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
-
Is the work site safe from any natural hazards e.g. terrain, climate, or wind which could 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 surface on the work site safe? eg. Clear from slippery, uneven and cluttered surfaces
-
If no, refer to SWMS 6010 - Work Site Preparation (section 4)
-
Are workers safe from falling objects?
-
If no, refer to SWMS 2080 - Working at heights
-
Are workers safe from 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 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 potentially explosive compounds that could cause harm?
-
If no, refer to SWMS
-
Is the work site safe from high concentrations of dust in the atmosphere?
-
If no, refer to SWMS 6010 - Work Site Preparation (section 5)
-
Is the excessive noise in the workplace less than 85 decibel?
-
If no, refer to SWMS 6010 - Work Site Preparation (section 7)
-
Can work commence without requiring site permits?
-
Have these permits been acquired and passed?
INDIVIDUALS
-
Are personnel safe from the risk of injury, due to the work activities?
-
If no, have the SWMS below covered these potential risks?
-
Have employees received the necessary training to complete the Jjb?
-
If no, what training will be required?
-
Are other people safe from the risk of injury, due to the work activities?
-
If no, have the SWMS below covered these potential risks?
-
Are the work activities of personnel safe to the the environment? <br>eg. Environmental damage or pollution.
-
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, scaffolds or plant equipment.
-
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
-
Have electrical power tools and leads been tested monthly?
-
If no, refer to SWMS 2090 - Testing and tagging of electrical appliances
-
If chemicals are being used, are copies of MSDS's available?
-
If no, obtain MSDS.
-
Will the use of specific plant and equipment be safe to 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
- 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
-
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.
- 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 IS HIGH, REDO CONTROL MEASURES
-
Is hazard risk score low?
-
Can work commence without changing control measures?
RISK ASSESSMENT CARRIED OUT BY
-
Name
-
Name
-
Name
-
Name
-
Name
-
Name