Title Page
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Audit Title
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Client / Site
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Conducted on
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Location
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Personnel
- Kyle Schubert
- Gavin Mascas
- Andrew Lyell
- Adam Mann
- Harry Amaranayake
- Adam Schupina
- Liam Hocking
- Adam McLennan
- Mark Shanahan
- Aidan Wade
- Mitch Blatchford
- Chris van Zanten
- Mark Doolan
- Cam Walker
- Andy Mills
- Steve Lowe
- Glenn Wood
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Prepared By
- Kyle Schubert
- Gavin Mascas
- Andrew Lyell
- Adam Mann
- Harry Amaranayake
- Adam Schupina
- Liam Hocking
- Adam McLennan
- Mark Shanahan
- Aidan Wade
- Mitch Blatchford
- Chris van Zanten
- Mark Doolan
- Cam Walker
- Andy Mills
- Steve Lowe
- Glenn Wood
Job Details
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Kdec Job Number
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Brief Job Description
Common Site Specific Risks
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Working at heights?
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Live work?
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Lock out tag out required?
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Manual handling?
Site Specific Hazard?
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Identified hazard
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Control measures put in place
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Is the work safe to continue?
Select SWMS that are to be implemented for the job
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SWMS 1. Basic fault finding
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SWMS 2. Working in a trench or pit
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SWMS 3. Confined spaces
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SWMS 4. Asbestos
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SWMS 5. Live work
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SWMS 6. Isolation and work on electrical equipment
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SWMS 7. Conduit installation prior to concrete being poured
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SWMS 8. Conduit installation in the ground
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SWMS 9. Conduit installation in walls and ceiling spaces
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SWMS 10. Cable and ladder tray installation
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SWMS 11. Working in risers
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SWMS 12. Using portable ladders
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SWMS 13. Installing light fittings
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SWMS 14. Installation of switchboards
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SWMS 15. Installation of switchboard connections
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SWMS 16. Installation of lighting looms
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SWMS 17. Installation of cable supports
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SWMS 18. Installation of mains
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SWMS 19. New work in existing switchboards
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SWMS 20. Installation of submains
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SWMS 21. Installation of power and light cables
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SWMS 22. Installation of power points
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SWMS 23. Manual Handling
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SWMS 24. Working with elevated work platforms
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SWMS 25. Isolate, Lockout and Test
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SWMS 26. Working at heights
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SWMS 27. Installing ceiling mounted lights and speakers
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SWMS 28. Removal of PCB's
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SWMS 29. Disconnecting an existing installation
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SWMS 30. Installation of SELV cables
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SWMS 31. Demolition and dismantling
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SWMS 32. Hazardous substances
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SWMS 33. Plant equipment
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SWMS 34. Testing and tagging of appliances
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SWMS 35. Using mobile scaffolds
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SWMS 36. Working on a road or railway
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SWMS 37. Solar installation
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Any other hazards not documented above
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Additional information to get the job done safely
Damage to note prior to work starting
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Note
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Description
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Customer has been informed
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Photos if needed
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Drawings if needed
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Customers Name and Signature
JSA Sign On
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Tradesmen
Tradesman
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Tradesman signature
Visitor
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Visitors Signature
