Information
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Job
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Client / Builder
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Location
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Conducted on
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Prepared by
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Additional Worker
HAZARDS
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Power Tools
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Ladders
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Manual Handling
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Confined Spaces
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Live Power
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Working At Heights
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Weather Conditions
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Excavation
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Falling Objects
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Moving Plant
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Noise
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Access / Egress
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Asbestos
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Working in Trenches
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Dust
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Scaffolding (Compliant Ticket/ Inspection)
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UV Radiation
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Other Identified Hazards ?
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Other hazard:
SWMS
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Working on or near Exposed Energized Electrical Equipment
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Heights
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Confined Spaces
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Slips, Trips, Cuts & Falls
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Working Near Overhead Powerlines
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Plant
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Excavation and Trenching
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Asbestos
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Hazardous Substances
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Demolition
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Working on or near a road
PROCEDURES
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Live Testing
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PPE Management
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Risk Management and Hazard Intervention
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Visual Safety Examination Inspection
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Ladders
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Electrical Safety (general)
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Inspection of safety equipment
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Testing of Electrical Equipment and Installation
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Manual Handling
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Work on Electrical Equipment
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Heights
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Emergency Procedures
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CCICR (ceiling, crawling & conductive roofs)
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Housekeeping
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Noise Management
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Plant and Equipment
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Working in the sun
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Testing and Tagging
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Hazardous Substances Management
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Working in the Vicinity of Exposed Live Parts
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Excavation and Trenching
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Safe working with Asbestos
LiCENCES AND EQUIPMENT
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Competency Records / Licences
- electrical licence
- white card
- EWP / Boom >11m lift licence
- other
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High Risk Plant / Equipment being used
- EWP / Boom Lift >11m
- Scaffold
- Scissor Lift
- Forklift
- Excavator
- Hiab / Crane
- EWP Boom Lift <11m
- Other
- Not Required
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Other:
RISK ASSESSMENT
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Job Task
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Job Steps
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Access Work Position
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Set Up Safety System
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Install Electrical Fixtures/ Appliances
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Conduct Work At Heights
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Testing Electrical Fixtures & Appliances
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Pack Up/ Clean Up & Finalise Operations
Identify Hazards
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Slips, Trips, Cuts & Falls
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Unsafe Work Practices
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Pedestrian Traffic/ Access
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Poor Housekeeping
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Equipment/ Tool Failure
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No Rescue Plan or First Aid Equipment
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Accessing Ladders
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Working With or Near Live Electricity
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Manual Lifting
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Installation of Electrical Fixtures
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Upgrading Power Board
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Failing Equipment/ Plant/ Power Tools
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Bad Weather
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Sharp Debris or UV Exposure
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Fatigue/ Dehydration
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Re-Isolating Power/ Testing Fixtures & Appliances
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Initial Risk Level
Control Measures Used to Minimise Risks
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Ensure workplace is inspected & clear from obstructions
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Ensure workers are wearing appropriate PPE
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Ensure first-aid kit is onsite or in vehicle clearly sighted
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Ensure a fully licensed electrician for fills task duties
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Ensure power is isolated prior to undertaking task
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Ensure emergency procedures are in place
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Ensure exclusion zone & brief public residences
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Ensure additional PPE & sunscreen is used
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Ensure all power tools are tested, tagged & serviced (12 months)
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Ensure (1) first aider with (RTO) Provide First Aid license per (25) workers
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Ensure all workers onsite are briefed & hold valid White Card License
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Ensure weather reports are assessed
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Ensure team lifting procedures used when moving heavy appliances
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Ensure workers have regular breaks & water
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Residual Risk Level
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Risk Likelihood Matrix
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Risk Decision Tree
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If the residual risk is High or Catastrophic, permission must be sought by High Level Management for work to proceed.
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Is the residual risk High or Catastrophic?
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You must contact (WHS Advisor) before continuing.
CERTIFICATION
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I certify that the above control measures have been implemented and deemed the site to be safe:
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Please insert name & signature:
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