Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
JOB DESCRIPTION -AREA or TASK.
Take an Image of the area being assessed for this task.
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Image
SITE ASSESSMENT - IDENTIFY HAZARDS
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Is the work site safe from natural hazards, eg; terrain, climate, wind that presents a risk?
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If no, refer to SWMS 6010 - Work Site Preperation
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Is the lighting adequate?
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If no, refer to SWMS 6010 - Work Site Preperation (section 4)
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Is the work environment at a safe temperature which will not affect employees?
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If no, refer to SWMS 6010 - Work Site Preparation (section 4)
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Is the floor on the work surface safe? Eg. Clear from surface slippery, uneven, cluttered or unsafe.
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If no, refer to SWMS 6010 - Work Site Preparation (section 4)
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Are workers safe from the risk of falling objects?
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If no, refer to SWMS 2080 - Working at heights
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Are workers safe from any potential energy sources that could cause harm. Eg electrocution?
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If no, refer to SWMS 6010 - Work Site Preparation (section 12)
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If no, refer to SWMS 3170 - Isolate, lockout, tag and test
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If no, refer to SWMS 2090 - Testing and tagging of electrical appliances
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If no, refer to SWMS 6020 - Prove De-energised (dead)
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If no, refer to SWMS 3220 - Test for De-energised (dead)
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Are workers safe from any potentially explosive compounds that could cause harm?
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If no, refer to SWMS
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Is the worksite safe from any high concentrations of dust in the atmosphere?
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If no, refer to SWMS 6010 - Work Site Preparation (section 5)
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Is the workplace noise level under 85 decibel?
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If no, refer to SWMS 6010 - Work Site Preparation (section 7)
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Can work commence without a site permit?
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Have these permits been acquired and passed?
INDIVIDUALS
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Are all personnel safe from potential risk due to work activities?
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If no, have the SWMS below covered these potential risks?
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Have the employees received the necessary training to complete the task?
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If no, what training will be required?
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Are other people at risk of injury by the work activities?
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If yes, have the SWMS below covered these potential risks?
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Are work activities of personnel safe to the environment and not impacting on the environment?
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If no, refer to SWMS
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Can the task be performed without additional supervision?
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If no, who will be the additional supervisor?
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Can the task be performed from a safe height without the use of ladders, scaffold, or MEWP?
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If no, refer to SWMS - 2080 Working at heights
PLANT & EQUIPMENT
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Is the plant and equipment suitable for the tasks?
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If no, refer to SWMS 2020 - Using portable ladders
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If no, refer to SWMS 2060 - Erecting and using mobile scaffolds
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If no, refer to SWMS 2040 - Working with elevating work platforms
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Is the plant safe to use?
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If no, refer to SWMS 3170 - Isolate, lockout, tag and test
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Are inspections and tests on electrical power tools and leads up to date?
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If no, refer to SWMS 2090 - Testing and tagging of electrical appliances
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If chemicals being used, are copies of MSDS's being made available?
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If no, obtain MSDS.
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Will the use of specific plant and equipment be safe for the environment if used?
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If no, refer to SWMS 6010 - Section 6
ADDITIONAL HAZARDS
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Additional hazards, which have not been shown above
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SWMS in relation to these hazards
HAZARD RISK SCORE 1
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RISK SCORE 1: Before SWMS have been chosen, select a Risk Score in reference to Risk Matrix table
- 5E
- 5D
- 5C
- 5B
- 5A
- 4E
- 4D
- 4C
- 4B
- 4A
- 3E
- 3D
- 3C
- 3B
- 3A
- 2E
- 2D
- 2C
- 2B
- 2A
- 1E
- 1D
- 1C
- 1B
- 1A
SAFE WORK METHOD STATEMENTS
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SWMS 6010 - Site assessment and set up
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SWMS 6020 - Prove de-energised (dead)
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SWMS 3010 - Conduit installation, placed prior to pouring concrete
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SWMS 3020 - Conduit installation in the ground
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SWMS 3030 - Conduit installed in walls and ceilings
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SWMS 3040 - Cable and ladder tray installation
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SWMS 3050 - Installing light fittings
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SWMS 3060 - Installation of switchboards
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SWMS 3070 - Installation of pyrotenax (MIMS) cable
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SWMS 3080 - Installation of lighting looms
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SWMS 3090 - Installation of cable supports
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SWMS 3110 - Installation of mains
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SWMS 3120 - Installation of switchboard connections
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SWMS 3130 - New work in existing switchboards
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SWMS 3140 - Installation of submains
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SWMS 3150 - Installation of power and light cabling
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SWMS 3160 - Installation of power points
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SWMS 3170 - Isolate, lockout, tag and test
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SWMS 3180 - Installing ceiling mounted lights and speakers
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SWMS 3190 - Removal of PCBs
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SWMS 3210 - Disconnecting existing installation
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SWMS 3220 - Test for de-energised (dead)
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SWMS 3230 - Energise and commission installation
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SWMS 2050 - Erecting and using Mobile scaffolds
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SWMS 2080 - Working at heights
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SWMS 2120 - Working in ceiling space
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SWMS 2090 - Testing and tagging of electrical appliances
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SWMS 2060 - Dismantling mobile scaffolds
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SWMS 2020 - Using portable ladders
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SWMS 2040 - Working with elevating work platforms
HAZARD RISK SCORE 2
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Have control measures been applied using SWMS?
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RISK SCORE 2: After SWMS have been chosen, select Risk Score in reference to Risk Matrix table.
- 5E
- 5D
- 5C
- 5B
- 5A
- 4E
- 4D
- 4C
- 4B
- 4A
- 3E
- 3D
- 3C
- 3B
- 3A
- 2E
- 2D
- 2C
- 2B
- 2A
- 1E
- 1D
- 1C
- 1B
- 1A
IF HAZARD RISK HIGH, REDO CONTROL MEASURES
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Is hazard risk score low?
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Can work commence without changing the control measure?
RISK ASSESSMENT CARRIED OUT BY
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Name
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Name
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Name
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Name
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Name
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Name
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Name
Signed on behalf of Lend Lease Representative.
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Name
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Name
