Title Page
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Document No.
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Conducted on
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Location
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Prepared by
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Personnel
SITE & LAYOUT
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Are all walkways clear of obstructions?
HAZARD CLASSIFICATION
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HAZARD CLASSIFICATION<br><br>LOW Risk: Manageable with control measures<br>MEDIUM Risk: Reduce and manage with control measures<br>HIGH Risk: Reduce risk<br>EXTREME Risk: Immediate Danger
ACTION
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Action taken to reduce or resolve identified risk?
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Are all floors clear of obstructions?
HAZARD CLASSIFICATION
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HAZARD CLASSIFICATION<br><br>LOW Risk: Manageable with control measures<br>MEDIUM Risk: Reduce and manage with control measures<br>HIGH Risk: Reduce risk<br>EXTREME Risk: Immediate Danger
ACTION
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Action taken to reduce or resolve identified risk?
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Are all stairs clear of obstructions?
HAZARD CLASSIFICATION
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HAZARD CLASSIFICATION<br><br>LOW Risk: Manageable with control measures<br>MEDIUM Risk: Reduce and manage with control measures<br>HIGH Risk: Reduce risk<br>EXTREME Risk: Immediate Danger
ACTION
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Action taken to reduce or resolve identified risk?
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Are all exits and egresses clear of obstructions?
HAZARD CLASSIFICATION
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HAZARD CLASSIFICATION<br><br>LOW Risk: Manageable with control measures<br>MEDIUM Risk: Reduce and manage with control measures<br>HIGH Risk: Reduce risk<br>EXTREME Risk: Immediate Danger
ACTION
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Action taken to reduce or resolve identified risk?
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If rigging is to occur, have all rigging points been assessed as "safe" by the venue or in-house rigger?
DO NOT COMMENCE RIGGING UNTIL IDENTIFIED RISK HAS BEEN RESOLVED! HAZARD CLASSIFICATION
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HAZARD CLASSIFICATION<br><br>LOW Risk: Manageable with control measures<br>MEDIUM Risk: Reduce and manage with control measures<br>HIGH Risk: Reduce risk<br>EXTREME Risk: Immediate Danger
ACTION
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Are all exits and egresses clear of obstructions?
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HAZARD CLASSIFICATION<br><br>LOW Risk: Manageable with control measures<br>MEDIUM Risk: Reduce and manage with control measures<br>HIGH Risk: Reduce risk<br>EXTREME Risk: Immediate Danger
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Action taken to reduce or resolve identified risk?
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Is the emergency vehicle access clear?
HAZARD CLASSIFICATION
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HAZARD CLASSIFICATION<br><br>LOW Risk: Manageable with control measures<br>MEDIUM Risk: Reduce and manage with control measures<br>HIGH Risk: Reduce risk<br>EXTREME Risk: Immediate Danger
ACTION
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Action taken to reduce or resolve risk?
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Is the evacuation point clearly defined?
HAZARD CLASSIFICATION
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HAZARD CLASSIFICATION<br><br>LOW Risk: Manageable with control measures<br>MEDIUM Risk: Reduce and manage with control measures<br>HIGH Risk: Reduce risk<br>EXTREME Risk: Immediate Danger
ACTION
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Action taken to reduce or resolve risk?
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Are amenities in a clean and working order?
HAZARD CLASSIFICATION
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HAZARD CLASSIFICATION<br><br>LOW Risk: Manageable with control measures<br>MEDIUM Risk: Reduce and manage with control measures<br>HIGH Risk: Reduce risk<br>EXTREME Risk: Immediate Danger
ACTION
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Action taken to reduce or resolve risk?
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Are amenities suitable for the required purpose/number of people expected to use them?
HAZARD CLASSIFICATION
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HAZARD CLASSIFICATION<br><br>LOW Risk: Manageable with control measures<br>MEDIUM Risk: Reduce and manage with control measures<br>HIGH Risk: Reduce risk<br>EXTREME Risk: Immediate Danger
ACTION
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Action taken to reduce or resolve risk?
