iJSA: 31287-3

• Conducted on

  Date

• Prepared by

• Location
  Address

Introduction

• Instructions for use of the checklist:
  * Complete all fields
  * You can use the Note and /or Image tabs found on each question to record issues with the inspection
  * You can use the 'Action' tab to assign actions to another person e.g repair or ordering an item
  

  
• Site Name
  Address

• Job #

• Job task

Planning & Preparation

• Have all workers been informed of the site safety rules and procedures?

  Yes

  No

• Check with the Site Manager or immediate supervisor to find out what OHS rules are applicable on site

  

• Has a site-specific induction and toolbox meeting been conducted with all workers?

  Yes

  No

  N/A

• Check with the Site Manager or your immediate supervisor to find out what OHS inductions and toolbox meetings are required on site. Make sure that all relevant workers attend before starting work.

  

• Have supervisory arrangements and reporting structures been confirmed?

  Yes

  No

• Check with the Site Manager or immediate supervisor to confirm supervisory arrangements and reporting structures

  

• Have traffic management plans & no -go zones been identified?

  Yes

  No

  N/A

• Check with the Site Manager to review site/ traffic management plan if applicable. ( The plan may have critical information regarding no-go areas or other important information)

  

• Are work and entry permits completed and signed?

  Yes

  No

  N/A

• Only work on tasks that have approved permits in place. Check with the site manager or supervisor if unsure

  

Licencing and Training

• Do all workers have a construction white card (or approved alternative)?

  Yes

  No

  N/A

• Stop! Only workers with valid construction induction cards can go on site

  

• Have all workers undertaken training and/or received instruction in the use of health and safety control measures including, safe operating procedures, SWMS, and this JSA?

  Yes

  No

• Stop! Do not enter the site if not instructed in health and safety control measures. e.g Safe use of equipment, following SWMS, etc

  

• Are workers licenced as required for the task?

  Yes

  No

  N/A

• Stop! Only workers with current, valid licences may undertake the task

  

Personal Protective Equipment (PPE)

• Select PPE

  Select Foot Protection Hand Protection Hearing protection Eye Protection Face Protection Head Protection/Hard hat Sun Protection Protective clothing Hi Visibility Respiratory protection Fall Arrest Life jacket

  • Foot Protection
  • Hand Protection
  • Hearing protection
  • Eye Protection
  • Face Protection
  • Head Protection/Hard hat
  • Sun Protection
  • Protective clothing
  • Hi Visibility
  • Respiratory protection
  • Fall Arrest
  • Life jacket

• Is site-specific PPE available and in good condition?

  Yes

  No

  N/A

• Only wear PPE that is in good condition. If PPE is not available then do not continue with task until PPE becomes available.

  

HIGH RISK CONSTRUCTION WORK

• Does the job involve any of the following high risk construction activities? Tick if applicable.

• Confined Space?

• Do you have a SWMS on-site that addresses risks of confined space work?

  Yes

  No

• STOP WORK! - Do not continue work until an applicable SWMS is on-site and has been reviewed by all workers

  

• Powered Mobile Plant?

• Do you have a SWMS on-site that addresses risks of working with powered mobile plant?

  Yes

  No

• STOP WORK! - Do not continue work until an applicable SWMS is on-site and has been reviewed by all workers

  

• Demolition Work?

• Do you have a SWMS on-site that addresses risks of the demolition work?

  Yes

  No

• STOP WORK! - Do not continue work until an applicable SWMS is on-site and has been reviewed by all workers

  

• Asbestos?

• Do you have a SWMS on-site that addresses risks of working with asbestos?

  Yes

  No

• SSTOP WORK! - Do not continue work until an applicable SWMS is on-site and has been reviewed by all workers

  

• Work carried out adjacent to a road, railway or shipping lane, traffic corridor?

• Do you have a SWMS on-site that addresses risks of working adjacent to a road, railway or shipping lane, traffic corridor?

  Yes

  No

• STOP WORK! - Do not continue work until an applicable SWMS is on-site and has been reviewed by all workers

  

• Involves a risk of a person falling more than 2m, including work on telecommunications towers?

• Do you have a SWMS on-site that addresses risks of working at height?

