JSEA Review

• Location

  AC1

  AC2

  AC3

  AC4

  CCD's

• Task

• Conducted on

  Date

• Prepared by

• Date

  Date

• Have the Fatality Risk(s) been identified reflective of task being undertaken?

  Yes

  No

  N/A

• Have all controls been identified?

  Yes

  No

  N/A

• Has the team reviewed and signed onto the JSEA?

  Yes

  No

  N/A

• Is the task being undertaken with the Isolation/ Isolation Boundary in place?

  Yes

  No

  N/A

• Have all workers placed their red personal danger lock on the PCB Level 2 isolation or Isolator Level 1 isolation?

  Yes

  No

  N/A

• Are the required permits for the task authorised and active?

  Yes

  No

  N/A

• Are the rescue plans current ( In Date) and reflective of task being undertaken?

  Yes

  No

  N/A

• Does the nominated stand by person for the above permits understand their roles and responsibilities? (CSC, Fire Watch)

  Yes

  No

  N/A

• Do the workers have current training permits/cards to undertake task?

  Yes

  No

  N/A

• Is the team aware of all other works being completed around them and the subsequent hazards created? Are the hazards adequately controlled and positive communication established with the other teams?

  Yes

  No

  N/A

• Are the correct barricading, signage and information tags for the task, including above and below, in place?

  Yes

  No

  N/A

• Has the Supervisor attended the work front today?

  Yes

  No

  N/A

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