SWMS/JSEA

Programmed Safe Work Essentials - Every Job, Every Time

• When working for Programmed, you are expected to apply these safe work essentials EVERY JOB, EVERY TIME:
  • Present fit for work – not impaired by alcohol or other drugs, fatigue or pre-existing injuries.
  • Assess & discuss work related risks before starting work.
  • Re-assess the risks when there is a change to the task.
  • Confirm that all team members are competent & hold the correct licence or are supervised by a qualified person.
  • Ensure that suitable PPE is worn.
  • Verify that all tools & equipment used is in good working order & used as intended.
  • Identify line of fire hazards & take action to prevent being in harm’s way.
  • Use lifting aids & adopt practices such as team lifts & task rotation to minimise hazardous tasks.
  • Stop & report any unsafe work or condition.

• Date

  Date
• Location
  Address

• Focus No.

• Works being completed

• Name

• Person responsible for completing & ensuring compliance with SWMS / JSEA. By signing this, you confirm all hazards will be identified and controls will be put in place and the persons listed on this document will be informed of the hazards and controls.

  Sign

Required Personal Protective Equipment

• Required Personal Protective Equipment

  Select Head protection Eye protection Hearing protection Foot protection Protective clothing Hand protection Safety Harness Respirator Sun Smart (hat, sunscreen etc) Other

  • Head protection
  • Eye protection
  • Hearing protection
  • Foot protection
  • Protective clothing
  • Hand protection
  • Safety Harness
  • Respirator
  • Sun Smart (hat, sunscreen etc)
  • Other

• Please state other PPE used

Work Permits

• Are specific work permit(s) required?

  Yes

  No

• Permit types required?

  Select Confined Space Isolation/Energisation Excavation/Trenching Work at Heights Hot Works Other

  • Confined Space
  • Isolation/Energisation
  • Excavation/Trenching
  • Work at Heights
  • Hot Works
  • Other

• Type

Driving and Mobile Plant

• • A pre-start inspection is conducted on mobile plant & identified defects are reported & rectified prior to use.
  • The vehicle & equipment are in a safe working condition.
  • Loads are secure & restrained & within capacity limits.
  • My seatbelt is fastened.
  • Vehicle / mobile plant & pedestrian interaction risks are considered, & defined control implemented.
  • Driving is safe & within road & speed rules.
  • Mobile phone & other devices are never handled.

Working at Heights

• • That I consider all options to eliminate the need to perform work at height.
  • Height access equipment is checked before use & operated only by certified & competent personnel.
  • Fall barriers, restraints & arrest devices, anchor points are set up & used.
  • Rescue plans are understood & accessible.
  • Tools & equipment are secured.
  • Drop zones are identified & barricaded.
  • That I do not exit equipment at heights unless risk assessed, approved & additional fall prevention measures are in place.

Excavation & Trenching

• • All underground services & hazards are identified, located & if necessary, isolated.
  • Traffic & pedestrian movement is controlled.
  • Access is restricted to authorised personnel only.
  • The site has been safely sloped, benched, shored or shielded before allowing access.
  • A spotter is present for all mechanical excavations.
  • Monitor ground conditions & stormwater drainage.

Working Around Asbestos & Silica

• • Check site registers for presence of asbestos.
  • Ensure all asbestos removal works are undertaken by licensed contractor.
  • Treat suspicious material as hazardous where the material cannot be determined as asbestos or silica.
  • Consider silica risk prior to commencing dust generating works such as grinding, cutting or break in work.
  • Adopt work methods that minimize the generation of silica dust, such as wet cutting, local exhaust ventilation & tools with vacuum extraction.
  • Wear the required protective & respiratory equipment.
  • Ensure any residual silica dusts are not dry swept, rather vacuumed thoroughly with a correctly rated vacuum.

Lifting & Loading

• • A lift plan is completed according to procedure.
  • Pedestrians & lifting movements are assessed & exclusion zones are implemented.
  • Pick up & lay down locations clear.
  • Tag lines are used to assist in guiding loads.
  • I never climb onto or work under a suspended load.
  • Lifting equipment & devices are inspected& deemed suitable before use.
  • Network operator rules are followed when lifting around or near overhead power lines.

Demolition Works

• • Demolition methods are confirmed by a competent person.
  • All services have been disconnected.
  • Hazardous materials assessments have been completed.
  • Asbestos & other hazardous materials are removed by a licensed contractor.
  • Demolition work involving structural removal is approved by a structural engineer.
  • Exclusion zones are established.

