Pre-Start

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Complete all fields before starting work to get a good idea of what kind of hazards to expect while you’re undertaking your task. This allows you to effectively plan for any risks that arise during the job
  When you’ve completed this form hit export and send the PDF to office@turftechnologies.co.nz (instructions below)

Pre-Start Assessment

• Identify any hazards and risks associated with this activity, and specify how you will Eliminate/Minimise them. Use the Risk Matrix found in this plan to assign a risk score to each hazard. If you need any help, contact Chris on 021594694

• Hazard/Risk

Hazard

• Describe Hazard. Take a photo using your camera.

• Specify Control

  Select Changing the Work Method Barriers Signage PPE - Hard Hats PPE - Masks PPE - High Vis PPE - Steel Caps Spotter Other No Control

  • Changing the Work Method
  • Barriers
  • Signage
  • PPE - Hard Hats
  • PPE - Masks
  • PPE - High Vis
  • PPE - Steel Caps
  • Spotter
  • Other
  • No Control

• More Info if required

Site setup and Inductions

• I have explained all the risk and controls identified above to all personnel onsite

  Yes

  No

  N/A

• Company hazard board or signage is in place

  Yes

  No

  N/A

• I have explained the site emergency plan, including common emergencies for our task and where to assemble in case of fire, earthquake etc.

  Yes

  No

  N/A

• I have secured the area from the public using barrier tape, fencing or signage etc.

  Yes

  No

  N/A

• All personal have the required PPE to do their tasks safely.

  Yes

  No

  N/A

Critical Hazard Tasks

• Will we be using Heavy Machinery?

  Yes

  NA

Machinery PPE

• We have got the required PPE For the job. If not, contact your supervisor.

  Yes

  No

  N/A

• Checked for overhead / underground services if appropriate.

  Yes

  No

  N/A

Bystanders and Isolating Area.

• How will we secure the area of from bystanders? Choose which of the following methods we are using, put them into place, then tick to confirm that this has been done

• Is it practical to Eliminate the risk by completing the task with safer equipment or not using heavy machinery at all? If no, then

• Is it practical to Eliminate the risk by removing any bystanders from the site / area using fencing, hazard tape, cones, or working at different times so no-one else is around? If no, then

• Is it practical to Minimise the risk by using flashing lights, signage, audible warnings etc? If no, then

• We must use a dedicated spotter. This person’s job must be solely to assist the operator and keep people away from the machine? If no, then

• Contact your supervisor before work starts.

Vehicle Emergencies

• First aid and fire kit on site / in Vehicle

• Nearest Medical Centre / Evacuation point identified.

• Will we be working with Sprays or Chemicals?

  Yes

  NA

Chemical Checklist

• Is it likely the spray will be affected by wind, weather conditions etc?

  Yes

  No

• Are we using chemicals within 20m of waterways, drains etc?

  Yes

  No

• Are we using any class 6.1 A,B,C chemicals – these are toxic to humans (req App Handler)

  Yes

  No

• Are we using any Class 9.1a, 9.2a, 9.3a, 9.4a chemicals – these are toxic to the environment. (req App Handler)

  Yes

  No

• Do we need any more PPE? Have we got the right gear for the task – refer to SDS sheet.

  Yes

  No

• IF YOU ANSWER YES TO ANY OF THE ABOVE, YOU MUST CONTACT YOUR SUPERVISOR / AN APPROVED HANDLER BEFORE PROCEEDING.

HSNO Register

• Hazard/Risk

Hazard

• Record information about the types of chemicals that we will be using onsite today.

• Describe chemical. Take a photo of the chemical with your phone and attach.

• Specify Control

  Select Masks Gloves Overalls No control required.

  • Masks
  • Gloves
  • Overalls
  • No control required.

• More Info if required

Chemical Emergencies

• If Approved Handler Required - They have been notified / are supervising job.

• Spill Kit on site / in Vehicle

• Nearest Medical Centre / Evacuation point identified.