Top Installs Risk Assessment V.1

• Top install General Risk Assessment

• Conducted on

  Date

• Document No.

• Top installs Expectations:
  
  It is a WHS requirement that a Risk Assessment is completed for every task, this is done before a job is started.
  This will be separate to any site specific inductions that may be required.
  The subcontractor will complete the audit in full and all evidence that is collected such as photos and comments made by customers will be documented.
  

• What are your obligations under WHS Legislation / Policy?
  
  Under WHS Legislation, as a subcontractor working for Top Installs you are considered a worker, but you may also be considered as an employer / PCBU (person conducting a business or undertaking) if you are engaging others to perform work for you. As such, under WHS Legislation and Top installs WHS Policy you may have more than one “primary duty of care”:
  • As a worker, your primary duty of care is to take reasonable care for your own health and safety and that of others who may be affected by you actions; to comply with any reasonable instruction given by Top installs to comply with WHS laws; and to cooperate with any reasonable Top Installs policy or procedure relating to WHS.
  • As an employer/PCBU your specific obligations regarding your duty of care also include to ensure, the health and safety of workers you have engaged to perform work, including the provision of a safe working environment, safe plant and structures, safe systems of work, workplace monitoring, information, training, instruction, supervision, safe use, handling and storage of plant structures and substances, and facilities for workers welfare.
  

• Any hazards that cause a residual risk rating of high or extreme (Per the Risk Calculator in the WHS Procedures Manual must be reported to Top Installs immediately prior to commencing work. Top Installs will then advise of the control measures that may be used, or an alternative method of work, or may close off the job until the identified hazard can be appropriately controlled. (Tick the box agreeing to this statement)

• A copy of the completed Risk Assessment must be emailed to Top Installs on completion of this job. gcquirk@gmail.com (Tick the box agreeing to this statement)

• Sign here to agree to the above conditions:

  Sign

Customer Details

• Work Order

• Customer Name

• Type Address or Press Locate
  Address

• State

  Select QLD NSW VIC WA SA NT TAS ACT

  • QLD
  • NSW
  • VIC
  • WA
  • SA
  • NT
  • TAS
  • ACT

• Date

  Date

General Safety

• Have you consulted with the on site contact and gained consent for the proposed work to be carried out.

  Yes

  No

• Explain why on site contact was not consulted?

• Do you have a copy of the SWMS and MSDS forms available on your tablet or a hard copy in your vehicle

  Yes

  No

• Please contact Gary to download a copy to your tablet

• Is the SWMS reflected in the work practice

  Yes

  No

• Why was the SWMS not reflected in your work practice?

• Will a Risk Assessment be carried out before you start the Inspection?

  Yes

  No

• Explain why a Risk Assessment was not carried out?

• Were you required to complete a Site Specific Induction

  Yes

  N/A

• Explain why a Site Specific Induction was not required?

  Select Did Not Access Roof Roof is safe to work on without using a Harness Used permanent Roof Anchor Site Specific Induction was not required Ladder was not required on this site

  • Did Not Access Roof
  • Roof is safe to work on without using a Harness
  • Used permanent Roof Anchor
  • Site Specific Induction was not required
  • Ladder was not required on this site

• Were all safety procedures followed

  Yes

  No

• Explain why some safety procedures were not followed?

• Will you use Safety Barriers to create an Exclusion Zone around the area you are working?

  Yes

  N/A

• Explain why you did not use any Safety Barriers to create an Exclusion Zone in the area you are working?

• Do you have a Fire Extinguisher in your vehicle?

  Yes

  No

• It is a mandatory WHS policy to carry a Fire Extinguisher in your vehicle, Gary Quirk will follow up to ensure you carry one in your vehicle.

• Do you have all necessary PPE to do the proposed work safely

  Yes

  No

• You must stop work until you have the correct PPE.

• Do you have a First Aid Kit in your vehicle?

  Yes

  No

• It is a mandatory WHS policy to carry a First Aid Kit in your vehicle, Gary Quirk will follow up to ensure you carry one in your vehicle.

• Photo of Exclusion Zone (Mandatory)

  Media

Height Safety

• Will you wear a Harness on this site?

