Title Page

Site Pre Start Risk Assessment

  • This checklist is used to help identify site hazards in conjunction with your safe work method statement (SWMS). All workers in your team and work zone must be consulted on how you will manage the identified hazards. If you do not have one prepared for this site there are templates linked to the trades types/task section that you may use to make your own.

  • Name of business entity in control of the site

  • Site Supervisor name and contact number

  • Site Address
  • Conducted on

  • Prepared by

Trades

  • Please select what trade you are, or work type you are authorised to conduct on site from the drop down list below.

  • Please read and review the following safe work method statement. (Temp Fence Installation)
    https://drive.google.com/drive/u/4/folders/1bzgzfTgBPfgWNdCTfWjywVLkrNX9qJgU

  • Please read and review the following safe work method statement. (Temp Fence Installation)
    https://drive.google.com/drive/u/0/folders/1nRrEDbjnnZ9yCKvrfi59m1m5Amv5eBRj

  • Please read and review the following safe work method statement. (Electrical Rough in)
    https://drive.google.com/drive/u/0/folders/1b0_J01h_eU2iqXIkTmy5_Kpn0fJ-Tkdl

  • Please read and review the following safe work method statement. (Plumber Drainer)
    https://drive.google.com/drive/u/4/folders/11CHNBMPKa2rV9EJKiSSCk84YtIdf1iPk

  • Please read and review the following safe work method statement. (Electrical Services Underground)
    https://drive.google.com/drive/u/4/folders/1iKwEXZuKScfLo12r5rjNq0JuKpXr3PXm

  • I have read the applicable SWMS all of my team have been inducted into the applicable SWMS for the activities to be conducted, I have engaged other trades/persons on site and reviewed each others activities and taken that into account as part of completed the following hazard assessment.

HAZARDS. Identify the hazards that will hurt you on site.

  • Select the hazards that can possibly hurt you on site from the following drop down.

  • Please describe the hazard

  • Take a photo of the hazards

ACTIONS. Confirm the action you will take to manage the identified hazards

  • Select the actions from the drop down list that you will implement as part of your control measure in your SWMS

  • Please write down the hazard control method that you will use.

  • I acknowledge and understand the safe work method statement and site risk assessment. I am the person responsible to implement or change the SWMS in accordance with the work.

  • Worker on site sign off:

  • Worker on site sign off:

  • Worker on site sign off:

  • Worker on site sign off:

  • Worker on site sign off:

Site/Job Supervisor SWMS review sign off

  • The site/job supervisor should review the SWMS when available, for the purposes of identifying hazards that may be present on site that are not within the reasonable skill set of the contractor completing the swms for the task. If the Supervisor is not on site please, check the builders sign or site information notice board for specific site hazards, if unsure call to check for any specific hazards.

  • Site/Job supervisor 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.