Working in Confined Spaces

• • A risk assessment, permit & rescue plan for entry is completed.
  • Energy sources & engulfment risks have been positively isolated.
  • Regular atmospheric testing is conducted.
  • That a dedicated confined space spotter is constantly on watch.
  • Only approved equipment is used.

Isolating Energy Sources

• • Energy have been identified, isolated & deenergized before starting works.
  • All isolations have been proven (test for dead), tagged & controlled.
  • My personal lock & / or tag has been applied.
  • I never remove another person’s lock or tag without authorisation of a line manager.
  

Job Tasks

• Tasks

  Select Excavation & Trenching (Less than 1.5 metres) Working around Asbestos & Silica Driving & Mobile Plant Work at Heights (Less than 2 metres,) Isolating Energy Sources Lifting & Loading Hazardous Manual Tasks Hazardous Substances Interacting with other Contractors Environmental Biological Hot Works Hazardous Atmospheres Young/inexperienced Workers Fitness for Work Psychosocial Remote Work Working on or Above Water Other

  • Excavation & Trenching (Less than 1.5 metres)
  • Working around Asbestos & Silica
  • Driving & Mobile Plant
  • Work at Heights (Less than 2 metres,)
  • Isolating Energy Sources
  • Lifting & Loading
  • Hazardous Manual Tasks
  • Hazardous Substances
  • Interacting with other Contractors
  • Environmental
  • Biological
  • Hot Works
  • Hazardous Atmospheres
  • Young/inexperienced Workers
  • Fitness for Work
  • Psychosocial
  • Remote Work
  • Working on or Above Water
  • Other

• Working at Heights hazards (less than 2 metres)

  Select Risk of falling & dropped objects Unsecure work zones Other

  • Risk of falling & dropped objects
  • Unsecure work zones
  • Other

• Other hazards

• Controls

• Work at Heights control measures

  Select Use of harness & lanyard systems Edge protection systems Ladders all footed & secured Barricading & signage in place Equipment is inspected & tagged Scaffold & plant inspected before use Rescue plan & training in place Workers trained & competent Other

  • Use of harness & lanyard systems
  • Edge protection systems
  • Ladders all footed & secured
  • Barricading & signage in place
  • Equipment is inspected & tagged
  • Scaffold & plant inspected before use
  • Rescue plan & training in place
  • Workers trained & competent
  • Other

• Other controls

• Lifting & Loading hazards

  Select Dropped loads Crane tip over Unsecure work zone Faulty equipment Incorrect lifting technique Other

  • Dropped loads
  • Crane tip over
  • Unsecure work zone
  • Faulty equipment
  • Incorrect lifting technique
  • Other

• Other hazards

• Controls

• Lifting & Loading control measures

  Select Correct lifting technique Scheduled inspections and tagging of all gear Pre-start inspection of plant Licensed operators Barricading & signage in place Loads secured correctly Lift plans used where required Other

  • Correct lifting technique
  • Scheduled inspections and tagging of all gear
  • Pre-start inspection of plant
  • Licensed operators
  • Barricading & signage in place
  • Loads secured correctly
  • Lift plans used where required
  • Other

• Please state other controls

• Excavation & Trenching hazards (less than 1.5 metres)

  Select Collapse of trench or pit Underground Services Fall from heights Excavation within 3 metres of tree Risk of flooding Contact with unknown energy source Other

  • Collapse of trench or pit
  • Underground Services
  • Fall from heights
  • Excavation within 3 metres of tree
  • Risk of flooding
  • Contact with unknown energy source
  • Other

• Other hazards

• Controls

• Excavation & Trenching controls

  Select Underground scanning Dial Before You Dig Restricted access to work area Shoring, benching and stepping of trenches over 1.5m Soldier sets Ladder access Spotter used for trench works Barriers Hydro or hand dig Consultation with Arborist Other

  • Underground scanning
  • Dial Before You Dig
  • Restricted access to work area
  • Shoring, benching and stepping of trenches over 1.5m
  • Soldier sets
  • Ladder access
  • Spotter used for trench works
  • Barriers
  • Hydro or hand dig
  • Consultation with Arborist
  • Other

• Please state other controls

• Working around Asbestos & Silica hazards

  Select Loose fibres or dust Unsecure or broken sheeting No asbestos register on site Other

  • Loose fibres or dust
  • Unsecure or broken sheeting
  • No asbestos register on site
  • Other

