Title Page

  • Client

  • Site Address:
  • Date

  • Prepared by

  • Personnel

  • SWMS Employed on this site:

Possible Hazards

  • Traffic

  • Risk Assessment Rating Prior to Control (as per OHS008)

  • Control Measures

  • Initialled by Responsible Person

  • Other Workers Consulted

  • Control Measure Assessed as Sufficient

  • Mobile plant & equipment

  • Risk Assessment Rating Prior to Control (as per OHS008)

  • Control Measures

  • Initialled by Responsible Person

  • Other Workers Consulted

  • Control Measure Assessed as Sufficient

  • Working at heights/ladders

  • Risk Assessment Rating Prior to Control (as per OHS008)

  • Control Measures

  • Initialled by Responsible Person

  • Other Workers Consulted

  • Control Measure Assessed as Sufficient

  • Weather

  • Risk Assessment Rating Prior to Control (as per OHS008)

  • Control Measures

  • Initialled by Responsible Person

  • Other Workers Consulted

  • Control Measure Assessed as Sufficient

  • Housekeeping/Workplace Layout

  • Risk Assessment Rating Prior to Control (as per OHS008)

  • Control Measures

  • Initialled by Responsible Person

  • Other Workers Consulted

  • Control Measure Assessed as Sufficient

  • Lighting

  • Risk Assessment Rating Prior to Control (as per OHS008)

  • Control Measures

  • Initialled by Responsible Person

  • Other Workers Consulted

  • Control Measure Assessed as Sufficient

  • Electrical

  • Risk Assessment Rating Prior to Control (as per OHS008)

  • Control Measures

  • Initialled by Responsible Person

  • Other Workers Consulted

  • Control Measure Assessed as Sufficient

  • Manual handling

  • Risk Assessment Rating Prior to Control (as per OHS008)

  • Control Measures

  • Initialled by Responsible Person

  • Other Workers Consulted

  • Control Measure Assessed as Sufficient

  • Site access

  • Risk Assessment Rating Prior to Control (as per OHS008)

  • Control Measures

  • Initialled by Responsible Person

  • Other Workers Consulted

  • Control Measure Assessed as Sufficient

  • Noise

  • Risk Assessment Rating Prior to Control (as per OHS008)

  • Control Measures

  • Initialled by Responsible Person

  • Other Workers Consulted

  • Control Measure Assessed as Sufficient

  • Domestic premises

  • Risk Assessment Rating Prior to Control (as per OHS008)

  • Control Measures

  • Initialled by Responsible Person

  • Other Workers Consulted

  • Control Measure Assessed as Sufficient

  • Other

  • Risk Assessment Rating Prior to Control (as per OHS008)

  • Risk Assessment Rating Prior to Control (as per OHS008)

  • Control Measures

  • Initialled by Responsible Person

  • Other Workers Consulted

  • Control Measure Assessed as Sufficient

Authorisation

  • The authorisation of this site specific risk assessment is an acknowledgement of Jim's Test & Tag's commitment to all aspects of work/occupational health and safety and is authorised by:

  • This is to verify that having conducted works in accordance with the SWMS indicated above, the controls have been found to provide adequate protection and that no other safety issues have been identified. If the controls have been found to be inadequate the Divisional Franchisors are to be notified via the feedback form on the Intranet. If a high risk has been identified, the Divisional Franchisors are to be contacted immediately.

  • Additional controls required?

  • Client signature to acknowledge receipt of this site specific risk assessment

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.