Weather Forecast
Fine
Above 33 degrees
Windy
Rain
Lightning/Hail
List of planned work activities for today
Select
Electrical Equipment Disconnect
Electrical Equipment Install
Electrical Equipment Repairs
Electrical Equipment connection
Testing & Fault Finding
Standing poles
Install temp power
Working in a ceiling
Repair HWU
Trench works <1.5mtrs
Trench works >1.5mtrs
Test & Tag
Install new circuit
Install cable tray
Electrical Equipment Disconnect Electrical Equipment Install Electrical Equipment Repairs Electrical Equipment connection Testing & Fault Finding Standing poles Install temp power Working in a ceiling Repair HWU Trench works <1.5mtrs Trench works >1.5mtrs Test & Tag Install new circuit Install cable tray
Indicate the Safe Work Method Statement being used
Select
Working on or near exposed energized electrical equipment
Working near overhead power lines
Hazardous substance
Heights
Plant
Excavation and trenching
Asbestos
Demolition
Confined spaces
Working on or near a road
Blank SWM
Working on or near exposed energized electrical equipment Working near overhead power lines Hazardous substance Heights Plant Excavation and trenching Asbestos Demolition Confined spaces Working on or near a road Blank SWM
Details of the work activities listed above or details of specific works not listed above
Indicate the Hazards expected today
Select
Power Tools
Falls
Excavation
Falling Objects
Moving Plant
Noise
Access/Egress
Manual Handling
Confined Space
Working in trenches
Asbestos
Live parts
Dust
Lone workers
UV Radiation
Scaffolding
Ladders
Power Tools Falls Excavation Falling Objects Moving Plant Noise Access/Egress Manual Handling Confined Space Working in trenches Asbestos Live parts Dust Lone workers UV Radiation Scaffolding Ladders
Controls - What controls can we put in place
Indicate the electrical procedures to be used
Select
CCICR
Electrical Safety
Emergency preparedness
Exavation and trenching
Hazardous substance management
heights (including ladders)
Heights rescue
Housekeeping
Inspection of safety equipment
Isolation, Safety tag & lockout
Live testing
Live work procedure
manual handling
noise management
Plant & equipment
PPE management
Risk management & hazard identification
Safe work with asbestos
visual safety examination
testing of electrical equipment and installation
testing and tagging
working in the sun
Working in the vicinity of exposed live parts
accessing a pit or pillar
work on electrical equipment
Confined Space
Hot works
Install safety switch in domestic dwelling
Inspection of safety equipment
Using a drop saw
Using an angle grinder
CCICR Electrical Safety Emergency preparedness Exavation and trenching Hazardous substance management heights (including ladders) Heights rescue Housekeeping Inspection of safety equipment Isolation, Safety tag & lockout Live testing Live work procedure manual handling noise management Plant & equipment PPE management Risk management & hazard identification Safe work with asbestos visual safety examination testing of electrical equipment and installation testing and tagging working in the sun Working in the vicinity of exposed live parts accessing a pit or pillar work on electrical equipment Confined Space Hot works Install safety switch in domestic dwelling Inspection of safety equipment Using a drop saw Using an angle grinder
Other information to be noted
Are all other trades/public notified of relevant activities in the area?
EWPs, fall protection, ladders and electrical gear inspected up to date and safe for use?
All works have suitable PPE for all tasks to be performed?
Weather conditions appropriate for commencement of works
All workers instructed in relation to today's work requirements
All workers signed onto Pre-start/Risk Assessment form?
Names of attendees
Select
Joel Williams
Cory Moore
Adam O'Connor
Chris Dawson
Ben Streets
John Adams
Craig Wilde
Bruce Lutton
David Nash
Chris Fronis
Callum Raper
Dale Schmitke
Mitch Sneyd
Ross Towers
Joel Williams Cory Moore Adam O'Connor Chris Dawson Ben Streets John Adams Craig Wilde Bruce Lutton David Nash Chris Fronis Callum Raper Dale Schmitke Mitch Sneyd Ross Towers
Names of attendees not listed above
Signatures of all attendees
Select date
Date
link copied
Amy Doyle
JDE Risk Assessment V2
Use this Template
×
iAuditor is the world's leading inspection app
Get started with this template in iAuditor to edit, save, share, and implement your processes.
Download to iAuditor
Print as PDF
The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions.
The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice.
You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction.
Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy.
Users of our platform may provide a rating or score that is incorrect or misleading.
You should independently determine whether the template is suitable for your circumstances.
You can use our Public Library to search based on criteria such as industry and subject matter.
Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.