Title Page

  • Document No.

  • Conducted on

  • Location
  • Prepared by

  • Personnel

SITE & LAYOUT

  • Are all walkways clear of obstructions?

HAZARD CLASSIFICATION

  • 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

  • Action taken to reduce or resolve identified risk?

  • Are all floors clear of obstructions?

HAZARD CLASSIFICATION

  • 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

  • Action taken to reduce or resolve identified risk?

  • Are all stairs clear of obstructions?

HAZARD CLASSIFICATION

  • 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

  • Action taken to reduce or resolve identified risk?

  • Are all exits and egresses clear of obstructions?

HAZARD CLASSIFICATION

  • 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

  • Action taken to reduce or resolve identified risk?

  • 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

  • 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

  • Are all exits and egresses clear of obstructions?

  • 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 taken to reduce or resolve identified risk?

  • Is the emergency vehicle access clear?

HAZARD CLASSIFICATION

  • 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

  • Action taken to reduce or resolve risk?

  • Is the evacuation point clearly defined?

HAZARD CLASSIFICATION

  • 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

  • Action taken to reduce or resolve risk?

  • Are amenities in a clean and working order?

HAZARD CLASSIFICATION

  • 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

  • Action taken to reduce or resolve risk?

  • Are amenities suitable for the required purpose/number of people expected to use them?

HAZARD CLASSIFICATION

  • 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

  • Action taken to reduce or resolve risk?

EQUIPMENT VEHICLE & MACHINERY

  • Has all equipment on on site been checked and assessed as safe?

HAZARD CLASSIFICATION

  • 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

  • Action taken to reduce or resolve risk?

  • Has all equipment and road cases been stored in a safe manner and are they accessible?

HAZARD CLASSIFICATION

  • 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

  • Action taken to reduce or resolve risk?

  • Are there Australian Standard Industrial rated ladders available on site?

HAZARD CLASSIFICATION

  • 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

  • Action taken to reduce or resolve risk?

  • Have all vehicles (i.e. forklifts, EWP, trucks) operated been checked and assessed as safe?

  • 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

  • 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

  • Action taken to reduce or resolve risk?

  • If the machinery is located on site, are all moving parts adequately fenced or guarded?

HAZARD CLASSIFICATION

  • 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

  • Action taken to reduce or resolve risk?

  • Are there any danger areas where machinery or material movement may cause an accident?

HAZARD CLASSIFICATION

  • 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

  • Has the risk of accident been minimised with any of the following?

  • If response is other, please specify:

  • Is the re-fueling of generators and plant equipment area in a safe zone and managed by a trained personnel?

HAZARD CLASSIFICATION

  • 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

  • Action taken to reduce or resolve risk?

ELECTRICAL SAFETY CHECKLIST

  • Are there any damaged or frayed leads, plugs or power points?

HAZARD CLASSIFICATION

  • 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

  • Action taken to reduce or resolve risk?

  • Are extension cords and fittings supported above work areas, wet areas and passages protected from mechanical damage and moisture?

HAZARD CLASSIFICATION

  • 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

  • Action taken to reduce or resolve risk?

  • 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

  • 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

  • Action taken to reduce or resolve risk?

CHEMICALS

  • Are there any chemicals, hazardous substances or dangerous goods being stored on site?

HAZARD CLASSIFICATION

  • 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

  • Are the chemicals and dangerous goods labelled and can these labels be read and understood by all personnel?

HAZARD CLASSIFICATION

  • 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

  • Action taken to reduce or resolve risk?

  • Are all Safety Data Sheets (SDS) on site and located near the chemicals and dangerous goods?

HAZARD CLASSIFICATION

  • 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

  • Action taken to reduce or resolve risk?

  • Are the hazardous substances and dangerous goods being stored correctly, securely, and in accordance with segregation rules?

HAZARD CLASSIFICATION

  • 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

  • Action taken to reduce or resolve risk?

  • If quantities of dangerous goods are on site, are they being stored and/or used below relevant safe storage levels (AS1942)?

HAZARD CLASSIFICATION

  • 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

  • Action taken to reduce or resolve risk?

  • If staff and contractors are using chemicals (i.e. fog fluid), have they been trained in their use?

HAZARD CLASSIFICATION

  • 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

  • Action taken to reduce or resolve risk?

  • Are pyrotechnics being used?

  • 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

  • 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

  • Action taken to reduce or resolve risk?

EMERGENCY EQUIPMENT

  • Are the surrounding areas of the emergency equipment clear and easily accessible?

HAZARD CLASSIFICATION

  • 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

  • Action taken to reduce or resolve risk?

  • Has all emergency equipment (i.e. fire extinguishers) been serviced according to the required schedule?

HAZARD CLASSIFICATION

  • 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

  • Action taken to reduce or resolve risk?

  • Are the correct and adequate number of fire extinguishers located in the appropriate areas?

HAZARD CLASSIFICATION

  • 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

  • Action taken to reduce or resolve risk?

  • Is all emergency equipment appropriately signposted?

HAZARD CLASSIFICATION

  • 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

  • Action taken to reduce or resolve risk?

  • Are all exits clearly marked?

HAZARD CLASSIFICATION

  • 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

  • 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.

  • Is the site currently in construction mode (Bump in / Bump out)?

  • Have the applicable crew been issued with hard hats and instructed on when use is required?

HAZARD CLASSIFICATION

  • 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

  • Action taken to reduce or resolve risk?

  • Have the crew been issued with Safety Vests (Hi Vis Clothing) and instructed on when use required?

HAZARD CLASSIFICATION

  • 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

  • Action taken to reduce or resolve risk?

  • Have the applicable crew been issued with a safety harness and been instructed in its use?

HAZARD CLASSIFICATION

  • 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

  • Action taken to reduce or resolve risk?

  • Have the crew been informed of when it is required to wear steel capped footwear?

HAZARD CLASSIFICATION

  • 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

  • Action taken to reduce or resolve risk?

  • Have staff been instructed in correct lifting techniques?

HAZARD CLASSIFICATION

  • 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

  • Action taken to reduce or resolve risk?

  • Have the applicable crew been issued with hearing protection and instructed on when use is required?

HAZARD CLASSIFICATION

  • 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

  • Action taken to reduce or resolve risk?

  • Have staff been instructed in safety procedures relating to working at heights above 2m?

HAZARD CLASSIFICATION

  • 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

  • Action taken to reduce or resolve risk?

FIRST AID AND EMERGENCY PROCEDURES

  • Is there a suitable first aid kit on site?

  • Is the first aid kit clearly identified?

HAZARD CLASSIFICATION

  • 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

  • Action taken to reduce or resolve risk?

HAZARD CLASSIFICATION

  • 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

  • Action taken to reduce or resolve risk?

  • Are there enough first aid attendants rostered on to ensure at least one first aid attendant is available at all times?

HAZARD CLASSIFICATION

  • 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

  • Action taken to reduce or resolve risk?

  • Have the first aid attendants been clearly identified to the crew?

HAZARD CLASSIFICATION

  • 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

  • Action taken to reduce or resolve risk?

  • Have all staff and crew been informed of the procedures in the event of a serious injury or accident?

HAZARD CLASSIFICATION

  • 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

  • Action taken to reduce or resolve risk?

  • Have all staff and crew been informed of the procedures in the event of an emergency evacuation?

HAZARD CLASSIFICATION

  • 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

  • Action taken to reduce or resolve risk?

  • Have all site crew been informed of the location of drinking water, first aid kits, sun screen, toilets, eating and rest areas?

HAZARD CLASSIFICATION

  • 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

  • Action taken to reduce or resolve risk?

Sign

  • Add name and signature:

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