Information
TAKE 5 - McTaggart Plumbing Task Safety Analysis
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Document No:
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McTaggart Plumbing Customer Name?
- Thiess/ Telstra
- DTZ/ NAB
- University of Qld
- Unitab
- Bunnings Stafford
- Bunnings Carseldine
- Bunnings Albion
- Private Customer
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Take 5 Safety Audit for Work Request Number, if no work order. Use job site and specific location, I.e. Room number
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Job Location:
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Short description of the task:
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Conducted on:
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Audit Undertaken by: ( name or worker or supervisor undertaking the audit )
Step 1 - Initial Assessment
1. Stop, Step back and Think
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Am I clear on what the task is?
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Do I have the required skills, training and licenses?
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Is there a JSEA or SWMS available for high risk tasks?
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Is my equipment fit and correct for the task and in good working order?
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Do I have the correct Personal Protective Equipment for the task?
Consider the following permits
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Is a HOT WORK permit required?
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Simply define task requiring permit:
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Is a CONFINED SPACE permit required ?
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Simply define task requiring permit:
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Is Hazards in laboratories form PF 306 required?
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Obtain form PF306 and have lab manager and UQ supervisor complete prior to undertaking works.
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Is a FIRE SYSTEM IMPAIRMENT permit required ?
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Simply define task requiring permit:
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Is a SURFACE PENETRATION or EXCAVATION permit required ?
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Simply define task requiring permit:
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Tick the box if you have arranged the required permits.
Step 2 - Hazard / Issue Check
2. Identify the Hazards and Controls with the following JSEA
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Are there any manual handling hazards?<br>(Lifting, awkward positions, impacts or over exertion)
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What are the HAZARDS or RISKS ? List them here:
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What CONTROLS are you putting in place to reduce risks to LOW ? List them here:
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Are there any hot surfaces?<br>( generator exhaust or radiators)
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What are the HAZARDS or RISKS? List them here:
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What CONTROLS are you putting in place to remove the risk to low? List them here.
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Is the work at height >2 meters?
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What are the HAZARDS or RISKS? List them here:
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What CONTROLS are you putting in place to remove the risk to low? List them here.
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Are you working near or around suspended loads?
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What are the HAZARDS or RISKS? List them here:
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What CONTROLS are you putting in place to remove the risk to low? List them here:
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Add photo if possible?
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Are there any Gravity hazards?<br>(Slips, trips and falls, or being struck by falling objects)
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What are the HAZARDS or RISKS ? List them here:
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What CONTROLS are you putting in place to reduce risks to LOW ? List them here:
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Add a photo if possible
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Are there any Mechanical hazards?<br>(Caught in moving parts, struck by plant or flying objects)
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What are the HAZARDS or RISKS ? List them here:
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What CONTROLS are you putting in place to reduce risks to LOW ? List them here:
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Add a photo if possible?
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Is there any mobile plant or traffic?
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What are the HAZRDS or RISKS? List them here:
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What CONTROLS are you putting in place to reduce the risk to low? List them here:
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Add a photo if possible
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Add media
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Add media
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Are there any Electrical hazards?<br>(Faulty tools or live power)
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What are the HAZARDS or RISKS ? List them here:
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What CONTROLS are you putting in place to reduce risks to LOW ? List them here:
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Add a photo if possible?
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Are there any Chemical hazards?<br>(Inhalation, swallowing, acids, solvents or asbestos)
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What are the HAZARDS or RISKS ? List them here:
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What CONTROLS are you putting in place to reduce risks to LOW ? List them here:
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Add a photo if possible?
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Are there any High Pressure hazards?<br>(Liquid, gas or air)
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What are the HAZARDS or RISKS ? List them here:
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What CONTROLS are you putting in place to reduce risks to LOW ? List them here:
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Add a photo if possible?
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Are there any Noise hazards?<br>(Potential hearing damage, masking of emergency alarms)
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What are the HAZARDS or RISKS ? List them here:
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What CONTROLS are you putting in place to reduce risks to LOW ? List them here:
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Are there any ACM (asbestos) hazards?
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What are the HAZARDS or RISKS ? List them here:
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What CONTROLS are you putting in place to reduce risks to LOW ? List them here:
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Add a photo if possible?
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Are there any Biological hazards?<br>(Potential disease contact, ,zoonoses, animals)
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What are the HAZARDS or RISKS ? List them here:
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What CONTROLS are you putting in place to reduce risks to LOW ? List them here:
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Add a photo if possible?
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Are there any Radiation hazards?<br>(X-rays, sunlight, ultra violet)
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What are the HAZARDS or RISKS ? List them here:
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What CONTROLS are you putting in place to reduce risks to LOW ? List them here:
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Add a photo if possible
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Add media
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Are there any Environmental hazards?<br>(Dust, heat, cold, snow, ice)
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What are the HAZARDS or RISKS ? List them here:
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What CONTROLS are you putting in place to reduce risks to LOW ? List them here:
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Add a photo if possible?
Step 3 - Final Assessment
3. Consultation with Supervisor or Manager.
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Did you consult with your Supervisor or Customer Contact person for items in Section 2 where you answered YES and during the JSEA preparation
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List your reason for not contacting your works Supervisor or UTAS Contact person.
4. Make the Hazards safe.
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Are all hazards now removed or at LOW level?
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Add reasons below for not reducing the hazard to a LOW risk rating:
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Where needed, I have updated the JSEA or SWMS for this task?
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Add the JSEA or SWMS title and reference number below: then forward a copy to your works Supervisor or UTAS Contact person.
5. Is the site now be SAFE so the task can be started ?
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Tick the box if you have identified and assessed all hazards and made them safe. It is now SAFE to start the work.
6. Contractor / Worker Sign Off
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Name of Person signing:
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Enter name of person signing this audit in the space below then select "Sign"
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Contractor / Worker Signature
