Job START - Civil Works

• Client / Site

• Job Reference

• Job Description

• Date

  Date

• Prepared by

• Location
  Address

• Instructions
  
  1. Answer the fields accordingly.
  2. To add a Corrective Measure click on the Paperclip icon then ""Add Action"", provide a description, assign to a member, set priority, and due date
  3. Complete audit by providing digital signature
  4. Share your report by exporting as PDF, Word, Excel or Web Link

Instruction 1 – Determine and have in place the Pre Start Essentials

• Job Reference

• Job Description

• Date

  Date
• Location
  Address

• Emergency Plan (assembly point)

• Nominated First Aider and First Aid kit present on site and location communicated to staff

• Kit Location

• Documents onsite i.e. JA / SWMS, SDS, Permits and other HSE related documents on site.

• Documents Location

• Are all Personnel inducted appropriately for site and activity ie. Broadspectrum, Client Inductions?

  Yes

  No

  N/A

• Has all staff signed off on/onto SWMS/JSA and appropriate signage/isolation/barricading controls been implemented to work area?

  Yes

  No

• STMS Name

• STMS No

• Contact No

• Traffic management plan required

  Yes

  No

• Traffic Management Diagram no

Instruction 2 – Determine what Plant and Equipment is likely to be used

• List Plant and Equipment
  Click +Add to begin

Plant and Equipment

• •Specify

• •Pre -Start Checked?

  Yes

  No

• •Close Approach Consent required

  Yes

  No

• •Confirm working outside of MAD

  Yes

  No

• •Safety Observer required

  Yes

  No

• General Comments

Instruction 3 – State and Review the Job Analysis or SWMS/s that are required for this task

• List all JA/SWMS No. and Name

•JA/SWMS

• JA/SWMS No.

• JA/SWMS Name

• Hazards Identified by JA/SWMS
  Place a tick if the hazards are identified in the Job Analysis or SWMS selected in instruction 3

• Select all hazards identified by JA/SWMS

  Select Electrical Chemical Tools Gasses First aid Vehicles Heights Depth Weight Lighting Pressure Access Vibration Noise Trenches Weather Bacteria Dust Slip / Trip Remote site Hot / Cold Objects Rotating Equipment Moving Equipment Lifting Equipment Underground Services Confined Space Dehydration Radiation (Sun) Manual Handling Exposed holes Overhead Sharps/needles Pedestrians Amenities Working Alone Hit by moving objects Caught in / between Strain / repetitive Dropped objects Strike against Inhalation Burns Exposure to gas / heat / fumes Exposure to dust / chemicals Pollution to the environment Soil erosion / contamination Runoff to drainage systems Simultaneous operations Security Damage to equipment Air / fumes and odours Public Liability Waste management Other Hazards

  • Electrical
  • Chemical
  • Tools
  • Gasses
  • First aid
  • Vehicles
  • Heights
  • Depth
  • Weight
  • Lighting
  • Pressure
  • Access
  • Vibration
  • Noise
  • Trenches
  • Weather
  • Bacteria
  • Dust
  • Slip / Trip
  • Remote site
  • Hot / Cold Objects
  • Rotating Equipment
  • Moving Equipment
  • Lifting Equipment
  • Underground Services
  • Confined Space
  • Dehydration
  • Radiation (Sun)
  • Manual Handling
  • Exposed holes
  • Overhead
  • Sharps/needles
  • Pedestrians
  • Amenities
  • Working Alone
  • Hit by moving objects
  • Caught in / between
  • Strain / repetitive
  • Dropped objects
  • Strike against
  • Inhalation
  • Burns
  • Exposure to gas / heat / fumes
  • Exposure to dust / chemicals
  • Pollution to the environment
  • Soil erosion / contamination
  • Runoff to drainage systems
  • Simultaneous operations
  • Security
  • Damage to equipment
  • Air / fumes and odours
  • Public Liability
  • Waste management
  • Other Hazards

• List all other hazards identified by JA/SWMS

• General Comments

Instruction 4 – List Site Specific Hazards and Conduct Risk Assessment

• List Site Specific Hazards and Conduct Risk Assessment
  

•Hazard

• Job Ref

• Hazard

• Initial Risk

• Control

• Residual Risk

• General Comments

Instruction 5 – Determine what PPE is required

• What PPE is likely to be used? Tick if used

• Select PPE

  Select Respiratory Protective Device Harness / Lifeline Eye Protection: Glasses/Goggles/Visor Hand Protection/Gloves Safety Boots / Gum Boots Overalls / Disposable Overalls Barricading and Signage Lock Out Tag Out Kit Hearing Protection Safety Helmet Communications Equipment Torch/Lighting Fire Fighting Equipment Mechanical Ventilation Device Sun Hat High Viz Other PPE not listed above

  • Respiratory Protective Device
  • Harness / Lifeline
  • Eye Protection: Glasses/Goggles/Visor
  • Hand Protection/Gloves
  • Safety Boots / Gum Boots
  • Overalls / Disposable Overalls
  • Barricading and Signage
  • Lock Out Tag Out Kit
  • Hearing Protection
  • Safety Helmet
  • Communications Equipment
  • Torch/Lighting
  • Fire Fighting Equipment
  • Mechanical Ventilation Device
  • Sun Hat
  • High Viz
  • Other PPE not listed above

• List other PPE not listed above

• General Comments

Instruction 6 –Toolbox this document with all personnel on site and sign on

• I have read and understood the Job Analysis/Safe Work Method Statement and agree to perform the work according to the requirements of this Job Start Form and associated SDS, procedures, legislative requirements
  
  Project Sign On – One Day / One Site

• Names and Signature of Personnel on Site

•Personnel

• Full Name and Signature

  Sign