Site risk assessment

• Job Number

• Client / Site Address

• Add media

  Media

• Conducted on

  Date

• Prepared by

High Consequence hazards

Electrical

• Provide a picture of the main power board or sub-boards

  Media

• Electrical hazard

  Select High risk Low risk N,a

  • High risk
  • Low risk
  • N,a

• Issues identified

  Select Wiring not to code No Earth leakage device No RCD's on circuits Isolation recommended Tiger tails required Disconnection of services required Low clearance of service lines

  • Wiring not to code
  • No Earth leakage device
  • No RCD's on circuits
  • Isolation recommended
  • Tiger tails required
  • Disconnection of services required
  • Low clearance of service lines

• Controls in place

  Select Earth leakage on board RCD'S on circuits

  • Earth leakage on board
  • RCD'S on circuits

• Comments

Working at height

• Provide a picture of the area or the structure

  Media

• Working at heights

  Select High risk Low risk N,a

  • High risk
  • Low risk
  • N,a

• Issues identified

  Select Working above 2 meters and within 2 meters of an unprotected edge Scaffold required Edge protection required Access using an EWP Steep roof pitch over 26 degrees Harness and rope access required

  • Working above 2 meters and within 2 meters of an unprotected edge
  • Scaffold required
  • Edge protection required
  • Access using an EWP
  • Steep roof pitch over 26 degrees
  • Harness and rope access required

• Issues identified

  Select Ladder access single story Roof pitch under 22.5 degrees

  • Ladder access single story
  • Roof pitch under 22.5 degrees

• Comments

Structural integrity

• Provide a picture of the area or the structure

  Media

• Integrity of structure

  Select High risk Low risk N,a

  • High risk
  • Low risk
  • N,a

• Issues identified

  Select Structure unstable Engineers report required Temporary fencing required Makesafe required Demolition required

  • Structure unstable
  • Engineers report required
  • Temporary fencing required
  • Makesafe required
  • Demolition required

• Issues identified

  Select PPE Rquired Temporary fencing

  • PPE Rquired
  • Temporary fencing

• Comments

Asbestos

• Provide a picture of the area or the structure

  Media

• Determine the Level of asbestos interaction

  Select High risk Low risk N,a

  • High risk
  • Low risk
  • N,a

• Issues identified

  Select Dwelling built pre 80' Friable asbestos ,fire damage ACM present Hygienist report required Site security required Full PPE required whilst on site

  • Dwelling built pre 80'
  • Friable asbestos ,fire damage
  • ACM present
  • Hygienist report required
  • Site security required
  • Full PPE required whilst on site

• Issues identified

  Select ACM present but not disturbed Works under 10 m2 Standard PPE required , P2 mask

  • ACM present but not disturbed
  • Works under 10 m2
  • Standard PPE required , P2 mask

• Comments

Site access / Traffic Management / Pedestrian controls

• Provide a picture of the area

  Media

• Determine the Level of access or pedestrian interaction hazard

  Select High risk Low risk N,a

  • High risk
  • Low risk
  • N,a

• Issues identified

  Select No off street parking Limited or no access for equipment , bins etc Pedestrians or residents in the general work vacinity Council road closure required Council footpath closure required Public facility required to be moved Private business to be affected by works Hoarding required for overhead works Traffic management plan and traffic controllers required

  • No off street parking
  • Limited or no access for equipment , bins etc
  • Pedestrians or residents in the general work vacinity
  • Council road closure required
  • Council footpath closure required
  • Public facility required to be moved
  • Private business to be affected by works
  • Hoarding required for overhead works
  • Traffic management plan and traffic controllers required

• Issues identified

  Select Offstreet parking available Temporary fence required

  • Offstreet parking available
  • Temporary fence required

• Comments

High risk construction work

• Is the work to be undertaken high risk construction work?

  Select Yes No

  • Yes
  • No

• SWMS required for work

• Comments

General hazards

• Plant or equipment on site

  Yes

  No

  N/A

• Trenching or excavations on site

  Yes

  No

  N/A

• Owners in residence

  Yes

  No

  N/A

• Children / Pets on site

  Safe

  At Risk

  N/A

• Sloping site over 5 degrees

  Yes

  No

  N/A

• Flood water effected damage

  Yes

  No

  N/A

• Fire damage

  Yes

  No

  N/A

• Habitat disruption / Fauna (Snakes , Spiders)

  Safe

  At Risk

  N/A

• Mould

  Yes

  No

  N/A

• Issues and actions

  Select Hygienist required Makesafe required Remediation technician required

  • Hygienist required
  • Makesafe required
  • Remediation technician required

• Add media

  Media

• Comments

Risk assessment completed by

• Additional comments

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  Media

• Name of person undertaking the site risk assessment

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