Information

  • Job Safety & Environmental Analysis
    MMR Electrical Contractors Silcar Communications
    1/18 Holden St 1/60 Enterprise Pl
    Woolloongabba, Qld. 4102 Tingalpa, Qld. 4173
    ABN: 72 707 145 236 ABN: 56 598 384 882

  • Document No.

  • ToW#

  • Site Details/ Customer Name

  • Conducted on

  • Supervisor

  • Location
  • Emergency Assembly area

JSA

  • Has a safe work method statement been developed?

  • NBNCo Field Construction SWMS

  • Silcar SWMS- NAT-SC-SWMS-081- Installation in customer premises

  • Silcar SWMS- NAT-SC-SWMS-080- underground lead-in installations at customer sites.

  • MMR- WMS 34- PV Installation

  • Have all members of the work party been inducted into the safe work method statement?

  • Worker must be inducted into the safe work method statement before continuing!

  • Traffic hazard during arrival & accessing vehicle during work?

  • Use NBNCo Traffic Management plan!

  • Risk to public safety/ pedestrians during site setup & during work?

  • Use NBNCo Traffic Management plan!

  • Wet weather(increased risk of slips, trips & falls)

  • Control measures taken?

  • Presence of dog(s), potential for dog attack?

  • Control measures taken?

  • Household obstacles hindering safe ladder placement (objects preventing pitch, angle)

  • MMR SWMS- using portable ladders.

  • Control measures taken?

  • Soft or uneven ground hindering safe ladder placement (slope of land, trenches, garden beds, sandy or muddy soil, etc)?

  • MMR SWMS- using portable ladders.

  • Control measures taken?

  • Presence of trees and foliage obscuring roof access?

  • Control measures taken?

  • Presence of overhead electrical hazards?

  • MMR-consult working o'head/u'ground electric lines code of practise.

  • Silcar SWMS- Nat sc-SWMS-025- Working in proximity to low or high voltage assets.

  • Control measures taken?

  • Roof is visibly in poor condition (structural integrity)?

  • Control measures taken?

  • Working at heights (above 1.8m)?

  • MMR SWMS- working at heights.

  • Control measures taken?

  • Roof pitch too steep to work safely?

  • Control measures taken?

  • Work involving use of EWP?

  • MMR SWMS- working with elevated work platform.

  • Control measures taken?

  • Poor lighting conditions?

  • Control measures taken?

  • Electrical hazards?

  • Select appropriate MMR SWMS! Control measures taken?

  • Ignition sources?

  • Control measures taken?

  • Hazardous substances and or dangerous goods?

  • MMR SWMS- hazardous substances!

  • Control measures taken?

  • Disturbance of materials containing asbestos?

  • MMR SWMS- working with asbestos!

  • Silcar SWMS- Guide to drilling into bonded materials containing asbestos!

  • Control measures taken?

  • Does the work involve manual handling hazards?<br>Extensive bending/ twisting?<br>Sustained or awkward postures over a long duration?<br>Lifting, lowering or sudden forces?<br>Pushing or pulling?

  • MMR SWMS- manual handling!

  • Silver SWMS- 014.05- manual handling

  • Control measures taken?

  • Does the work involve access to roof or floor space and involve exposure to any of the following:<br>High temperature inside roof space?<br>Inadequate ventilation levels?<br>Restricted space?

  • Control measures taken?

  • Does the work involve entering underground structures?

  • NBNCo Access and entering underground structures.

  • Control measures taken?

  • Gas leakage or smell?

  • Control measures taken?

  • Exposed or poorly wired electrical wiring?

  • Control measures taken?

  • Does the work involve any of the following environmental hazards:<br>Potential release of waste water into drains?<br>Potential release of dust/ harmful dust?<br>Oil leaks from vehicle or plant?<br>Disposal of site or waste materials?

  • Control measures taken?

  • Are there any other additional hazards?

  • List additional hazards and control measures here!

  • If any hazards are not listed on the applicable SWMS, you must contact your supervisor!

  • Is the required safety equipment on-site:

  • PPE (safety boots, long pants, long sleeve shirt, high visibility shirt, safety glasses, hearing protection, work gloves, P2 rated dust mask)

  • Cease work and acquire correct PPE!

