Southern USI Site Risk Assessment 2024

• Southern USI site Risk Assessment 2024 Document No.

• Name of Supervisor/Leading Hand

• Name of worker conducting assessment?

• Site Number and Location

• Conducted on

  Date

• Task Being Carried Out

  Select Copy Change Graffiti Clean Maintenance Vegetation Site Measure Site Inspection Private Job Site Clean Up Installation

  • Copy Change
  • Graffiti Clean
  • Maintenance
  • Vegetation
  • Site Measure
  • Site Inspection
  • Private Job
  • Site Clean Up
  • Installation

• Have all workers on site read and understood the SWMS and Site Cards for this site?

  Yes

  No

• Read SWMS and Site Card immediately

• Check box if more than skin is being installed at a single location

undefined

• Yes

  No

  N/A

• Are the weather conditions suitable for safe work?

  Yes

  No

• Select from list regarding weather hazards

  Select Work is indoor, not relevant Extra installers will minimise risk Changing install method will minimise risk Site needs to be held

  • Work is indoor, not relevant
  • Extra installers will minimise risk
  • Changing install method will minimise risk
  • Site needs to be held

• Does this site require you to sign in with Site Management or Security?

  No

  Yes

• If yes who was contacted?

• Do you consider the Site safe for all workers and the public?

  Yes

  No

• How can site be made safe for workers and public?

• Can all material and equipment used be transported to the site safely?

  Yes

  No

• Explain method?

• Stop work and contact management about the issue.

• Are all vehicles parked correctly?

  Yes

  No

• Parking location

• Insert photo of parking hazard

  Media

• Has worksite been cordoned off correctly?

  Yes

  No

  N/A

• Equipment used to secure worksite?

  Select Bollards Witches hats Temporary Barricades Paraweb Fence & Bollards Signage Other

  • Bollards
  • Witches hats
  • Temporary Barricades
  • Paraweb Fence & Bollards
  • Signage
  • Other

• For other, describe cordon method

• In case of emergency - call 000, stay calm and describe the situation clearly to emergency operator. Then call a coordinator, secure the site and begin to complete an incident report

• Are all installer aware of emergency procedures for this site?

  Yes

  No

• Hold site until all workers are aware of emergency procedures

• Evacuation point will be via site access point (unless hindered by a hazard to personal safety) and to a safe location clear of hazards from structures, plant and equipment, vehicles 20-50 meters from site access point

• What is the location of the nearest hospital?

• Has an ambulance pick up point been identified?

  Yes

  No

• Hold site until all workers are aware of emergency procedures

• What is the Pick up point location and suburb?

• What is the nearest cross street?

• Who is the nominated First Aider onsite?

• Is there an abseiler on site

  Yes

  No

  N/A

• Do you have the safety rescue pulley on site?

  Yes

  No

• Have all Electrical Hazards been identified and recorded on Site Cards

  Yes

  No

• What hazards have been added to site cards?

• Are there Overhead Power lines (OHPL)?

  Yes

  No

• What is the distance (m) and voltage (kV)?

• What hazard elimination method has been used?

  Shortened Tracking

  Isolation off power lines

  Caution

  Other

• List other method used to eliminate hazard of OHPL?

• Is the site a light box (Back lit)?

  Yes

  No

  N/A

• Has power to the light box been turned off?

  Yes

  No

  N/A

• Where is the switch and who turned power off?

• If working near an electrical area like switchboard, have precautions been taken?

  Yes

  No

  N/A

• What precautions have been taken?

• Why can no precautions be taken?

• Insert photo of any electrical hazards?

  Media

• Are all workers using fall protection devices like harnesses and are they wearing helmets?

  Yes

  No

• Why are workers not wearing fall protection?

• Are there any height hazards for this site?

  Yes

  No

• What is the install method for this site?

  Select Fixed ladder Portable ladder Scaffold EWP BMU Abseil Other

  • Fixed ladder
  • Portable ladder
  • Scaffold
  • EWP
  • BMU
  • Abseil
  • Other

• Is fixed ladder in good condition?

  Yes

  No

• What size ladder is used for this site?

• Can ladder be placed on even ground and secured to sign?

  Yes

  No

• How is ladder secured?

  Select Ladder brackets Ratchets

  • Ladder brackets
  • Ratchets

• Insert photo of ladder hazards?

  Media

• Is ladder being used by one person at a time, footed correctly and the climber has three points of attachment?

  Yes

  No

• Describe restrictions in ladder use?

• Is scaffold in good working order?

  Yes

  No

• Insert photo of scaffold hazard

  Media

• Who is ticketed operator?

• Has operator deemed EWP suitable to task, set up on firm, level ground and completed logbook?

  Yes

  No

• Explain EWP hazards?

• Are all workers trained and deemed competent by management?

  Yes

  No

• Hold install and call coordinators immeditely

• Are all ropes and gear in good condition?

  Yes

  No

• Hold installs and ring Coordinator immediately

• Are anchor points assessed as suitable?

  Yes

  No

• Hold installs and call Coordinator immediately

• Explain other height hazards that may exist?

• Are all permanent anchor points / static lines on site considered safe?

  Yes

  No

  N/A

• Hold install and call coordinators immeditely

• Insert photo of height hazards

  Media

• Is there a One way Pulley being used?

