Title Page

  • Site Address

  • Conducted on

  • Prepared by

  • Location
  • Instructions
    -------------------
    1. Answer "Yes", "No", "N/A" for the questions below.
    2. Add photos and notes by clicking on the paperclip icon.
    3. To add a Corrective Measure click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority and due date.
    4. Complete audit by providing digital signature.
    5. Share your report by exporting as PDF, Word, Excel or Web Link.

  • Scope of Works

  • Painting Manager running this job site

  • Principal Contractor/ Company Supervisor

Contractor Work Activity - Site-Specific Risk Assessment (SSRA)

  • Ensure you complete a written Site-Specific Risk Assessment SSRA (This Document Accurately)

  • Have all employees completed WHS training (general, company induction and work-specific tasks)?

  • Have all employees read and understood the SWMS and is it accessible on site?

  • Have all employees been instructed on safe working practices (e.g. manual handling)?

  • Do you have the correct type of first aid kit, and is it stocked and accessible for use?

  • Have all employees been trained in the safe use of power tools?


  • Specify PPE required:

  • Hard hat

  • Hi-visibility vest

  • Safety boots

  • Hat

  • Eye protection

  • Sunscreen

  • Hearing protection

  • Sun protective clothing

  • Respiratory Mask

  • Gloves

  • Hazardous substance register on site & all relevant persons trained in substances safely?

  • Is appropriate fire-fighting equipment on site for flammable substances or hot works?

  • Have all employees reviewed site safety plan & the site safety signage before commencing work?

  • All the electrical equipment tested and tagged, and is the electrical tagging register on site?

  • Are all electric outlets (generator, meter box, etc.) protected by an RCD unit?

  • Have all tools and equipment been serviced and are they in good working order?

  • Have all plant and tools been inspected and are they fit for purpose?

  • Is there guarding on all machinery, covering all moving parts?

  • Site security fencing intact (no gaps or missing fencing panels) gates secured?

  • Is the work area clear of rubbish and debris, and is an area provided for debris?

  • Are materials delivered and stored in a safe and responsible manner in your work area?

  • Are amenities on site clean and accessible for use?

  • Are all fall zones protected?

  • Have all safety systems (e.g. scaffolding and guard railing) been inspected and are they safe to use?

  • Has the stairwell and open penetrations protection system been installed?

  • Is there a safe path of travel to all work areas and have all trip hazards been identified?

  • Have all trenches and excavations been backfilled, covered or barricaded?

Hazards

  • Have you eliminated all potential risks from any other hazards identified on site that may affect your work task?

  • Add a hazard and its details, Use the Hierarchy of controls below in implementing Controls then Identify the Risk Level. Consult with all employees and subcontractors before commencing any work. If you cannot remove or control the hazard, please contact your construction supervisor for advice before starting any work.

  • Add a Hazard

  • Hazard
  • Hazard details

  • Controls Implemented

  • specify other controls

  • Person Implemented the Control

  • RISK

  • Hazard that has the potential to cause persons to require first aid.

  • Hospitalization or medical treatment, potential temporary disability or minor structural failure/damage

  • Potential death, permanent disability or major structural failure/damage.

Completion

  • Signature

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.