Title Page

Site Pre Start Risk Assessment

  • 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

  • Name of the company who has management control of the site

  • Please enter business entity

  • Site Supervisor name and contact number

  • Site Address
  • Conducted on

  • Prepared by

  • I/we have been inducted into the Premium Operational Procedures

  • 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

  • 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)

  • Please select task from Drop down list

  • 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?

  • Please identify other hazards

  • Take a photo of hazards that are present on site

ACTIONS. Confirm the action you will take to manage the identified hazards

  • Select the actions from the drop down list that you will use to control identified hazards

  • Please select the PPE that you require, to do the job safely

  • Please write down the hazard control method that you will use.

  • I have checked my access zone and work area to ensure risk of injury to myself or others is as low as reasonably practicable.

  • contact line manager/site supervisor for instruction prior to commencing work.

  • 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.

  • Worker on site sign off:

  • Worker on site sign off:

  • Worker on site sign off:

  • Worker on site sign off:

  • Worker on site sign off:

Site/Job Supervisor SWMS review sign off

  • 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.

  • Site/Job supervisor name

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.