MMR/Silcar JSA/ As Built

• Job Safety & Environmental Analysis
  MMR Electrical Contractors Silcar Communications
  1/18 Holden St 1/60 Enterprise Pl
  Woolloongabba, Qld. 4102 Tingalpa, Qld. 4173
  ABN: 72 707 145 236 ABN: 56 598 384 882

• Document No.

• ToW#

• Site Details/ Customer Name

• Conducted on

  Date

• Supervisor

• Location
  Address

• Emergency Assembly area

• Has a safe work method statement been developed?

  Yes

  No

  N/A

• NBNCo Field Construction SWMS

• Silcar SWMS- NAT-SC-SWMS-081- Installation in customer premises

• Silcar SWMS- NAT-SC-SWMS-080- underground lead-in installations at customer sites.

• MMR- WMS 34- PV Installation

• Other- (insert SWMS title)

• Have all members of the work party been inducted into the safe work method statement?

  Yes

  No

  N/A

• Worker must be inducted into the safe work method statement before continuing!

• Traffic hazard during arrival & accessing vehicle during work?

  Yes

  No

  N/A

• Use NBNCo Traffic Management plan!

• Risk to public safety/ pedestrians during site setup & during work?

  Yes

  No

  N/A

• Use NBNCo Traffic Management plan!

• Wet weather(increased risk of slips, trips & falls)

  Yes

  No

  N/A

• Control measures taken?

• Presence of dog(s), potential for dog attack?

  Yes

  No

  N/A

• Control measures taken?

• Household obstacles hindering safe ladder placement (objects preventing pitch, angle)

  Yes

  No

  N/A

• MMR SWMS- using portable ladders.

• Control measures taken?

• Soft or uneven ground hindering safe ladder placement (slope of land, trenches, garden beds, sandy or muddy soil, etc)?

  Yes

  No

  N/A

• MMR SWMS- using portable ladders.

• Control measures taken?

• Presence of trees and foliage obscuring roof access?

  Yes

  No

  N/A

• Control measures taken?

• Presence of overhead electrical hazards?

  Yes

  No

  N/A

• MMR-consult working o'head/u'ground electric lines code of practise.

• Silcar SWMS- Nat sc-SWMS-025- Working in proximity to low or high voltage assets.

• Control measures taken?

• Roof is visibly in poor condition (structural integrity)?

  Yes

  No

  N/A

• Control measures taken?

• Working at heights (above 1.8m)?

  Yes

  No

  N/A

• MMR SWMS- working at heights.

• Control measures taken?

• Roof pitch too steep to work safely?

  Yes

  No

  N/A

• Control measures taken?

• Work involving use of EWP?

  Yes

  No

  N/A

• MMR SWMS- working with elevated work platform.

• Control measures taken?

• Poor lighting conditions?

  Yes

  No

  N/A

• Control measures taken?

• Electrical hazards?

  Yes

  No

  N/A

• Select appropriate MMR SWMS! Control measures taken?

• Ignition sources?

  Yes

  No

  N/A

• Control measures taken?

• Hazardous substances and or dangerous goods?

  Yes

  No

  N/A

• MMR SWMS- hazardous substances!

• Control measures taken?

• Disturbance of materials containing asbestos?

  Yes

  No

  N/A

• MMR SWMS- working with asbestos!

• Silcar SWMS- Guide to drilling into bonded materials containing asbestos!

• Control measures taken?

• Does the work involve manual handling hazards?<br>Extensive bending/ twisting?<br>Sustained or awkward postures over a long duration?<br>Lifting, lowering or sudden forces?<br>Pushing or pulling?

  Yes

  No

  N/A

• MMR SWMS- manual handling!

• Silver SWMS- 014.05- manual handling

• Control measures taken?

• Does the work involve access to roof or floor space and involve exposure to any of the following:<br>High temperature inside roof space?<br>Inadequate ventilation levels?<br>Restricted space?

  Yes

  No

  N/A

• Control measures taken?

• Does the work involve entering underground structures?

  Yes

  No

  N/A

• NBNCo Access and entering underground structures.

• Control measures taken?

• Gas leakage or smell?

  Yes

  No

  N/A

• Control measures taken?

• Exposed or poorly wired electrical wiring?

  Yes

  No

  N/A

• Control measures taken?

• Does the work involve any of the following environmental hazards:<br>Potential release of waste water into drains?<br>Potential release of dust/ harmful dust?<br>Oil leaks from vehicle or plant?<br>Disposal of site or waste materials?

  Yes

  No

  N/A

• Control measures taken?

• Are there any other additional hazards?

  Yes

  No

  N/A

• List additional hazards and control measures here!

• If any hazards are not listed on the applicable SWMS, you must contact your supervisor!

