Title Page
Prestart General
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Project Name:
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Project No:
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Date & Time:
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SWMS Relevant to Task
- Cable Hauling
- Plant
- Manual Handling
- Working On or Near a Road
- Excavation & Trenching
- Installation of Loops (Precise Concrete)
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Will the task involve excessive or awkward lifting, pushing or pulling ?
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Control measure planned:
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Is there any points on which a worker could strike their head ?
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Control measure planned:
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Is it possible to lose grip or footing on fixed or mobile access equipment ?
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Control measure planned:
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Are there any areas in which you could lose footing - Slips, Trips & Falls ?
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Control measure planned:
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Can you be struck by a flying, swinging, propelled or flailing object ?
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Control measure planned:
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Does anything in the area have the potential to fall on you or others ?
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Control measure planned:
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While operating plant is there potential for severe jolting or jarring ?
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Control measure planned:
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Are there any specific work permits required, e.g. Hot Works, Confined Space, Isolation, Excavation ?
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Control measure planned:
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On top of Mandatory PPE. Is there any additional PPE required, e.g. Vibration Gloves, Face Shield, Harness etc ?
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Control measure planned:
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Are any hazardous substances requiring a SDS in use ?
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Control measure planned:
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Are there any significant risks or task changes that require the SWMS to be amended ?
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SWMS to be Amended:
- Cable Hauling
- Plant
- Manual Handling
- Working On or Near a Road
- Excavation & Trenching
- Installation of Loops (Precise Concrete)
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Control measure planned:
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Task Location Specific hazards:
Hazards:
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Enter in task specific Hazards
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Additional Controls Required. Be Aware at all Times of Changing Conditions:
Hazards:
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Location and additional controls
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Additional notes or relevant topics of discussions
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Are all workers fit for work, advised any pre existing or new medical conditions been reported to your supervisor in writing ?
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PPE Check - Have all workers been issued Mandatory PPE ( Hard Hat, Visor, Boots, Ear plugs, Uniform, Glasses) as per requirements of relevant SWMS ?
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Have Safety Walk Minutes been discussed (If applicable) ?
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Have any Principle Directives been Discussed (if Applicable) ?
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Has the environment changed which may bring extra hazards ?<br>Consider things such as "Did it rain last night, will there be water on the ground ?", "The weather is due to reach 38 degrees, take additional breaks, have more water available"
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Have the people changed ? Consider situations such as new young worker, or new worker onsite - Ensure buddy system set up. Check no worker is sick, fatigued, unwell - do you need help today?
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I/We the Undersigned hereby confirm that I/we have been consulted with in the development and delivery of the relevant Safe Work Method Statement(s) & findings of this Pre Start Job Safety Analysis and understand and agree to work to the control measures prescribed above.
We confirm and acknowledge that we have reviewed and understand our obligations of relevant SWMS & Site Safety Obligations, & confirm that these are readily available on the site.
These documents are part of my employment with KME services and form part of the policies and procedures of my employment and or deployment with KME services. -
Employee 1:
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Employee 2:
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Employee 3:
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Employee 4:
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Employee 5:
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Employee 6:
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Employee 7:
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Employee 8:
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Employee 9:
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Employee 10:
