JSEA - NPE-Tech NZ (2023)

• TASK:

  Electrical Servicing

  Electrical Install

  Fire Servicing

  Fire Install

• Job No:

• Location
  Address

JSEA Team Members

Name:

• Site Supervised by:

• Position

  Site Survivor

  Trade Person

  Apprentice

EMERGENCY RESPONSE INFORMATION:

• Team Leader Mobile Phone:

  Select Andy 0272223341 Ross 0276 673760 Gary 027-355-6131 Allan Richards 027-603-0999

  • Andy 0272223341
  • Ross 0276 673760
  • Gary 027-355-6131
  • Allan Richards 027-603-0999

• Supervisor Mobile Phone:

  Ross 027 667 3760

  Andy 027-222-3341

  Gary 027-355-6131

• Depot Phone: 06-758-7755
  116 RIFLE RANGE ROAD
  WAIWHAKAIHO
  NEW PLYMOUTH

• EMERGENCY SERVICES: 000

• Client

• First Aid Kit Location

• Fire Extinguisher Location

• NPE-Tech HSE documents

  Select 2.1 Health & Safety Policy Site Brief Tool Box HSE 37 Site Brief Tool Box HSE 37 Emergency Contact list HSE 11 Emergency preparedness

  • 2.1 Health & Safety Policy
  • Site Brief Tool Box HSE 37
  • Site Brief Tool Box HSE 37
  • Emergency Contact list HSE 11
  • Emergency preparedness

• Relevant Act, Standards

  Select Health & Safety at Work Act 2015 Wiring Rules AS/NZS 3000:2007 Safety Manual Electricity Industry Rules (SMEI) Part 1, 2, 3 Electrical (Safety) Regulations 2010 Powerco Non Negotiables

  • Health & Safety at Work Act 2015
  • Wiring Rules AS/NZS 3000:2007
  • Safety Manual Electricity Industry Rules (SMEI) Part 1, 2, 3
  • Electrical (Safety) Regulations 2010
  • Powerco Non Negotiables

Legislative Requirements

• Permits Required

  Select None Confined Space Excavation Hot Work Roof Access Isolation/Electrical High Voltage Permit to Work High Risk Licence Other

  • None
  • Confined Space
  • Excavation
  • Hot Work
  • Roof Access
  • Isolation/Electrical
  • High Voltage
  • Permit to Work
  • High Risk Licence
  • Other

• Please Specify

• Critical Risks Activities (SWMS)

  Select Working with Electricity Driving Working at height Working Near Live Electricity Mobile Plant Hazardous Substances Working around others Manual Handing Traffic Cranes & Lifting Underground Services Lone Worker Confined Spaces

  • Working with Electricity
  • Driving
  • Working at height
  • Working Near Live Electricity
  • Mobile Plant
  • Hazardous Substances
  • Working around others
  • Manual Handing
  • Traffic
  • Cranes & Lifting
  • Underground Services
  • Lone Worker
  • Confined Spaces

Hazards to Consider (Controls must be identified)

• Working at Height

  Select Ladders Lifting Equipment /EWP's Scaffolding Stairs / Platforms Working at height Working above others

  • Ladders
  • Lifting Equipment /EWP's
  • Scaffolding
  • Stairs / Platforms
  • Working at height
  • Working above others

• Electrical

  Select Working with Electricity Driving Working at height Working Near Live Electricity Mobile Plant Hazardous Substances Working around others Manual Handing Traffic Cranes & Lifting Underground Services Lone Worker Confined Spaces

  • Working with Electricity
  • Driving
  • Working at height
  • Working Near Live Electricity
  • Mobile Plant
  • Hazardous Substances
  • Working around others
  • Manual Handing
  • Traffic
  • Cranes & Lifting
  • Underground Services
  • Lone Worker
  • Confined Spaces

• Human Factors

  Select Rushing Complacency Fatigue Frustration

  • Rushing
  • Complacency
  • Fatigue
  • Frustration

• Mechanical

  Select Equipment Failure Hand and Power Tool Impact and Crushing Areas Welding or Cutting Stored Energy Abrasive Blasting / Grinding Auto-Start Equipment Conveyors Entanglement E-Stops beyond reach Pinch / Cutting Points Uncontrolled Movement Unguarded Moving Parts

  • Equipment Failure
  • Hand and Power Tool
  • Impact and Crushing Areas
  • Welding or Cutting
  • Stored Energy
  • Abrasive Blasting / Grinding
  • Auto-Start Equipment
  • Conveyors
  • Entanglement
  • E-Stops beyond reach
  • Pinch / Cutting Points
  • Uncontrolled Movement
  • Unguarded Moving Parts

• Pressure

  Select Competitive Pressures Compressed Gases / Air Fluid High Pressure Steam Hydraulic Water / Pulp

  • Competitive Pressures
  • Compressed Gases / Air
  • Fluid
  • High Pressure Steam
  • Hydraulic
  • Water / Pulp

• Thermal

  Select Cold - Ambient Heat, ie, Stress / Discomfort - Ambient Hot Materials / Fluids Hot Surfaces Steam / Condensate UV Exposure