• Other hazards

• Controls

• Working around Asbestos & Silica controls

  Select AC / Silica Control Plan Up to date asbestos register Correct PPE available A/C double bagged Dust suppression and removal WorkCover Removal Notifications No pressure washer for asbestos Isolated work area Other

  • AC / Silica Control Plan
  • Up to date asbestos register
  • Correct PPE available
  • A/C double bagged
  • Dust suppression and removal
  • WorkCover Removal Notifications
  • No pressure washer for asbestos
  • Isolated work area
  • Other

• Please state other controls

• Environmental hazards

  Select Contaminated rivers, drains & soil Poor waste management Excessive noise for workers & public Adverse - extreme weather Other

  • Contaminated rivers, drains & soil
  • Poor waste management
  • Excessive noise for workers & public
  • Adverse - extreme weather
  • Other

• Other hazards

• Controls

• Environmental controls

  Select Silt Traps deployed All waste is controlled and removed from site or disposed of correctly Prescribed waste managed correctly Noise management systems in place Weather included in job planning Other

  • Silt Traps deployed
  • All waste is controlled and removed from site or disposed of correctly
  • Prescribed waste managed correctly
  • Noise management systems in place
  • Weather included in job planning
  • Other

• Please state other controls

• Interacting with other Contractors hazards

  Select Work impacting on other contractors Interaction with plant Unsecure work zones Other

  • Work impacting on other contractors
  • Interaction with plant
  • Unsecure work zones
  • Other

• Other hazards

• Controls

• Interacting with other Contractors - controls

  Select Combined pre-start meetings Agreement on workflows Identification of contacts Site walks with contractor leads Other

  • Combined pre-start meetings
  • Agreement on workflows
  • Identification of contacts
  • Site walks with contractor leads
  • Other

• Other controls

• Hazardous Manual Tasks hazards

  Select Repetitive movements Heavy physical work tasks Awkward sustained postures Insufficient space for task Other

  • Repetitive movements
  • Heavy physical work tasks
  • Awkward sustained postures
  • Insufficient space for task
  • Other

• Other hazards

• Controls

• Hazardous Manual Tasks controls

  Select Correct lifting techniques used Warm up & stretch & M/H training Task rotation between workers Team lifts for heavier loads The use of trolleys and carts for goods Other

  • Correct lifting techniques used
  • Warm up & stretch & M/H training
  • Task rotation between workers
  • Team lifts for heavier loads
  • The use of trolleys and carts for goods
  • Other

• Other controls

• Hazardous Substances hazards

  Select Chemical burns and skin irritation Fire & explosion Spills & contamination Other

  • Chemical burns and skin irritation
  • Fire & explosion
  • Spills & contamination
  • Other

• Other hazards

• Controls

• Hazardous Substances controls

  Select Provision of training Spill kits available at work location Correct PPE available Emergency equipment available SDS available at worksite Other

  • Provision of training
  • Spill kits available at work location
  • Correct PPE available
  • Emergency equipment available
  • SDS available at worksite
  • Other

• Other controls

• Young/inexperienced Workers hazards

  Select Lack of experience Undeveloped skills Inadequate training Other

  • Lack of experience
  • Undeveloped skills
  • Inadequate training
  • Other

• Other Hazards

• Young Workers controls

  Select Mentor & coach provided to worker Training plan in place & started Close supervision Buddy system in place Instruction in the use of tools Other

  • Mentor & coach provided to worker
  • Training plan in place & started
  • Close supervision
  • Buddy system in place
  • Instruction in the use of tools
  • Other

• Please state other controls

• Biological hazards

  Select Unclean work areas Waste left lying around Ill workers presenting for work Working with animals Other

  • Unclean work areas
  • Waste left lying around
  • Ill workers presenting for work
  • Working with animals
  • Other

• Other hazards

• Controls

• Biological controls

  Select Good housekeeping practices in place Good personal hygiene practiced Thorough cleaning practices in place Good waste management in place Other

  • Good housekeeping practices in place
  • Good personal hygiene practiced
  • Thorough cleaning practices in place
  • Good waste management in place
  • Other

• Other controls

• Psychosocial hazards

  Select Bullying & Harassment Stress & Fatigue Social stigma Violence Other

  • Bullying & Harassment
  • Stress & Fatigue
  • Social stigma
  • Violence
  • Other

• Other hazards

• Controls

• Psychosocial controls

  Select Promote awareness Inform workers of resources Intervene & support Provide recovery & return to work Other

