Information
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JOB CARD
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Order Number:
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Customer name:
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Conducted on
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Site Address:
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Work Ordered:
RISK ASSESSMENT/JSEA
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Tick the hazards that apply to the job, and refer to appropriate SWMS & Procedures to implement as effective controls.
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Live Parts
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Refer to SWMS:
- Asbestos
- Confined Spaces
- Demolition & Dismantling
- Excavation & Dismantling
- Hazardous Substances
- Heights
- Plant
- Working Near Overhead Powerlines
- Working on or Near a Road
- Working on or Near Energized Electrical Equipment
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Refer to Procedure:
- 3.12 Testing and Tagging
- 3.14 Testing an installation
- 3.15 Accessing a pit or pillar
- 4.12 Manual Handling
- 3.1 Live Work
- 4.11 Using mobile scaffolds
- 3.9 Isolate, Lockout & Test
- 3.10 Working in the vicinity of live parts
- 3.3 Working on Electrical Equipment
- 4.10 Ladders
- 4.4 Excavation and Trenching
- 4.13 Safe working with Asbestos
- 4.8 Heights
- Other
- 3.17 Working in Ceiling, Crawl in space & on conductive roof
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Procedure number & Title:
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Powered Tools
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Refer to SWMS:
- Asbestos
- Confined Spaces
- Demolition & Dismantling
- Excavation & Dismantling
- Hazardous Substances
- Heights
- Plant
- Working Near Overhead Powerlines
- Working on or Near a Road
- Working on or Near Energized Electrical Equipment
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Refer to Procedure:
- 3.12 Testing and Tagging
- 3.14 Testing an installation
- 3.15 Accessing a pit or pillar
- 4.12 Manual Handling
- 3.1 Live Work
- 4.11 Using mobile scaffolds
- 3.9 Isolate, Lockout & Test
- 3.10 Working in the vicinity of live parts
- 3.3 Working on Electrical Equipment
- 4.10 Ladders
- 4.4 Excavation and Trenching
- 4.13 Safe working with Asbestos
- 4.8 Heights
- Other
- 3.17 Working in Ceiling, Crawl in space & on conductive roof
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Procedure Number & Title:
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Ladders
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Refer to SWMS:
- Asbestos
- Confined Spaces
- Demolition & Dismantling
- Excavation & Dismantling
- Hazardous Substances
- Heights
- Plant
- Working Near Overhead Powerlines
- Working on or Near a Road
- Working on or Near Energized Electrical Equipment
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Refer to Procedure:
- 3.12 Testing and Tagging
- 3.14 Testing an installation
- 3.15 Accessing a pit or pillar
- 4.12 Manual Handling
- 3.1 Live Work
- 4.11 Using mobile scaffolds
- 3.9 Isolate, Lockout & Test
- 3.10 Working in the vicinity of live parts
- 3.3 Working on Electrical Equipment
- 4.10 Ladders
- 4.4 Excavation and Trenching
- 4.13 Safe working with Asbestos
- 4.8 Heights
- Other
- 3.17 Working in Ceiling, Crawl in space & on conductive roof
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Procedure Number & Title:
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Manual Handling
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Refer to SWMS:
- Asbestos
- Confined Spaces
- Demolition & Dismantling
- Excavation & Dismantling
- Hazardous Substances
- Heights
- Plant
- Working Near Overhead Powerlines
- Working on or Near a Road
- Working on or Near Energized Electrical Equipment
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Refer to Procedure:
- 3.12 Testing and Tagging
- 3.14 Testing an installation
- 3.15 Accessing a pit or pillar
- 4.12 Manual Handling
- 3.1 Live Work
- 4.11 Using mobile scaffolds
- 3.9 Isolate, Lockout & Test
- 3.10 Working in the vicinity of live parts
- 3.3 Working on Electrical Equipment
- 4.10 Ladders
- 4.4 Excavation and Trenching
- 4.13 Safe working with Asbestos
- 4.8 Heights
- Other
- 3.17 Working in Ceiling, Crawl in space & on conductive roof
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Procedure Number & Title
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Working in Ceilings/Crawl in spaces/Conductive Roofs
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Refer to SWMS:
- Asbestos
- Confined Spaces
- Demolition & Dismantling
- Excavation & Dismantling
- Hazardous Substances
- Heights
- Plant
- Working Near Overhead Powerlines
- Working on or Near a Road
- Working on or Near Energized Electrical Equipment
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Refer to Procedure:
- 3.12 Testing and Tagging
- 3.14 Testing an installation
- 3.15 Accessing a pit or pillar
- 4.12 Manual Handling
- 3.1 Live Work
- 4.11 Using mobile scaffolds
- 3.9 Isolate, Lockout & Test
- 3.10 Working in the vicinity of live parts
- 3.3 Working on Electrical Equipment
- 4.10 Ladders
- 4.4 Excavation and Trenching
- 4.13 Safe working with Asbestos
- 4.8 Heights
- Other
- 3.17 Working in Ceiling, Crawl in space & on conductive roof
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Procedure Number & Title:
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Asbestos
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Refer to SWMS:
- Asbestos
- Confined Spaces
- Demolition & Dismantling
- Excavation & Dismantling
- Hazardous Substances
- Heights
- Plant
- Working Near Overhead Powerlines
- Working on or Near a Road
- Working on or Near Energized Electrical Equipment
-
Refer to Procedure:
- 3.12 Testing and Tagging
- 3.14 Testing an installation
- 3.15 Accessing a pit or pillar
- 4.12 Manual Handling
- 3.1 Live Work
- 4.11 Using mobile scaffolds
- 3.9 Isolate, Lockout & Test
- 3.10 Working in the vicinity of live parts
- 3.3 Working on Electrical Equipment
- 4.10 Ladders
- 4.4 Excavation and Trenching
- 4.13 Safe working with Asbestos
- 4.8 Heights
- Other
- 3.17 Working in Ceiling, Crawl in space & on conductive roof
