SOUTH COAST WINDSCREENS Risk Assessment -

• Vehicle Registration

• Conducted on

  Date

• Prepared by

  Select D Smith J Whiting D Smith B Smith

  • D Smith
  • J Whiting
  • D Smith
  • B Smith
• Location
  Address

JOB DESCRIPTION

• Select Job Description from list

  Select Windscreen Replacement Windscreen Repair Body Glass Replacement Remove & Replace Other

  • Windscreen Replacement
  • Windscreen Repair
  • Body Glass Replacement
  • Remove & Replace
  • Other

Take an Image of the area being assessed.

• Image

  Media

SITE ASSESSMENT - IDENTIFY HAZARDS

• Is the work site safe from natural hazards, eg; terrain, climate, wind that presents a risk?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• If no, refer to SWMS instructions

• Is the lighting adequate?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• If no, refer to SWMS instructions

• Is the work environment at a safe temperature which will not affect employees?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• IfIf no, refer to SWMS instructions

• Is the floor on the work surface safe? Eg. Clear from surface slippery, uneven, cluttered or unsafe.

  Select Yes No N/A

  • Yes
  • No
  • N/A

• If no, refer to SWMS instructions

• Are workers safe from the risk of falling objects?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• If no, refer to SWMS instructions

• Are workers safe from any potential energy sources that could cause harm. Eg electrocution?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• If no, refer to SWMS instructions

• Are workers safe from any potentially explosive compounds that could cause harm?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• If no, refer to SWMS

• Is the worksite safe from any high concentrations of dust in the atmosphere?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• If no, refer to SWMS instructions

• Is the workplace noise level under 85 decibel?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• If no, refer to SWMS instructions

• Can work commence without a site permit?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Have these permits been acquired and passed?

  Select Yes No N/A

  • Yes
  • No
  • N/A

INDIVIDUALS

• Are all personnel safe from potential risk due to work activities?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• If no, have the SWMS below covered these potential risks?

• Have the employees received the necessary training to complete the task?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• If no, what training will be required?

• Are other people at risk of injury by the work activities?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• If yes, have the SWMS below covered these potential risks?

• Are work activities of personnel safe to the environment and not impacting on the environment?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• If no, refer to SWMS

• Can the task be performed without additional supervision?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• If no, who will be the additional supervisor?

• Can the task be performed from a safe height without the use of ladders, scaffold, or MEWP?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• If no, refer to SWMS instructions

PLANT & EQUIPMENT

• Is the plant and equipment suitable for the tasks?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• If no, refer to SWMS instructions

• If chemicals being used, are copies of MSDS's being made available?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• If no, obtain MSDS.

• Will the use of specific plant and equipment be safe for the environment if used?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• If no, refer to SWMS instructions

ADDITIONAL HAZARDS

• Additional hazards, which have not been shown above

• SWMS in relation to these hazards

HAZARD RISK SCORE 1

• 

• RISK SCORE 1: Before SWMS have been chosen, select a Risk Score in reference to Risk Matrix table

  Select 5E 5D 5C 5B 5A 4E 4D 4C 4B 4A 3E 3D 3C 3B 3A 2E 2D 2C 2B 2A 1E 1D 1C 1B 1A

  • 5E
  • 5D
  • 5C
  • 5B
  • 5A
  • 4E
  • 4D
  • 4C
  • 4B
  • 4A
  • 3E
  • 3D
  • 3C
  • 3B
  • 3A
  • 2E
  • 2D
  • 2C
  • 2B
  • 2A
  • 1E
  • 1D
  • 1C
  • 1B
  • 1A

IF HAZARD RISK HIGH, REDO CONTROL MEASURES

• Is hazard risk score low?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Can work commence without changing the control measure?

  Select Yes No N/A

  • Yes
  • No
  • N/A

RISK ASSESSMENT CARRIED OUT BY

• Name

  Sign

• WORKER NAME

• DATE & TIME

  Date