  • Promote awareness
  • Inform workers of resources
  • Intervene & support
  • Provide recovery & return to work
  • Other

• Please state other controls

• Remote Work hazards

  Select Isolation from support Breakdown Other

  • Isolation from support
  • Breakdown
  • Other

• Other hazards

• Controls

• Remote Work controls

  Select Remote journey plan in place Effective communication in place Vehicle set up for remote travel Other

  • Remote journey plan in place
  • Effective communication in place
  • Vehicle set up for remote travel
  • Other

• Please state other controls

• Hot Works hazards

  Select Fire & explosion Property damage Other

  • Fire & explosion
  • Property damage
  • Other

• Other hazards

• Controls

• Hot Works controls

  Select Emergency equipment Correct PPE used for task Effective work planning Other

  • Emergency equipment
  • Correct PPE used for task
  • Effective work planning
  • Other

• Please state other controls

• Fitness for Work hazards

  Select Fatigue & illness Drugs & alcohol Other

  • Fatigue & illness
  • Drugs & alcohol
  • Other

• Other hazards

• Controls

• Fitness for Work controls

  Select Good eating & sleeping patterns Zero tolerance for D&A at work Report all issues to supervisor Other

  • Good eating & sleeping patterns
  • Zero tolerance for D&A at work
  • Report all issues to supervisor
  • Other

• Please state other controls

• Other Hazard/s

• Controls

• Driving & Mobile Plant Hazards

  Select Defective Plant/Vehicle Vehicle accident Pedestrians Road Rules breach Other

  • Defective Plant/Vehicle
  • Vehicle accident
  • Pedestrians
  • Road Rules breach
  • Other

• Other Hazard

• Controls

• Controls

  Select A pre-start inspection is conducted Secure Loads and restrain within capacity limits Seatbelt is fastened Vehicle/mobile plant &pedestrian interaction are considered, defined controls implemented Driving is safe & within road& speed rules Mobile Phone, not to be handled. Hands free to be used.

  • A pre-start inspection is conducted
  • Secure Loads and restrain within capacity limits
  • Seatbelt is fastened
  • Vehicle/mobile plant &pedestrian interaction are considered, defined controls implemented
  • Driving is safe & within road& speed rules
  • Mobile Phone, not to be handled. Hands free to be used.

• Hazards

  Select Burst Electrocution or death Incorrect Isolation Cuts and abrasions Arcs Explosion Other

  • Burst
  • Electrocution or death
  • Incorrect Isolation
  • Cuts and abrasions
  • Arcs
  • Explosion
  • Other

• Controls

  Select Use AVDD Complete Permit SpotteR Test for dead and verify Risk assess the need to work live Assessments include arc flash hazards Rescue plan & training in place Lock Out Tag Out (LOTO) in place Crew advised of Isolations in place Verify isolation when done by client All other isolations verified Other

  • Use AVDD
  • Complete Permit
  • SpotteR
  • Test for dead and verify
  • Risk assess the need to work live
  • Assessments include arc flash hazards
  • Rescue plan & training in place
  • Lock Out Tag Out (LOTO) in place
  • Crew advised of Isolations in place
  • Verify isolation when done by client
  • All other isolations verified
  • Other

• Other Hazard

• Controls

• Hazards

  Select Fire & explosion Property damage Other

  • Fire & explosion
  • Property damage
  • Other

• Controls

  Select Risk assessment & permits in place Fire control systems available Trained personnel Other

  • Risk assessment & permits in place
  • Fire control systems available
  • Trained personnel
  • Other

• Other Hazard

• Other Controls

High Risk Construction Work Tasks

• Are you completing any of the following:

  Select No High Risk Construction Work On or adjacent to roadways or railways used by road or rail traffic At workplaces where there is any movement of powered mobile plant High Pressure jetting Involving a trench or shaft if the excavated depth is more than 1.5 metres Underground Services In an area that may have contaminated or flammable atmosphere On or near energised electrical installations or services Where there is a risk of a person falling more than 2 metres Involving a confined space Involving removal or likely disturbance of asbestos In an area where there are artificial extremes of temperature On or near pressurised gas distribution mains or piping On or near chemical, fuel or refrigerant lines Involving demolition Involving a tunnel In, over or adjacent to water or other liquids where there is a risk of drowning Structural alterations requiring temporary support to prevent collapse