  • Electrical equipment serviceable and in test?

  • Do not use equipment, tag out and inform supervisor!

  • Is a harness and lanyard to be used?

  • Are there any cuts, nicks, abrasions or damaged fibres on the harness?

  • Do not use harness! Immediately contact your supervisor for further instructions!

  • Are there any cracks or visible damage to the buckles on the harness?

  • Do not use harness! Immediately contact your supervisor for further instructions!

  • Are any buckles or securing straps loose when the harness is fitted?

  • Do not use harness! Immediately contact your supervisor for further instructions!

  • Is the gate of the karabiner secured?

  • Do not use harness! Immediately contact your supervisor for further instructions!

  • Is the harness and karabiner rated for the appropriate load?

  • Do not use harness! Immediately contact your supervisor for further instructions!

  • Supervisor- Prior to signing, all employees must be aware of the risk involved in performing the task, aware of the control measures in place and are satisfied that all foreseeable risks have been controlled and documented.

  • Supervisor- I certify that the above control measures have been implemented and the site is safe.

  • Supervisor

  • Worker
  • I have read and understood the related job safety analyses and I understand my role in the safe completion of the work.

  • Any member of the work party may call for an immediate stoppage of work and all work must be ceased until all persons on the site are satisfied with the safety of the workplace. If the workplace hazards cannot be effectively eliminated or minimised so that the work can be performed safely, the work activity must not take place until additional controls are implemented.

  • Add signature

As Built

Job Information

  • ToW#

  • Add location
  • Class 1- E2E/ civil

  • Class 2- Internals only

  • LIC Code

  • Job Type

  • NTU Serial #- press bottom right corner of text box!

  • PSU Serial #- press bottom right corner of text box!

Cable

  • PCD-PEP (m)

  • MPT-PCD (m)

Conduit

  • PCD-PEP (m)

  • Pit-PEP (m)

  • Pit-Pit (m)

  • Pole-UG- Transition (ea)

Material

  • Total cable (m)

  • PCD (no)

  • Indoor NTD

  • Moulded cable

  • Wall mount

  • Indoor UPS Rev 'C'

  • Battery

  • Connector Serial #

Other

  • Breakout (sq.m.)

  • Reinstatement (sq.m)

Aerial

  • Pole-house (m)

  • Point of contact-PCD (m)

  • Additional spans

Drawing

  • Drawing Pole= circle PCD= triangle New cable= dotted line Exist cable= solid line Pit= square

  • Comments

Invoicing

  • Notes

  • Lead-in cable not installed

  • PCD not installed

  • C2-01-01-01-7.5MF Internals SDU (single dwelling unit)

  • C2-01-01-02-7.5MF Internals MDU (multi dwelling unit)

  • C1-02-01-01-7.5MF E2E in EXISTING conduit up to 80m route length and 30m of internal fibre cable

  • C1-02-01-02-7.5MF E2E in NEW conduit up to 20m of conduit on premises and 80m lead-in and up to 30m of internal fibre cable

  • C1-02-01-xx (existing) U/G lead-in only in EXISTING conduit up to 80m route length

  • C1-02-01-xx (new) U/G lead-in only in NEW conduit up to 20m

  • NA-01-01-01- Dirty ticket

  • C1-02-02-01-7.5MF- >80m route length external cable/ m

  • C1-02-02-02-7.5MF- Supply & install conduit >20m from P.E.P/ m

  • C1-02-02-05-7.5MF- Supply & install of conduit from pit to P.E.P/ m

  • C1-02-02-06-7.5MF- Supply & install of conduit in ROCK from pit to P.E.P/ m

  • C1-02-02-07-7.5MF- Installation of lead-in cable from AERIAL network to underground network at pole/ no. of pole risers

  • C1-02-02-09-7.5MF- Additional charge to install fusion splice

  • C1-02-02-10-7.5MF- Rectify blockage of, or repair an unfit LIC that would be otherwise held

  • C2-02-01-01-7.5MF- >30m length for internal fibre cable/ m

Pictures

  • PCD Location, PCD terminated, MPT labelled, NTU terminated, meter readings, pictures to support extras.

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.