Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

JOB DESCRIPTION -AREA or TASK.

Take an Image of the area being assessed for this task.

  • Image

SITE ASSESSMENT - IDENTIFY HAZARDS

  • Is the work site safe from natural hazards, eg; terrain, climate, wind that presents a risk?

  • If no, refer to SWMS 6010 - Work Site Preperation

  • Is the lighting adequate?

  • If no, refer to SWMS 6010 - Work Site Preperation (section 4)

  • Is the work environment at a safe temperature which will not affect employees?

  • If no, refer to SWMS 6010 - Work Site Preparation (section 4)

  • Is the floor on the work surface safe? Eg. Clear from surface slippery, uneven, cluttered or unsafe.

  • If no, refer to SWMS 6010 - Work Site Preparation (section 4)

  • Are workers safe from the risk of falling objects?

  • If no, refer to SWMS 2080 - Working at heights

  • Are workers safe from any potential energy sources that could cause harm. Eg electrocution?

  • If no, refer to SWMS 6010 - Work Site Preparation (section 12)

  • If no, refer to SWMS 3170 - Isolate, lockout, tag and test

  • If no, refer to SWMS 2090 - Testing and tagging of electrical appliances

  • If no, refer to SWMS 6020 - Prove De-energised (dead)

  • If no, refer to SWMS 3220 - Test for De-energised (dead)

  • Are workers safe from any potentially explosive compounds that could cause harm?

  • If no, refer to SWMS

  • Is the worksite safe from any high concentrations of dust in the atmosphere?

  • If no, refer to SWMS 6010 - Work Site Preparation (section 5)

  • Is the workplace noise level under 85 decibel?

  • If no, refer to SWMS 6010 - Work Site Preparation (section 7)

  • Can work commence without a site permit?

  • Have these permits been acquired and passed?

INDIVIDUALS

  • Are all personnel safe from potential risk due to work activities?

  • If no, have the SWMS below covered these potential risks?

  • Have the employees received the necessary training to complete the task?

  • If no, what training will be required?

  • Are other people at risk of injury by the work activities?

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

  • Are work activities of personnel safe to the environment and not impacting on the environment?

  • If no, refer to SWMS

  • Can the task be performed without additional supervision?

  • If no, who will be the additional supervisor?

  • Can the task be performed from a safe height without the use of ladders, scaffold, or MEWP?

  • If no, refer to SWMS - 2080 Working at heights

PLANT & EQUIPMENT

  • Is the plant and equipment suitable for the tasks?

  • If no, refer to SWMS 2020 - Using portable ladders

  • If no, refer to SWMS 2060 - Erecting and using mobile scaffolds

  • If no, refer to SWMS 2040 - Working with elevating work platforms

  • Is the plant safe to use?

  • If no, refer to SWMS 3170 - Isolate, lockout, tag and test

  • Are inspections and tests on electrical power tools and leads up to date?

  • If no, refer to SWMS 2090 - Testing and tagging of electrical appliances

  • If chemicals being used, are copies of MSDS's being made available?

  • If no, obtain MSDS.

  • Will the use of specific plant and equipment be safe for the environment if used?

  • If no, 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 HIGH, REDO CONTROL MEASURES

  • Is hazard risk score low?

  • Can work commence without changing the control measure?

RISK ASSESSMENT CARRIED OUT BY

  • Name

  • Name

  • Name

  • Name

  • Name

  • Name

  • Name

Signed on behalf of Lend Lease Representative.

  • Name

  • 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.