  • No High Risk Construction Work
  • On or adjacent to roadways or railways used by road or rail traffic
  • At workplaces where there is any movement of powered mobile plant
  • High Pressure jetting
  • Involving a trench or shaft if the excavated depth is more than 1.5 metres
  • Underground Services
  • In an area that may have contaminated or flammable atmosphere
  • On or near energised electrical installations or services
  • Where there is a risk of a person falling more than 2 metres
  • Involving a confined space
  • Involving removal or likely disturbance of asbestos
  • In an area where there are artificial extremes of temperature
  • On or near pressurised gas distribution mains or piping
  • On or near chemical, fuel or refrigerant lines
  • Involving demolition
  • Involving a tunnel
  • In, over or adjacent to water or other liquids where there is a risk of drowning
  • Structural alterations requiring temporary support to prevent collapse

Where there is a risk of a person falling more than 2 metres

• HAZARDS - How could anyone be injured doing this task, what could go wrong?

  Select Risk of falling & dropped objects Unsecure work zones Other

  • Risk of falling & dropped objects
  • Unsecure work zones
  • Other

• Other hazards

• IDENTIFY THE CONTROL MEASURES - What do we need to do to protect ourselves or anyone else?

  Select Use of harness & lanyard systems Edge protection systems Ladders all footed & secured Barricading & signage in place Equipment is inspected & tagged Scaffold & plant inspected before use Rescue plan & training in place Workers trained & competent Other

  • Use of harness & lanyard systems
  • Edge protection systems
  • Ladders all footed & secured
  • Barricading & signage in place
  • Equipment is inspected & tagged
  • Scaffold & plant inspected before use
  • Rescue plan & training in place
  • Workers trained & competent
  • Other

• Other controls

On or near energised electrical installations or services

• HAZARDS - How could anyone be injured doing this task, what could go wrong?

  Select Electrocution Mains to Meter work Overhead Power Lines Isolation not in place Unlicensed workers Work on or near live electrical circuits Death, arc flash events Other

  • Electrocution
  • Mains to Meter work
  • Overhead Power Lines
  • Isolation not in place
  • Unlicensed workers
  • Work on or near live electrical circuits
  • Death, arc flash events
  • Other

• Other hazards

• IDENTIFY THE CONTROL MEASURES - What do we need to do to protect ourselves or anyone else?

  Select Use AVDD Complete Permit SpotteR Test for dead and verify Risk assess the need to work live Assessments include arc flash hazards Rescue plan & training in place Lock Out Tag Out (LOTO) in place Crew advised of Isolations in place Verify isolation when done by client All other isolations verified Other

  • Use AVDD
  • Complete Permit
  • SpotteR
  • Test for dead and verify
  • Risk assess the need to work live
  • Assessments include arc flash hazards
  • Rescue plan & training in place
  • Lock Out Tag Out (LOTO) in place
  • Crew advised of Isolations in place
  • Verify isolation when done by client
  • All other isolations verified
  • Other

• Other Controls

Involving a confined space

• HAZARDS - How could anyone be injured doing this task, what could go wrong?

  Select Contaminated atmospheres Engulfment & hazardous substances Fire & explosion Other

  • Contaminated atmospheres
  • Engulfment & hazardous substances
  • Fire & explosion
  • Other

• Other Hazards

• IDENTIFY THE CONTROL MEASURES - What do we need to do to protect ourselves or anyone else?

  Select Entry permit system in place Rescue equipment & training Atmosphere testing & monitoring Safe access & egress Isolation of energy sources Communication with worker Stand-by / spotter person Other

  • Entry permit system in place
  • Rescue equipment & training
  • Atmosphere testing & monitoring
  • Safe access & egress
  • Isolation of energy sources
  • Communication with worker
  • Stand-by / spotter person
  • Other

• Other Controls

• Is entry required?

  Yes

  No

• Contact CWW for Open and Close Times - 1800 057 981 or 9313 8499

• Manhole/asset number

• Called in time

  Date

• CWW staff members name

• Called out time

  Date

• CWW staff members name

• Please complete Confined Space Entry Permit in iAuditor before entry.

  

Involving removal or likely disturbance of asbestos

• HAZARDS - How could anyone be injured doing this task, what could go wrong?

  Select Loose fibres or dust Unsecure or broken sheeting No asbestos register on site Other

  • Loose fibres or dust
  • Unsecure or broken sheeting
  • No asbestos register on site
  • Other

• Other Hazards

• IDENTIFY THE CONTROL MEASURES - What do we need to do to protect ourselves or anyone else?

