 004 Perform Hot Work 005 Operate Vacuum Excavation / Sucker Truck 006 Load Restraint 007 Pole Delivery 008 Pole Transport Jinker Trailer 009 Pole Assembly 010 Dressing Power Poles 011 Pole Erection 012 Install Conduit and Cable Laying 013 Apply & Remove Portable Earthing Devices 014 HV Pole Insulator Washing / Apply Powersil Tx Insulators 015 Chainsaw Operations 016 Concrete Cutting 017 Compressed Air 018 All Terrain Vehicle (ATV) Operations 019 Lifting Operations Using an Excavator 020 General Yard Duties 021 Straining, Bridging and Clamping Conductors 022 Distribution Stringing and Tension Overhead Conductors 023 Pole Inspection and Assessment 024 Replace HV Termination Crossarm (De-energised) 025 Install Maintain LV Overhead Equipment (De-energised) 026 Safely Towing of a Trailer 027 Streetlight Installation and Maintenance 028 Site Restoration / Reinstatement Works 029 Safe Approach and Touch Tests 030 Location of Underground Assets 031 Cable Jointing - De-energised 032 Installation of Kiosk 033 TX Installing Liners 034 TX Relief Drilling & Fracturing 035 TX Installation of Tx Earthing Straps 036 TX Operating Wire Reclaimer 037 TX Pole Foundations 038 Oil Replacement for Transformer 039 Cable ID Spiking De-Energised Cable

  • 001 Manual Handling & Hazardous Manual Tasks
  • 002 Hazardous Substances
  • 003 Operate Powered Hand Tools
  • 004 Perform Hot Work
  • 005 Operate Vacuum Excavation / Sucker Truck
  • 006 Load Restraint
  • 007 Pole Delivery
  • 008 Pole Transport Jinker Trailer
  • 009 Pole Assembly
  • 010 Dressing Power Poles
  • 011 Pole Erection
  • 012 Install Conduit and Cable Laying
  • 013 Apply & Remove Portable Earthing Devices
  • 014 HV Pole Insulator Washing / Apply Powersil Tx Insulators
  • 015 Chainsaw Operations
  • 016 Concrete Cutting
  • 017 Compressed Air
  • 018 All Terrain Vehicle (ATV) Operations
  • 019 Lifting Operations Using an Excavator
  • 020 General Yard Duties
  • 021 Straining, Bridging and Clamping Conductors
  • 022 Distribution Stringing and Tension Overhead Conductors
  • 023 Pole Inspection and Assessment
  • 024 Replace HV Termination Crossarm (De-energised)
  • 025 Install Maintain LV Overhead Equipment (De-energised)
  • 026 Safely Towing of a Trailer
  • 027 Streetlight Installation and Maintenance
  • 028 Site Restoration / Reinstatement Works
  • 029 Safe Approach and Touch Tests
  • 030 Location of Underground Assets
  • 031 Cable Jointing - De-energised
  • 032 Installation of Kiosk
  • 033 TX Installing Liners
  • 034 TX Relief Drilling & Fracturing
  • 035 TX Installation of Tx Earthing Straps
  • 036 TX Operating Wire Reclaimer
  • 037 TX Pole Foundations
  • 038 Oil Replacement for Transformer
  • 039 Cable ID Spiking De-Energised Cable

• Risk Matrix

• 
Work Activity Sequence

• Activity:

• Inherent Risk:

  Select Low 1 Low 2 Low 3 Low 4 Low 5 Medium 6 Medium 7 Medium 8 Medium 9 Medium 10 Medium 11 Medium 12 Medium 13 High 14 High 15 High 16 High 17 High 18 High 19 Critical 20 Critical 21 Critical 22 Critical 23 Critical 24 Critical 25

  • Low 1
  • Low 2
  • Low 3
  • Low 4
  • Low 5
  • Medium 6
  • Medium 7
  • Medium 8
  • Medium 9
  • Medium 10
  • Medium 11
  • Medium 12
  • Medium 13
  • High 14
  • High 15
  • High 16
  • High 17
  • High 18
  • High 19
  • Critical 20
  • Critical 21
  • Critical 22
  • Critical 23
  • Critical 24
  • Critical 25

• Potential Hazards:

• Control Measures:

• Residual Risk:

  Select Low 1 Low 2 Low 3 Low 4 Low 5 Medium 6 Medium 7 Medium 8 Medium 9 Medium 10 Medium 11 Medium 12 Medium 13 High 14 High 15 High 16 High 17 High 18 High 19 Critical 20 Critical 21 Critical 22 Critical 23 Critical 24 Critical 25

  • Low 1
  • Low 2
  • Low 3
  • Low 4
  • Low 5
  • Medium 6
  • Medium 7
  • Medium 8
  • Medium 9
  • Medium 10
  • Medium 11
  • Medium 12
  • Medium 13
  • High 14
  • High 15
  • High 16
  • High 17
  • High 18
  • High 19
  • Critical 20
  • Critical 21
  • Critical 22
  • Critical 23
  • Critical 24
  • Critical 25

• Traffic Control

  Applicable

  Not Applicable

• Traffic Control Plan No.:

• SWMS & TC Licences Sighted

• Level 2 Licence Holder Name & No:

• Setup Time:

  Date

• Initials:

  Sign
Periodic Checks

• Checked Time:

  Date

• Initials:

  Sign

Work Permits

• Select all that apply:

  Select Not Applicable Working at Heights Excavation Confined Space Isolation Traffic Control Track Protection Other

  • Not Applicable
  • Working at Heights
  • Excavation
  • Confined Space
  • Isolation
  • Traffic Control
  • Track Protection
  • Other
Other:

• Work Permit:

LV Isolation

• LV Isolation

  Applicable

  Not Applicable

• Forward Time:

  Date

• Reverse Time:

  Date

• Switching No.:

• Signature:

  Sign

HV Isolation

• HV Isolation

  Applicable

  Not Applicable

• Forward Time:

  Date

• Reverse Time:

  Date

• Switching No.:

• Signature:

  Sign

• 1) Is there a requirement for Ground Disturbance / Excavation Works?

  Yes

  No

• 2) Are relevant DBYD / known service-utility drawings available onsite and have been reviewed?

  Yes

  No

• 3) Have all known services been marked out / positively identified using non-destructive potholing?

  Yes

  No

SECTION F

• Name and signature indicates pre-start job briefing conducted, and I understand the job and my role, and I am aware of all potential job hazards and required control measures including emergency preparedness and response.

  
Sign-off

• Name and Signature

  Sign

• Role

  Select PICW LW ST PO TA SO APP VIS TC Other

  • PICW
  • LW
  • ST
  • PO
  • TA
  • SO
  • APP
  • VIS
  • TC
  • Other

• Other Role:

SECTION G: TRANSFER OF ROLE/S

• This section is to be completed if the above roles shift or change during the task.

Role Change

• Role:

  Select PICW LW ST PO TA SO APP VIS TC Other

  • PICW
  • LW
  • ST
  • PO
  • TA
  • SO
  • APP
  • VIS
  • TC
  • Other

• Other Role:

• Acknowledgement of change (Original role holder)

  Sign

• Acknowledgement of change (New role holder)

  Sign