Information
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Job Number
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Client Name
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Site Location
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Conducted on
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Prepared By
- 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
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Notes
Daily Risk Assessment
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Weather Forecast
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List of planned work activities for today
- 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
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Indicate the Safe Work Method Statement being used
- 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
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Details of the work activities listed above or details of specific works not listed above
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Indicate the Hazards expected today
- 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
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Controls - What controls can we put in place
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Indicate the electrical procedures to be used
- 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
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Other information to be noted
General Information
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Are all other trades/public notified of relevant activities in the area?
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EWPs, fall protection, ladders and electrical gear inspected up to date and safe for use?
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All works have suitable PPE for all tasks to be performed?
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Weather conditions appropriate for commencement of works
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All workers instructed in relation to today's work requirements
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All workers signed onto Pre-start/Risk Assessment form?
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Names of attendees
- 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
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Names of attendees not listed above
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Signatures of all attendees
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Select date
