Information
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Document No.
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Job No:
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Table
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Likelihood vs consequence
- Low (1)
- Low (2)
- Low (3)
- Moderate (4)
- Moderate (5)
- Moderate (6)
- Moderate (8)
- Moderate (9)
- High (10)
- High (12)
- High (15)
- Catastrophic (16)
- Catastrophic (20)
- Catastrophic (25)
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Work able to proceed (insignificant)
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Permission from worker in charge for work to proceed (Insignificant)
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Permission from high level management for work to proceed (Significant)
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Work unable to proceed seek other methods (Significant)
Risk assessment
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Tasks
- Install / Repair GPO
- Install / Repair Light Fitting
- Install / Repair Switch
- Install / Repair Ceiling Fan
- Install / Repair TV-Phone-Data
- Install / Repair Appliances
- Install / Repair Industrial Equipment
- Install / Repair Underground Conduits
- Fault Finding
- Install Air Conditioner
- Install / Repair Smoke Alarm
- Install Temporary Switchboard
- Install / Repair Switchboard
- Disconnect Electricity
- Reconnect Electricity
- Prewire
- Fit Off
- Install / Repair Conduit
- Test & Tag
- Exit & Emergency Light Testing
- Work on Roof
- AC Service
- Cut out / Strip
- Install/Repair Sensor/PE Cell
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Hazards & Risks
- Animals / Pets
- Electrocution
- Ladders / Heights
- Debris
- Hazardous Material
- Flammable Material
- Asbestos Material
- Confined Space
- Manual Handling
- People / Crowds
- Environment
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Initial Risk
- Low (1)
- Low (2)
- Low (3)
- Moderate (4)
- Moderate (5)
- Moderate (6)
- Moderate (8)
- Moderate (9)
- High (10)
- High (12)
- High (15)
- Catastrophic (16)
- Catastrophic (20)
- Catastrophic (25)
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Controls
- PPE (Personal Protective Equipment)
- Equipment SWMP (Safe Work Management Procedures)
- Spotter
- Isolate & Lock Out
- Confine Animals / Pets to a unused area
- Barrier
- Use Correct Tools for Work Required
- Be aware of surroundings
- Use Harness &/or Scaffold
- House Keeping
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Residual Risk
- Low (1)
- Low (2)
- Low (3)
- Moderate (4)
- Moderate (5)
- Moderate (6)
- Moderate (8)
- Moderate (9)
- High (10)
- High (12)
- High (15)
- Catastrophic (16)
- Catastrophic (20)
- Catastrophic (25)
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Supervisor
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Select date
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Select date
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Employee Name
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Employee Name
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SSoW-Heights
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SSoW-Asbestos
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SSoW-Working on or near Exposed Energized Electrical Equipment
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SSoW-Hazardous Substances
