Information
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Conducted on
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Prepared by
Step 1 - Initial Assessment
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Ask yourself the following questions:
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Is mobile plant required to undertake the task?
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Does the task involve the use of hazardous substances?
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Is the task part of a Permit to Work activity?
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When undertaking the task there could be potential exposure to energy sources (e.g. Heat, power, air, hydraulics etc)?
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Does the task involve excavation or trenching?
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Will the task be conducted at height?
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Will the task interact with other plant / equipment, public or traffic?
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Will you be working near/in waterways, protected vegetation, sensitive residences or heritage sites?
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If you answer "YES" to any of the questions above, you need to see your Supervisor to ensure a TRA is developed prior to commencing.
If "NO", proceed to Step 2 - Hazard / Issue Check.
Step 2 - Hazard / Issue Check
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Task / Activity:
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Select date
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Supervisor:
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I have completed Step 1 to determine if a TRA is needed and if so, I have signed onto it.
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I have attended a Pre-start meeting today and have been briefed on the task.
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Appropriate Permits and Approvals are in place and I understand their conditions.
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I am trained and competent to undertake this task.
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I have the appropriate PPE to use for this task.
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The work area is clean, tidy, and has adequate lighting, waste bins and spill kits for the task.
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There is safe access and egress to the work area.
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Appropriate controls to work at height are in place.
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I know what assistance I may need to lift materials.
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The weather conditions will not impact on the environment or quality of works of my task.
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Equipment for the task is tested / tagged and safe for use.
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The controls in place are appropriate to protect others around me, the environment, and the work itself.
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I feel safe to conduct this task.
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If you answer "NO" to ANY of the above questions, then fix the hazard and/or inform your Supervisor immediately.
If you answer "YES" to ALL of the questions, then proceed to Step 3 - Final Assessment.
Step 3 - Final Assessment
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HAZARD - What else can go wrong?
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CONTROL - What can I do to stop this from happening?
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Discuss the hazard/Issue and control with your Supervisor before commencing.