Pope Electrical Construction Hazard Identification and Risk Assessment

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

2. Plant and Equipment

• 2.1. Unsafe or damaged plant/equipment? (including missing or damaged guards)

  Safe

  At Risk

  N/A

• 2.2. Incorrect plant /equipment for job?

  Yes

  No

  N/A

• 2.3. Unsafe or incompatible attachments used with plant/equipment?

  Yes

  No

  N/A

• 2.4. Unlicensed operators?

  Yes

  No

  N/A

• 2.5. Lack of safe work instructions?

  Yes

  No

  N/A

• 2.6. Lack of training in safe operation, clean-up and maintenance?

  Yes

  No

  N/A

• 2.8. Lack of inspection regime?

  Yes

  No

  N/A

• Add media

  Media

4. Lifting Equipment

• 4.1. Unsafe or damaged plant?

  Safe

  At Risk

  N/A

• 4.2. Loads lifted over persons, close proximity to obstacles incl. overhead power lines?

  Safe

  At Risk

  N/A

• 4.3. Lack of maintenance, testing and inspection?

  Safe

  At Risk

  N/A

• 4.4. Lack of SWL information displayed?

  Safe

  At Risk

  N/A

• 4.5. Lack of daily inspection protocol?

  Safe

  At Risk

  N/A

• 4.6. Unsafe or damaged lifting equipment, including ropes, slings, chains, hooks?

  Safe

  At Risk

  N/A

• 4.7. Lifting equipment unlabelled, does not meet AS, no SWL displayed?

  Safe

  At Risk

  N/A

• 4.8. Unlicensed operators?

  Safe

  At Risk

  N/A

• 4.9. Lack of LOTO procedures for cleaning, servicing and maintenance?

  Safe

  At Risk

  N/A

• 4.10. SWL of plant or any lifting equipment exceeded?

  Safe

  At Risk

  N/A

5. Harness and Equipment

• 5.1. Unsafe or damaged harness or equipment?

  Safe

  At Risk

  N/A

• 5.2. Incompatible hooks/equipment?

  Safe

  At Risk

  N/A

• 5.3. Unlabelled or does not meet AS?

  Safe

  At Risk

  N/A

• 5.4. Unsafe or uncertified anchor points?

  Safe

  At Risk

  N/A

• 5.5. Lack of inspection protocol for equipment?

  Safe

  At Risk

  N/A

• 5.6. Lack of or inadequate formal training for operators?

  Safe

  At Risk

  N/A

6. Ladders

• 6.1. Unsafe or damaged ladders?

  Safe

  At Risk

  N/A

• 6.2. Unsafe positioning of ladders?

  Safe

  At Risk

  N/A

• 6.3. Ladder not properly secured?

  Safe

  At Risk

  N/A

• 6.4. Ladder unsuitable for job? (e.g. metal ladder used for electrical work)

  Safe

  At Risk

  N/A

7. Hazardous Manual Tasks

• 7.1. Lack of identification hazardous manual tasks?

  Yes

  No

  N/A

• 7.2. Lack of assessment of hazardous manual tasks?

  Yes

  No

  N/A

• 7.3. Inadequate risk controls? (examples: no job rotation, lighter loads, trolleys, lifting equipment, etc)

  Yes

  No

  N/A

8. Hazardous Chemical (including fuel and oil)

• 8.4. Are Safety Data Sheets accessible on site?

  Yes

  No

  N/A

• 8.5. Lack of emergency procedures for injury/spills/fire etc?

  Yes

  No

  N/A

• 8.8. Insufficient, or incorrect, PPE?

  Yes

  No

  N/A

• 8.9. Unsuitable storage containers?

  Yes

  No

  N/A

9. Emergency Response

• 9.1. Lack of, or no emergency plans for site?

  Yes

  No

  N/A

• 9.4. Lack of, or inadequate first aid kits aid equipment for site?

  Yes

  No

  N/A

• 9.5. Is their a qualified First Aid person on site?

  Yes

  No

  N/A

• 9.6. Is there cell phone communication available on site?

  Yes

  No

  N/A

10. Traffic Management

• 10.1. Is there an approved and correct Traffic Management Plan (TMP) in place?

  Yes

  No

  N/A

• 10.2. Lack of training in TMP for all persons on site? <br>(contractors and visitors)

  Yes

  No

  N/A

• 10.3. Inadequate controls for TMP? (physical barriers, bollards, speed limits, flashing lights, spotters, etc)

  Yes

  No

  N/A

• Add media

  Media

11. Personal Protective Equipment (PPE)

• 11.1. Lack of, or inadequate PPE (including sun protection)

  Yes

  No

  N/A

• 11.2. Lack of system to issue, inspect, replace and monitor PPE?

  Yes

  No

  N/A

• 11.3. Lack of training in safe use, clean-up and inspection of PPE?

  Yes

  No

  N/A

13. Electrical Hazards

• 13.1. Unsafe electrical leads? (damaged, out of test date or untested)

  Yes

  No

  N/A

• 13.2. Lack of RCD protection?

  Yes

  No

  N/A

• 13.3. Contact with underground assets?

  Yes

  No

  N/A

• 13.4. Contact with overhead electrical lines?

  Yes

  No

  N/A

• 13.12. Lack of Lock-out/tag-out (LOTO) procedures for electrical equipment?

  Yes

  No

  N/A

• Add media

  Media

14. Environmental Hazards

• 14.2. Lack of/or inadequate, dust suppression system?

  Yes

  No

  N/A

• 14.3. Lack of/or inadequate systems to prevent contaminants entering stormwater drains?

  Yes

  No

  N/A

15. Administrative Procedures

• 15.1. Lack of/or inadequate Site Safety Plan?

  Yes

  No

  N/A

• 15.2. Are permits in place (Council, Unison)

  Yes

  No

  N/A

• 15.3. Has everyone on site been inducted, workers, contractors, visitors?

  Yes

  No

  N/A

• 15.4. Lack or, or inadequate, supervisory arrangements?

  Yes

  No

  N/A

• 15.5. Lack of/or inadequate training, licenses, skills, experience?

  Yes

  No

  N/A

• 15.6. Lack of/or inadequate Safe Work Method ?

  Yes

  No

  N/A

• 15.8. Incident notification procedures in place?

  Yes

  No

  N/A

• 15.9. Lack of, or inadequate, routine inspections, monitoring, audits?

  Yes

  No

  N/A

Corrective Actions

• Enter any corrective actions that will be undertaken

• Add media

  Media

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• On site representative

  Sign

• Auditor's signature

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