Title Page
Site Pre Start Risk Assessment
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This checklist is used to help identify on-site hazards and review your safe work method statement (SWMS), the hazards and controls identified must be consulted with your team and other contractors working in your zone.
If you do not have a SWMS prepared for this site there are templates linked in this checklist for review. -
Lot number, Job number
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Name of the company who has management control of the site
- Burbank Homes
- Clarendon Homes
- Metricon Homes
- Rawson Homes
- Coral Homes
- Bellriver Homes
- Eden Brea Homes
- Kurmond Homes
- other
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Please enter business entity
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Site Supervisor name and contact number
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Site Address
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Conducted on
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Prepared by
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I/we have been inducted into the Electrical Operational Procedures
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Please review and familiarise yourself with the procedures prior to job commencement
https://drive.google.com/drive/u/0/folders/1C6vrbGyTwL2bGsEGUD61L1rHqvIMc5OR -
Please review and familiarise yourself with the procedures prior to job commencement
https://drive.google.com/drive/u/0/folders/1C6vrbGyTwL2bGsEGUD61L1rHqvIMc5OR -
I/we have been inducted into the Electrical Hazard Management Procedures
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Please review and familiarise yourself with the procedures prior to job commencement
https://drive.google.com/drive/u/0/folders/1QYxqfa_psk_oFAjkyTd4Kt2jScUU-cVv -
Please review and familiarise yourself with the procedures prior to job commencement
https://drive.google.com/drive/u/0/folders/1QYxqfa_psk_oFAjkyTd4Kt2jScUU-cVv -
I/we have been inducted into the Company Policies
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Please review and familiarise yourself with the Company Policies prior to job commencement
https://drive.google.com/drive/u/0/folders/1KLiQskSsOOXnQyrxe3Yi8ggg9W0ZodMD -
Please review and familiarise yourself with the Company Policies prior to job commencement
https://drive.google.com/drive/u/0/folders/1KLiQskSsOOXnQyrxe3Yi8ggg9W0ZodMD
Task Activity Log
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Please select task from Drop down list
- Accessing & Set up of worksite
- Safe use of ladders
- Mobile scaffold
- Using an EWP
- Excavation >1.5m
- Work @ Heights
- Confined space
- Restricted work space
- Low voltage isolation
- Energise and commission
- Testing for de-energised & energised testing
- Hazardous Areas
- Work around High Pressure Gas Lines
- Working With Asbestos
- Electrical Rough-in
- Electrical cut out
- Electrical fit off
- Appliance install
- Other (Blank to be filled in)
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Please read and review the following safe work method statement. (Accessing & Set Up of Work Site)
https://drive.google.com/file/d/1exuh8IbGnFaWjhI_A_4wGGIWX87JKGTN/view?usp=sharing -
Please read and review the following safe work method statement. (Safe Use of Ladders)
https://drive.google.com/file/d/1ik6_8pss_ugZms-cWrNMUt15CpHCwkBg/view?usp=sharing -
Please read and review the following safe work method statement. (Mobile Scaffold)
https://drive.google.com/file/d/1EYKJFtKdIvV10E7tEt7BvGsPqCFGBOnG/view?usp=sharing -
Please read and review the following safe work method statement. (Safe use of EWP)
https://drive.google.com/file/d/1oImurHJ1h0TOspJvq_cr6ZiSRSZepnNh/view?usp=sharing -
Please read and review the following safe work method statement. (Excavation > 1.5m)
https://drive.google.com/file/d/1jmm-kMz6H-i5BlcUj9rRRiXo3iv6PhSu/view?usp=sharing -
Please read and review the following safe work method statement. (Work @ Heights)
https://drive.google.com/file/d/1pJ3PMwu-ZDpeK_zN7vlepDon2fnE5HmI/view?usp=sharing -
Please read and review the following safe work method statement. (Confined Space)
https://drive.google.com/file/d/1fCtk8dvB9jb8gjfLn4pZnP9LVH1r1qXk/view?usp=sharing -
Please read and review the following safe work method statement. (Restricted Work Space)
https://drive.google.com/file/d/18Ei5-faEt7BwVsZZIUhlcps_I4u9n3sG/view?usp=sharing -
Please read and review the following safe work method statement. (Low Voltage Isolation)
https://drive.google.com/file/d/1kHGV7kGUwaMvBsVU3QJ68YzZnrMez8Q2/view?usp=sharing -
Please read and review the following safe work method statement. (Energise & Commission)
https://drive.google.com/file/d/1iLEdZyr94cwmMavrzZbjZL0EVMut6NeU/view?usp=sharing -
Please read and review the following safe work method statement. (Testing for De-Energised & Energised Testing )
