Title Page
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JDA Site?
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Site Name
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Site Name
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Site Location / Site Code / Site ID
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Company
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Location
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Prepared By
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Date
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Weather Forecast / Conditions
- Sunny
- Cloudy
- Windy
- Showers
- Rainy
- Stormy
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Work Area
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Work Activity
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SWMS or SSSP Reference + Serials
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Job Leader / Supervisor
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First Aiders
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Select planned site risk work activities for today
- ATC/Airstrips
- Traffic
- Weather
- Working near power lines
- Structures around fly area
- Remote site
- Topography
- Working alone
- Radiation (sun)
- Dehydration
- Slip / Trip
- Moving equipment
- Visibility
- Pedestrians & Public
- Risk of falling objects
- Producing noise
- Manual handling
- Risk of RF exposure
Access Track
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Type of Access Track
- 2WD - Track
- 2WD - Unformed Track
- 4WD - Track
- 4WD - Unformed Track
- Foot Patch Only
- No Track at all
- Quad bike - Track
- Quad bike - Unformed Track
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Photo of Access Track
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Is the vehicle suitable for the track?
Hazards
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To add additional hazards click "+"
Identified Hazards
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Identified Hazard
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Identified Control
Toolbox Talk
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Is it 'safe' or are there any current and future critical 'at risk' activities on site?
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Discuss and enter critical risk activities on site and how they will be controlled:
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Are there any issues raised by workers concerning health and safety?
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Enter any at risk issues raised by workers:
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Have the current Hazard and Risk Registers, Safe working method statements been reviewed
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Explain why not?
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Discuss and enter any 'lessons learnt' from previous incidents likely to be applicable for this site/work
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Are there any RF hazards on site?
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Identify the RF hazards on site
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Request NOC to lock down antennas
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Physically disconnect radio units or power off to prevent being unlocked
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Use RadMan (or similar) to monitor RF levels
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Will I be working in the area or passing through the area where occupational radiation exposure levels might be exceeded?
General Items / Activity Checklist
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Is there a SWMS / JSA in place for all specific activities commencing today?
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Are all site-specific permits filled out for today's activities? (Hot work, roof access working at heights, access etc.)
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Are all other trades/public notified of relevant activities in their area?
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Are all exclusions zones and visual barriers erected and maintained? (High risk activities near public/public places need an exclusion zone)
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Assessment of work area(s) complete?
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Work area(s) safe to commence work?
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Workers adequately trained to complete the required tasks?
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All workers have suitable PPE for required tasks?
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Weather conditions appropriate for commencement of works?
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All workers instructed in relation to today's work requirements?
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All workers signed on to Pre-Start / Toolbox form?
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Comments
Survey Specific
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Is the land owner on-site or have consented to the site visit?
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Has everyone including the land owner consented to the drone operation
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Has the flight been logged with Airshare and authorized?
Additional Discussion Items
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Rescue Plan
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Rescue Kit Location
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Emergencies and Evacuation
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Pre-Start Checks
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Tools & Equipment
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First Aid Kit Location
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PPE
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Fire Extinguisher Location
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Weather Factors
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Communication Methods
Comments
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Comments - Feedback - Outstanding Issues
End of Day Sign Off
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To add additional attendees click "+"
Attendee
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Name
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Company
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Date
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Signature
