RISK ASSESSMENT

• Conducted on

  Date
• Work site location
  Address

• GeoOp job reference number

• Document No.

• Person assessing

• Lic no.

• Other company personnel onsite

Common Risks

• Please refer to the Risk Matrix table when making selections
  http://www.ionmy.com.au/riskprocess/matrix.jpg

• Exposure to live parts?

  No

  Yes

• Using the Risk Matrix table above, select the level of risk

  Low

  Med

  High

  Extreme

• Will you Isolate parts and test?

  YES

  NO

• Explain why not

• Working in confined spaces?

  No

  Yes

• Using the Risk Matrix table above, select the level of risk

  Low

  Med

  High

  Extreme

• Have you received correct training?

  YES

  NO

• You must decide if you can safely continue.

• Working in a roof space, electrical, dehydration?

  No

  Yes

• Using the Risk Matrix table above, select the level of risk

  Low

  Med

  High

  Extreme

• Will you Isolate power, rehydrate, break regularly?

  YES

  NO

• Explain why not

• Working in the sun, sunburn, dehydration?

  No

  Yes

• Using the Risk Matrix table above, select the level of risk

  Low

  Med

  High

  Extreme

• Can you employ sun protection, rehydrate, break regularly?

  YES

  NO

• Explain why not

• Working at heights?

  No

  Yes

• Using the Risk Matrix table above, select the level of risk

  Low

  Med

  High

  Extreme

• Do you have the correct safety equipment?

  YES

  NO

• Explain how you will maintain your safety without the use of correct safety equipment

• Slippery surface, work area?

  No

  Yes

• Using the Risk Matrix table above, select the level of risk

  Low

  Med

  High

  Extreme

• Will you clean the surface?

  YES

  NO

• Explain how you will mitigate this risk

• Slippery surface, access?

  No

  Yes

• Using the Risk Matrix table above, select the level of risk

  Low

  Med

  High

  Extreme

• Is there an alternate path, clean path?

  YES

  NO

• How will you manage this risk?

• Any animals?

  No

  Yes

• Using the Risk Matrix table above, select the level of risk

  Low

  Med

  High

  Extreme

• Have client remove animals?

  YES

  NO

• Explain suitable alternative

• Poor hygiene?

  No

  Yes

• Using the Risk Matrix table above, select the level of risk

  Low

  Med

  High

  Extreme

• Will client make Hygienic?

  YES

  NO

• What measures will you take?

• Is there too much mess or clutter to perform work?

  No

  Yes

• Using the Risk Matrix table above, select the level of risk

  Low

  Med

  High

  Extreme

• Will the client clean it up?

  YES

  NO

• Can you clean it up?

  YES

  NO

• How else will you deal with this?

Site Specific Risks

• Are there ANY other risks identified with this specific job?

  No

  Yes

• Are you certain? Now is the time to take a look over the whole work site, to avoid any surprises.

• Add each additional Risk, using the button to the right

Risk

• The Risk Matrix table is available again here, for reference
  http://www.ionmy.com.au/riskprocess/matrix.jpg

  

• Outline nature of risk

• What is the likelihood of this risk occurring?

  A. Practically impossible

  B. Not likely to occur

  C. Could occur, I've heard of it before

  D. Is known to occur or it has happened

  E. Common or occurs frequently

• Now select the likely consequences if this risk were to eventuate

  1. First aid required

  2. Medical treatment required

  3. Serious injury, hospitalised

  4. Total and/or Permanent disability (TPD)

  5. Multiple TPD, DEATH

• This level of risk is deemed LOW. Monitor and manage.

• This level of risk is deemed MEDIUM. Be sure to monitor and maintain strict measures.

• This level of risk is deemed HIGH.
  Review and introduce additional controls to lower the level of risk.

• Now select the likely consequences if this risk were to eventuate

  1. First aid required

  2. Medical treatment required

  3. Serious injury, hospitalised

  4. Total and/or Permanent disability (TPD)

  5. Multiple TPD, DEATH

• This level of risk is deemed LOW. Monitor and manage.

