Title Page
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Job
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Location
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Conducted on
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Prepared by
Hazard
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UNTRAINED/INEXPERIENCED/UNAUTHORISED PERSONNEL
Electrical
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Risk Score
- 1
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- 8
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- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
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- 19
- 20
- 21
- 22
- 23
- 24
- 25
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Control Measures
- Ensure all personnel have appropriate accreditation/supervision
- Use approved isolation rocedures for site
- Maintain safe working distances from hazard
- Use appropriate / approved fall arrest equipment
- Have Council's emergency rescue fall plan on site
- Ladder secured top an bottom
- Safety signs and approved barricades to be used
- Seek information from service owners (Dial before you dig)
- MSDS
- Confined space entry permit
- Use safe / approved manual handling techniques
- Utilise engineering handling systems (Hi-ab, crane, rattle gun etc)
- Ensure all site housekeeping is acceptable
- Give considerations to work surfaces and surrounds
- Fire extinguishers available
- Use appropriate pesticides
- Minimum 2 personnel to be onsite at all times with >2 types of comms
- Utilise appropriate PPE
- LV Rescue Kit
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After Score
- 1
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- 8
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- 25
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ELECTRICAL Hv/Lv
Electrical
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Risk Score
- 1
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- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
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Control Measures
- Ensure all personnel have appropriate accreditation/supervision
- Use approved isolation rocedures for site
- Maintain safe working distances from hazard
- Use appropriate / approved fall arrest equipment
- Have Council's emergency rescue fall plan on site
- Ladder secured top an bottom
- Safety signs and approved barricades to be used
- Seek information from service owners (Dial before you dig)
- MSDS
- Confined space entry permit
- Use safe / approved manual handling techniques
- Utilise engineering handling systems (Hi-ab, crane, rattle gun etc)
- Ensure all site housekeeping is acceptable
- Give considerations to work surfaces and surrounds
- Fire extinguishers available
- Use appropriate pesticides
- Minimum 2 personnel to be onsite at all times with >2 types of comms
- Utilise appropriate PPE
- LV Rescue Kit
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After Score
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
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- 15
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- 25
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WORKING AT HEIGHTS
Electrical
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Risk Score
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
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Control Measures
- Ensure all personnel have appropriate accreditation/supervision
- Use approved isolation rocedures for site
- Maintain safe working distances from hazard
- Use appropriate / approved fall arrest equipment
- Have Council's emergency rescue fall plan on site
- Ladder secured top an bottom
- Safety signs and approved barricades to be used
- Seek information from service owners (Dial before you dig)
- MSDS
- Confined space entry permit
- Use safe / approved manual handling techniques
- Utilise engineering handling systems (Hi-ab, crane, rattle gun etc)
- Ensure all site housekeeping is acceptable
- Give considerations to work surfaces and surrounds
- Fire extinguishers available
- Use appropriate pesticides
- Minimum 2 personnel to be onsite at all times with >2 types of comms
- Utilise appropriate PPE
- LV Rescue Kit
-
After Score
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
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PUBLIC ACCESS
Electrical
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Risk Score
- 1
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- 9
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- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
-
Control Measures
- Ensure all personnel have appropriate accreditation/supervision
- Use approved isolation rocedures for site
- Maintain safe working distances from hazard
- Use appropriate / approved fall arrest equipment
- Have Council's emergency rescue fall plan on site
- Ladder secured top an bottom
- Safety signs and approved barricades to be used
- Seek information from service owners (Dial before you dig)
- MSDS
- Confined space entry permit
- Use safe / approved manual handling techniques
- Utilise engineering handling systems (Hi-ab, crane, rattle gun etc)
- Ensure all site housekeeping is acceptable
- Give considerations to work surfaces and surrounds
- Fire extinguishers available
- Use appropriate pesticides
- Minimum 2 personnel to be onsite at all times with >2 types of comms
- Utilise appropriate PPE
- LV Rescue Kit
-
After Score
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
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- 25
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LOCATION OF SERVICES
Electrical
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Risk Score
- 1
- 2
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- 8
- 9
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- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
-
Control Measures
- Ensure all personnel have appropriate accreditation/supervision
- Use approved isolation rocedures for site
- Maintain safe working distances from hazard
- Use appropriate / approved fall arrest equipment
- Have Council's emergency rescue fall plan on site
- Ladder secured top an bottom
- Safety signs and approved barricades to be used
- Seek information from service owners (Dial before you dig)
- MSDS
- Confined space entry permit
- Use safe / approved manual handling techniques
- Utilise engineering handling systems (Hi-ab, crane, rattle gun etc)
