SLAM - CONSTRUCTION AND MAINTENANCE

• Conducted on

  Date

• Prepared by

• Location
  Address

• Tasks

• Team Members

High Risk Work Activities

• 1.1 High risk work activities

  Select Risk of fall greater than 2 metres Demolition of a load bearing structure Disturbance of asbestos Using temporary support to prevent collapse Confined space In / near shaft, tunnel or trench deeper than 1.5m On or near pressurized gas mains or piping On or near chemical, fuel or refrigerant lines On or near energised electrical installation Contaminated or flammable atmosphere On, in or adjacent to traffic corridor Movement of powered mobile plant Artificial extremes of temperature In or near liquid where there is a risk of drowning This work does not involve any high risk activities

  • Risk of fall greater than 2 metres
  • Demolition of a load bearing structure
  • Disturbance of asbestos
  • Using temporary support to prevent collapse
  • Confined space
  • In / near shaft, tunnel or trench deeper than 1.5m
  • On or near pressurized gas mains or piping
  • On or near chemical, fuel or refrigerant lines
  • On or near energised electrical installation
  • Contaminated or flammable atmosphere
  • On, in or adjacent to traffic corridor
  • Movement of powered mobile plant
  • Artificial extremes of temperature
  • In or near liquid where there is a risk of drowning
  • This work does not involve any high risk activities

• Do you have a SWMS / risk assessment that covers the risk of fall greater than 2m?

  Yes

  No

• By checking this box, I am confirming that I have completed a SWMS / risk assessment for the risk of fall greater than 2m and if required I have added actions or notes to this question.

• Do you have a SWMS / risk assessment that covers the demolition of a load bearing structure?

  Yes

  No

• By checking this box, I am confirming that I have completed a SWMS / risk assessment that covers the demolition of a load bearing structure and if required I have added actions or notes to this question.

• Do you have a SWMS / risk assessment that covers the disturbance of asbestos?

  Yes

  No

• By checking this box, I am confirming that I have completed a SWMS / risk assessment that covers the disturbance of asbestos and if required I have added actions or notes to this question.

• Do you have a SWMS / risk assessment that covers the safe use of temporary support to prevent collapse?

  Yes

  No

• By checking this box, I am confirming that I have completed a SWMS / risk assessment the safe use of temporary support to prevent collapse and if required I have added actions or notes to this question.

• Do you have a SWMS / risk assessment for the confined space?

  Yes

  No

• By checking this box, I am confirming that I have completed a SWMS / risk assessment for the confined space and if required I have added actions or notes to this question.

• Do you have a SWMS / risk assessment for working in or near a shaft, tunnel or trench deeper than 1.5m?

  Yes

  No

• By checking this box, I am confirming that I have completed a SWMS / risk assessment for working in or near a shaft, tunnel or trench deeper than 1.5m and if required I have added actions or notes to this question.

• Do you have a SWMS / risk assessment for working on or near pressurized gas mains or piping?

  Yes

  No

• By checking this box, I am confirming that I have completed a SWMS / risk assessment for working on or near pressurized gas mains or piping and if required I have added actions or notes to this question.

• Do you have a SWMS / risk assessment for working on or near chemicals, fuel or refrigerant lines?

  Yes

  No

• By checking this box, I am confirming that I have completed a SWMS / risk assessment for working on or near chemicals, fuel or refrigerant lines and if required I have added actions or notes to this question.

• Do you have a SWMS / risk assessment for working on or near the energised electrical installation?

  Yes

  No

• By checking this box, I am confirming that I have completed a SWMS / risk assessment for working on or near the energised electrical installation and if required I have added actions or notes to this question.

• Do you have a SWMS / risk assessment for working in a contaminated or flammable atmosphere?

  Yes

  No

• By checking this box, I am confirming that I have completed a SWMS / risk assessment for working in a contaminated or flammable atmosphere and if required I have added actions or notes to this question.

• Do you have a SWMS / risk assessment for working on, in or adjacent to the traffic corridor?

  Yes

  No

• By checking this box, I am confirming that I have completed a SWMS / risk assessment for working on, in or adjacent to the traffic corridor and if required I have added actions or notes to this question.

• Do you have a SWMS / risk assessment for working in the vicinity of powered mobile plant?

  Yes

  No

• By checking this box, I am confirming that I have completed a SWMS / risk assessment for working in the vicinity of powered mobile plant and if required I have added actions or notes to this question.

