OHSE 08 - Hazard Identification & Risk Assessment

• Document No.

• Audit Title

• Client / Site (displayed on first page)

• Conducted on

  Date

• Prepared by

More than one auditor?

• Additional auditor

• PRA, JSEA or SWMS is completed for the task

  Yes

  No

  N/A

• Method of hazard identification & risk assessment is suitable (PRA, JSEA, SWMS)

  Yes

  No

  N/A

• JSEA development was a group activity, completed by all persons involved in the task and approved (signature) by the Supervisor

  Yes

  No

  N/A

• JSEA reviewed and signed on to by all persons invovled in the task

  Yes

  No

  N/A

• JSEA / SWMS includes all step tasks involved in the activity

  Yes

  No

  N/A

• Specific controls are identified in the JSEA / SWMS in accordance with the hierachy of control

  Yes

  No

  N/A

• Controls are adequate to allow the task to be performed in a safe manner

  Yes

  No

  N/A

• Correct tools and equipment are identified in the JSEA and are being used

  Yes

  No

  N/A

• Emergency response measures are identified in the JSEA / SWMS

  Yes

  No

  N/A

• SWMS / JSEA is located at the work site

  Yes

  No

  N/A

• SWMS / JSEA is modified and approved when tasks or conditions change

  Yes

  No

  N/A

• SWMS / JSEA identifes permit requirments (if applicable)

  Yes

  No

  N/A

• Observations indicate the SWMS / JSEA is being followed

  Yes

  No

  N/A

• Noise mitigation and attenuation measures in place for plant and equipment to limit construction noise (EMP PDS 2)

  Yes

  No

  N/A

• Dust prevention is identified as a priority within pre-start meetings, JSEA's and task planning (EMP PDS 4)

  Yes

  No

  N/A
Action required?

• Action

• Allocated to

• Action due

  Date

• Signed PoMC Representative:

  Sign

• Signed Principal Contractor Representative (optional):

  Sign