  Select AC / Silica Control Plan Up to date asbestos register Correct PPE available A/C double bagged Dust suppression and removal WorkCover Removal Notifications No pressure washer for asbestos Isolated work area Other

  • AC / Silica Control Plan
  • Up to date asbestos register
  • Correct PPE available
  • A/C double bagged
  • Dust suppression and removal
  • WorkCover Removal Notifications
  • No pressure washer for asbestos
  • Isolated work area
  • Other

• Other Controls

On or adjacent to roadways or railways used by road or rail traffic

• HAZARDS - How could anyone be injured doing this task, what could go wrong?

  Select Site situated on blind turn or where visibility is poor Site situated adjacent to high volume traffic Site situated adjacent to high speed traffic Site situated adjacent to busy public areas Clearance between workers and traffic less than 1.2 metres Clearance between workers and traffic between 1.2 to 3 metres Clearance between workers and traffic more than 3 metres Site situated adjacent to trains Other

  • Site situated on blind turn or where visibility is poor
  • Site situated adjacent to high volume traffic
  • Site situated adjacent to high speed traffic
  • Site situated adjacent to busy public areas
  • Clearance between workers and traffic less than 1.2 metres
  • Clearance between workers and traffic between 1.2 to 3 metres
  • Clearance between workers and traffic more than 3 metres
  • Site situated adjacent to trains
  • Other

• Other Hazards

  Yes

  No

• If rating is High: PFM or Contractor Traffic required.

• IDENTIFY THE CONTROL MEASURES - What do we need to do to protect ourselves or anyone else?

  Select PFM Traffic Control Subcontractor Traffic Control Road closure Lane closure adjacent to work area or traffic diversions Speed reduction Use of safety barriers Use of vehicle mounted attenuators Use of warning signs Use of electronic Variable Message Signs High visibility clothing for all workers Other measures

  • PFM Traffic Control
  • Subcontractor Traffic Control
  • Road closure
  • Lane closure adjacent to work area or traffic diversions
  • Speed reduction
  • Use of safety barriers
  • Use of vehicle mounted attenuators
  • Use of warning signs
  • Use of electronic Variable Message Signs
  • High visibility clothing for all workers
  • Other measures

• Other Control measures

At workplaces where there is any movement of powered mobile plant

• HAZARDS - How could anyone be injured doing this task, what could go wrong?

  Select Powerlines within 3 metres of plant design envelope Powerlines within 3 to 6.4 metres of plant design envelope Powerlines more than 6.4 metres of plant design envelope Overhead services Underground cavities Roll-over Other vehicles and plant Other

  • Powerlines within 3 metres of plant design envelope
  • Powerlines within 3 to 6.4 metres of plant design envelope
  • Powerlines more than 6.4 metres of plant design envelope
  • Overhead services
  • Underground cavities
  • Roll-over
  • Other vehicles and plant
  • Other

• Other Hazards

• NO GO ZONE

• ESV SPOTTER REQUIRED

• IDENTIFY THE CONTROL MEASURES - What do we need to do to protect ourselves or anyone else?

  Select ESV Spotter used Operator ticketed DBYD Pedestrian warning signs Site taped off Permit Other

  • ESV Spotter used
  • Operator ticketed
  • DBYD
  • Pedestrian warning signs
  • Site taped off
  • Permit
  • Other

• Other Controls

In an area that may have contaminated or flammable atmosphere

• HAZARDS - How could anyone be injured doing this task, what could go wrong?

  Select Fire & explosion Property damage Other

  • Fire & explosion
  • Property damage
  • Other

• Other Hazards

• IDENTIFY THE CONTROL MEASURES - What do we need to do to protect ourselves or anyone else?

  Select Risk assessment & permits in place Fire control systems available Trained personnel Other

  • Risk assessment & permits in place
  • Fire control systems available
  • Trained personnel
  • Other

• Other Controls

In an area where there are artificial extremes of temperature

• HAZARDS - How could anyone be injured doing this task, what could go wrong?

  Select Fatigue Loss of co-ordination Impaired decision making Heat stress/hypothermia Sunburn Other

  • Fatigue
  • Loss of co-ordination
  • Impaired decision making
  • Heat stress/hypothermia
  • Sunburn
  • Other

• Other Hazards

  Yes

  No

• IDENTIFY THE CONTROL MEASURES - What do we need to do to protect ourselves or anyone else?