  Yes

  No

• STOP WORK! - Do not continue work until an applicable SWMS is on-site and has been reviewed by all workers

  

• Structures or buildings involving structural alterations or repairs that require temporary support to prevent collapse?

• Do you have a SWMS on-site that addresses risks of work involving structural alterations or repairs?

  Yes

  No

• STOP WORK! - Do not continue work until an applicable SWMS is on-site and has been reviewed by all workers

  

• Pressurised gas distribution mains or piping chemical, fuel or refrigerant lines energised electrical installations/services ?

• Do you have a SWMS on-site that addresses risks of working with or adjacent to pressurised gas distribution mains or piping chemical, fuel or refrigerant lines energised electrical installations/services?

  Yes

  No

• STOP WORK! - Do not continue work until an applicable SWMS is on-site and has been reviewed by all workers

  

• Tilt up or pre-cast concrete?

• Do you have a SWMS on-site that addresses risks of working with tilt-up or precast concrete?

  Yes

  No

• STOP WORK! - Do not continue work until an applicable SWMS is on-site and has been reviewed by all workers

  

• Working at depths greater than 1.5 Metres, including tunnels or mines ?

• Do you have a SWMS on-site that addresses risks of working at depths greater than 1.5 Metres, including tunnels or mines?

  Yes

  No

• STOP WORK! - Do not continue work until an applicable SWMS is on-site and has been reviewed by all workers

  

• Work in an area that may have a contaminated or flammable atmosphere?

• Do you have a SWMS on-site that addresses risks of working in an area that may have a contaminated or flammable atmosphere?

  Yes

  No

• STOP WORK! - Do not continue work until an applicable SWMS is on-site and has been reviewed by all workers

  

• Using explosives?

• Do you have a SWMS on-site that addresses risks of working with explosives?

  Yes

  No

• STOP WORK! - Do not continue work until an applicable SWMS is on-site and has been reviewed by all workers

  

• Diving work?

• Do you have a SWMS on-site that addresses risks of diving work?

  Yes

  No

• STOP WORK! - Do not continue work until an applicable SWMS is on-site and has been reviewed by all workers

  

Other hazards identified

• Are there any additional hazards not identified in existing SWMS/Safe Operating Procedures?

  Yes

  No

• Identify the hazard and put in place measures to control the risk using the hierarchy of controls

  
Hazard

• Description of hazard

• Take photo of hazard (Optional)

  Media

• Use drawing (Optional)

  Drawing

• Enter control measures for hazard

View Documents

• You can view uploaded PDF Safe Work Method Statements or other pdf documents here. Click on 'Open Document" to review the applicable instruction

• Example SWMS - Excavation and working in trenches

• Example SWMS - Working at Heights

• Example SWMS - Manual Handling

• Example SWMS - Working near mobile plant

• Example SWMS -Slips,trips and falls

• Example SOP - Working on mobile scaffold

• Are all relevant SWMS/SOPs on-site and readily accessible?

  Yes

  No

  N/A

• Stop! Make sure that relevant SWMS or other work instructions are on-site and readily available. If required SWMS /Safe work instruction is unavailable, contact supervisor for advice before commencing work.

  

• Have all relevant SWMS, or other work instructions, been reviewed and understood by all workers?

  Yes

  No

  N/A

• Stop! Make sure that relevant SWMS have been reviewed and understood by workers before commencing the task. If required SWMS /Safe work instruction is unavailable, contact supervisor for advice before commencing work..

  

Sign-off

• Have all risks been reduced to the lowest acceptable level?

  Yes

  No

• Stop! Make sure that all risk control measures are minimised as much as is reasonably practicable before commencing work.

  

• 

• What is the overall risk rating after controls?

  Low

  Moderate

  High

  Acute

• Do not proceed with work at acute risk levels !

  

• Consider additional controls to reduce risk levels to a lower level

  

• Will additional SWMS, Safe Work Procedures or training be required to assist workers in managing the risk?

  Yes

  No

• Ensure workers review and understand the procedures or, have been provided additional training and instruction before commencing the task

  
Signee:

• (Signee's) that participated in this JSA

  Sign

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