  Yes

  N/A

• Select Response why Harness not used

  Select Did Not Access Roof Roof is safe to work on without using a Harness Used permanent Roof Anchor Site Specific Induction was not required Ladder was not required on this site

  • Did Not Access Roof
  • Roof is safe to work on without using a Harness
  • Used permanent Roof Anchor
  • Site Specific Induction was not required
  • Ladder was not required on this site

• Will an Anchor point be used?

  Yes

  N/A

• Select why an Anchor Point was not used?

  Select Did Not Access Roof Roof is safe to work on without using a Harness Used permanent Roof Anchor Site Specific Induction was not required Ladder was not required on this site

  • Did Not Access Roof
  • Roof is safe to work on without using a Harness
  • Used permanent Roof Anchor
  • Site Specific Induction was not required
  • Ladder was not required on this site

• Will a Safety Rope be used?

  Yes

  N/A

• Select why a Safety Rope was not used?

  Select Did Not Access Roof Roof is safe to work on without using a Harness Used permanent Roof Anchor Site Specific Induction was not required Ladder was not required on this site

  • Did Not Access Roof
  • Roof is safe to work on without using a Harness
  • Used permanent Roof Anchor
  • Site Specific Induction was not required
  • Ladder was not required on this site

• Photo of Anchor point (Mandatory)

  Media

• Has your Harness been inspected in the last 6 months

  Yes

  No

• Have your Harness inspected at your local Safety Shop

Ladder Safety

• Is your Harness in good condition

  Good

  Fair

  Poor

• Have your Harness inspected at your local Safety Shop

• Will your Ladder be secured?

  Yes

  N/A

• Select response why your Ladder is not secured?

  Select Did Not Access Roof Roof is safe to work on without using a Harness Used permanent Roof Anchor Site Specific Induction was not required Ladder was not required on this site

  • Did Not Access Roof
  • Roof is safe to work on without using a Harness
  • Used permanent Roof Anchor
  • Site Specific Induction was not required
  • Ladder was not required on this site

• Will your Ladder extend 900mm past the landing

  Yes

  N/A

• Select response why The Ladder did not extend 900mm past the landing?

  Select Did Not Access Roof Roof is safe to work on without using a Harness Used permanent Roof Anchor Site Specific Induction was not required Ladder was not required on this site

  • Did Not Access Roof
  • Roof is safe to work on without using a Harness
  • Used permanent Roof Anchor
  • Site Specific Induction was not required
  • Ladder was not required on this site

• Will you have 3 points of contact while using your Ladder?

  Yes

  N/A

• Why did you not have 3 points of contact?

  Select Did Not Access Roof Roof is safe to work on without using a Harness Used permanent Roof Anchor Site Specific Induction was not required Ladder was not required on this site

  • Did Not Access Roof
  • Roof is safe to work on without using a Harness
  • Used permanent Roof Anchor
  • Site Specific Induction was not required
  • Ladder was not required on this site

• Is your Ladder appropriate for the task?

  Yes

  N/A

• Why was your Ladder not correct for the task?

  Select Did Not Access Roof Roof is safe to work on without using a Harness Used permanent Roof Anchor Site Specific Induction was not required Ladder was not required on this site

  • Did Not Access Roof
  • Roof is safe to work on without using a Harness
  • Used permanent Roof Anchor
  • Site Specific Induction was not required
  • Ladder was not required on this site

• Is your Ladder in good condition?

  Good

  Fair

  Poor

• Have your ladder inspected at your local Safety Shop

• Photo of your Ladder secured (Mandatory)

  Media

Electrical Safety

• We're Power Tools Used

  Yes

  N/A

• Was an RCD used

  Yes

  N/A

• Was the power box locked out

  Yes

  N/A

Photos (Tick you have taken all mandatory photos)

• Photo of Anchor Point

  Yes

  N/A

• Photo of Ladder Secured

  Yes

  N/A

• Photo of Barrier or Exclusion Zone

  Yes

  N/A

• Have you Submitted all Required Photos

At Completion of Job

• Has the customer signed the completed work order

  Yes

  No

• Why has the customer not signed the work order?

• Have you left the worksite in an appropriate condition free from hazards and risks? (Clean up, tools put away, housekeeping ect)

  Yes

  No

• List the hazards you have created and what you have done to leave the site safe?

Sign-Off

• Subcontractor Signature

  Sign