EQUIPMENT VEHICLE & MACHINERY
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Has all equipment on on site been checked and assessed as safe?
HAZARD CLASSIFICATION
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HAZARD CLASSIFICATION<br><br>LOW Risk: Manageable with control measures<br>MEDIUM Risk: Reduce and manage with control measures<br>HIGH Risk: Reduce risk<br>EXTREME Risk: Immediate Danger
ACTION
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Action taken to reduce or resolve risk?
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Has all equipment and road cases been stored in a safe manner and are they accessible?
HAZARD CLASSIFICATION
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HAZARD CLASSIFICATION<br><br>LOW Risk: Manageable with control measures<br>MEDIUM Risk: Reduce and manage with control measures<br>HIGH Risk: Reduce risk<br>EXTREME Risk: Immediate Danger
ACTION
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Action taken to reduce or resolve risk?
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Are there Australian Standard Industrial rated ladders available on site?
HAZARD CLASSIFICATION
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HAZARD CLASSIFICATION<br><br>LOW Risk: Manageable with control measures<br>MEDIUM Risk: Reduce and manage with control measures<br>HIGH Risk: Reduce risk<br>EXTREME Risk: Immediate Danger
ACTION
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Action taken to reduce or resolve risk?
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Have all vehicles (i.e. forklifts, EWP, trucks) operated been checked and assessed as safe?
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Has the Site manager sighted current tickets & licences of any crew responsible for operating vehicles on site?
CREW MUST NOT OPERATE ANY VEHICLE UNTIL THE SITE MANAGER HAS SIGHTED THEIR CURRENT TICKET & LICENCE!
DO NOT OPERATE ANY VEHICHLES UNTIL IDENTIFIED RISK HAS BEEN RESOLVED! HAZARD CLASSIFICATION
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HAZARD CLASSIFICATION<br><br>LOW Risk: Manageable with control measures<br>MEDIUM Risk: Reduce and manage with control measures<br>HIGH Risk: Reduce risk<br>EXTREME Risk: Immediate Danger
ACTION
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Action taken to reduce or resolve risk?
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If the machinery is located on site, are all moving parts adequately fenced or guarded?
HAZARD CLASSIFICATION
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HAZARD CLASSIFICATION<br><br>LOW Risk: Manageable with control measures<br>MEDIUM Risk: Reduce and manage with control measures<br>HIGH Risk: Reduce risk<br>EXTREME Risk: Immediate Danger
ACTION
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Action taken to reduce or resolve risk?
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Are there any danger areas where machinery or material movement may cause an accident?
HAZARD CLASSIFICATION
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HAZARD CLASSIFICATION<br><br>LOW Risk: Manageable with control measures<br>MEDIUM Risk: Reduce and manage with control measures<br>HIGH Risk: Reduce risk<br>EXTREME Risk: Immediate Danger
ACTION
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Has the risk of accident been minimised with any of the following?
- Barricades
- Signage
- Spotters
- Other
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If response is other, please specify:
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Is the re-fueling of generators and plant equipment area in a safe zone and managed by a trained personnel?
HAZARD CLASSIFICATION
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HAZARD CLASSIFICATION<br><br>LOW Risk: Manageable with control measures<br>MEDIUM Risk: Reduce and manage with control measures<br>HIGH Risk: Reduce risk<br>EXTREME Risk: Immediate Danger
ACTION
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Action taken to reduce or resolve risk?
ELECTRICAL SAFETY CHECKLIST
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Are there any damaged or frayed leads, plugs or power points?
HAZARD CLASSIFICATION
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HAZARD CLASSIFICATION<br><br>LOW Risk: Manageable with control measures<br>MEDIUM Risk: Reduce and manage with control measures<br>HIGH Risk: Reduce risk<br>EXTREME Risk: Immediate Danger
ACTION
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Action taken to reduce or resolve risk?
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Are extension cords and fittings supported above work areas, wet areas and passages protected from mechanical damage and moisture?
