Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

JOB DESCRIPTION

Take an Image of the area being assessed.

  • Image

SITE ASSESSMENT - IDENTIFY HAZARDS

  • Are there any natural hazards e.g. terrain, climate, wind that presents a risk?

  • If yes, refer to SWMS 6010 - Work Site Preperation

  • Is the lighting inadequate?

  • If yes, refer to SWMS 6010 - Work Site Preperation (section 4)

  • Will the temperature in the work environment affect employees

  • If yes, refer to SWMS 6010 - Work Site Preparation (section 4)

  • Is the floor surface slippery, uneven, cluttered or unsafe?

  • If yes, refer to SWMS 6010 - Work Site Preparation (section 4)

  • Is there a risk of falling objects?

  • If yes, refer to SWMS 2080 - Working at heights

  • Are there any potential energy sources that could cause harm. Eg electrocution?

  • If yes, refer to SWMS 6010 - Work Site Preparation (section 12)

  • If yes, refer to SWMS 3170 - Isolate, lockout, tag and test

  • If yes, refer to SWMS 2090 - Testing and tagging of electrical appliances

  • If yes, refer to SWMS 6020 - Prove De-energised (dead)

  • If yes, refer to SWMS 3220 - Test for De-energised (dead)

  • Are there potentially explosive compounds that could cause harm?

  • If yes, refer to SWMS

  • Are there high concentrations of dust in the atmosphere?

  • If yes, refer to SWMS 6010 - Work Site Preparation (section 5)

  • Is the workplace excessively noisy e.g. greater than 85 decibel?

  • If yes, refer to SWMS 6010 - Work Site Preparation (section 7)

  • Are site permits required prior to commencement of activities

  • Have these permits been acquired and passed?

INDIVIDUALS

  • Is there a potential risk of injury to personnel ?

  • If yes, have the SWMS below covered these potential risks?

  • Do the employees require additional training?

  • If yes, what training will be required?

  • Is there a risk of other people being injured by the work activities?

  • If yes, have the SWMS below covered these potential risks?

  • Are work activities of personnel impacting on the environment?

  • If yes, refer to SWMS

  • Is there a risk of environmental damage / pollution by the work activities?

  • If yes, refer to SWMS

  • Is additional supervision for the task required?

  • If yes, who will be the additional supervisor?

  • Will employees be working at heights?

  • If yes refer to SWMS - 2080 Working at heights

PLANT & EQUIPMENT

  • Is the plant and equipment unsuitable for the tasks?

  • If yes, refer to SWMS 2020 - Using portable ladders

  • If yes, refer to SWMS 2060 - Erecting and using mobile scaffolds

  • If yes, refer to SWMS 2040 - Working with elevating work platforms

  • Is the plant unsafe to use?

  • If yes, refer to SWMS 3170 - Isolate, lockout, tag and test

  • Are inspections and tests on electrical power tools and leads out of date?

  • If yes, refer to SWMS 2090 - Testing and tagging of electrical appliances

  • Are chemicals being used, without copies of MSDS's being available?

  • If yes, obtain MSDS.

  • Will the use of specific plant and equipment damage the environment if used?

  • If yes, refer to SWMS 6010 - Section 6

ADDITIONAL HAZARDS

  • Additional hazards, which have not been shown above

  • SWMS in relation to these hazards

HAZARD RISK SCORE 1

  • RISK SCORE 1: Before SWMS have been chosen, select a Risk Score in reference to Risk Matrix table

SAFE WORK METHOD STATEMENTS

  • SWMS 6010 - Site assessment and set up

  • SWMS 6020 - Prove de-energised (dead)

  • SWMS 3010 - Conduit installation, placed prior to pouring concrete

  • SWMS 3020 - Conduit installation in the ground

  • SWMS 3030 - Conduit installed in walls and ceilings

  • SWMS 3040 - Cable and ladder tray installation

  • SWMS 3050 - Installing light fittings

  • SWMS 3060 - Installation of switchboards

  • SWMS 3070 - Installation of pyrotenax (MIMS) cable

  • SWMS 3080 - Installation of lighting looms

  • SWMS 3090 - Installation of cable supports

  • SWMS 3110 - Installation of mains

  • SWMS 3120 - Installation of switchboard connections

  • SWMS 3130 - New work in existing switchboards

  • SWMS 3140 - Installation of submains

  • SWMS 3150 - Installation of power and light cabling

  • SWMS 3160 - Installation of power points

  • SWMS 3170 - Isolate, lockout, tag and test

  • SWMS 3180 - Installing ceiling mounted lights and speakers

  • SWMS 3190 - Removal of PCBs

  • SWMS 3210 - Disconnecting existing installation

  • SWMS 3220 - Test for de-energised (dead)

  • SWMS 3230 - Energise and commission installation

  • SWMS 2050 - Erecting and using Mobile scaffolds

  • SWMS 2080 - Working at heights

  • SWMS 2120 - Working in ceiling space

  • SWMS 2090 - Testing and tagging of electrical appliances

  • SWMS 2060 - Dismantling mobile scaffolds

  • SWMS 2020 - Using portable ladders

  • SWMS 2040 - Working with elevating work platforms

HAZARD RISK SCORE 2

  • Have control measures been applied using SWMS?

  • RISK SCORE 2: After SWMS have been chosen, select Risk Score in reference to Risk Matrix table.

IF HAZARD RISK NOT LOW, REDO CONTOL MEASURES

  • Is hazard risk score low?

  • Will control measures need to be reviewed before work can commence?

RISK ASSESSMENT CARRIED OUT BY

  • Name

  • Name

  • Name

  • Name

  • Name

  • Name

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