  Select Drinking water is available. Appropriate PPE is available. Maximum personnel exposure periods can be observed. Work-rest and job rotation to minimise exposure. Other

  • Drinking water is available.
  • Appropriate PPE is available.
  • Maximum personnel exposure periods can be observed.
  • Work-rest and job rotation to minimise exposure.
  • Other

• Other Controls

  Yes

  No

On or near energised electrical installations or services

• HAZARDS - How could anyone be injured doing this task, what could go wrong?

  Select Electrocution Mains to Meter work Overhead Power Lines Isolation not in place Unlicensed workers Work on or near live electrical circuits Death, arc flash events Other

  • Electrocution
  • Mains to Meter work
  • Overhead Power Lines
  • Isolation not in place
  • Unlicensed workers
  • Work on or near live electrical circuits
  • Death, arc flash events
  • Other

• Other Hazards

• IDENTIFY THE CONTROL MEASURES - What do we need to do to protect ourselves or anyone else?

  Select Use AVDD Complete Permit SpotteR Test for dead and verify Risk assess the need to work live Assessments include arc flash hazards Rescue plan & training in place Lock Out Tag Out (LOTO) in place Crew advised of Isolations in place Verify isolation when done by client All other isolations verified Other

  • Use AVDD
  • Complete Permit
  • SpotteR
  • Test for dead and verify
  • Risk assess the need to work live
  • Assessments include arc flash hazards
  • Rescue plan & training in place
  • Lock Out Tag Out (LOTO) in place
  • Crew advised of Isolations in place
  • Verify isolation when done by client
  • All other isolations verified
  • Other

• Other Controls

Involving Demolition

• HAZARDS - How could anyone be injured doing this task, what could go wrong?

  Select Unstable structures Hazardous dusts Risk of collapse during demolition Other

  • Unstable structures
  • Hazardous dusts
  • Risk of collapse during demolition
  • Other

• Other Hazards

• IDENTIFY THE CONTROL MEASURES - What do we need to do to protect ourselves or anyone else?

  Select Hazardous materials identified Effective job planning in place Workers exclusion zones in place Interaction of plant & people managed Good housekeeping practices in place Other

  • Hazardous materials identified
  • Effective job planning in place
  • Workers exclusion zones in place
  • Interaction of plant & people managed
  • Good housekeeping practices in place
  • Other

• Other Controls

Involving a tunnel

• HAZARDS - How could anyone be injured doing this task, what could go wrong?

  Select Confined spaces with build-up of gas and fumes High water and mud inflow Falls from height Loss of lighting Noise Fire or explosion, flammable gases and vapours Falling objects Dust Other

  • Confined spaces with build-up of gas and fumes
  • High water and mud inflow
  • Falls from height
  • Loss of lighting
  • Noise
  • Fire or explosion, flammable gases and vapours
  • Falling objects
  • Dust
  • Other

• Other Hazards

• IDENTIFY THE CONTROL MEASURES - What do we need to do to protect ourselves or anyone else?

  Select PPE Supplemental lighting Fatigue management Barricading Signage Entry Permit system in place Other

  • PPE
  • Supplemental lighting
  • Fatigue management
  • Barricading
  • Signage
  • Entry Permit system in place
  • Other

• Other Controls

In, over or adjacent to water or other liquids where there is a risk of drowning

• HAZARDS - How could anyone be injured doing this task, what could go wrong?

  Select Drowning Loss of equipment Other

  • Drowning
  • Loss of equipment
  • Other

• Other Hazards

• IDENTIFY THE CONTROL MEASURES - What do we need to do to protect ourselves or anyone else?

  Select Personal flotation devices used/available Rescue plans & equipment in place Effective work planning Spotter Barricades Other

  • Personal flotation devices used/available
  • Rescue plans & equipment in place
  • Effective work planning
  • Spotter
  • Barricades
  • Other

• Other Controls

Structural alterations requiring temporary support to prevent collapse

• HAZARDS - How could anyone be injured doing this task, what could go wrong?

  Select Falling objects Collapse of structure Other

  • Falling objects
  • Collapse of structure
  • Other

• Other Hazards

• IDENTIFY THE CONTROL MEASURES - What do we need to do to protect ourselves or anyone else?

  Select PPE Exclusion zones if required Other

  • PPE
  • Exclusion zones if required
  • Other

• Other Controls

On or near chemical, fuel or refrigerant lines

• HAZARDS - How could anyone be injured doing this task, what could go wrong?