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Procedure Number & Title:
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Access/Egress
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Refer to SWMS:
- Asbestos
- Confined Spaces
- Demolition & Dismantling
- Excavation & Dismantling
- Hazardous Substances
- Heights
- Plant
- Working Near Overhead Powerlines
- Working on or Near a Road
- Working on or Near Energized Electrical Equipment
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Refer to Procedure:
- 3.12 Testing and Tagging
- 3.14 Testing an installation
- 3.15 Accessing a pit or pillar
- 4.12 Manual Handling
- 3.1 Live Work
- 4.11 Using mobile scaffolds
- 3.9 Isolate, Lockout & Test
- 3.10 Working in the vicinity of live parts
- 3.3 Working on Electrical Equipment
- 4.10 Ladders
- 4.4 Excavation and Trenching
- 4.13 Safe working with Asbestos
- 4.8 Heights
- Other
- 3.17 Working in Ceiling, Crawl in space & on conductive roof
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Procedure Number & Title:
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Working at Heights
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Refer to SWMS:
- Asbestos
- Confined Spaces
- Demolition & Dismantling
- Excavation & Dismantling
- Hazardous Substances
- Heights
- Plant
- Working Near Overhead Powerlines
- Working on or Near a Road
- Working on or Near Energized Electrical Equipment
-
Refer to Procedure:
- 3.12 Testing and Tagging
- 3.14 Testing an installation
- 3.15 Accessing a pit or pillar
- 4.12 Manual Handling
- 3.1 Live Work
- 4.11 Using mobile scaffolds
- 3.9 Isolate, Lockout & Test
- 3.10 Working in the vicinity of live parts
- 3.3 Working on Electrical Equipment
- 4.10 Ladders
- 4.4 Excavation and Trenching
- 4.13 Safe working with Asbestos
- 4.8 Heights
- Other
- 3.17 Working in Ceiling, Crawl in space & on conductive roof
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Procedure Number & Title
SITE SPECIFIC RISK ASSESSMENT
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Are there any additional Hazards/Risks that have not yet been identified and effective controls implemented?
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Additional Hazard/Risk:
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Likelihood of Risk Eventuating:
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Consequence of Risk Eventuating:
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Controls to be implemented:
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Residual Likelihood of Risk:
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Residual Consequence of Risk:
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Are there any additional Hazards/Risks that have not yet been identified and effective controls implemented?
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Additional Hazard/Risk:
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Likelihood of Risk Eventuating:
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Consequence of Risk Eventuating:
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Controls to be implemented:
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Residual Likelihood of Risk
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Residual Consequence of Risk:
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Are there any additional Hazards/Risks that have not yet been identified and effective controls implemented?
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Additional Hazard/Risk:
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Likelihood of Risk Eventuating:
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Consequence of Risk Eventuating:
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Controls to be implemented:
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Residual Likelihood of Risk:
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Residual Consequence of Risk:
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I certify that the nominated control measures have been implemented:
TEST RESULTS
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Circuit:
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Visual Inspection
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Continuity Test - OHMS
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Insulation Resistance - MEGOHM
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Polarity Test
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Correct Circuit Connection
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Verification of Fault Loop Impedance
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RCD Operation
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Test Date
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Circuit:
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Visual Inspection
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Continuity Test - OHMS
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Insulation Resistance - MEGOHM
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Polarity Test
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Correct Circuit Connection
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Verification of Fault Loop Impedance
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RCD Operation
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Test Date
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Job Tested/Inspected/Connected by:
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Licence Number:
JOB DETAILS
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Work Completed:
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Add media
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Time Commenced
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Time Completed
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Total Hours:
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Materials Used
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Customer's Acknowledgement:
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I acknowledge that the work detailed above is a true and accurate record of the work performed on my property, and I am satisfied with the job completed.