• Do you have a SWMS / risk assessment for working in the artificial extremes of temperature?

  Yes

  No

• By checking this box, I am confirming that I have completed a SWMS / risk assessment for working in the artificial extremes of temperature and if required I have added actions or notes to this question.

• Do you have a SWMS / risk assessment for working in or near liquid where there is a risk of drowning?

  Yes

  No

  N/A

• By checking this box, I am confirming that I have completed a SWMS / risk assessment for working in or near liquid, where there is a risk of drowning, and if required I have added actions or notes to this question.

  Yes

  No

  N/A

• Move onto section 2

Stop and Think

• 2.1 Do I understand what I need to do?

  Yes

  No

  N/A

• DO NOT START WORK. By checking this box you are confirming that you have notified your JCU Rep / Manager and you now understand what you need to do.

• 2.2 Do I have all the permit I require?

  Yes

  No

  N/A

• DO NOT START WORK. By checking this box, you are confirming that you have contacted the JCU Rep / Manager and you now have all of the correct permits in place.

• 2.3 Are the right people / tools / equipment / PPE available?

  Yes

  No

  N/A

• DO NOT START WORK source equipment/tools/PPE or review the risk assessment to determine alternative controls. By checking this box I am confirming that the right tools / equipment / PPE are available.

• 2.4 Is there a SWP / guideline / SWMS / risk assessment?

  Yes

  No

  N/A

• DO NOT START WORK. By checking this box I am confirming that I have a SWP / guideline / SWMS / risk assessment applicable to the work.

• 2.5 Can I conduct the work in accordance with the SWP / guideline / SWMS / risk assessment?

  Yes

  No

  N/A

• DO NOT START WORK. By checking this box I am confirming that I can follow all controls in the SWP / guideline / SWMS / risk assessment or I have reassessed the risks and controls and recorded these changes.

• 2.6 Have I communicated with other workers any hazards that may affect me or them?

  Yes

  No

  N/A

• DO NOT START WORK. By checking this box I am confirming that I have now communicated hazards to all workers who may be affected by them.

• 2.7 Am I trained / qualified and competent to do this work?

  Yes

  No

  N/A

• DO NOT START WORK source equipment/tools/PPE or review the risk assessment to determine alternative controls. By checking this box I am confirming that the right tools / equipment / PPE are available.

• 2.8 Is supervision (if required) available?

  Yes

  No

  N/A

• DO NOT START WORK until the correct supervision is in place. By checking this box I am confirming that supervision is appropriate for the work.

• 2.9 Will others nearby be safe during my work?

  Yes

  No

  N/A

• DO NOT START WORK. By checking this box I am confirming that I have reassess my work practices and all controls will now ensure others nearby will be safe during my work.

  Yes

  No

  N/A

• 2.10 Do I understand what to do in an emergency?

  Yes

  No

  N/A

• DO NOT START WORK. By checking this box I am confirming that I have contacted the JCU Rep / Manager and I now understand what to do in an emergency.

  Yes

  No

  N/A

• 2.11 Have I done everything possible to minimise the risk?

  Yes

  No

  N/A

• DO NOT START WORK. By checking this box I am confirming that everything possible has now been taken to minimise the risk.

  Yes

  No

  N/A

• 2.12 Am I fit to do the work (i.e. free from fatigue, alcohol / drugs, medical illness, etc.)?

  Yes

  No

  N/A

• WORKERS WHO ARE UNFIT TO DO THE WORK MUST NOT START WORK. By checking this box I am confirming that I am now fit to do the work.

• 2.13 Is it safe to complete this task in the current weather / environmental conditions?

  Yes

  No

  N/A

• DO NOT START WORK. By checking this box you are confirming that the weather/environmental conditions are now suitable to conduct the work or controls have been implemented to allow part/all of the activities to continue (add controls to the action / notes for this question).

• 2.14 Are all hazards controlled?

  Yes

  No

  N/A

• DO NOT START WORK. By checking this box you are confirming that all hazards are now controlled.

  Yes

  No

  N/A

• Select the hazards that apply to this work.