HAZARD CLASSIFICATION
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HAZARD CLASSIFICATION<br><br>LOW Risk: Manageable with control measures<br>MEDIUM Risk: Reduce and manage with control measures<br>HIGH Risk: Reduce risk<br>EXTREME Risk: Immediate Danger
ACTION
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Action taken to reduce or resolve risk?
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Do all electrical equipment and leads carry up-to-date inspection tags?
DO NOT USE ANY ELECTRICAL EQUIPMENT OR LEADS WITHOUT AN UP-TO-DATE INSPECTION TAG! HAZARD CLASSIFICATION
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HAZARD CLASSIFICATION<br><br>LOW Risk: Manageable with control measures<br>MEDIUM Risk: Reduce and manage with control measures<br>HIGH Risk: Reduce risk<br>EXTREME Risk: Immediate Danger
ACTION
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Action taken to reduce or resolve risk?
CHEMICALS
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Are there any chemicals, hazardous substances or dangerous goods being stored on site?
HAZARD CLASSIFICATION
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HAZARD CLASSIFICATION<br><br>LOW Risk: Manageable with control measures<br>MEDIUM Risk: Reduce and manage with control measures<br>HIGH Risk: Reduce risk<br>EXTREME Risk: Immediate Danger
ACTION
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Are the chemicals and dangerous goods labelled and can these labels be read and understood by all personnel?
HAZARD CLASSIFICATION
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HAZARD CLASSIFICATION<br><br>LOW Risk: Manageable with control measures<br>MEDIUM Risk: Reduce and manage with control measures<br>HIGH Risk: Reduce risk<br>EXTREME Risk: Immediate Danger
ACTION
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Action taken to reduce or resolve risk?
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Are all Safety Data Sheets (SDS) on site and located near the chemicals and dangerous goods?
HAZARD CLASSIFICATION
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HAZARD CLASSIFICATION<br><br>LOW Risk: Manageable with control measures<br>MEDIUM Risk: Reduce and manage with control measures<br>HIGH Risk: Reduce risk<br>EXTREME Risk: Immediate Danger
ACTION
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Action taken to reduce or resolve risk?
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Are the hazardous substances and dangerous goods being stored correctly, securely, and in accordance with segregation rules?
HAZARD CLASSIFICATION
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HAZARD CLASSIFICATION<br><br>LOW Risk: Manageable with control measures<br>MEDIUM Risk: Reduce and manage with control measures<br>HIGH Risk: Reduce risk<br>EXTREME Risk: Immediate Danger
ACTION
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Action taken to reduce or resolve risk?
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If quantities of dangerous goods are on site, are they being stored and/or used below relevant safe storage levels (AS1942)?
HAZARD CLASSIFICATION
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HAZARD CLASSIFICATION<br><br>LOW Risk: Manageable with control measures<br>MEDIUM Risk: Reduce and manage with control measures<br>HIGH Risk: Reduce risk<br>EXTREME Risk: Immediate Danger
ACTION
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Action taken to reduce or resolve risk?
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If staff and contractors are using chemicals (i.e. fog fluid), have they been trained in their use?
HAZARD CLASSIFICATION
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HAZARD CLASSIFICATION<br><br>LOW Risk: Manageable with control measures<br>MEDIUM Risk: Reduce and manage with control measures<br>HIGH Risk: Reduce risk<br>EXTREME Risk: Immediate Danger
ACTION
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Action taken to reduce or resolve risk?
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Are pyrotechnics being used?
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Has the pyrotechnics safety audit and inspection been completed and signed by Production Management?
DO NOT USE PYROTECHNICS UNTIL A SAFETY AUDIT AND INSPECTION HAS BEEN COMPLETED! HAZARD CLASSIFICATION
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HAZARD CLASSIFICATION<br><br>LOW Risk: Manageable with control measures<br>MEDIUM Risk: Reduce and manage with control measures<br>HIGH Risk: Reduce risk<br>EXTREME Risk: Immediate Danger
ACTION
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Action taken to reduce or resolve risk?
EMERGENCY EQUIPMENT
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Are the surrounding areas of the emergency equipment clear and easily accessible?
