Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Select date

  • Job Reference Number

  • Where is the Muster Point in case of Emergency?

Job Planning Risk Assessment (refer to the Hazard Risk Assessment Guide)

  • Entered By

  • Select date

  • Hazards Identified

  • Risk Level

  • Control Measures Required

  • Action By

  • Select date

  • Hazards Identified

  • Risk Level

  • Control Measures Required

  • Action By

  • Select date

  • Hazards Identified

  • Risk Level

  • Control Measures Required

  • Action By

  • Prior to commencing the job all team members/ contractors MUST conduct a Job Risk Assessment at the worksite, which remains valid for one shift only

Team Worksite Risk Assessment (refer to Hazard and Risk Assessment Guide)

  • Job Leader

  • Select date

  • Specific Work Hazards Identified

  • Risk Level

  • Control Measures Used

  • Action By

  • Specific Work Hazards Identified

  • Risk Level

  • Control Measures Used

  • Action By

  • I have participated in this Job Risk Assessment and have been made aware of the identified hazards and agree with the control measures documented

  • Add signature

  • Add signature

  • Add signature

  • Add signature

  • Add signature

  • Add signature

  • Add signature

  • Add signature

  • Add signature

  • Add signature

  • Add signature

  • When hazards are identified while carrying out a job, all team members/contractors must stop work IMMEDIATELY. All team members must then discuss,access,agree and document the control measures to be implemented.

Job Review

  • Were there any hazards/incidents identified that require follow up?

  • Were there any "Near Hits"?

  • Was anyone injured?

  • Was there any damage to property,plant or environment?

  • If you answered YES to any of the Job Review questions in the above section fill out a Hazard/ incident Report within 4 hours and forward it to your formal leader.

  • Hazard/Incident Report Completed by

  • Select date

Completion/Sign Off

  • I have checked that all sections of this form have bee adequately completed and verify by signing below.

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