Makesafe Safety Assessment

• Johns Lyng Group MakeSafe NSW Risk Assessment

• Job Number

• Client / Site Address

• Conducted on

  Date

• Before photos

  Media

• Personnel On Site

• Person Conducting this Risk Assessment

If you answer yes to any of the below questions then that particular hazard MUST be controlled before any works may continue please contact your JOHNS LYNG GROUP WHSE Manager if you are unsure or require assistance.

• Is there any asbestos present on site? if yes, contact your WHSE manager immediately.

  Yes

  No

  N/A

• Please explain how this hazard will be controlled

• Provide images

  Media

• Is there any risk of additional damage to the home or property?

  Yes

  No

  N/A

• Please explain the risk and the controls to be implemented to eliminate or reduce the risk.

• Provide images

  Media

• Is there a need for works to be conducted at heights? if yes controls MUST be put in place to eliminate the risk of falls. Please contact your WHSE manager to discuss or refer to the JLG Working at Heights Procedure.

  Yes

  No

  N/A

• Provide information on controls to be implemented to eliminate or reduce the risk of falls.

• Provide images

  Media

• Is there any risk of falling objects or any debris?

  Yes

  No

  N/A

• Explain the risk and the controls to be implemented to eliminate or reduce the risk.

• Provide images of hazards there

  Media

• If Emergency Services have attended the property, DO NOT assume that power, water and gas are isolated. Always engage qualified personnel to attend and ensure the site is safe before works can commence.

• Are there any electrical hazards on the property that are needed to be controlled including power form the street? if yes you MUST contact a qualified contractor immediately to control the hazard.

  Yes

  No

  N/A

• If yes. Provide the name of the contractor and the proposed method of control.

• Provide images

  Media

• Are there any hazards relating to gas? if yes you MUST contact a qualified contractor immediately to control the hazard.

  Yes

  No

  N/A

• If yes. Provide the name of the contractor and the proposed method of control.

• Provide Images

  Media

• Are there any hazards relating to water? if yes you MUST contact a qualified contractor immediately to control the hazard.

  Yes

  No

  N/A

• If yes. Provide the name of the contractor and the proposed method of control.

• Provide images

  Media

• Are there any residents in the direct building or area where MakeSafe works are to be undertaken? Works MUST NOT commence where there is still a resident who could be potentially injured or exposed to a hazard. Residence must be advised to leave the property. If residents refuse then works MUST NOT commence.

  Yes

  No

  N/A

• Comments

• Provide images

  Media

• Is there any risk to the environment as a result of works to be conducted by JLG? if yes, contact your WHSE manager immediately.

  Yes

  No

  N/A

• Explain the risk and the controls to be implemented to eliminate or reduce the risk.

• Provide Images

  Media

• Will road closures need to be in place to conduct the MakeSafe works? if yes, you MUST contact the relevant contractor to ensure all permits, traffic plans and personnel are implemented.

  Yes

  No

  N/A

• If yes, provide information on the methods and contractor to be used.

• Provide Images

  Media

Assessment completed by

• Any additional comments

• Name of person undertaking the site risk assessment

  Sign

• Name of person undertaking the site risk assessment

  Sign

• Name of person undertaking the site risk assessment

  Sign