  • Cold - Ambient
  • Heat, ie, Stress / Discomfort - Ambient
  • Hot Materials / Fluids
  • Hot Surfaces
  • Steam / Condensate
  • UV Exposure

• Mobile Plant

  Select Traffic / Pedestrian Interaction / Collision Terrain Unlicensed / Untrained Operators Vehicle

  • Traffic / Pedestrian Interaction / Collision
  • Terrain
  • Unlicensed / Untrained Operators
  • Vehicle

• Manual Handling (Ergonomic)

  Select Awkward / Unbalanced Load High / Low reach High Force / Heavy Loads Lighting Over Exertion / Fatigue Poor Design / Layout Repetitive Movements

  • Awkward / Unbalanced Load
  • High / Low reach
  • High Force / Heavy Loads
  • Lighting
  • Over Exertion / Fatigue
  • Poor Design / Layout
  • Repetitive Movements

• Chemical

  Select Dust / Fumes / Vapour / Mist Chemicals / Reagents Flammable Gases Handling Flammable Materials Hazardous Chemical Exposure Hazardous Substance Exposure Solid Chemical Splashes / Burns

  • Dust / Fumes / Vapour / Mist
  • Chemicals / Reagents
  • Flammable Gases
  • Handling Flammable Materials
  • Hazardous Chemical Exposure
  • Hazardous Substance Exposure
  • Solid Chemical
  • Splashes / Burns

• Workplace

  Select Asbestos Confined Space / Void Space Falling Objects General Access Housekeeping Lighting Noise, Poor Ventilation Holes/ Penetrations Restricted Visibility Restricted Work Area Slip & Trip Hazards Unauthorised Personnel Unlabelled Controls Vibration Wet / Slippery Wind / Storm Activity Working in Isolation

  • Asbestos
  • Confined Space / Void Space
  • Falling Objects
  • General Access
  • Housekeeping
  • Lighting
  • Noise,
  • Poor Ventilation
  • Holes/ Penetrations
  • Restricted Visibility
  • Restricted Work Area
  • Slip & Trip Hazards
  • Unauthorised Personnel
  • Unlabelled Controls
  • Vibration
  • Wet / Slippery
  • Wind / Storm Activity
  • Working in Isolation

• Environmental

  Select Air Contamination Contaminated Materials Stormwater Drains Soil Contamination Solid Waste Stormwater Waste (hazardous)

  • Air Contamination
  • Contaminated Materials
  • Stormwater Drains
  • Soil Contamination
  • Solid Waste
  • Stormwater
  • Waste (hazardous)

• Radiation

  Select Infra-Red Microwaves Ultra-Violet Light, ie,Sun UPS System, ie, Acid Leak / Explosion X-Ray

  • Infra-Red
  • Microwaves
  • Ultra-Violet Light, ie,Sun
  • UPS System, ie, Acid Leak / Explosion
  • X-Ray

TASKS - List the steps required to perform the task in the sequence they are carried out.

Task

• undefined

• Is there any Hazards associated with this task?

  Yes

  No

  N/A
Hazard

• Critical Risks Activities - For each Job Step list the Critical Risks Activities that could cause injury when the task is performed.

  Select Working with Electricity Driving Working at height Working Near Live Electricity Mobile Plant Hazardous Substances Working around others Manual Handing Traffic Cranes & Lifting Underground Services Lone Worker Confined Spaces

  • Working with Electricity
  • Driving
  • Working at height
  • Working Near Live Electricity
  • Mobile Plant
  • Hazardous Substances
  • Working around others
  • Manual Handing
  • Traffic
  • Cranes & Lifting
  • Underground Services
  • Lone Worker
  • Confined Spaces

• Task added

• Raw Risk Score associated with Hazard.

• RISK CONTROL MEASURES - List the control measures required to eliminate or minimise the risk of injury arising from the identified hazard.

• 

• Risk Score after control

• Risk Matrix

  

• Further controls are required.

• Yes

  No

  N/A

• Onsite Change Identification

  Select Will New Tools or Different Techniques be required? Are Additional Tasks / Steps required? Does the Work Area have different conditions to this JSEA? Do Process Conditions generate additional risks? Are there any adverse Weather Conditions?

  • Will New Tools or Different Techniques be required?
  • Are Additional Tasks / Steps required?
  • Does the Work Area have different conditions to this JSEA?
  • Do Process Conditions generate additional risks?
  • Are there any adverse Weather Conditions?
JOB STEP

• undefined

• Is there any Hazards associated with this task?

  Yes

  No

  N/A

• Critical Risks - For each Job Step list the hazards that could cause injury when the task is performed.

• Raw Risk Score associated with Hazard.

• RISK CONTROL MEASURES - List the control measures required to eliminate or minimise the risk of injury arising from the identified hazard.

• 

• Risk Score after control

• Risk Matrix

  

• Further controls are required.

Job Safety and Environmental Analysis Work Team Sign-On

• The undersigned acknowledge that they have been consulted in respect to the hazards of the job and how the job is to be completed safely, that they have read, understood and will adhere to the requirements of this JSEA. Any changes to hazards, conditions, work environment or job steps requires modification of the JSEA and communication of changes.

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