Information
-
Document No.
-
Client / Site
-
Location
-
Conducted on
-
Prepared by
-
Street Address for Emergency Meeting Point
JSEA
-
The details below are a guide only, please refer to our Safe Work Method Statements for more specific control measures.
Potential Hazards.
-
Vehicular Traffic?
Potential hazards may include
-
TRAFFIC MAKES CONTACT WITH PERSON, WE CAUSE TRAFFIC ACCIDENT TO OCCUR
-
What is the level of risk?
Control measures to eliminate or minimise the risk may include
-
WARN TRAFFIC WITH SIGNAGE AND DELINEATE WORK SITE. WEAR HI-VIS CLOTHING.
-
What is the level of risk after control measures are in place?
-
Pedestrian Traffic?
Potential hazards may include
-
PERSON MAKES CONTACT WITH EQUIPMENT, WE CAUSE PEDESTRIAN TO ENTER TRAFFIC
-
What is the level of risk?
Control measures to eliminate or minimise the risk may include
-
VERBALLY NOTIFY AND WARN PUBLIC WITH SIGNAGE. DELINEATE WORK SITE AND SAFE PASSAGE AROUND SITE.
-
What is the level of risk after control measures are in place?
-
Biological Hazards?<br>(i.e. Jack Jumpers, pests, allergenic trees.)
Potential hazards may include
-
HEALTH OF WORKERS/PUBLIC IS ADVERSELY EFFECTED WHEN EXPOSED TO HAZARD
-
What is the level of risk?
Control measures to eliminate or minimise the risk may include
-
WEAR ALL PPE AND DUST MASKS OR RESCHEDULE WORK. KNOW WHERE FIRST AID TREATMENT IS.
-
What is the level of risk after control measures are in place?
-
Environmental Conditions?<br>(i.e. Adverse weather conditions, slippery surface etc.)
Potential hazards may include
-
CAN FALL ON SLIPPERY/LOOSE SURFACE, TREES/LIMBS MAY FAIL IN HIGH WINDS, ILL HEALTH FROM EXTREME HEAT/COLD
-
What is the level of risk?
Control measures to eliminate or minimise the risk may include
-
VERBALLY NOTIFY AND WARN WORKERS OF SLIPPERY/LOOSE SURFACE. RESCHEDULE WORK IN EXTREME WINDS, HEAT OR COLD
-
What is the level of risk after control measures are in place?
-
All Plant and Equipment?
Potential hazards may include
-
PERSON MAY BE CRUSHED UNDER PLANT, RECEIVE LACERATIONS FROM SAWS, TRIMMERS AND BLADES, STRAIN BACKS WHEN LIFTING/MOVING PLANT, INJURE EYE FROM DUST/IRON PARTICLES. CONTACT WITH CHIPPING/GRINDING/SPLITTING EQUIP’ MAY CAUSE DISMEMBERMENT OF BODY PARTS. RECEIVE BURNS FROM HOT EXHAUST PIPES/ PRESSURISED HYDRAULIC OIL.
-
What is the level of risk?
Control measures to eliminate or minimise the risk may include
-
VERBALLY NOTIFY AND WARN PUBLIC WITH SIGNAGE AND DELINEATE WORK SITE. PREFORM PRE START CHECKS, ENSURE ALL GUARDS ARE IN PLACE, FOLLOW SAFE OPERATING PROCEDURES, FOLLOW TRAINING AND INSTRUCTIONS, WEAR ALL PPE, CHOCK ALL PARKED TRUCKS AND PLANT. ERRECT BARRIERS AROUND GRINDING JOBS. KEEP 2 METRES FROM OTHER CHAINSAW. DON’T OVER EXTEND POLE SAW REACH.
-
What is the level of risk after control measures are in place?
-
Exposure to Noise?
Potential hazards may include
-
PERMANENT HEARING LOSS, UNABLE TO COMMUNICATE INSTRUCTIONS
-
What is the level of risk?
Control measures to eliminate or minimise the risk may include
-
WEAR HEARING PROTECTION AROUND ALL OPERATIONAL PLANT, COMMUNICATE WITH WHISTLE/HAND SIGNALS
-
What is the level of risk after control measures are in place?
-
Manual Handling?
Potential hazards may include
-
BACK STRAIN / BACK INJURY, CRUSH INJURY IF LOAD IS DROPPED
-
What is the level of risk?
Control measures to eliminate or minimise the risk may include
-
USE CORRECT LIFTING TECHNIQUES. USE HIAB/LOADER. WEAR STEEL CAPPED BOOTS.
-
What is the level of risk after control measures are in place?
-
Animals on Property?
Potential hazards may include
-
ANIMAL MAY ATTACK WORKER, EXPOSURE TO ANIMAL FAECES.
-
What is the level of risk?
Control measures to eliminate or minimise the risk may include
-
ENSURE OWNER SECURES ANIMAL AND SITE HAS BEEN CLEARED OF FAECES.
-
What is the level of risk after control measures are in place?
-
Dangerous Goods?<br>(i.e. Fuel etc.)
Potential hazards may include
-
POISONED, BURNT, CARCINOGENIC, POTENTIAL EXPLOSION.
-
What is the level of risk?
Control measures to eliminate or minimise the risk may include
-
USE AND STORE DANGEROUS GOODS AS PER MDS, TRAINING AND WEAR ALL PPE.
-
What is the level of risk after control measures are in place?
-
Hazardous Substances?<br>(i.e. Glyphosate etc.)
Potential hazards may include
-
POISONED, BURNT, CARCINOGENIC, POTENTIAL EXPLOSION.