- Ensure all site housekeeping is acceptable
- Give considerations to work surfaces and surrounds
- Fire extinguishers available
- Use appropriate pesticides
- Minimum 2 personnel to be onsite at all times with >2 types of comms
- Utilise appropriate PPE
- LV Rescue Kit
-
After Score
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
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- 24
- 25
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HAZARDOUS SUBSTANCES
Electrical
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Risk Score
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
-
Control Measures
- Ensure all personnel have appropriate accreditation/supervision
- Use approved isolation rocedures for site
- Maintain safe working distances from hazard
- Use appropriate / approved fall arrest equipment
- Have Council's emergency rescue fall plan on site
- Ladder secured top an bottom
- Safety signs and approved barricades to be used
- Seek information from service owners (Dial before you dig)
- MSDS
- Confined space entry permit
- Use safe / approved manual handling techniques
- Utilise engineering handling systems (Hi-ab, crane, rattle gun etc)
- Ensure all site housekeeping is acceptable
- Give considerations to work surfaces and surrounds
- Fire extinguishers available
- Use appropriate pesticides
- Minimum 2 personnel to be onsite at all times with >2 types of comms
- Utilise appropriate PPE
- LV Rescue Kit
-
After Score
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
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- 19
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- 21
- 22
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- 24
- 25
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CONFINED SPACES
Electrical
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Risk Score
- 1
- 2
- 3
- 4
- 5
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- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
-
Control Measures
- Ensure all personnel have appropriate accreditation/supervision
- Use approved isolation rocedures for site
- Maintain safe working distances from hazard
- Use appropriate / approved fall arrest equipment
- Have Council's emergency rescue fall plan on site
- Ladder secured top an bottom
- Safety signs and approved barricades to be used
- Seek information from service owners (Dial before you dig)
- MSDS
- Confined space entry permit
- Use safe / approved manual handling techniques
- Utilise engineering handling systems (Hi-ab, crane, rattle gun etc)
- Ensure all site housekeeping is acceptable
- Give considerations to work surfaces and surrounds
- Fire extinguishers available
- Use appropriate pesticides
- Minimum 2 personnel to be onsite at all times with >2 types of comms
- Utilise appropriate PPE
- LV Rescue Kit
-
After Score
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
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VEHICLE / PLANT MOVEMENT
Electrical
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Risk Score
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
-
Control Measures
- Ensure all personnel have appropriate accreditation/supervision
- Use approved isolation rocedures for site
- Maintain safe working distances from hazard
- Use appropriate / approved fall arrest equipment
- Have Council's emergency rescue fall plan on site
- Ladder secured top an bottom
- Safety signs and approved barricades to be used
- Seek information from service owners (Dial before you dig)
- MSDS
- Confined space entry permit
- Use safe / approved manual handling techniques
- Utilise engineering handling systems (Hi-ab, crane, rattle gun etc)
- Ensure all site housekeeping is acceptable
- Give considerations to work surfaces and surrounds
- Fire extinguishers available
- Use appropriate pesticides
- Minimum 2 personnel to be onsite at all times with >2 types of comms
- Utilise appropriate PPE
- LV Rescue Kit
-
After Score
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
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- 25
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MANUAL HANDLING
Electrical
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Risk Score
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
-
Control Measures
- Ensure all personnel have appropriate accreditation/supervision
- Use approved isolation rocedures for site
- Maintain safe working distances from hazard
- Use appropriate / approved fall arrest equipment
- Have Council's emergency rescue fall plan on site
- Ladder secured top an bottom
- Safety signs and approved barricades to be used
- Seek information from service owners (Dial before you dig)
- MSDS
- Confined space entry permit
- Use safe / approved manual handling techniques
- Utilise engineering handling systems (Hi-ab, crane, rattle gun etc)
- Ensure all site housekeeping is acceptable
- Give considerations to work surfaces and surrounds
- Fire extinguishers available
- Use appropriate pesticides
- Minimum 2 personnel to be onsite at all times with >2 types of comms
- Utilise appropriate PPE
- LV Rescue Kit
-
After Score
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
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SLIPS / TRIPS / FALLS
Electrical
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Risk Score
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
-
Control Measures
- Ensure all personnel have appropriate accreditation/supervision
- Use approved isolation rocedures for site
- Maintain safe working distances from hazard
- Use appropriate / approved fall arrest equipment
- Have Council's emergency rescue fall plan on site
- Ladder secured top an bottom
- Safety signs and approved barricades to be used
- Seek information from service owners (Dial before you dig)
- MSDS
- Confined space entry permit
- Use safe / approved manual handling techniques
- Utilise engineering handling systems (Hi-ab, crane, rattle gun etc)
- Ensure all site housekeeping is acceptable
- Give considerations to work surfaces and surrounds
- Fire extinguishers available
- Use appropriate pesticides
- Minimum 2 personnel to be onsite at all times with >2 types of comms
- Utilise appropriate PPE
- LV Rescue Kit
-
After Score
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
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ENVIRONMENTAL (Rain, Uv, Wind)
Electrical
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Risk Score
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
-
Control Measures
- Ensure all personnel have appropriate accreditation/supervision
- Use approved isolation rocedures for site
- Maintain safe working distances from hazard
- Use appropriate / approved fall arrest equipment
- Have Council's emergency rescue fall plan on site
- Ladder secured top an bottom
- Safety signs and approved barricades to be used
- Seek information from service owners (Dial before you dig)
- MSDS
- Confined space entry permit
- Use safe / approved manual handling techniques
- Utilise engineering handling systems (Hi-ab, crane, rattle gun etc)
- Ensure all site housekeeping is acceptable
- Give considerations to work surfaces and surrounds
- Fire extinguishers available
- Use appropriate pesticides
- Minimum 2 personnel to be onsite at all times with >2 types of comms
- Utilise appropriate PPE
- LV Rescue Kit
-
After Score
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
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FIRE
Electrical
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Risk Score
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
-
Control Measures
- Ensure all personnel have appropriate accreditation/supervision
- Use approved isolation rocedures for site
- Maintain safe working distances from hazard
- Use appropriate / approved fall arrest equipment
- Have Council's emergency rescue fall plan on site
- Ladder secured top an bottom
- Safety signs and approved barricades to be used
- Seek information from service owners (Dial before you dig)
- MSDS
- Confined space entry permit
- Use safe / approved manual handling techniques
- Utilise engineering handling systems (Hi-ab, crane, rattle gun etc)
- Ensure all site housekeeping is acceptable
- Give considerations to work surfaces and surrounds
- Fire extinguishers available
- Use appropriate pesticides
- Minimum 2 personnel to be onsite at all times with >2 types of comms
- Utilise appropriate PPE
- LV Rescue Kit
-
After Score
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
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WORKSITE CLEANLINESS
Electrical
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Risk Score
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
-
Control Measures
- Ensure all personnel have appropriate accreditation/supervision
- Use approved isolation rocedures for site
- Maintain safe working distances from hazard
- Use appropriate / approved fall arrest equipment
- Have Council's emergency rescue fall plan on site
- Ladder secured top an bottom
- Safety signs and approved barricades to be used
- Seek information from service owners (Dial before you dig)
- MSDS
- Confined space entry permit
- Use safe / approved manual handling techniques
- Utilise engineering handling systems (Hi-ab, crane, rattle gun etc)
- Ensure all site housekeeping is acceptable
- Give considerations to work surfaces and surrounds
- Fire extinguishers available
- Use appropriate pesticides
- Minimum 2 personnel to be onsite at all times with >2 types of comms
- Utilise appropriate PPE
- LV Rescue Kit
-
After Score
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
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NATURAL HAZARDS (Snakes, insects)
Electrical
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Risk Score
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
-
Control Measures
- Ensure all personnel have appropriate accreditation/supervision
- Use approved isolation rocedures for site
- Maintain safe working distances from hazard
- Use appropriate / approved fall arrest equipment
- Have Council's emergency rescue fall plan on site
- Ladder secured top an bottom
- Safety signs and approved barricades to be used
- Seek information from service owners (Dial before you dig)
- MSDS
- Confined space entry permit
- Use safe / approved manual handling techniques
- Utilise engineering handling systems (Hi-ab, crane, rattle gun etc)
- Ensure all site housekeeping is acceptable
- Give considerations to work surfaces and surrounds
- Fire extinguishers available
- Use appropriate pesticides
- Minimum 2 personnel to be onsite at all times with >2 types of comms
- Utilise appropriate PPE
- LV Rescue Kit
-
After Score
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
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NOISE / VIBRATION
Electrical
-
Risk Score
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
-
Control Measures
- Ensure all personnel have appropriate accreditation/supervision
- Use approved isolation rocedures for site
- Maintain safe working distances from hazard
- Use appropriate / approved fall arrest equipment
- Have Council's emergency rescue fall plan on site
- Ladder secured top an bottom
- Safety signs and approved barricades to be used
- Seek information from service owners (Dial before you dig)
- MSDS
- Confined space entry permit
- Use safe / approved manual handling techniques
- Utilise engineering handling systems (Hi-ab, crane, rattle gun etc)
- Ensure all site housekeeping is acceptable
- Give considerations to work surfaces and surrounds
- Fire extinguishers available
- Use appropriate pesticides
- Minimum 2 personnel to be onsite at all times with >2 types of comms
- Utilise appropriate PPE
- LV Rescue Kit
-
After Score
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
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BIOLOGICAL (Raw sewerage, stagnant water)
Electrical
-
Risk Score
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
-
Control Measures
- Ensure all personnel have appropriate accreditation/supervision
- Use approved isolation rocedures for site
- Maintain safe working distances from hazard
- Use appropriate / approved fall arrest equipment
- Have Council's emergency rescue fall plan on site
- Ladder secured top an bottom
- Safety signs and approved barricades to be used
- Seek information from service owners (Dial before you dig)
- MSDS
- Confined space entry permit
- Use safe / approved manual handling techniques
- Utilise engineering handling systems (Hi-ab, crane, rattle gun etc)
- Ensure all site housekeeping is acceptable
- Give considerations to work surfaces and surrounds
- Fire extinguishers available
- Use appropriate pesticides
- Minimum 2 personnel to be onsite at all times with >2 types of comms
- Utilise appropriate PPE
- LV Rescue Kit
-
After Score
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
Staff
-
Name and signature
-
Name and signature
-
Name and signature
-
Name and signature
-
Name and signature