Information
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Works order Number
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Housing Escalation Number After Hours
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Property Address
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Maintenance Priority
- P1 - Emergency
- P2 - Urgent
- P3 - Priority
- P4 - Routine
- Quoted
- Cyclical
- Voids
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Todays Date
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Task undertaken by
Safety - Take 5
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STOP and THINK before you start
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Is my task clear?
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Am I using the right equipment?
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Have I done this task before?
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What are the HAZARDS?
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Do I know what can cause me and others harm?
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Do I know where the hazards are?
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Can I detect new hazards?
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Am I prepared if conditions change?
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How can I protect myself?
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Is this the safest way to do the task?
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Am I working in a safe location?
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Is exposure to hazards minimal?
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Is Your P.P.E. Appropriate for the Task?
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What if things go wrong?
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Can I get Help
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Can I stop the task safely, make the area safe and complete later
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Can I raise the alarm and warn others
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Will anyone know where I am
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Is there any dangers such as tenants, electricity or work fatigue that could impact on you?
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IF YOU ANSWERED NO TO THE ABOVE QUESTIONS AND ARE AT RISK FROM HAZARDS OR YOUR SAFETY IS IN ANY DANGER PLEASE CONTACT YOUR SUPERVISOR OR BRANCH MANAGER BEFORE CONTINUING
Determine the appropriate actions
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Note: If any of the following HIGH RISK WORKS are involved with the job, works must carried out in accordance to a Safe Work Method Statement (SWMS) -
Working at Heights over 2m
Demolition
Asbestos
Alteration to a structure that requires the structure to be temporarily supported to prevent its collapse
Confined space
Excavation to a depth of more than 1.5 metres
Energised pressurised gas pipes (including distribution mains)
Chemical, fuel or refrigerant lines
Energised electrical installations and lines (both overhead or underground)
Work on or adjacent to roads that are in use
Movement of powered mobile plant -
My tasks do not involve HIGH RISK WORKS
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Select if hazards arise due to (select multiple):
- Elecrical
- Machinery
- Tools and Equipment
- Pressure
- Energised
- Noise
- Chemicals
- Stored Energy
- Environment
- Ground conditions
- Gravity
- Hot/Cold
- Dust
- Heights
- Open Holes
- Sharpness
- Flying objects
- Struck by
- Lifting
- Falls and Slips
- Ignition/Explosion
- OTHER
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What Is the Risk Rating?
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What could happen as a result of theses hazards?
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What will I do to remove or control the hazards in order to reduce the risk to as low as reasonably practicable?
Tenants behaviour
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Was the tenant courteous and polite
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Were the tenants harassing or abusive towards you
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Did you because of the tenant feel unsafe at anytime
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For security of personnel do you think this property would benifit from 2 persons attending in future - Consider after hours
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Please state your reason
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Signature