• Is the required safety equipment on-site:

• PPE (safety boots, long pants, long sleeve shirt, high visibility shirt, safety glasses, hearing protection, work gloves, P2 rated dust mask)

  Yes

  No

  N/A

• Cease work and acquire correct PPE!

• Electrical equipment serviceable and in test?

  Yes

  No

  N/A

• Do not use equipment, tag out and inform supervisor!

• Is a harness and lanyard to be used?

  Yes

  No

  N/A

• Are there any cuts, nicks, abrasions or damaged fibres on the harness?

  Yes

  No

  N/A

• Do not use harness! Immediately contact your supervisor for further instructions!

• Are there any cracks or visible damage to the buckles on the harness?

  Yes

  No

  N/A

• Do not use harness! Immediately contact your supervisor for further instructions!

• Are any buckles or securing straps loose when the harness is fitted?

  Yes

  No

  N/A

• Do not use harness! Immediately contact your supervisor for further instructions!

• Is the gate of the karabiner secured?

  Yes

  No

  N/A

• Do not use harness! Immediately contact your supervisor for further instructions!

• Is the harness and karabiner rated for the appropriate load?

  Yes

  No

  N/A

• Do not use harness! Immediately contact your supervisor for further instructions!

• Supervisor- Prior to signing, all employees must be aware of the risk involved in performing the task, aware of the control measures in place and are satisfied that all foreseeable risks have been controlled and documented.

• Supervisor- I certify that the above control measures have been implemented and the site is safe.

• Supervisor

  Sign
Worker

• I have read and understood the related job safety analyses and I understand my role in the safe completion of the work.

• Any member of the work party may call for an immediate stoppage of work and all work must be ceased until all persons on the site are satisfied with the safety of the workplace. If the workplace hazards cannot be effectively eliminated or minimised so that the work can be performed safely, the work activity must not take place until additional controls are implemented.

• Add signature

  Sign

Job Information

• ToW#

• Add location
  Address

• Class 1- E2E/ civil

• Class 2- Internals only

• LIC Code

  C1-02-01-01-7.5MF- E2E existing

  C2-01-01-01-7.5MF- Internals

  C2-02-01-02-7.5MF- E2E new

• Job Type

  Underground construction

  Aerial construction

  Internals

• NTU Serial #- press bottom right corner of text box!

• PSU Serial #- press bottom right corner of text box!

Cable

• PCD-PEP (m)

• MPT-PCD (m)

Conduit

• PCD-PEP (m)

• Pit-PEP (m)

• Pit-Pit (m)

• Pole-UG- Transition (ea)

Material

• Total cable (m)

• PCD (no)

• Indoor NTD

• Moulded cable

• Wall mount

• Indoor UPS Rev 'C'

• Battery

• Connector Serial #

Other

• Breakout (sq.m.)

• Reinstatement (sq.m)

Aerial

• Pole-house (m)

• Point of contact-PCD (m)

• Additional spans

Drawing

• Drawing Pole= circle PCD= triangle New cable= dotted line Exist cable= solid line Pit= square

  Drawing

• Comments

• Notes

• Lead-in cable not installed

• PCD not installed

• C2-01-01-01-7.5MF Internals SDU (single dwelling unit)

• C2-01-01-02-7.5MF Internals MDU (multi dwelling unit)

• C1-02-01-01-7.5MF E2E in EXISTING conduit up to 80m route length and 30m of internal fibre cable

• C1-02-01-02-7.5MF E2E in NEW conduit up to 20m of conduit on premises and 80m lead-in and up to 30m of internal fibre cable

• C1-02-01-xx (existing) U/G lead-in only in EXISTING conduit up to 80m route length

• C1-02-01-xx (new) U/G lead-in only in NEW conduit up to 20m

• NA-01-01-01- Dirty ticket

• C1-02-02-01-7.5MF- >80m route length external cable/ m

• C1-02-02-02-7.5MF- Supply & install conduit >20m from P.E.P/ m

• C1-02-02-05-7.5MF- Supply & install of conduit from pit to P.E.P/ m

• C1-02-02-06-7.5MF- Supply & install of conduit in ROCK from pit to P.E.P/ m

• C1-02-02-07-7.5MF- Installation of lead-in cable from AERIAL network to underground network at pole/ no. of pole risers

• C1-02-02-09-7.5MF- Additional charge to install fusion splice

• C1-02-02-10-7.5MF- Rectify blockage of, or repair an unfit LIC that would be otherwise held

• C2-02-01-01-7.5MF- >30m length for internal fibre cable/ m

• PCD Location, PCD terminated, MPT labelled, NTU terminated, meter readings, pictures to support extras.

  Media