  Select Manual tasks (lifting, awkward or over exertion) Gravity (slips, trips, falls, falling objects) Radiation (UV, x-ray) Electricity (faulty tools, live power) High Pressure (gas, air, liquid) Working alone Biological (infectious diseases, zoonosis) Machinery and equipment (caught in, on or between, struck by plant, flying objects) Heat / cold Chemical Noise Hot works

  • Manual tasks (lifting, awkward or over exertion)
  • Gravity (slips, trips, falls, falling objects)
  • Radiation (UV, x-ray)
  • Electricity (faulty tools, live power)
  • High Pressure (gas, air, liquid)
  • Working alone
  • Biological (infectious diseases, zoonosis)
  • Machinery and equipment (caught in, on or between, struck by plant, flying objects)
  • Heat / cold
  • Chemical
  • Noise
  • Hot works

• Manual tasks hazard controls

  Select Mechanical devices (trolley, forklift) 2 person lift Split load into smaller containers

  • Mechanical devices (trolley, forklift)
  • 2 person lift
  • Split load into smaller containers

• Gravity hazard controls

  Select Barricading Fall prevention Fall restraint Spotter Lanyards Bench / batter / shore Structural supports in place Ladder safe work procedure SWMS greater than 2m risk of fall Permit - Working at heights Permit - Excavations

  • Barricading
  • Fall prevention
  • Fall restraint
  • Spotter
  • Lanyards
  • Bench / batter / shore
  • Structural supports in place
  • Ladder safe work procedure
  • SWMS greater than 2m risk of fall
  • Permit - Working at heights
  • Permit - Excavations

• Radiation hazard controls

  Select Isolation Work planned around high UV times Shade identified PPE Radiation specific induction

  • Isolation
  • Work planned around high UV times
  • Shade identified
  • PPE
  • Radiation specific induction

• Electrical hazard controls

  Select SWMS (energised work) Permit - LV isolation / HV Exclusion Zone Inspection Lock out / tag out Test and tag RCD (residual current device)

  • SWMS (energised work)
  • Permit - LV isolation / HV Exclusion Zone
  • Inspection
  • Lock out / tag out
  • Test and tag
  • RCD (residual current device)

• High pressure hazard controls

  Select Isolation of energy sources Location of hazards

  • Isolation of energy sources
  • Location of hazards

• Working alone controls

  Select Communication person identified and available Emergency response planned

  • Communication person identified and available
  • Emergency response planned

• Biological hazard controls

  Select Immunisations PPE (gloves, masks, eye protection) Decontamination certificate received (sighted) Laboratory induction / escort

  • Immunisations
  • PPE (gloves, masks, eye protection)
  • Decontamination certificate received (sighted)
  • Laboratory induction / escort

• Machinery and equipment hazard controls

  Select Guarding Barricading Signage Lock out / tag out Interlocks PPE Traffic Management SWMS (powered mobile plant / working on roads) Permit - Traffic corridor Permit - Fire protection system isolation Permit - Energy isolation

  • Guarding
  • Barricading
  • Signage
  • Lock out / tag out
  • Interlocks
  • PPE
  • Traffic Management
  • SWMS (powered mobile plant / working on roads)
  • Permit - Traffic corridor
  • Permit - Fire protection system isolation
  • Permit - Energy isolation

• Chemical hazard controls

  Select SDS available Ventilation appropriate Using chemical in accordance with the manufacturers directions PPE SWMS (chemical, fuel, refrigerant lines / disturb asbestos) Permit - Asbestos

  • SDS available
  • Ventilation appropriate
  • Using chemical in accordance with the manufacturers directions
  • PPE
  • SWMS (chemical, fuel, refrigerant lines / disturb asbestos)
  • Permit - Asbestos

• Heat / cold hazard controls

  Select SWMS (artificial extreme temperatures) Check safety devices (e.g. alarms, locks) Communication equipment PPE

  • SWMS (artificial extreme temperatures)
  • Check safety devices (e.g. alarms, locks)
  • Communication equipment
  • PPE

• Noise hazard controls

  Select Isolate the area Hearing protection

  • Isolate the area
  • Hearing protection

• Hot work hazard controls

  Select Permit - Hot works

  • Permit - Hot works

• Additional hazards and controls

Is it safe to start work?

• JCU Risk Matrix

  

• Using the JCU risk matrix, the overall risk level for this work with controls in place (current risk level) is?

  Low

  Medium

  High

• Acceptable Level of Risk, START WORK

• By checking this box you are confirming that all reasonably practicable controls are being used and the JCU Rep / Manager has agreed that this level of risk is acceptable. START WORK.

• DO NOT START WORK. The current level of risk is unacceptable. If the level of risk can not be reduced to medium or low, contact the JCU Rep / Manager for further direction.