Title Page
Site Pre Start Risk Assessment
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This checklist is used to help identify on-site hazards and review your safe work method statement (SWMS), the hazards and controls identified must be consulted with your team and other contractors working in your zone.
If you do not have a SWMS prepared for this site there are templates linked in this checklist for review. -
Lot number, Job number
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Name of the company who has management control of the site
- Burbank Homes
- Carlisle Homes
- Eight/Urbane Edge Homes
- AHB/SOHO
- Sherridon/Marque
- Henly
- Simonds
- Metricon
- JG King
- Creation Homes
- Dennis Family Homes
- Porter Davis
- Other
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Please enter business entity
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Site Supervisor name and contact number
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Site Address
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Conducted on
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Prepared by
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I/we have been inducted into the Premium Operational Procedures
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Please review and familiarise yourself with the procedures prior to job commencement
https://drive.google.com/drive/u/0/folders/1C6vrbGyTwL2bGsEGUD61L1rHqvIMc5OR -
Please review and familiarise yourself with the procedures prior to job commencement
https://drive.google.com/drive/u/0/folders/1C6vrbGyTwL2bGsEGUD61L1rHqvIMc5OR
Task Activity Log
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- Shower Screen Installation
- Robe Installation
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Please read and review the following safe work method statement.
https://drive.google.com/file/d/1aOohOnJkqP7O_YLv7Pv684lOBTmP7Ul5/view?usp=sharing -
Please read and review the following safe work method statement. (SWMS to be uploaded to Google drive)
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Please select task from Drop down list
- Vehicle clear of footpath
- Access & Setup of work site
- Unloading materials from vehicle
- Clean and prep surface
- Apply silicone
- Safe use of ladders
- Use of electrical Equipment
- Cutting timber products in a non-naturally vented area
- Using general tools & equipment
- Lifting materials into position
- Working in the same site as other contractors
- Use cleaning fluids
- Other
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Please read and review the following safe work method statement. (Blank to be filled in)
https://drive.google.com/file/d/1kHGV7kGUwaMvBsVU3QJ68YzZnrMez8Q2/view?usp=sharing -
Does the task include any of the following Hazards?
- poor access to site
- Work zone housekeeping poor
- nails protruding from frames or material left on floor
- other trades on site
- Noise - jack hammers/equipment/radios
- Electrical hazards
- Equipment not safe to use
- Dust or airborne fibers
- Cut Hazards
- Fall Hazards
- Trip Hazards
- Work on unstable surface
- Potential live services
- Awkward or difficult lifts
- other
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Please identify other hazards
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Take a photo of hazards that are present on site
ACTIONS. Confirm the action you will take to manage the identified hazards
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Select the actions from the drop down list that you will use to control identified hazards
- Toolbox with Team
- Engage with other trades on site
- Clear access path
- Equipment check prior to start
- Ensure correct PPE is used
- Clear access/work zone
- Bend over nails and clear area
- Progressive house keeping
- Isolate area
- Team lift awkward/heavy items
- implement heat plan
- Use mechanical lift/support
- safety data sheets reviewed
- Use dust extraction system when cutting
- other
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Please select the PPE that you require, to do the job safely
- Safety Shoes/Boots
- Long Pants
- Long sleeve polo top
- Gloves
- Dust Mask
- Hearing Protection
- Safety Glasses
- Hard Hat
- Sun Smart Hat
- Coveralls
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Please write down the hazard control method that you will use.
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I have checked my access zone and work area to ensure risk of injury to myself or others is as low as reasonably practicable.
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contact line manager/site supervisor for instruction prior to commencing work.
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I acknowledge and understand the safe work method statement and site risk assessment. I am the person responsible to implement or change the SWMS in accordance with the work.
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Worker on site sign off:
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Worker on site sign off:
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Worker on site sign off:
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Worker on site sign off:
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Worker on site sign off:
Site/Job Supervisor SWMS review sign off
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The site/job supervisor should review the SWMS when available, for the purposes of identifying hazards that may be present on site that are not within the reasonable skill set of the contractor completing the swms for the task. If the Supervisor is not on site please, check the builders sign or site information notice board for specific site hazards, if unsure call to check for any specific hazards.
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Site/Job supervisor name