Field Services Daily JSA-Anthony Geyle

• Prepared by

• Job number

• Location
  Address

• Conducted on

  Date

• Document No.

Project Information

• Project Title

• Date

  Date

• Site Leader

• Work to be done?

• Work place

  Select Terminal Station Zone Substation Distribution Substation Construction Site other

  • Terminal Station
  • Zone Substation
  • Distribution Substation
  • Construction Site
  • other

• Voltage

  Select 66KV 22KV 11/6.6KV LV DC Systems none/other

  • 66KV
  • 22KV
  • 11/6.6KV
  • LV
  • DC Systems
  • none/other

• Permits on Issue

  Select EAP VA NWA SILV SFT Other None

  • EAP
  • VA
  • NWA
  • SILV
  • SFT
  • Other
  • None

Hazard Identification/Management

• Confirm work crew is aware of nearest live apparatus.

  Yes

  No

  as per EAP

• Electrical Hazard/s?<br>Consider potential for accidental electrical contact/energisation, flash over, back-feed, induction and second points of contact such as earthed objects.

  No

  Yes

• Control measures in place

  Select Isolation Permit (as above) Insulating mats/covers Insulating gloves Insulated tools Maintain safe approach Eye/face protection Other

  • Isolation
  • Permit (as above)
  • Insulating mats/covers
  • Insulating gloves
  • Insulated tools
  • Maintain safe approach
  • Eye/face protection
  • Other

• Other

• Is a fall hazard present?

  No

  Yes

• Select Ground work EWP/Guarding/Scaffold Maypole Harness Ladders Admin/other Control Mearsures

  • Ground work
  • EWP/Guarding/Scaffold
  • Maypole
  • Harness
  • Ladders
  • Admin/other Control Mearsures

• If working on a construction site, please ensure you are using the correct type of ladder as per site specific induction. e.g Platform ladder as apposed to a step ladder.

• Admin/Other control measures used

• Is traffic management required?

  No

  Yes

• Type of Traffic Management?

  Traffic Management company engaged

  Basic traffic management by work crew

• Explain

• Traffic Management Company Engaged

  Select Traffic Diversions Group (TDG) All Traffic Management Services (ATMS) Multipipe Other

  • Traffic Diversions Group (TDG)
  • All Traffic Management Services (ATMS)
  • Multipipe
  • Other

• Other

• Do employees have adequate PPE?

  No

  Yes

• Ensure all employee's have adequate PPE for required tasks before commencing work.
  If in doubt contact you direct supervisor/manager.

• Job responsibility's allocated to authorised/suitable persons?

  No

  Yes

• Is plant/equipment serviceable and within test?<br>i.e Log books complete, test tags in date (work crew to check)

  No

  Yes

• Description of plant/equipment non-compliant.

• Are there any site hazards?<br>e.g. access, slips/trips/falls, weather, terrain, trenches, railways, explosives, temporary structure support, temperature extremes, demolition, drowning risk, enclosed worksite/confined space etc

  No

  Yes

• Site Hazards

• Are there any additional fire prevention measures required?<br>e.g. Working near flammable substances, using gas torch, grinding etc

  No

  Yes

• Fire control measures used.

• Specific material handling hazards?

  No

  Yes

• Control Measures

  Select Mechanical aids Team Lift Manual handling techniques Other

  • Mechanical aids
  • Team Lift
  • Manual handling techniques
  • Other

• Other

• Are hazadous material safety controls required?<br>e.g. Sharps, TX oil, chemicals, fuel, asbestos, other

  No

  Yes

• Hazardous material and control measure?

• Are any environmental controls required?<br>e.g. Oil Leak, sediment, solid waste, liquid waste, weeds, noise.

  No

  Yes

• Environmental control measures in place.

  Select Spill Kit Bunded pallets Drain bunding Disposal Plan Load equipment operating hours Landfill approval Removal Sediment Control Sucker Truck Vehicle wash down Other

  • Spill Kit
  • Bunded pallets
  • Drain bunding
  • Disposal Plan
  • Load equipment operating hours
  • Landfill approval
  • Removal
  • Sediment Control
  • Sucker Truck
  • Vehicle wash down
  • Other

• Other?

Electrician/fitter/wireman Specific Hazard Management

• Has the "Site Hazard Board" been reviwed?

  Yes

  No

  N/A

• Danger from charge CB springs/moving tap changer parts?

  Yes

  No

  N/A

• LV isolations completed on CB/TX works?

  Yes

  No

  N/A

• Is gas protection suppressed for TX work?

  Yes

  No

  N/A

• Is equipment and cabling clearly identified?

  No

  Yes

• Is there danger with moving plant & equipment?

  No

  Yes

• Yes

Other identified hazards

• Hazard

• Control Measures

Notes/Photos

• Notes

• Photos

  Media

Acknowledgement

• If you are not satified with the safety control measures, do not proceed and contact you direct supervisor/manager.

• Site leader - Type and sign

  Sign

• Type and sign

  Sign
Type and sign

• Type and sign

  Sign