M.A.D Excavations Site Risk Assessment

• Site conducted
  Address

• Conducted on

  Date

• Prepared by

High Risk Construction Work

• Risk Matrix

  

• M.A.D Excavations is involved with the following HIGH RISK CONSTRUCTION WORK
  * MOBILE PLAT - DAILY
  * ENERGISED INSTALLATION or SERVICES - RARELY

JOB STEP: PLANNING AND PREPARATION

• HAZARD: Workers unaware of Site Rules.
  HAZARD: Workers sustaining injuries due to lack of personal protection.
  HAZARD: Workers cause or sustain injuries because they are unfit to work.
  HAZARD: Other Trades onsite and Moving near Bobcat/HIAB/Truck Crane
  Risk Before: 3H

• CONTROL: All Workers have completed a Site Induction

• CONTROL: Workers required to wear PPE: Safety Boots and Hi-Visibility Clothing & Sunscreen

• CONTROL: Workers aware of Alcohol & Drug Policy, Not Fatigued. Monitoring by Site Supervisor

• CONTROL: Consult with other trades on worksite - and create exclusions zones.

• Risk After: 1L
  Responsible Person: Site Supervisor

JOB STEP: BOBCAT OPERATIONS

• HAZARD: Bobcat/Mobile plant being used on site
  HAZARD: Unsafe or damaged Bobcat -including missing or damaged guards or incompatible
  Risk Before: 4A

• CONTROL: Review of Bobcat Operations SWMS has been completed.

• CONTROL: Pre-Start Check has been completed on Bobcat/Excavator

• CONTROL: Operators are Licensed and Deemed Competent to Operate Bobcat

• CONTROL: Loading and Unloading of Bobcat is on Level Surface.

• Risk After: 3H
  Responsible Person: Site Supervisor and Operator

JOB STEP: HIAB / CRANE TRUCK OPERATIONS

• Is there a HIAB or Truck being used on this job ?

  Yes

  No

• HAZARD: HIAB / Truck Crane being used on Site
  HAZARD: Unsafe or Damaged HIAB /Crane Truck -including missing or damaged guards or incompatible parts
  Risk Before: 4A

• CONTROL: Review of HIAB Truck Crane SWMS has been completed.

• CONTROL: Pre-Start Check has been completed on HIAB/Truck Crane

• CONTROL: Operators are Deemed Competent to Operate HIAB

• Risk After: 3H
  Responsible Person: Site Supervisor & Operator

JOB STEP: HAZARDOUS CHEMICALS - FUEL

• HAZARD: Fuel Leaks/Spills (Environmental Hazard, Stormwater Release)
  HAZARD: Fuel Combustion, Ignition
  HAZARD: Workers injured by chemical spill/inhalation/fire/burn
  Risk Before: 3H

• CONTROL: Workers aware of Non Smoking policy near Fuels.

• CONTROL: Chemicals stored in safe area away from Stormwater and Ignition Sources.

• CONTROL: MSDS Sheets available nearby

• Risk After: 2M
  Responsible Person: Site Supervisor & Operator

JOB STEP: EMERGENCY PROCEDURES

• HAZARD: Further injury due to lack of preparedness
  HAZARD: Injury due to lack of First Aid Knowledge
  HAZARD: Slow response in Emergency
  Risk Before: 3H

• CONTROL: Workers trained in Emergency Procedures including Evacuation Point.

• CONTROL: Workers aware of Fire Extinguisher and First Aid Kit Location

• Risk After: 1 L
  Responsible Person: Site Supervisor & Operator

JOB STEP: HIGH RISK WORK

• Is there Overhead or Underground Services on Site?

  Yes - UG/OH Power

  No - UG/OH Power

• Please describe

• HAZARD: Coming into contact with LIVE Power Lines or Underground Services
  Risk Before: 4A

• CONTROL: Consult with Site Supervisor prior to commencing work.

• CONTROL: Perform DBYD

• CONTROL: Consult with workers on locations for UG/OH Power

• CONTROL: No Digging below 500mm

• CONTROL: Check location of HIAB/Truck Crane prior to use.

• CONTROL: Consult with Site Supervisor for EXCLUSION zone use.

• Risk After: 2M
  Responsible Person: Site Supervisor & Operator

• 

Overall Risk Assessment Level

• Do all the Site Hazards have acceptable controls in place?

  Safe

  Unsafe

• Work Can Commence on Site

  
Corrective Actions

• Enter any Corrective Actions that will be undertaken.

Sign Off

FIT FOR WORK

• Do you feel rested and have had 6+ hours sleep ?

  Yes

  No

• You are NOT permitted to work unless verbally approved by Matty Daly

  

• Do you feel physically and mentally fit to perform your duties ?

  Yes

  No

• You are NOT permitted to work unless verbally approved by Matty Daly

  

• Are you feeling the effects of any alcohol or drugs/medication taken recently ?

  Yes

  No

• You are NOT permitted to work unless verbally approved by Matty Daly

  

• Are you taking any medication that will impact your performance when operating equipment?

  Yes

  No

• You are NOT permitted to work unless verbally approved by Matty Daly

  

• Do you feel Tired or Fatigued?

  Yes

  No

• You are NOT permitted to work unless verbally approved by Matty Daly

  

• Worker Full Name

• Worker Signature

  Sign