Tasman Power Drowning CCFV

• Site conducted

• Date and Time

  Date

• Task

• Work Location

• Conducted on

• Prepared by

Flotation Devices

• 1. Has the team included the use of flotation devices in pre task hazard<br>assessment or procedure for this task?

  Yes

  No

  N/A

• 2. Are flotation devices available to personnel at the location of the work?

  Yes

  No

  N/A

• 3. Has the team inspected the flotation device/s prior to use? Check<br>integrity, condition, damage, in test/date etc.

  Yes

  No

  N/A

• 4. Are people that are at risk of accidental immersion (e.g. working over<br>water) wearing the appropriate flotation device(s)?

  Yes

  No

  N/A

Rescue Planning

• 5. Has the team read and understood the rescue plan for accidental<br>immersion/drowning that’s relevant to the task?<br>

  Yes

  No

  N/A

• 6. Are all team members aware of their role/s in conducting a rescue?

  Yes

  No

  N/A

• 7. Is there the capacity and equipment for self or assisted rescue at the job<br>location? e.g. PFD's, Life Rings, Life Lines, Ladders, Rescue Craft/vessels

  Yes

  No

  N/A

• 8. Has the team completed the pre-start checks for the necessary safety<br>equipment? e.g. PFD's, Life Rings, Life Lines, Ladders, Rescue Craft/vessels

  Yes

  No

  N/A

• 9. Where there is a requirement for a spotter - is the spotter in place and<br>monitoring the work?

  Yes

  No

  N/A

Work Planning

• 10. Is the team aware of the site's documented controls for working<br>on/near water relevant to the task?

  Yes

  No

  N/A

• 12. Has the team considered all environmental conditions that could be<br>encountered during the task? (E.g. wind, rain, ice, tides, swell, swollen rivers/creek crossings,<br>temperature, visibility)

  Yes

  No

  N/A

• 13. Does the team know what environmental conditions that trigger stop<br>work?

  Yes

  No

  N/A