• This level of risk is deemed MEDIUM. Be sure to monitor and maintain strict measures.

• This level of risk is deemed HIGH.
  Review and introduce additional controls to lower the level of risk.

• Now select the likely consequences if this risk were to eventuate

  1. First aid required

  2. Medical treatment required

  3. Serious injury, hospitalised

  4. Total and/or Permanent disability (TPD)

  5. Multiple TPD, DEATH

• This level of risk is deemed MEDIUM. Be sure to monitor and maintain strict measures.

• This level of risk is deemed HIGH.
  Review and introduce additional controls to lower the level of risk.

• This level of risk is deemed EXTREME.
  DO NOT PROCEED. Immediately introduce further control measures to lower the risk.
  Re-assess before proceeding.

• Now select the likely consequences if this risk were to eventuate

  1. First aid required

  2. Medical treatment required

  3. Serious injury, hospitalised

  4. Total and/or Permanent disability (TPD)

  5. Multiple TPD, DEATH

• This level of risk is deemed MEDIUM. Be sure to monitor and maintain strict measures.

• This level of risk is deemed HIGH.
  Review and introduce additional controls to lower the level of risk.

• This level of risk is deemed EXTREME.
  DO NOT PROCEED. Immediately introduce further control measures to lower the risk.
  Re-assess before proceeding.

• Now select the likely consequences if this risk were to eventuate

  1. First aid required

  2. Medical treatment required

  3. Serious injury, hospitalised

  4. Total and/or Permanent disability (TPD)

  5. Multiple TPD, DEATH

• This level of risk is deemed HIGH.
  Review and introduce additional controls to lower the level of risk.

• This level of risk is deemed EXTREME.
  DO NOT PROCEED. Immediately introduce further control measures to lower the risk.
  Re-assess before proceeding.

• Outline what measures (if any) will be implemented to control this risk

Uncontrolled Risks

• Of all the risks listed above, are any still un controlled?

  No

  Yes

• Work cannot continue without contacting your office/foreman/manager for further guidance. Outline the reasons if work will progress with 'status quo':

Machinery

• Is there heavy plant being used?

  No

  Yes

• List the plant type, operator and licence no for each, below:

Plant

• Plant type

• Operator

• Lic no

Switchboard works Running Checklist

• Following is a list of the electrical conductors you may have worked on. Were they removed?

• A phase

  Yes

  No

  N/A

• Has the conductor been Reinstated and tested ok?

  Yes. Tested OK

  Not yet

  Failed test - Isolate!

• B phase

  Yes

  No

  N/A

• Has the conductor been Reinstated and tested ok?

  Yes. Tested OK

  Not yet

  Failed test - Isolate!

• C phase

  Yes

  No

  N/A

• Has the conductor been Reinstated and tested ok?

  Yes. Tested OK

  Not yet

  Failed test - Isolate!

• Main Earth

  Yes

  No

  N/A

• Has the conductor been Reinstated and tested ok?

  Yes. Tested OK

  Not yet

  Failed test - Isolate!

• Main Neutral (Remove MEN also)

  Yes

  No

  N/A

• Has the conductor been Reinstated and tested ok?

  Yes. Tested OK

  Not yet

  Failed test - Isolate!

• MEN (Remove Main Neutral also)

  Yes

  No

  N/A

• Has the conductor been Reinstated and tested ok?

  Yes. Tested OK

  Not yet

  Failed test - Isolate!

• Add each circuit / CB as required, now

Circuit/ CB#

• Circuit/CB Name

• Removed?

  Yes

  No

• Has the conductor been Reinstated and tested ok?

  Yes. Tested OK

  Not yet

  Failed test - Isolate!

SIGN OFF

• To my best judgement, a sound Risk Assessment has been conducted on this job and no work will be done in any area where a risk can not be controlled.

• Signature

  Sign

• All electrical work performed on this job is complete and tested I.A.W. AS/NZ 3000.

• Signature

  Sign