Title Page

  • Conducted on

  • Prepared by

  • Location

General

  • Instructions
    ------------------------------
    1. Observe and identify hazards on site which could cause harm to workers, volunteers, contractors, owners, or other stakeholders.
    Follow and repeat the steps below for all hazards identified
    2. Click "Add Hazard" to begin documenting risk assessment
    3. Describe hazard and take photo and include annotations where required
    4. Assess the risk rating based on risk matrix reference at bottom of template
    5. Attach any photos, notes or corrective actions by clicking on the paperclip icon
    6. Select the appropriate controls with reference to the hierarchy of controls at bottom of template
    -
    Complete the risk assessment by providing general recommendations and signature
    -
    Generate and export report and upload to project folder.

References

  • Risk Matrix

    Risk Matrix V2.jpg
  • Hierarchy of Controls

    6HierarchyofControls_Reference.jpg
  • Enter description of procedure, task or work being assessed.

Hazards, Risks and Controls

  • Click Add Hazard (+) after you have observed and identified a hazard

  • Hazard

Hazard

  • Description of hazard

  • What Hazards have you identified?

  • Are you licensed and competent to use chainsaws?

  • Has the Chainsaw in good working order?<br>(Chain sharp, fluid levels ok, clean and operational condition)

  • *DO NOT PROCEED IF YOU ARE UNLICENSED AND NOT ABLE TO OPERATE A CHAINSAW*

    STOP ACTIVITY NOW

  • Take regular drink breaks, choose a shaded area for breaks and recovery.

  • What is your fatigue and alertness plan?

  • Do you have a SKED and SaR plan in place?

  • Have you been provided Personal Floatation Device to wear for the duration of the activity?

  • Are you licensed and competent to operate this type of Vehicle?

  • Is the Vehicle in good working order?<br>(Lights and warning devices function, fluid levels ok, free from damage, clean and operational condition)

  • Do you have approved permits to burn?<br>Including Emergency Response plan?

  • DO NOT PROCEED!

  • Do you have approved permits to burn?<br>Including Emergency Response plan?

  • DO NOT PROCEED!!

  • Photo of hazard (optional)

Risk rating

  • Consequence

  • Likelihood

  • Risk rating

  • IF HIGH this activity is unable to be undertaken, and will need to be reviewed by WHS and HSR Committee. Do not put yourselves or others in the line of Danger.

Controls

  • Select control measures

  • Enter other control measures

  • Recommendations

  • Field Staff Sign-off
  • Signature

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.