Title Page

  • Company name

  • Type of business

  • Company representative (name and title)

  • Conducted on

  • Prepared by (name and title)

Section 4. Site Assessment

  • Location of the worksite
  • Date of site assessment

General housekeeping and environment

  • 1. Do MADEC workers have access to adequate amenities and facilities? i.e., access to shade during breaks, somewhere to eat their food away from workplace hazards, food storage, drinking water, toilets, and handwashing facilities during work. TIP: take a photo of the facilities, or explain in the notes what you observed at the time of the visit. NOTE: Where work is carried out in the field, describe in the notes the amenities that are provided, and how workers can easily access these.

  • Explain how workers in the field have convenient access to amenities and facilities such as chariots or vans equipped with containers of water, portable toilets, and shaded areas for taking work breaks.

  • 2. Is there adequate lighting and ventilation to safely perform the work? TIP: take a photo of the work areas where MADEC workers will be working, or explain in the notes what you observed at the time of the visit.

  • 3. Are floors, stairs, and surfaces designed, installed, and maintained for the tasks being undertaken, and do not present a risk to health and safety? TIP: take a photo of floor surfaces, and stairs, or explain in the notes what was observed at the time of the visit.

  • 4. Are the risks associated with extreme temperatures effectively controlled? Please consider the work tasks performed, the working environment, and the temperature when assessing the controls in place. TIP: take a photo of temperature controls used at the site e.g., chariots for workers to sit under during breaks, industrial fans in packing sheds. Explain these controls in the notes.

  • 5. Are first aid kits available at the workplace, including in work vehicles, and suitably trained first aiders on all shifts (provide details of first aid arrangements)? TIP: take a photo of first aid kits in vehicles and in the workplace, or explain in the notes where kits are located, and the type of kits available e.g. snake bite kits (where there is a risk of snake bite incidents)

Information and Instruction

  • 6. Is signage displayed to indicate the location of the emergency assembly point and first aid kits? TIP: take a photo of the emergency assembly point, and first aid signage.

  • 7. What guidance do you offer to employees regarding hygiene measures in the workplace to prevent infections related to injuries?

  • 8. Where is the nearest medical clinic/facility? TIP: provide the name and location of the nearest medical facility.

  • 9. Are workers provided with information on an Employee Assistance Program and/or mental health support contact details? TIP: take a photo of the EAP or mental health support contact information provided to workers, or explain in the notes how workers are informed of mental health support available to them.

  • Inform the client that MADEC has resources it can provide for this purpose. These can be accessed by the Account Manager via the intranet.

Section 5. Worksite Hazard Management

Plant + Mobile Plant + Vehicles

  • 1. Will MADEC workers be interacting with plant and machinery in the workplace? TIP: If yes, describe in the notes the type of plant and equipment workers will be interacting with.

  • 1. a) What safety measures have been implemented to ensure that the equipment is safe for workers to work with and be around? e.g., maintenance routine, pre-start checks, guarding, emergency stop buttons

  • 1. b) Will MADEC workers be operating any plant or machinery?

  • 1. b) i) Explain how the host ensures MADEC workers are adequately trained and instructed on how to safely operate the plant and machinery. e.g., through practical assessments, maintaining training records, seeking feedback from workers, and observing their performance during tasks.

  • 2. Will MADEC workers be expected to operate equipment that requires a High Risk Work License? i.e., forklift license. If yes, detail in the notes what equipment this is.

  • 2. a) Do existing MADEC workers, who operate equipment requiring a High Risk Work License, hold the appropriate license? TIP: If yes, take a photo of the workers High Risk Work License.

  • Instruct MADEC worker to immediately cease operating the equipment, and notify the MADEC Chief Operating Officer, and/or the HR Manager.

  • 3. During their time at the workplace, will MADEC workers be exposed to mobile plant, such as forklifts, and other traffic, such as trucks, even when they are taking breaks, accessing toilets, meal rooms, office areas, etc.?

  • 3. a) Is there a documented traffic management plan in place, and various traffic management controls implemented, such as physical bollards, line marking, gates, warning alarms, and speed limits? TIP: take a photo of the traffic management plan document, and traffic management controls used at the site or explain in the notes what you observed at the time

  • 4. Are quad bikes or side-by-side vehicles (SSVs) present at the site? Note: this includes ATVs, RTVs and UTVs.

  • 4. a) Are quad bikes / SSVs securely stored to avoid unintended access? TIP: take a photo of the quad bikes being safely stored, such as with the keys removed from the ignition and placed in a locked cabinet, or explain in the notes what you observed at the time of the visit.

  • 5. If the site has quad bikes or Side-by-Side Vehicles (SSVs), and MADEC workers are required to operate these vehicles as indicated in the JSA, then proceed with the necessary safety checks below. TIP: Take a photo of each control and add it to the media section of the check, to verify it is present.

