Process

  • Establish Safe Worksite.

  • Are there any Hazards?

  • What are the Hazards?

  • What are the Controls?

  • Step 2.

  • Step Description.

  • Are there any Hazards?

  • What are the Hazards?

  • What are the Controls?

  • Step 3

  • Step Description.

  • Are there any Hazards?

  • What are the Hazards?

  • What are the Controls?

  • Is there another step?

  • Step 4.

  • Step Description.

  • Are there any Hazards?

  • What are the Hazards?

  • What are the Controls?

  • Is there another step?

  • Step 5.

  • Are there any Hazards?

  • What are the Hazards?

  • What are the Controls?

Unlisted Hazards

  • Are there any other Hazards NOT listed above?

  • What are these Hazards?

  • What are the Controls?

Tru-Bilt Risk Matrix Level

  • What is the Tru-Bilt Risk Matrix Level before Controls are in place?

  • What is the Tru-Bilt Risk Matrix Level after Controls are in place?

  • Job can Proceed.

  • Job can Proceed.

  • Job can Proceed with CAUTION.

  • Job CANNOT PROCEED until Risk Matrix Level is reduced.

  • Can something be done to reduce Risk Matrix Level?

  • What has to be done?

  • Has the Risk Matrix Level been reduced?

  • Job can proceed.

  • Job CANNOT PROCEED!

Extra Information/Sign off

  • Do any of these situations apply?

  • Has Department of Labour been Contacted? 0800 20 90 20

  • *Work where workers could fall 5 m or more, excluding work on a two-storeyed house, or work on a power or telephone line, or work carried out from a ladder only, or maintenance or repair work of a minor or routine nature.
    *The erection or dismantling of scaffolds from which a person could fall 5 m or more.
    *Every excavation which is more than 1.5 m deep and which is deeper than it is wide at the top.
    *Any form of tunnel or drive where workers work underground, irrespective of timbering or support.
    *Those excavations where the excavated face is steeper than 1 horizontal to 2 vertical.
    *Any construction work where explosives are used or stored.
    *Work such as diving, where construction workers breath air or any other gas that has been compressed or is under pressure.
    *Any construction work in connection with asbestos fibres.
    *Lifts of half a tonne (500 kg) or more (a vertical distance of 5 m or more) carried out by mechanical means other than by a mobile crane, excavator or forklift.

  • Emergency Plan.
    Raise Alarm, Call for Help, Perform Self Rescue, Call or Phone for help, Perform Assisted Rescue, Perform First Aid, Call Emergency Services.

  • Workers Names.

  • Have ALL workers signed in?

  • Why not?

  • What tools/equipment are going to be being used?

  • Has Training Matrix been checked to insure all workers are competent with tools/equipment being used?

  • Pictures

  • Notes on job.

  • Performed by.

  • Signature

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