Information
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Document No.
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Audit Title
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Client / Site
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Prepared by
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Conducted on
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Personnel
Job Number
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Enter Job Number
Work Description
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Describe the work being carried out.
Equipment
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Equipment being worked on
Administrative Procedures
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Have obtained permits (Excavation, Hot Works, Confined Space etc)
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Site Induction for workers current
Note - All risk scores are determined using Risk Assessment Matrix
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Add media
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Job Steps
Job Step
Job Steps and Risk Scores
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Details for Job Step
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Enter Hazards for the job
Hazard
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Hazards for Job Step
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Add media
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Enter Control Prompt
Control Prompt
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Control Prompt in use
- Competent person - all electricians are licenced
- Remove any obstacles to provide a clear path
- Wear appropriate PPE
- Test for dead/ prove isolation
- Place barricading around area
- Wear insulated gloves
- Check for dangers, live terminals etc.
- Use lock out tags and procedures
- Visually inspect
- Clean work area
- Inspect ladder before use
- Above 1.8m maintain 3 points of contact
- Tie off and foot ladder
- Use correct PPE on EWP
- Lifting- use two people or lifting device
- Be carefully around slippery areas
- Let people around you know about your work
- Ensure no pinch points
- Ensure trench is under 1.5 m
- Wear high vis clothing
- Use of sun cream, hats etc
- Use correct tools
- Inspect gear before use
- Check for sharp edges
- Competent and in date assistant and LVR kit
- Test/fault finding equipment is category 3 or4
- Beware of mobile plant and where able make radio contact
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Add media
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Further control measures put in place to manage hazards.
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Risk Score before control measures?
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Risk Score after control measures?
Other Corrective Actions
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Enter any corrective actions that will be undertaken
Drawings
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Any drawings or sketches that apply to the job
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Any pictures that apply to the job
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Text
Sign Off
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Risk Assessment Completed by:
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Site Manager or Supervisor/ Representative if Available