Foxtel

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Site Hazard and Risk Check

• 1. A site hazard and risk check must be completed before commencing each work order.

• 2. Record new hazards and controls additional to Safe Work Method Statement.

• 3. Advise BSA supervisor of any particularly unusual site risks or other concerns before commencing work

• Site/hazard risk check completed for worksite

  Yes

  No

  N/A

• Additional hazards/ risks and controls for worksite:

Job Site Analysis

Assess job and surroundings

• Presence of snakes, spiders and sharps assessed

  Yes

  No

  N/A

• Sufficient traffic and pedestrian access

  Yes

  No

  N/A

• All appropriate PPE on site

  Yes

  No

  N/A

• Weather conditions suitable

  Yes

  No

  N/A

• Light sufficient for all tasks

  Yes

  No

  N/A

Accessing Customer Premesis

• Ground surfaces assessed for trips and slips

  Yes

  No

  N/A

• Noise, electrical and chemical hazards assessed

  Yes

  No

  N/A

• Presence of dogs, snakes and gasses assessed

  Yes

  No

  N/A

• Exposed asbestos assessed

  Yes

  No

  N/A

• Breathing used in concealed/confined spaces

  Yes

  No

  N/A

• Isolation of electrical hazards assessed

  Yes

  No

  N/A

• Underground/overhead services assessed

  Yes

  No

  N/A

• 3rd party present for concealed/confined space access

  Yes

  No

  N/A

• Faulty CLP assessed

  Yes

  No

  N/A

• Working at heights assessed

  Yes

  No

  N/A

• CPE assessed as safe

  Yes

  No

  N/A

Hauling and Jointing

• Yes

  No

  N/A

• Correct manual handling tools available

  Yes

  No

  N/A

• Fluid hazard assessed

  Yes

  No

  N/A

• Sharp tooling used with guards away from body

  Yes

  No

  N/A

• All combustibles removed from work area

  Yes

  No

  N/A

Aerial Cable Installation

• Clearance from power assessed

  Yes

  No

  N/A

• Ground surface level and clear for ladder footing

  Yes

  No

  N/A

• Sufficient lean possible for 4:1 ladder angle

  Yes

  No

  N/A

Customer Checklist

• Are the nrcs correct

  Yes

  No

  N/A

• Have you scoped out the work required

  Yes

  No

  N/A

• Have you discussed the work with the customer/representative

  Yes

  No

  N/A

• Has the agreement been reached so that work can start

  Yes

  No

  N/A

• If yes then commence work

Completed Job Checklist

• All areas clean and rubbish removed

  Yes

  No

  N/A

• Customer education completed and help channel on

  Yes

  No

  N/A

• All paperwork completed and signed

  Yes

  No

  N/A

• No further customer questions

  Yes

  No

  N/A

• Tools removed

  Yes

  No

  N/A

• Have you replaced roof tiles

  Yes

  No

  N/A

• Site JSA completed by:

  Sign