Job Safety and Environmental Analysis (JSEA) D&C

• Document No.

• Contractor name:

• ConSol number (D&C)

• Date / Time of Review

  Date

• Site Location

• Location
  Address

• Emergency Assembly Area:

• Photo of site before work commences

  Media

HAZARDS

• Hazards identified as "Yes" are to have a control measure documented.

DOCUMENTATION

• Has a Safe Work Method Statement been developed?

  Yes

  No

  N/A

• Control measure if "Yes".

• All workers inducted into Safe Work Method Statement (SWMS)?

  Yes

  No

  N/A

• Control measure if "Yes".

Traffic Management

• Pedestrian Management Assessed

  Yes

  No

  N/A

• Control measure if "Yes".

• Traffic Managed

  Yes

  No

  N/A

• Control measure if "Yes".

Plant

• Plant / Equipment ay work site

  Yes

  No

  N/A

• Control measure if "Yes".

• EWP utilised

  Yes

  No

  N/A

• Control measure if "Yes".

• Underground assets (gas, water, power, communications)

  Yes

  No

  N/A

• Control measure if "Yes".

• Overhead electrical hazards

  Yes

  No

  N/A

• Control measure if "Yes".

• Excavations or trenches

  Yes

  No

  N/A

• Control measure if "Yes".

Climate Conditions

• Weather conditions suitable - (heat, cold, rain)

  Yes

  No

  N/A

• Control measure if "Yes".

• Light sufficient for all tasks

  Yes

  No

  N/A

• Control measure if "Yes".

• Direct sunlight exposure

  Yes

  No

  N/A

• Control measure if "Yes".

Site Conditions

• Presence of potentially dangerous animals and fauna (including dogs, snakes and insects)

  Yes

  No

  N/A

• Control measure if "Yes".

• Biological hazards (syringes, contaminated water)

  Yes

  No

  N/A

• Control measure if "Yes".

• Use of hazardous substances and/or dangerous goods

  Yes

  No

  N/A

• Control measure if "Yes".

• Asbestos (ACM) materials

  Yes

  No

  N/A

• Control measure if "Yes".

• Work at heights tasks

  Yes

  No

  N/A

• Control measure if "Yes".

• Electrical hazards

  Yes

  No

  N/A

• Control measure if "Yes".

• Confined spaces

  Yes

  No

  N/A

• Control measure if "Yes".

• Ground surfaces, risk of trips and falls

  Yes

  No

  N/A

• Control measure if "Yes".

• Ignition sources

  Yes

  No

  N/A

• Control measure if "Yes".

Manual Handling

• Awkward postures

  Yes

  No

  N/A

• Control measure if "Yes".

• Lifting, lowering or sudden body movement

  Yes

  No

  N/A

• Control measure if "Yes".

• Pushing or pulling

  Yes

  No

  N/A

• Control measure if "Yes".

• Sustained vibration

  Yes

  No

  N/A

• Control measure if "Yes".

Environmental Hazards

• Contaminated soil and water

  Yes

  No

  N/A

• Storm water or sediment control

  Yes

  No

  N/A

• Dewatering

  Yes

  No

  N/A

• Air quality

  Yes

  No

  N/A

• Dust emissions

  Yes

  No

  N/A

• Disturbance to flora and fauna

  Yes

  No

  N/A

• Noise and vibrations

  Yes

  No

  N/A

• Waste disposal from site

  Yes

  No

  N/A

• Spreading of weeds and pests

  Yes

  No

  N/A

• Cultural Heritage and Archaeology

  Yes

  No

  N/A

• Fire including brushfire prevention

  Yes

  No

  N/A

DETAILS OF ADDITIONAL HAZARDS IDENTIFIED AND SUBSEQUENT CONTROLS IMPLEMENTED

• Additional hazards and controls

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• Visitor's Name

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• Version number: draft 1. Date: 15 Jan 2013