HAZARD CLASSIFICATION
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HAZARD CLASSIFICATION<br><br>LOW Risk: Manageable with control measures<br>MEDIUM Risk: Reduce and manage with control measures<br>HIGH Risk: Reduce risk<br>EXTREME Risk: Immediate Danger
ACTION
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Action taken to reduce or resolve risk?
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Has all emergency equipment (i.e. fire extinguishers) been serviced according to the required schedule?
HAZARD CLASSIFICATION
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HAZARD CLASSIFICATION<br><br>LOW Risk: Manageable with control measures<br>MEDIUM Risk: Reduce and manage with control measures<br>HIGH Risk: Reduce risk<br>EXTREME Risk: Immediate Danger
ACTION
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Action taken to reduce or resolve risk?
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Are the correct and adequate number of fire extinguishers located in the appropriate areas?
HAZARD CLASSIFICATION
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HAZARD CLASSIFICATION<br><br>LOW Risk: Manageable with control measures<br>MEDIUM Risk: Reduce and manage with control measures<br>HIGH Risk: Reduce risk<br>EXTREME Risk: Immediate Danger
ACTION
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Action taken to reduce or resolve risk?
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Is all emergency equipment appropriately signposted?
HAZARD CLASSIFICATION
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HAZARD CLASSIFICATION<br><br>LOW Risk: Manageable with control measures<br>MEDIUM Risk: Reduce and manage with control measures<br>HIGH Risk: Reduce risk<br>EXTREME Risk: Immediate Danger
ACTION
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Action taken to reduce or resolve risk?
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Are all exits clearly marked?
HAZARD CLASSIFICATION
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HAZARD CLASSIFICATION<br><br>LOW Risk: Manageable with control measures<br>MEDIUM Risk: Reduce and manage with control measures<br>HIGH Risk: Reduce risk<br>EXTREME Risk: Immediate Danger
ACTION
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Action taken to reduce or resolve risk?
PERSONAL PROTECTIVE EQUIPMENT (PPE) & TRAINING CREW MUST ONLY PERFORM WORK TASKS IN WHICH THEY ARE TRAINED, OTHERWISE THEY WILL REQUIRE ON SITE TRAINING AND SUPERVISION.
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Is the site currently in construction mode (Bump in / Bump out)?
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Have the applicable crew been issued with hard hats and instructed on when use is required?
HAZARD CLASSIFICATION
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HAZARD CLASSIFICATION<br><br>LOW Risk: Manageable with control measures<br>MEDIUM Risk: Reduce and manage with control measures<br>HIGH Risk: Reduce risk<br>EXTREME Risk: Immediate Danger
ACTION
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Action taken to reduce or resolve risk?
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Have the crew been issued with Safety Vests (Hi Vis Clothing) and instructed on when use required?
HAZARD CLASSIFICATION
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HAZARD CLASSIFICATION<br><br>LOW Risk: Manageable with control measures<br>MEDIUM Risk: Reduce and manage with control measures<br>HIGH Risk: Reduce risk<br>EXTREME Risk: Immediate Danger
ACTION
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Action taken to reduce or resolve risk?
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Have the applicable crew been issued with a safety harness and been instructed in its use?
HAZARD CLASSIFICATION
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HAZARD CLASSIFICATION<br><br>LOW Risk: Manageable with control measures<br>MEDIUM Risk: Reduce and manage with control measures<br>HIGH Risk: Reduce risk<br>EXTREME Risk: Immediate Danger
ACTION
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Action taken to reduce or resolve risk?
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Have the crew been informed of when it is required to wear steel capped footwear?
HAZARD CLASSIFICATION
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HAZARD CLASSIFICATION<br><br>LOW Risk: Manageable with control measures<br>MEDIUM Risk: Reduce and manage with control measures<br>HIGH Risk: Reduce risk<br>EXTREME Risk: Immediate Danger
ACTION
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Action taken to reduce or resolve risk?
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Have staff been instructed in correct lifting techniques?
