Title Page
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Conducted on
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Prepared by
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Location
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DATE
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Location/Site
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WORK ORDER
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TEAM LEADER:
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WORK DESCRIPTION
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PERMITS REQUIRED
Stop – Step back and observe, Think – Through the tasks, Assess – Hazards, Pathway, Impact,
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Review – Document Findings, Talk – It through and complete the task
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Assess Hazard, Pathway, Impact – tick below if present and controlled
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Area has been checked and awareness raised regarding potential unstable ground / banks / hidden logs / holes / hills (traverse with care)
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All personal are trained and competent in the use of equipment (I.E Back sprays, Quick Spray Units, Steamers, hand held tools)
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Weather conditions considered, Hot, Mild, Cold, Wet, Humid, Wind Direction and Speed
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Cultural heritage, impacts to flora and fauna potential impacts reviewed
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Fire risk (fire suppression at hand)
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Weed burning (fire suppression at hand)
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Trees and Branches (Identify to team)
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Sharps (wear PPE and stay vigilant)
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Snakes / Animals (stay vigilant), particularly with hand weeding
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Communication method and devices available and easily accessible (I.E Radio, Phone)
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Correct PPE has been provided, is in good working order and shall be worn: (I.E. Hi-vis clothing, long/long, gloves, eye protection, respirator, safety foot wear, protective overalls etc. as required)
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Chemical spraying (signs at entrances)
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MSDS/SDSs available for chemical(s) in use
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Chemical spill kit available
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Manual handling: (I.E. Breaks rostered, backpacks fitted properly)
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Fatigue management processes in place if required (hot weather, highly physical etc.)
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Sufficient water available for personnel
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First Aid, Eye Wash and Snake Kit: Available and trained personnel
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Minor plant/equipment maintained and fit for purpose (e.g. chainsaw serviced and sharpened)
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Electrical equipment tested and tagged
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Log books completed on vehicles
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Potential impact to neighbours considered (I.E. Farms, Schools, Chemical Sensitivities of Neighbours
Public interest / information
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Coordination with agency personnel
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Coordination with subcontractors
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Pathogen on site? (wash down foot wear and plant/equipment with suitable fungicide)
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Weed seeds clothing and plant (Remove weed seeds when entering and leaving site, dispose of appropriately)
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Traffic management in place as per Traffic Management section
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First Aiders on site
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First Aid accredited Names
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Emergency Contact
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000
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Mobile Phone Communication:
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Emergency Muster Area:
Relevant SWMS
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TMF-8030-SA-0001 – Controlled Burning
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TMF-8030-SA-0026 – Feral Management – Aerial
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TMF-8030-SA-0027 – Feral Management - Ground
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TMF-8030-SA-0028 – Grader
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TMF-8030-SA-0029 – TEREX
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TMF-8030-SA-0030 – Tower
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TMF-8030-SA-0031 – Tractor
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TMF-8030-SA-0032 – Vegetation Management
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TMF-8030-SA-0033 – Weed and Feral Animal Monitoring
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Review Are there any other hazards?
ISSUE / HAZARD RAISED
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ACTION TO BE TAKEN (control measure)
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Talk – It through: I have reviewed the task and I’m ready to start.
Traffic Management
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Map Reference:
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Type of Road:
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Traffic speed (Posted speed limit):
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Clearance between workers and traffic:
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Checked the signs are visible to drivers
NEAREST MEDICAL FACILITY
HMAS Cerberus
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Frankston Hospital- 2 Hastings Road, Frankston, VIC 3199 PH: (03) 9784 7777
Monegeetta Proving Grounds
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Sunbury Day Hospital7 Macedon Street, Sunbury VIC 3429(03) 9732 8600
Puckapunyal Military Area
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Seymour District Memorial Hospital - 1 Bretonneux Street, Seymour VIC 3717(03) 5793 6100
RAAF East Sale and Dutson
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Gippsland Base HospitalGuthridge Parade, Sale VIC 3850(03) 5143 8600
RAAF Williams; Point Cook and Laverton
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Werribee Mercy Hospital300-310 Princes Highway, Werribee VIC 3030 <br> PH:(03) 8754 3000
Simpson Barracks
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Austin Hospital-145 Studley Road, Heidelberg VIC 3084 PH:(03) 9496 5000
Bradshaw Field Training Area
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Kununurra District Hospital- 96 Coolibah Drive, Kununurra, WA 6743(08) 9166 4222
Delamere and RAAF Tindal
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Katherine HospitalLOT 1939 Gorge Road, Katherine, NT 0850(08) 8973 9211
RAAF Darwin, Robertson Barracks, Mt Bundey Training Area, Kangaroo Flats, and Shoal Bay
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Royal Darwin Hospital- 105 Rocklands Drive, Tiwi, NT 0810(08) 8922 8888
Derwent Barracks and Fort Direction
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Royal Hobart Hospital- 48 Liverpool Street, Hobart TAS 7000(03) 6166 8308
Stonyhead Training Area
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George Town District Hospital47 Anne Street, George Town, TAS 7253 PH:(03) 6702 6020
TO BE SIGNED OFF BY ALL STAFF ON SITE
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