  • 5. a) Safe Work Procedure available and accessible at the worksite

  • 5. b) Records of training and competency kept at the worksite

  • 5. c) Start-up checks are completed before every use and records are available at the worksite

  • 5. d) Vehicle fitted with an operator protective device (OPD)

  • 5. e) Adequate PPE is available at the worksite including helmets that conform to Australian Standards, eye protection sturdy boots, gloves, long sleeves and trousers.

  • 5. f) No go zones are signposted.

  • 5. g) Speed limits are set and signposted.

  • 5. h) Have all the above quad bike or SSV safety checks been verified?

  • DO NOT allow MADEC workers to operate the vehicle until all required controls have been implemented by the client and verified by MADEC.

Manual Tasks

  • 6. What measures have you implemented to minimise the risks associated with manual tasks? e.g., work area design and layout, availability of mechanical aides, adherence to weight limits, ensuring comfortable working surface heights, job rotation, and introducing variety to reduce repetition and static postures. TIP: take a photo of any aides used to control the risk, or explain in the notes what you observed at the time of the visit.

Tools, Equipment + Knives

  • 7. What specific guidelines do you give to workers regarding the secure storage of knives when they are not being used?

Hazardous Chemicals

  • 8. Will any MADEC workers be exposed to hazardous chemicals while at work? Tip: Consider all hazardous chemicals that are used at the workplace, that could be applied to products or materials that workers are exposed to.

  • 8. a) Do you maintain a register of all hazardous chemicals and are Safety Data Sheets available for hazardous chemicals workers are exposed to? TIP: take a photo of the hazardous chemicals register, and a sample of Safety Data Sheets, or explain in the notes where the register and Safety Data Sheets are located, and if they are accessible to workers.

  • 8. b) Do you have an eye wash shower and is it easily accessible to workers who may be exposed to chemical burns? TIP: take a photo of the location of the eye wash shower, or explain in the notes where this is located.

Working at Heights

  • 9. Will any MADEC workers be required to work at heights where there is a risk of fall?

  • 9. a) Are specific control measures are in place to manage the risks associated with falls? i.e., temporary work platforms, guardrails, fall arrest systems, etc. TIP: take a photo of the work areas where workers will need to work at heights, and the controls in place to prevent falls e.g., guardrails, or explain in the notes what you observed at the time of the visit.

Confined Space

  • 10. Will any MADEC workers be required to work in confined spaces? Note: A confined space in refers to an enclosed or partially enclosed space not primarily for human occupancy, at atmospheric pressure, that poses risks due to harmful airborne contaminants, unsafe oxygen levels, or engulfment. These typically include pits, silos, vats, pipes, and tanks.

  • 10. a) Are confined space entry permits required for entry? TIP: take a photo of the confined space risk controls e.g., confined space entry permit, atmospheric monitoring equipment, training records, or explain in the notes what you observed at the time of the visit.

  • 10. b) Do MADEC workers need to complete confined space training before they are allowed to perform such work?

Electrical + Powerlines

  • 11. What electrical equipment and appliances will MADEC workers interact with in the workplace?

  • 11. a) Does electrical equipment appear to be in good condition? TIP: take a photo of the electrical equipment and leads in the working areas where workers will be performing tasks, as well as a picture of the tag indicating the date of the last test and the date of the next scheduled test, or explain in the notes what you observed at the time of the visit.

  • 12. Are there any overhead powerlines that MADEC workers may be exposed to anywhere on the property, posing potential risks?

  • 12. a) Is there a process in place to ensure a safe distance from powerlines is maintained (i.e. exclusion zones, markers on powerlines, site map of powerlines)? TIP: take a photo of the powerline site map and the risk controls in place to prevent contact with powerlines, or explain in the notes what you observed at the time of the visit.

Falling Objects

  • 13. Is there a risk of objects falling from height and injuring a MADEC worker?

  • 13. a) Are loads secured to prevent them from falling from one level to another e.g., isolation/no-go zones, fall prevention, fall arrest systems, PPE, signage? TIP: take a photo of objects stored at height that could potentially fall on a worker, and the risk controls in place to prevent the fall e.g., secure racking systems, netting, restraining bars, or explain in the notes what you observed at the time of the visit.

Validation of Risk Control Measures

  • Has the Client WHS Assessment identified adequate risk controls for all hazards identified in the JSA?

  • Escalate to the Regional Manager for discussion with the WHS Consultant, HR Manager and/or Director Labour Hire.

Next Review

  • Next review date Note: the review date is 6 months from the date the site assessment was completed.

  • Has the review been set as a reminder in the email calendar?

  • Schedule the review date on your email calendar. If you need assistance, please ask a MADEC team member.

Summary

  • Will MADEC proceed with placement?

  • Explain the reasons why MADEC will not proceed with placement

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.