Information
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Document Number
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Assessment Title
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Member ID
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Business Name or Authorised Representative
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Number of workers
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Date assessment conducted on
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Prepared by
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Location where assessment conducted
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Person/s present at the assessment
Compliance
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Is an electrical test / safety certificate supplied to the customer for each job?
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Are electrical test results recorded and retained?
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Are contracts completed for work valued at greater than $10,000
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Is contractor licence number shown on all advertising material?
Licensing
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Is the contractor licence appropriate for the scope of work performed and company structure?
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Are workers appropriately licenced for work performed?
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Is licence detail consistent with trading name?
Sub Contractor
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Has a record been retained of subcontractors details
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Is there a record of Induction for the subcontractor?
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Is there a record of the subcontractor being assessed for safety and 'competency'?
Audits
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Is there evidence of workers being assessed on site in live testing and work procedures and other competencies?
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Have apprentices been evaluated for their required level of supervision?
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Is there a record of the required level of supervision for each apprentice being communicated to their direct supervisor?
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Are apprentice training records up to date?
Inductions
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Is there an induction process for new starters?
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Are there records of inductions?
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Does the induction cover the following:
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Notification of workplace representatives (e.g. Union, Safety)
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Emergency Procedure (and Assembly Point if applicable)
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Company policies
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WHS management system and procedures
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Sighting and copies taken of licenses/qualifications
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Incident reporting procedure
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Issue of PPE
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Notification of First Aid Officer and First Aid Kit
Training
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Is all mandatory training up-to-date?
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Is there a system for ensuring that records of licences/qualifications are kept current?
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Are training records maintained?
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Is there a system that reminds when mandatory training is due?
Policies
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Are the company policies current and signed by the Director/Partner/Principal
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Do they include an annual review date?
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Are the Safety and Rehabilitation policies openly displayed or easily available to all staff?
Safety Management
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Is a system in place that tracks and records job details and work done?
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Is a safety management system being used?
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Are site specific risk assessments or JSA being completed?
Incident/Near Miss
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Are accident/incident reports being completed and recorded on the Register
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Was corrective action taken and recorded?
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Were preventive measures determined and actioned?
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Have there been any 'notifiable' incidents reported externally?
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Have investigations been carried out on any safety incidents and root cause determined?
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Are safety statistics being maintained?
Safety Meetings
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Are regular Toolbox Talks and Safety Meetings carried out?
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Are minutes maintained and signed off by ALL workers, including those not present at the meeting?
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Is there evidence that any issues that arise are satisfactorily rectified?
Documents
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Do workers have easy access to relevant safety documentation?
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Current Copies of Standards AS3000, AS3017, AS4836 and AS3008 has been sourced and acknowledgement form signed by all electrical workers.
Electrical Equipment
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Is the electrical test equipment appropriate for its expected use?
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Is the equipment in test?
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Is there a system in place that reminds when the next test date is due?
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Is testing and tagging current on electrical tools? Including portable RCD's used for service/site work
Hazardous Substances
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Has a hazardous substance register been established?
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Is there a Safety Data Sheet (SDS) that is less than 5 years old available for each hazardous substance?
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Has a risk assessment been carried out for each hazardous substance?
Safety Equipment
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Is a First Aid Kit available to all workers?
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Are all contents within date?
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Is there a record of First Aid Kit contents being regularly inspected and replenished?
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Is the First Aid Kit suitable for the size of business?
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Is a Switchboard Rescue Kit available for use when performing live work?
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Is there a record of Rescue Kit contents being regularly inspected and replenished?
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Are harnesses in good condition and within recommended service life?
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Is there a record of harnesses being regularly inspected for serviceability?
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Are ladders that are used for electrical work non-conductive?
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Are all ladders rated at 120kg or over?
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Is there a record of ladders being regularly inspected for serviceability?
Confirmation Details
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Person Conduction Business or Undertaking (PCBU) signature or Authorised on behalf of the PCBU
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Authorised Representative
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Assessor Signature