Title Page

  • Conducted on

  • Prepared by

  • Location
  • DATE

  • Location/Site

  • WORK ORDER

  • TEAM LEADER:

  • WORK DESCRIPTION

  • PERMITS REQUIRED

Stop – Step back and observe, Think – Through the tasks, Assess – Hazards, Pathway, Impact,

  • Review – Document Findings, Talk – It through and complete the task

  • Assess Hazard, Pathway, Impact – tick below if present and controlled

  • Area has been checked and awareness raised regarding potential unstable ground / banks / hidden logs / holes / hills (traverse with care)

  • All personal are trained and competent in the use of equipment (I.E Back sprays, Quick Spray Units, Steamers, hand held tools)

  • Weather conditions considered, Hot, Mild, Cold, Wet, Humid, Wind Direction and Speed

  • Cultural heritage, impacts to flora and fauna potential impacts reviewed

  • Fire risk (fire suppression at hand)

  • Weed burning (fire suppression at hand)

  • Trees and Branches (Identify to team)

  • Sharps (wear PPE and stay vigilant)

  • Snakes / Animals (stay vigilant), particularly with hand weeding

  • Communication method and devices available and easily accessible (I.E Radio, Phone)

  • 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)

  • Chemical spraying (signs at entrances)

  • MSDS/SDSs available for chemical(s) in use

  • Chemical spill kit available

  • Manual handling: (I.E. Breaks rostered, backpacks fitted properly)

  • Fatigue management processes in place if required (hot weather, highly physical etc.)

  • Sufficient water available for personnel

  • First Aid, Eye Wash and Snake Kit: Available and trained personnel

  • Minor plant/equipment maintained and fit for purpose (e.g. chainsaw serviced and sharpened)

  • Electrical equipment tested and tagged

  • Log books completed on vehicles

  • Potential impact to neighbours considered (I.E. Farms, Schools, Chemical Sensitivities of Neighbours

Public interest / information

  • Coordination with agency personnel

  • Coordination with subcontractors

  • Pathogen on site? (wash down foot wear and plant/equipment with suitable fungicide)

  • Weed seeds clothing and plant (Remove weed seeds when entering and leaving site, dispose of appropriately)

  • Traffic management in place as per Traffic Management section

  • First Aiders on site

  • First Aid accredited Names

  • Emergency Contact

  • 000

  • Mobile Phone Communication:

  • Emergency Muster Area:

Relevant SWMS

  • TMF-8030-SA-0001 – Controlled Burning

  • TMF-8030-SA-0026 – Feral Management – Aerial

  • TMF-8030-SA-0027 – Feral Management - Ground

  • TMF-8030-SA-0028 – Grader

  • TMF-8030-SA-0029 – TEREX

  • TMF-8030-SA-0030 – Tower

  • TMF-8030-SA-0031 – Tractor

  • TMF-8030-SA-0032 – Vegetation Management

  • TMF-8030-SA-0033 – Weed and Feral Animal Monitoring

  • Review Are there any other hazards?

ISSUE / HAZARD RAISED

  • ACTION TO BE TAKEN (control measure)

  • Talk – It through: I have reviewed the task and I’m ready to start.

Traffic Management

  • Map Reference:

  • Type of Road:

  • Traffic speed (Posted speed limit):

  • Clearance between workers and traffic:

  • Checked the signs are visible to drivers

NEAREST MEDICAL FACILITY

HMAS Cerberus

  • Frankston Hospital- 2 Hastings Road, Frankston, VIC 3199 PH: (03) 9784 7777

Monegeetta Proving Grounds

  • Sunbury Day Hospital7 Macedon Street, Sunbury VIC 3429(03) 9732 8600

Puckapunyal Military Area

  • Seymour District Memorial Hospital - 1 Bretonneux Street, Seymour VIC 3717(03) 5793 6100

RAAF East Sale and Dutson

  • Gippsland Base HospitalGuthridge Parade, Sale VIC 3850(03) 5143 8600

RAAF Williams; Point Cook and Laverton

  • Werribee Mercy Hospital300-310 Princes Highway, Werribee VIC 3030 <br> PH:(03) 8754 3000

Simpson Barracks

  • Austin Hospital-145 Studley Road, Heidelberg VIC 3084 PH:(03) 9496 5000

Bradshaw Field Training Area

  • Kununurra District Hospital- 96 Coolibah Drive, Kununurra, WA 6743(08) 9166 4222

Delamere and RAAF Tindal

  • Katherine HospitalLOT 1939 Gorge Road, Katherine, NT 0850(08) 8973 9211

RAAF Darwin, Robertson Barracks, Mt Bundey Training Area, Kangaroo Flats, and Shoal Bay

  • Royal Darwin Hospital- 105 Rocklands Drive, Tiwi, NT 0810(08) 8922 8888

Derwent Barracks and Fort Direction

  • Royal Hobart Hospital- 48 Liverpool Street, Hobart TAS 7000(03) 6166 8308

Stonyhead Training Area

  • 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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The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.