-
What is the level of risk?
Control measures to eliminate or minimise the risk may include
-
USE AND STORE HAZARDOUS SUBSTANCES AS PER MDS, TRAINING AND WEAR ALL PPE
-
What is the level of risk after control measures are in place?
-
Specific Elevated Tasks?<br>(i.e. Climbing, EWP, Scaffold etc.)
Potential hazards may include
-
PERSON INJURED WHEN THEY FALL FROM HEIGHT, PERSON INJURED WHEN WOOD/TOOLS ARE DROPPED FROM HEIGHT.
-
What is the level of risk?
Control measures to eliminate or minimise the risk may include
-
WEAR FALL ARREST EQUIP ABOVE 2 METRES
FOLLOW ALL EWP/CLIMBER TRAINING
CLIMBER SIGNALS “BELOW” AND WORKER SIGNALS “UNDER” WHEN CUTTING AND ENSURES TOOLS ARE SECURED AT HEIGHT. -
What is the level of risk after control measures are in place?
-
Confined or Restricted Spaces?
Potential hazards may include
-
LIMITED ESCAPE ROUTE FROM TREE/TRUCK LEADS TO CRUSH INJURY. EXHAUST POISONING FROM POORLY VENTILATED SITE.
-
What is the level of risk?
Control measures to eliminate or minimise the risk may include
-
USE DIRECTIONAL LINE AND FALLER MOVES TO SAFETY PRIOR TO HAULING TREE OVER. WEAR CUT PROOF VEST AND SMALLER SAW. AVOID TIGHT SPOT WHEN DIRECTING TRUCK
-
What is the level of risk after control measures are in place?
-
Excavation or Trenching?<br>(required or existing)
Potential hazards may include
-
PERSON INJURED FROM FALL INTO DITCH.
-
What is the level of risk?
Control measures to eliminate or minimise the risk may include
-
VERBALLY NOTIFY WORKERS AND WARN PUBLIC WITH WITCHES HATS AROUND HOLE
-
What is the level of risk after control measures are in place?
-
Overhead Services?<br>(i.e. power lines, a specific inspection form may be required)
Potential hazards may include
-
ELECTROCUTION, CARDIAC ARREST, BURNS.
-
What is the level of risk?
Control measures to eliminate or minimise the risk may include
-
MAINTAIN MINIMUM DISTANCE FROM WIRES. AURORA TRAINED WORKERS ONLY, ALSO USE SPOTTER AND ELECT’ TESTED TOOLS.
-
What is the level of risk after control measures are in place?
-
Underground Services?<br>(a specific inspection form may be required)
Potential hazards may include
-
ELECTROCUTION, CARDIAC ARREST, BURNS, POTENTIAL GAS EXPLOSION
-
What is the level of risk?
Control measures to eliminate or minimise the risk may include
-
CHECK FOR SERVICES: WATER, GAS, PHONE AND POWER. PRE DIG BEFORE GRINDING
-
What is the level of risk after control measures are in place?
Safe Work Practices Being Used
-
Safe Work Practices Being Used
- Tip Truck Operations
- Chainsaw Operations
- Pole-saw / Hedge Trimmer
- Tree Climbing Techniques
- Elevated Work Platform
- Tree Felling Operations
- Wood Chipper Operations
- Stump Grinding Operations
- Crane / Hoist Operations
- Ladder / Trestle Techniques
- Powered Winch Operations
- Friction Drum Operations
- Working With Crane Operations
- Road Traffic Management
- Avant Loader Operations
-
Traffic Management Template Used?
-
-
Add media
Pre-Start Checklist
-
PPE Checked (Helmet, Hearing, Steel Capped Boots, Eyewear, High Vis. Clothing, Chainsaw Pants, Gloves, Chemical Gloves)?
-
Sunscreen and water has been provided to all site members?
-
Quote read and client notified of works?
-
Truck, Chipper, Loader and Stump Grinder pre start checks completed?
-
Is there mobile phone available with coverage?
-
Nearest Aurora pole asset number recorded?
-
Aurora pole asset number
-
Tree integrity checked and discussed?
-
Truck and chipper wheels chocked when parked?
-
Two climbers and kit on site for aerial rescue?
Site Plan & Notes
-
Site Plan
-
Notes
Witnessed and signed by all crew members and sub contractors BEFORE commencement of works.
-
Personel
- Charlie Biggins
- James Armstrong
- Tim Pudney
- David Walsh
- Sub Contractors
-
I acknowledge that I have discussed and understood the potential hazards and control measures pertaining to this particular worksite detailed in the above JSEA, and I am satisfied that the job can proceed safely.
-
Signature
-
I acknowledge that I have discussed and understood the potential hazards and control measures pertaining to this particular worksite detailed in the above JSEA, and I am satisfied that the job can proceed safely.
-
Signature
-
I acknowledge that I have discussed and understood the potential hazards and control measures pertaining to this particular worksite detailed in the above JSEA, and I am satisfied that the job can proceed safely.
-
Signature
-
I acknowledge that I have discussed and understood the potential hazards and control measures pertaining to this particular worksite detailed in the above JSEA, and I am satisfied that the job can proceed safely.
-
Signature
Sub Contractor
-
I acknowledge that I have discussed and understood the potential hazards and control measures pertaining to this particular worksite detailed in the above JSEA, and I am satisfied that the job can proceed safely.
-
Company
-
Signature
Before Leaving Site Checklist
-
Hazards Remaining On Site?
-
Hazards Left On Site As Per Quote
-
Hazards Left On Site
-
Date to remove hazards
-
Client Signature
