TECSIDE group Job Hazard Identification

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• The purpose of this document is to document any changes in the work scope that was originally recorded in the Client Safety Assessment.

Placement Summary

• Job Classifications:

• Primary Contact Details:

• Work location & environment:

• Worksites (if applicable):

• Hours of Work:

• Required Qualifications/ Licenses & Experience:

• PPE requirements:

Job Hazards

• Please identify all workplace hazards TECSIDE workers will be exposed to:

• Physical Hazards

  Select Manual Handling over 20kg Manual Handling under 20kg Twisting Bending/stooping Reaching Jumping Shoveling/digging Sitting for long periods Repetitive hand/arm movements Standing for long periods Manipulating loads Other

  • Manual Handling over 20kg
  • Manual Handling under 20kg
  • Twisting
  • Bending/stooping
  • Reaching
  • Jumping
  • Shoveling/digging
  • Sitting for long periods
  • Repetitive hand/arm movements
  • Standing for long periods
  • Manipulating loads
  • Other

• Please list all other physical hazards:

• Environmental hazards

  Select Noisy Confined space Cold temperatures Working in hot environment Dusty Inclement weather Other

  • Noisy
  • Confined space
  • Cold temperatures
  • Working in hot environment
  • Dusty
  • Inclement weather
  • Other

• Please list all other environmental hazards:

• Equipment/Plant hazards

  Select Operation of machinery Driving vehicles/plant Night driving Hand tools - powered Hand tools - non powered Working around mobile plant/vehicles TECSIDE workers will not be working with or around any plant or equipment Other

  • Operation of machinery
  • Driving vehicles/plant
  • Night driving
  • Hand tools - powered
  • Hand tools - non powered
  • Working around mobile plant/vehicles
  • TECSIDE workers will not be working with or around any plant or equipment
  • Other

• Please list all other equipment/plant hazards:

• Hazardous Substances

  Select Working with chemicals Exposure to fumes, mists, dusts Working with infectious waste Working with caustics or corrosives TECSIDE workers will not be working with or around hazardous substances Other

  • Working with chemicals
  • Exposure to fumes, mists, dusts
  • Working with infectious waste
  • Working with caustics or corrosives
  • TECSIDE workers will not be working with or around hazardous substances
  • Other

• Please list all other hazardous substance hazards:

• High Risk Tasks

  Select Confined space Working at heights Hot works Scaffolding Abrasive blasting Rigging/Dogging Demolition Working with asbestos/lead Spray painting Electrical work Construction work Mining Excavation Foundry work TECSIDE workers will not be required to perform any high risk tasks Other

  • Confined space
  • Working at heights
  • Hot works
  • Scaffolding
  • Abrasive blasting
  • Rigging/Dogging
  • Demolition
  • Working with asbestos/lead
  • Spray painting
  • Electrical work
  • Construction work
  • Mining
  • Excavation
  • Foundry work
  • TECSIDE workers will not be required to perform any high risk tasks
  • Other

• Please list any other high risk tasks:

• Has all workplace hazards TECSIDE workers will be exposed to been identified in risk assessments & associated risks have been minimised as far as reasonably practicable by competent personnel?

  Yes

  No

• Are all hazards identified controlled by the same safety management system that was recorded in the Client Safety Assessment? (If No, then a new client safety assessment needs to be completed)

  Yes

  No

  N/A

• TECSIDE workers must be made aware of all known hazards before they start work.

• List any areas of concern that need to be addressed with the Client prior to the placement of labour. (include actions required, person responsible and completion date).

Safety Assessment Sign Off

• In the event that TECSIDE personnel are being moved to another site as part of the Client's workplace and/or the job changes, then TECSIDE must be informed. Client sign-off and acceptance of the assessment implies that the information provided at the time is current and valid.

• Client Representative Sign

  Sign

• TECSIDE Representative Sign

  Sign