Title Page
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Site/WO#:
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Date:
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Person Undertaking TLRA:
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002 - Contractor Management
- Additional Hazards Identified
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Task Step
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Hazard
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Controls
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Residual Risk
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Supervisor Notified?
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003 - Intercoms
- Additional Hazards Identified
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Task Step
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Hazard
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Controls
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Residual Risk
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Supervisor Notified?
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004 - Secure Entrance
- Additional Hazards Identified
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Task Step
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Hazard
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Controls
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Residual Risk
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Supervisor Notified?
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005 - External Cameras Using EWP
- Additional Hazards Identified
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Task Step
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Hazard
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Controls
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Residual Risk
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Supervisor Notified?
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006 - Perimeter Fence
- Additional Hazards Identified
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Task Step
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Hazard
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Controls
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Residual Risk
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Supervisor Notified?
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007 - Internal Cameras
- Additional Hazards Identified
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Task Step
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Hazard
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Controls
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Residual Risk
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Supervisor Notified?
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008 - Security Management Systems
- Additional Hazards Identified
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Task Step
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Hazard
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Controls
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Residual Risk
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Supervisor Notified?
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009 - X-Ray & Trace Detection
- Additional Hazards Identified
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Task Step
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Hazard
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Controls
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Residual Risk
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Supervisor Notified?
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010 - BMS
- Additional Hazards Identified
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Task Step
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Hazard
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Controls
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Residual Risk
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Supervisor Notified?
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012 - Soldering Station
- Additional Hazards Identified
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Task Step
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Hazard
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Controls
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Residual Risk
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Supervisor Notified?
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013 - Locks
- Additional Hazards Identified
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Task Step
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Hazard
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Controls
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Residual Risk
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Supervisor Notified?
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014 - UPS
- Additional Hazards Identified
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Task Step
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Hazard
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Controls
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Residual Risk
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Supervisor Notified?
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015 - Gates
- Additional Hazards Identified
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Task Step
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Hazard
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Controls
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Residual Risk
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Supervisor Notified?
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016 - GDS Testing Using Torso and Extension Pole
- Additional Hazards Identified
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Task Step
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Hazard
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Controls
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Residual Risk
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Supervisor Notified?
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020 - General Fault Finding
- Additional Hazards Identified
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Task Step
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Hazard
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Controls
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Residual Risk
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Supervisor Notified?
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021 - COVID-19
- Additional Hazards Identified
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Task Step
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Hazard
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Controls
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Residual Risk
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Supervisor Notified?
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024 - Management of Crystalline Silica Dust Exposure
- Additional Hazards Identified
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Task Step
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Hazard
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Controls
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Residual Risk
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Supervisor Notified?
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Lock Out Tag Out Required
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Person 1
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Person 2
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Person 3
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Person 4
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Person 5
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Time works commenced?
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Time works Completed?
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Nominated PIC: (Person In Charge)
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Plant Re-Energised Correctly?
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High Risk Works Permit Required?
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Permit Number:
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Completed By: