Title Page

  • Company name

  • Location
  • Type of business

  • Company representative (name and title)

  • Conducted on

  • Prepared by (name and title)

Section 1 - Hazard/Task Information for Job Safety Analysis (JSA)

  • If all MADEC workers are performing similar tasks with similar risks, one comprehensive JSA can be prepared to cover these various tasks. However, if each worker has a designated, specialised role with unique risks, then separate JSAs are required for each specific task or role to ensure all potential hazards are properly addressed.

Client + Job Information

  • Client Name

  • Client Representative

  • Location of the job (list all worksite addresses this work will be performed at)

  • Workers' job title (note: ensure it reflects the work they will be performing)

  • Description of job

  • Work schedule

  • 1. Will any MADEC workers need to operate vessels? e.g. fishing, towing, snorkeling

  • 1.a) Has the MADEC Senior Leadership team provided authorisation for operating a vessel?

  • Before allowing a worker to operate this type of vehicle, you need to obtain approval from the MADEC senior leadership.

  • 1. b). List all vessels to be operated. Tip: Refer to boat classification and ratings.

  • 1. c) What qualifications, licenses, and/or skills are required for the MADEC worker to safely perform their job? TIP: This is dependent on boat classification and ratings.

  • 2. Are any medical checks required? TIP: Requirement for extended offshore work assignments.

  • Is a medical clearance required?

  • Who is responsible for the medical checks?

  • What vaccinations are required?

  • Is a swimming assessment required? Tip: This may be required for snorkeling tasks.

  • Who is responsible for the swimming assessment?

  • 3. What is the job title for the individual overseeing the workers? For example, Master of the vessel.

  • 4. Who should the worker raise health and safety issues with? TIP: This should be the Master of vessel for work offshore.

  • 5. Is there a Health and Safety Representative onsite?

Work Appropriate Attire

  • Work-appropriate attire is clothing that is suitable for the nature of work, and is not necessarily PPE. They are the clothing requirements set by the host employer, however not for the purposes of managing health and safety risk. Identify below the required work-appropriate attire, and who will provide this.

  • Closed-toe shoes. (e.g., crew members may be required to wear footwear that provides a good grip and stability on slippery surfaces)

  • Who will provide this clothing?

  • Long trousers

  • Who will provide this clothing?

  • Long-sleeved shirts

  • Who will provide this clothing?

  • Gloves i.e., required for produce protection not for the workers health and safety

  • Who will provide this clothing?

  • Waterproof clothing

  • Who will provide this clothing?

  • Other work appropriate attire. Note: list any other work appropriate attire and identify who will provide this clothing.

Personal Protective Equipment

  • Personal Protective Equipment worn by workers to reduce their risk of exposure to hazards.

  • Hi-visibility clothing

  • Who will provide this PPE?

  • Hard hats

  • Who will provide this PPE?

  • Steel capped gumboots

  • Who will provide this PPE?

  • Eye protection (e.g., goggles, glasses)

  • Who will provide this PPE?

  • Gloves i.e., required to manage health and safety risks to the worker

  • Who will provide this PPE?

  • Skin protection e.g., sunscreen, broad-brimmed hats

  • Who will provide this PPE?

  • Respiratory protection e.g., (respirator, face masks, cartridge filters) TIP: Maintenance and cleaning tasks.

  • Who will provide this PPE?

  • Hearing protection e.g., ear plugs, ear muffs

  • Who will provide this PPE?

  • Safety harnesses and tethers. Note: these may be required to secure workers to the vessel, particularly in rough seas or when working near deck edges.

  • Who will provide this PPE?

  • Personal Flotation Devices (PFDs). Note: crew members may be required to wear Coast Guard approved, properly fitting personal flotation devices when on deck.

  • Who will provide this PPE?

  • Other safety equipment. Note: list any other safety equipment and who will provide it. e.g. distress beacon, bilge pump, compass, battery operated torch, radar reflector, sound signal, flares, marine radio, sea anchor, first aid kit, international code flags, life buoy with light and smoke signal, bailing bucket, fire extinguisher.

Hazards associated with the Job

  • For any of the hazards that you select yes to, that cannot be validated in the Client WHS Assessment, create an action under the applicable hazard or refer to the corresponding action created in the Client WHS Assessment.

  • Collision e.g. loss of steering, vessel capsizes, grounding, towing

  • Confined space

  • Electrical e.g. engine start up and shut down, maintenance, service and operation.

  • Entanglement e.g. working with a net, engine room access.

  • Environmental e.g. changing weather and sea state

  • Falling objects e.g. dragging, moorings, anchors, lease marker deployment, hiab use, retrieving lease markers

  • Fatigue

  • Fire e.g fuel transfer, refueling vessel

  • Hazardous chemicals e.g. vessel cleaning, battery bank use and maintenance.

  • High job demand

  • Manual tasks e.g. lifting, hauling heavy pots, unloading bins

  • Slips, trips and fall hazards

  • Work that requires a Licence

  • Working at heights e.g. accessing crows nest, wheelhouse roof

  • Working in hot or cold environments

  • Working on water

  • Working remote or isolated work e.g. long distance from shore, fishing at night

  • Working with knives and sharp objects

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.