HAZARD CLASSIFICATION
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HAZARD CLASSIFICATION<br><br>LOW Risk: Manageable with control measures<br>MEDIUM Risk: Reduce and manage with control measures<br>HIGH Risk: Reduce risk<br>EXTREME Risk: Immediate Danger
ACTION
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Action taken to reduce or resolve risk?
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Have the applicable crew been issued with hearing protection and instructed on when use is required?
HAZARD CLASSIFICATION
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HAZARD CLASSIFICATION<br><br>LOW Risk: Manageable with control measures<br>MEDIUM Risk: Reduce and manage with control measures<br>HIGH Risk: Reduce risk<br>EXTREME Risk: Immediate Danger
ACTION
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Action taken to reduce or resolve risk?
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Have staff been instructed in safety procedures relating to working at heights above 2m?
HAZARD CLASSIFICATION
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HAZARD CLASSIFICATION<br><br>LOW Risk: Manageable with control measures<br>MEDIUM Risk: Reduce and manage with control measures<br>HIGH Risk: Reduce risk<br>EXTREME Risk: Immediate Danger
ACTION
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Action taken to reduce or resolve risk?
FIRST AID AND EMERGENCY PROCEDURES
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Is there a suitable first aid kit on site?
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Is the first aid kit clearly identified?
HAZARD CLASSIFICATION
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HAZARD CLASSIFICATION<br><br>LOW Risk: Manageable with control measures<br>MEDIUM Risk: Reduce and manage with control measures<br>HIGH Risk: Reduce risk<br>EXTREME Risk: Immediate Danger
ACTION
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Action taken to reduce or resolve risk?
HAZARD CLASSIFICATION
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HAZARD CLASSIFICATION<br><br>LOW Risk: Manageable with control measures<br>MEDIUM Risk: Reduce and manage with control measures<br>HIGH Risk: Reduce risk<br>EXTREME Risk: Immediate Danger
ACTION
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Action taken to reduce or resolve risk?
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Are there enough first aid attendants rostered on to ensure at least one first aid attendant is available at all times?
HAZARD CLASSIFICATION
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HAZARD CLASSIFICATION<br><br>LOW Risk: Manageable with control measures<br>MEDIUM Risk: Reduce and manage with control measures<br>HIGH Risk: Reduce risk<br>EXTREME Risk: Immediate Danger
ACTION
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Action taken to reduce or resolve risk?
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Have the first aid attendants been clearly identified to the crew?
HAZARD CLASSIFICATION
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HAZARD CLASSIFICATION<br><br>LOW Risk: Manageable with control measures<br>MEDIUM Risk: Reduce and manage with control measures<br>HIGH Risk: Reduce risk<br>EXTREME Risk: Immediate Danger
ACTION
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Action taken to reduce or resolve risk?
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Have all staff and crew been informed of the procedures in the event of a serious injury or accident?
HAZARD CLASSIFICATION
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HAZARD CLASSIFICATION<br><br>LOW Risk: Manageable with control measures<br>MEDIUM Risk: Reduce and manage with control measures<br>HIGH Risk: Reduce risk<br>EXTREME Risk: Immediate Danger
ACTION
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Action taken to reduce or resolve risk?
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Have all staff and crew been informed of the procedures in the event of an emergency evacuation?
HAZARD CLASSIFICATION
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HAZARD CLASSIFICATION<br><br>LOW Risk: Manageable with control measures<br>MEDIUM Risk: Reduce and manage with control measures<br>HIGH Risk: Reduce risk<br>EXTREME Risk: Immediate Danger
ACTION
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Action taken to reduce or resolve risk?
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Have all site crew been informed of the location of drinking water, first aid kits, sun screen, toilets, eating and rest areas?
HAZARD CLASSIFICATION
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HAZARD CLASSIFICATION<br><br>LOW Risk: Manageable with control measures<br>MEDIUM Risk: Reduce and manage with control measures<br>HIGH Risk: Reduce risk<br>EXTREME Risk: Immediate Danger
ACTION
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Action taken to reduce or resolve risk?
Sign
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Add name and signature:
