TreeWorks Risky

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Select date

  Date
• Location
  Address

Crew Specifics

• Crew Leader

  Select Aaron Hogan Andy Pratt Christine Rampling Josh Micallef Travis Fairbanks Tony Bell Scott Pollock Tejinder Singh Cathal Breslin Inigo Dean Russell Wright Elih Brugman

  • Aaron Hogan
  • Andy Pratt
  • Christine Rampling
  • Josh Micallef
  • Travis Fairbanks
  • Tony Bell
  • Scott Pollock
  • Tejinder Singh
  • Cathal Breslin
  • Inigo Dean
  • Russell Wright
  • Elih Brugman

• First aid officer

  Select Aaron Hogan Andy Pratt Christine Rampling Josh Micallef Travis Fairbanks Tony Bell Scott Pollock Tejinder Singh Cathal Breslin Inigo Dean Russell Wright Elih Brugman

  • Aaron Hogan
  • Andy Pratt
  • Christine Rampling
  • Josh Micallef
  • Travis Fairbanks
  • Tony Bell
  • Scott Pollock
  • Tejinder Singh
  • Cathal Breslin
  • Inigo Dean
  • Russell Wright
  • Elih Brugman

• Applicable safe work method statements

  Select TC1 TC2 TC3 TC4 TC5 TC6 TC7 TC8 TC9 TC10 TC11 TC12 TC13 TC14 TC15 TC16 TC17 TC18 TC19 TC20 TC21 TC22 TC23 TC24 TC25 TC26

  • TC1
  • TC2
  • TC3
  • TC4
  • TC5
  • TC6
  • TC7
  • TC8
  • TC9
  • TC10
  • TC11
  • TC12
  • TC13
  • TC14
  • TC15
  • TC16
  • TC17
  • TC18
  • TC19
  • TC20
  • TC21
  • TC22
  • TC23
  • TC24
  • TC25
  • TC26

• Certified operators

• Barricading

• Manual handling

• Public traffic

• Electrical services and equipment

• Power poles

• Trees near wires

• Relevant PPE

• Work at heights

• Sun/skin protection

• Environmental protection

• Plant and equipment in area

• Underground services

• Chemical use

• Public protection

• Traffic controllers

• Uneven ground

• Loading/unloading materials

• Refuelling

• Clothes line

• Evacuation procedure

• Location of first aid kit

• Risk 1

• Risk prior

• Control measures

• Risk after

• Risk 2

• Risk prior

• Control measures

• Risk after

• Risk 3

• Risk prior

• Control measures

• Risk after

• Risk 4

• Risk prior

• Control measures

• Risk after

• Risk 5

• Risk prior

• Control measures

• Risk after

• Risk 6

• Risk prior

• Control measures

• Risk after

• Risk 7

• Risk prior

• Control measures

• Risk after

• Risk 8

• Risk prior

• Control measures

• Risk after

• Risk 9

• Risk prior

• Control measures

• Risk after

• Risk 10

• Risk prior

• Control measures

• Risk after

• Tennant contacted/Appointment made

• Adequate tools on hand

• All PPE available

• ID required and worn

• Tools and equipment in good condition

• Energy sources isolated

• Impact on neighbours/notified

• Non conformance (or first aid supplies used)

• EMERGENCY CONTACTS - POLICE / AMBULANCE / FIRE - DIAL 000

• CLOSEST HOSPITAL EMERGENCY DEPARTMENT

• South side Canberra hospital Yamba drive GARREN 6201 6111

• North side Calvary hospital Mary potter circuit BRUCE 6201 6111

• Queanbeyan region Queanbeyan district hospital Collet street QUEANBEYAN 6298 9211

• ELECTRICITY EMERGENCY CONTACTS

• ACT Actew AGL 13 10 93

• NSW Essential energy 13 20 80

• GAS EMERGENCY CONTACTS

• ACT Actew AGL 13 19 09

• NSW Essential energy 13 20 80

• ATTENDEES

• Select Aaron Hogan Andy Pratt Christine Rampling Josh Micallef Travis Fairbanks Tony Bell Scott Pollock Tejinder Singh Cathal Breslin Inigo Dean Russell Wright Elih Brugman

  • Aaron Hogan
  • Andy Pratt
  • Christine Rampling
  • Josh Micallef
  • Travis Fairbanks
  • Tony Bell
  • Scott Pollock
  • Tejinder Singh
  • Cathal Breslin
  • Inigo Dean
  • Russell Wright
  • Elih Brugman

• Add signature

  Sign

• Select Aaron Hogan Andy Pratt Christine Rampling Josh Micallef Travis Fairbanks Tony Bell Scott Pollock Tejinder Singh Cathal Breslin Inigo Dean Russell Wright Elih Brugman

  • Aaron Hogan
  • Andy Pratt
  • Christine Rampling
  • Josh Micallef
  • Travis Fairbanks
  • Tony Bell
  • Scott Pollock
  • Tejinder Singh
  • Cathal Breslin
  • Inigo Dean
  • Russell Wright
  • Elih Brugman

• Add signature

  Sign

• Select Aaron Hogan Andy Pratt Christine Rampling Josh Micallef Travis Fairbanks Tony Bell Scott Pollock Tejinder Singh Cathal Breslin Inigo Dean Russell Wright Elih Brugman

  • Aaron Hogan
  • Andy Pratt
  • Christine Rampling
  • Josh Micallef
  • Travis Fairbanks
  • Tony Bell
  • Scott Pollock
  • Tejinder Singh
  • Cathal Breslin
  • Inigo Dean
  • Russell Wright
  • Elih Brugman

• Add signature

  Sign

• Select Aaron Hogan Andy Pratt Christine Rampling Josh Micallef Travis Fairbanks Tony Bell Scott Pollock Tejinder Singh Cathal Breslin Inigo Dean Russell Wright Elih Brugman

  • Aaron Hogan
  • Andy Pratt
  • Christine Rampling
  • Josh Micallef
  • Travis Fairbanks
  • Tony Bell
  • Scott Pollock
  • Tejinder Singh
  • Cathal Breslin
  • Inigo Dean
  • Russell Wright
  • Elih Brugman

• Add signature

  Sign

• Select Aaron Hogan Andy Pratt Christine Rampling Josh Micallef Travis Fairbanks Tony Bell Scott Pollock Tejinder Singh Cathal Breslin Inigo Dean Russell Wright Elih Brugman

  • Aaron Hogan
  • Andy Pratt
  • Christine Rampling
  • Josh Micallef
  • Travis Fairbanks
  • Tony Bell
  • Scott Pollock
  • Tejinder Singh
  • Cathal Breslin
  • Inigo Dean
  • Russell Wright
  • Elih Brugman

• Add signature

  Sign

• All safe work method statements for the above listed activities have been communicated to the work force involved; They have signed and understood that the works will be carried out in the manner stated

• Select Aaron Hogan Andy Pratt Christine Rampling Josh Micallef Travis Fairbanks Tony Bell Scott Pollock Tejinder Singh Cathal Breslin Inigo Dean Russell Wright Elih Brugman

  • Aaron Hogan
  • Andy Pratt
  • Christine Rampling
  • Josh Micallef
  • Travis Fairbanks
  • Tony Bell
  • Scott Pollock
  • Tejinder Singh
  • Cathal Breslin
  • Inigo Dean
  • Russell Wright
  • Elih Brugman

• Add signature

  Sign

• Select date

  Date