  Yes

  No

• What type of communication is being used between person steeting up the one way pulley and persons on the ground?

  Verbal communication

  Hand signals

  mobile phones

• Name of person setting up the one way pulley?

• Is the person setting up the one way pulley and rope trained and competent to safely set up the pulley for materials to be lifted?

  Yes

  No

• If no then stop work and have another crew member assist in safely setting up the pulley.

• A tag line should be used every time material is being lifted using the one way pulley, this will give the person on the ground all the control if material gets caught on any structure or the rope gets tangled.

• Are you using a tag line while lifting material?

  Yes

  No

• Should the material become caught on the structure without a tag line set up the person who set up the one way pulley is to inform the person hauling the skin from the ground to stop pulling the rope and let go of the rope, once the person on the ground has stopped pulling and let go of the rope then the person on the structure is to proceed to free the material from the structure.
  Once the material is free from structure and the person on the structure has moved away from the rope and pulley the the person on the ground is to proceed to pull the material up to site.

• Have all team members read and understood this procedure

  Yes

  No

• Are all tools in good condition and been accounted for?

  Yes

  No

  N/A

• Explain tool hazards

• Are tools and equipment able to be secured when used at heights

  Yes

  No

  N/A

• Explain tool hazards

• Are all tools required to be used able to be kept inside cordoned off area?

  Yes

  No

  N/A

• Explain tool hazards

• Is there an MSDS for all chemicals being used on site?

  Yes

  No

  N/A

• Stop work and ring a Coordinator immediately

• Have chemical spill procedures been discussed?

  Yes

  No

  N/A

• Stop work and ring a Coordinator immediately

• Is work to be performed on a Rail site?

  Yes

  No

• Name of Work Group Supervisor

• What is the work group supervisors mobile number?

• Is there a TFPC / level 3 required for this site?

  Yes

  No

• Has the TFPC prepared a Rail safety worksite hazard assessment?

  Yes

  No

  N/A

• Obtain a copy of briefing from TFPC (insert photos of briefing here)

  Media

• TFPC and Worker communication method: all communication will be established by the TFPC, in the event of malfunction, mobile phones will be used. Both will exchange numbers during briefing

• Name of TFPC onsite?

• What is the TFPC's mobile number?

• TFPC Signature

  Sign

• Is access to the site acceptable?

  Yes

  No

• Hold site and contact Coordinator immediately

• Do you cross an active rail track?

  No

  Yes

• Stop work and contact management. Do NOT cross live tracks/ rail without a Level 3 TFPC.

• Will all equipment remain clear of the rails, and not cause damage to trains or rail operator property?

  Yes

  No

• Hold site and contact Coordinator immediately

• Does this site require a track access number ?

  Yes

  No

• Call MTM access control center on 9619 5647 to gain the track access number

• what is the track access number for this site?

• Has a Rail safety worksite hazard assessment that has been prepared by a Level 3 been reviewed, completed and signed?

  Yes

  No

• Hold site and contact Coordinator immediately

• Any accident or incident on Rail Sites needs to be reported to management immediately.

• Is site within rail corridor? (Within 15 meters of nearest track if no fence at location or inside fence line of rail corridor)

  Select Yes No N/A

  • Yes
  • No
  • N/A

• If yes then you must call Metrol on 9719 5647 for a RCN (Rail Corridor Number) or TAN (Track Access Number) prior to work and on completion of work. If there is a TFPC onsite they will do this.

• RCN (Rail Corridor Number) or TAN (Track Access Number) provided -

Discussion Points (tick Applicable Items as discussed)

• Track protection arrangements communicated and understood

• Rail safety risks & controls identified in RSWHA discussed

• Position of safety identified and communicated

• Critical risks & works/site related hazards identified have been discussed including control measures

• PPE requirements for general and specific tasks discussed

• Fit for duty – 0 % Drug & Alcohol / Prescribed medication / Fatigue

• Access / Egress and Evacuation points communicated

• Emergency procedure / First aiders / Equipment location discussed

Verification Points (tick applicable items as verified)

• Rail Safety Workers have current MTM/RIW cards in possession

• Rail Safety Workers have applicable job roles allocated in their MTM/RIW card

• Supervisors must make sure to write down and discuss hazards and controls as well as any other hazard not recorded elsewhere on the risk assessment

• Insert toolbox talk topics

• Insert toolbox talk topics

• Insert toolbox talk topics

• Insert toolbox talk topics

• Insert toolbox talk topics

• Insert toolbox talk topics

• Work Group Supervisor sign off: this risk assessment have been checked by me and verified as true and correct

• Insert Work Group Supervisors name

  Sign

• Does the site card or power card require updating for this site

  Yes

  No

• Once both the risk assessment and SWMS have been consulted and completed, please sign below to state that you have read and understood all the safety conditions

• Insert Worker signature

  Sign

• Insert Worker signature

  Sign

• Insert Worker signature

  Sign

• Insert Worker signature

  Sign

• Insert Worker signature

  Sign

• Insert Worker signature

  Sign

• Insert Worker signature

  Sign

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  Sign

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  Sign

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  Sign

• Insert Worker signature

  Sign

• Insert Worker signature

  Sign

• Insert Worker signature

  Sign

• Insert any photos of miscellaneous hazards here

  Media