TAKE 5 Fred Carey

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Name:

• Job Location:

• Date:

  Date

Focus on Critical Risks -- Safety Essentials

• Am I working with electricity?

  Yes

  No

• Is there a risk I could fall more than 2m?

  Yes

  No

• Is there a risk I could become fatigued whilst driving?

  Yes

  No

• Am I working in the vicinity of utility services?

  Yes

  No

• Am I completing excavation works or working in excavations or trenches deeper than 1.5m?

  Yes

  No

• Am I working in in the vicinity of vehicular traffic?

  Yes

  No

• Am I working in in or around mobile plant?

  Yes

  No

• Am I working in in a remote or isolated area?

  Yes

  No

• Am I performing heavy lifting using a crane or plant?

  Yes

  No

• Could I be exposed to asbestos?

  Yes

  No

• Am I working in a confined space?

  Yes

  No

• If you answered YES to any of the questions, you must have a completed and approved SWMS relevant to the activity.

• SWMS Ref.:

• Other hazards:

Hazard

• identify hazards not covered in the SWMS or if you answered NO to all the questions above and are not using a SWMS.

• Tick box if all hazards identified are covered by SWMS.

Identified Site Hazards

• Access & egress to site

• Asbestos

• Atmospheric contaminants

• Confined spaces

• Dangerous Goods / Hazardous Chemicals/Substances

• Demolition

• Electrical (equipment &/or installations – Power Lines)

• Excavations

• Falling Objects

• Falls – on same level

• Falls – from one level to another

• Flammable & combustible substances

• Formwork erection/dismantling

• Hazard Manual Tasks

• Lasers

• Lead

• Lifting/suspending equipment

• Lighting (Day / Night works)

• Mobile Plant

• Power tools

• Public

• Shaft or trench

• Temperature extremes

• Utilities (underground/ overhead services and electric lines - DBYD)

• Work near/over water

• Work Outdoors

• Young workers/Apprentices

• Hazardous process (i.e. welding)

• Hot Works

• High Risk Construction Work

Identified Environmental Hazards

• Air quality

• Bulk excavation/spoil

• Construction waste disposal

• Contaminated soil/water

• Dewatering/pump out

• Habitats (protected flora/fauna)

• Hazardous waste disposal / biological hazards

• Heritage & Archaeology

• Noise or vibration

• Noisy work (neighbourhood)

• Stormwater/sediment control

• Traffic & parking Inappropriate or incompatible storage of reactive or flammable chemicals or substances

• Uncontrolled discharge off-site of production wastes, particularly liquids

• Slurry or other discharges

• Spills of hazardous/toxic chemicals

• Assess and manage the risks - *Applicable Safe Work Instruction / Environmental Instruction.

Hazard

• Risk Rating:

• SWI / EL*

• Control Measures:

• Assess overall risk of the task being performed with the controls in place as noted above or in the SWMS to check they are effective at eliminating or minimizing risk to an acceptable level.

• Overall risk rating:

  Extreme

  Very High

  Moderate

  Low

• Is the risk at an acceptable level (moderate or low) to proceed?

  Yes

  No

• Contact your Supervisor to discuss alternative control measures. Reassess risk and control measures if planned work process or work conditions change.