https://drive.google.com/file/d/1qQJmw6iv7Yy3n73p7aJt9LAVDG7cI8qD/view?usp=sharing -
Please read and review the following safe work method statement. (Hazardous Areas)
https://drive.google.com/file/d/1ZnvkUVH-mERTrSKpXzyIRXNkGu2oK_t_/view?usp=sharing -
Please read and review the following safe work method statement. (Work Around High Pressure Lines)
https://drive.google.com/file/d/1wxlE0ZQH_Cc-NA5TOE2tPfyt1SxD4eMX/view?usp=sharing -
Please read and review the following safe work method statement. (Working with Asbestos)
https://drive.google.com/file/d/1N97frS29CuXK_G98OrJDjcWWD7VLZNlT/view?usp=sharing -
Please read and review the following safe work method statement. (Electrical Rough-in)
https://drive.google.com/file/d/18jxhmXnK8q-eUcHpax79kNY7biXOh5TH/view?usp=sharing -
Please read and review the following safe work method statement. (Electrical cut out)
http:// -
Please read and review the following safe work method statement. (Electrical Fit Off)
http:// -
Please read and review the following safe work method statement. (Appliance install)
http:// -
Please fill in a SWMS for the task
https://drive.google.com/file/d/1zq0NNZ55PBxntoewSOQS5awX8M4A4mYO/view?usp=sharing -
Does the task include any of the following Hazards?
- Restricted Site access and walkways
- Work areas scattered of building or waste material
- Nails protruding from house frames or loose pieces of timber randomly left on floor
- Window frames stacked below work zone
- Window frames stack near ladder placement zone
- Other trades on site
- No protection from weather - UV/Wind/Rain
- Wet or muddy conditions
- Noise - jack hammers/equipment/radios
- Workers overhead
- Dust or airborne fibers
- Electrical hazards
- Hazardous substances
- Cut hazards
- Fall hazards
- Mobile Plant Equipment on site
- Public safety risk
- Work from ladder
- Using drilling or cutting equipment
- Rain/Wind/Heat
- Working on unstable surface
- Metal bracing in work zone
- Potential live services
- Unsafe Scaffold
- Awkward or difficult lifts
- House Keeping by previous trade not completed
- Chemical/paints/sealants
- Asbestos containing material
- Open trenches/holes/pits
- Gas leak detected
- other
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Please identify other hazards
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Take a photo of hazards that are present on site
ACTIONS. Confirm the action you will take to manage the identified hazards
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Select the actions from the drop down list that you will implement as part of your control measure in your SWMS
- Toolbox with team
- engage with other trades on site
- Clear access path
- Plank out access path
- Euipment check prior to start
- Ensure correct PPE is used
- Clean access/work zone
- Bend over nails and clear area
- progressive house keeping
- Barricade fall zone
- Isolate area
- Drop Zone barricaded
- Team lift awkward/heavy items
- raise electrical leads
- Do not use scaffold
- Ensure spotter is in Place
- Loading zone is braced and propped
- Secure site
- Do not work on roof
- Dial before you dig
- Turn off gas supply
- Isolate electrical circuit
- Implement heat plan
- ensure public access areas are safe eg: footpath/nature strip/road
- Traffic management in place
- Team fit for task
- Access Ladders Secured
- Check all Viod Platforms
- Gate access used
- Shoring or Batter
- Mechanical Lift
- Franner Crane to be used
- Cover/Barricade Trench
- Permits in place
- Safety Data Sheets reviewed
- Contact Supervisor & Leave site
- Other
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Please select the PPE that you require, to do the job safely
- Safety Shoes/Boots
- Long Pants
- Long sleeve polo top
- Gloves
- Dust Mask
- Hearing Protection
- Safety Glasses
- Hard Hat
- Sun Smart Hat
- Coveralls
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Please write down the hazard control method that you will use.
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I have checked my access zone and work area to ensure risk of injury to myself or others is as low as reasonably practicable.
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contact line manager/site supervisor for instruction prior to commencing work.
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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.
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Worker on site sign off:
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Worker on site sign off:
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Worker on site sign off:
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Worker on site sign off:
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Worker on site sign off:
Site/Job Supervisor SWMS review sign off
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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.
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Site/Job supervisor name