  Select Fire Explosion Rupture Other

  • Fire
  • Explosion
  • Rupture
  • Other

• Other Hazards

• IDENTIFY THE CONTROL MEASURES - What do we need to do to protect ourselves or anyone else?

  Select Isolation Service Authority contacted before works commence Hot Works Permit Mechanical ventilation Firefighting equipment PPE Other

  • Isolation
  • Service Authority contacted before works commence
  • Hot Works Permit
  • Mechanical ventilation
  • Firefighting equipment
  • PPE
  • Other

• Other Controls

Involving a trench or shaft if the excavated depth is more than 1.5 metres

• HAZARDS - How could anyone be injured doing this task, what could go wrong?

  Select Collapse of trench or pit Underground Services Fall from heights Excavation within 3 metres of tree Risk of flooding Contact with unknown energy source Other

  • Collapse of trench or pit
  • Underground Services
  • Fall from heights
  • Excavation within 3 metres of tree
  • Risk of flooding
  • Contact with unknown energy source
  • Other

• Other Hazards

• IDENTIFY THE CONTROL MEASURES - What do we need to do to protect ourselves or anyone else?

  Select Underground scanning Dial Before You Dig Restricted access to work area Shoring, benching and stepping of trenches over 1.5m Soldier sets Ladder access Spotter used for trench works Barriers Hydro or hand dig Consultation with Arborist Other

  • Underground scanning
  • Dial Before You Dig
  • Restricted access to work area
  • Shoring, benching and stepping of trenches over 1.5m
  • Soldier sets
  • Ladder access
  • Spotter used for trench works
  • Barriers
  • Hydro or hand dig
  • Consultation with Arborist
  • Other

• Other Controls

High Pressure Water Jetting (HPWJ)

• HAZARDS - How could anyone be injured doing this task, what could go wrong?

  Select Being struck by a water jet Unauthorised people coming into area Injuries caused by malfunctioning or out of control equipment Eye or face injuries from flying debris Other

  • Being struck by a water jet
  • Unauthorised people coming into area
  • Injuries caused by malfunctioning or out of control equipment
  • Eye or face injuries from flying debris
  • Other

• Other Hazards

• IDENTIFY THE CONTROL MEASURES - What do we need to do to protect ourselves or anyone else?

  Select SWMS/JSEA/SoPs/Medical Advice Card HPWJ PPE Using a leader hose Using tiger tails to protect HP hose Having access to sewer plans & DBYD Barriers to define work area Displaying HPWJ warning signs onsite Trained HPWJ Operators Other

  • SWMS/JSEA/SoPs/Medical Advice Card
  • HPWJ PPE
  • Using a leader hose
  • Using tiger tails to protect HP hose
  • Having access to sewer plans & DBYD
  • Barriers to define work area
  • Displaying HPWJ warning signs onsite
  • Trained HPWJ Operators
  • Other

• Other Controls

Underground Services

• HAZARDS - How could anyone be injured doing this task, what could go wrong?

  Select Excavation within 3 metres of tree Electricity within 2 metres of excavation Excavation 900mm deep within 1.5 metres of a power pole or stay wire Excavation 1.8 metres or deeper within 3 metres of a power or light pole or stay wire Gas Water Telecommunications High pressure gas or oil Other

  • Excavation within 3 metres of tree
  • Electricity within 2 metres of excavation
  • Excavation 900mm deep within 1.5 metres of a power pole or stay wire
  • Excavation 1.8 metres or deeper within 3 metres of a power or light pole or stay wire
  • Gas
  • Water
  • Telecommunications
  • High pressure gas or oil
  • Other

• Other Hazards

• PERMIT REQUIRED

• Permit required

• STOP WORK

• STOP WORK

• IDENTIFY THE CONTROL MEASURES - What do we need to do to protect ourselves or anyone else?

  Select All services marked DBYD Permit Hand dig Hydro excavation Consultation with Local Authority Tree Officer Other

  • All services marked
  • DBYD
  • Permit
  • Hand dig
  • Hydro excavation
  • Consultation with Local Authority Tree Officer
  • Other

• Other Controls

TASK STEPS

• TASK STEPS - Identify all steps in order of activity

Site Personnel (additional to person completing JSEA/SWMS)

• I have reviewed this SWMS/JSEA & agree with all job steps, hazards & control measures that will be implemented including daily review. (FULL NAME)

  Sign