Harmonise Daily Multi-Site (Bulk Drop) JSEA Ver 1.0

• Client / Site

• Document No.

• Project Number/Job

• Conducted on

  Date

• Prepared by

• Location of First Aid Kit and Fire Extinguisher

• Name of First Aider

• Location
  Address

• Site Emergency Assembly Area

• Personnel

• Are safe systems of work in place for the following:

• Any work on Asbestos materials? If yes, enter your authority number

  Yes

  No

  N/A

• Enter ACM Authorisation Number:

• Ground Breaking / Civils works? If so - lists SWMS that apply below.

  Yes

  No

  N/A

• SWMS - CON-HSE-SWMS-0112 - Site Establishment
  SWMS - CON-HSE-SWMS-0113 - Use of Tools and Equipment
  SWMS - CON-HSE-SWMS-0116 - Excavation and Trenching
  SWMS - CON-HSE-SWMS-0119 - Use of Plant and Equipment

• Dial Before You Dig Obtained? Check GeoOp. If no, explain why.

  Yes

  No

  N/A

• Enter Number

• Plant on site? Are all Plant Operators licenced and accredited? MUST have tickets ONSITE!

  Yes

  No

  N/A

• Operator Name

• SWMS - CON-HSE-SWMS-0119 - Use of Plant and Equipment

• All workers hold current: Construction Awareness Card (white/blue card), ISGM Induction, Asbestos awareness certificate, NBN Safety and Awareness Training?). Workers MUST have tickets ONSITE!

  Yes

  No

  N/A

Site Conditions

• Are safe systems of work in place for the following:

• Ground surfaces - is there a risk of trips and falls?

  Safe

  At Risk

  N/A

• Dangerous animals and plants. Are there potentially dangerous animals or plants?

  Safe

  At Risk

  N/A

• Snake catchers Brisbane http://www.snakecatchers.com.au/

• Electrical hazards. Are there electrical hazards or ignition sources?

  Safe

  At Risk

  N/A

• Hazardous substances or dangerous goods. Use of hazardous substances or dangerous goods? If so - refer to MSDS for safe handling and what to do in the event of an emergency.

  Safe

  At Risk

  N/A

• Biological hazards - eg syringes, contaminated water?

  Safe

  At Risk

  N/A

• Use sharps kit for syringe removal. Call supervisor for contaminated water.

• Confined spaces. Will you be working in confined spaces?

  Safe

  At Risk

  N/A

• A confined space permit and qualified person is required.

• Fumes from pits/manholes/ducts. Are you working on or near a service station? Is there a danger of fumes near pit/manhole/ducts?

  Safe

  At Risk

  N/A

• Excessive noise. Will you be making excessive noise? Have you informed the neighbours?

  Safe

  At Risk

  N/A

Climate Conditions

• Are there safe systems of work in place for the following:

• Lighting. Is there sufficient light for all tasks?

  Safe

  At Risk

  N/A

• Weather. Are climate conditions suitable for performing tasks?

  Safe

  At Risk

  N/A

Environmental Hazards

• Are there safe systems of work in place for the following:

• Contaminated soil/water?

  Safe

  At Risk

  N/A

• Pesticides/Insecticides used?

  Safe

  At Risk

  N/A

• Stormwater or sediment controls? Dewatering?

  Safe

  At Risk

  N/A

• Air quality? Dust emissions? Noise or vibrations?

  Safe

  At Risk

  N/A

• Disturbance to flora/fauna? Potential for spreading of weeds/pests?

  Safe

  At Risk

  N/A

• Will you be disposing of waste from site? If so, where/how?

  Yes

  No

  N/A

• Enter Disposal Site

Traffic Management

• Traffic/Pedestrian management needed? Refer to Traffic Management Plan.

  Safe

  At Risk

  N/A

• Enter Company Used

Plant

• Are there safe systems of work in place for the following:

• Plant/Equipment used? Have the pre-start checks been completed?

  Yes

  No

  N/A

• Complete Harmonise Pre-Site plant check
  SWMS - CON-HSE-SWMS-0119 - Use of Plant and Equipment

• Gas detection.

  Safe

  At Risk

  N/A

• Overhead electrical hazards?

  Safe

  At Risk

  N/A

Manual Handling

• Possibility of awkward postures, pushing or pulling?

  Safe

  At Risk

  N/A

• Will you be lifting, lowering or will there be sudden body movements?

  Safe

  At Risk

  N/A

• Will you be subjected to sustained vibrations?

  Safe

  At Risk

  N/A

• SWMS - CON-HSE-SWMS-0113 - Use of Tools and Equipment

Working at Heights

• Is there ladder use?

  Safe

  At Risk

  N/A

• Check ladder Condition as per CON-HSE-FRM-107 for cracks, breaks rust and corrosion before use!

• Are there unprotected ledges on site resulting in fall hazards?

  Safe

  At Risk

  N/A

Working with Tools

• Are power tools being used for drilling/cutting?

  Yes

  No

  N/A

• SWMS - CON-HSE-SWMS-0113 - Use of Tools and Equipment

Other safety concerns/hazards.

• List any other Safety Concerns /Hazards

Sign-on

• Sign on

Worker

• Worker

  Sign

• All visitors attending work site are to be inducted into this JSEA and sign as an acknowledgement that they have read and understand the document.

Visitors

• Name

  Sign

• Add a new address for each site

Address
• Add location
  Address

• Pits / Maholes guarded and SAFE? Check for yes. If left unchecked site is UNSAFE.

• Services identified and located and SAFE? Check for yes. If left unchecked site is UNSAFE

• Pedestrian and Traffic Management SAFE? Check for yes. If left unchecked site is UNSAFE

• All plant and equipment used is SAFE and all operators are ticketed. If left unchecked site is UNSAFE

• Add Pre-Start photos and upload

  Media

• Is this address SAFE? If this address is AT RISK. Complete another site specific JSA,

  Safe

  At Risk

  N/A