TSAW - JSEA - WA 1.1

• Audit Title

• Document Number

Address

• Address
  Address

If working alone, monitoring control to be:

• Working Alone Controls

  A (Accompanied)

  B (Welfare Monitor)

  C (Man Down)

  D (Check In)

  E (Not Required)

SWMS Applicable

• Select the SWMS Relevant to the task

  Select SWMS/006 - Working on or Near LIVE Elect Equip SWMS/008(WA) - Working on or in the Vicinity of Live Electrical Equipment

  • SWMS/006 - Working on or Near LIVE Elect Equip
  • SWMS/008(WA) - Working on or in the Vicinity of Live Electrical Equipment

COES Sighted

• Has a COES been made available and sighted? (If Applicable)

  Yes

  No

  N/A

General Hazard(s) Identified (Tick if applicable)

• Working with live equipment

• Trips, slips & falls

• Restricted (site) access

• Inclement weather

• Other 1 - General Hazards Identified (Tick is applicable)

  Select Lighting Traffic Hazard Assessment Public Area Clearances Dangerous/Hazardous Materials Limits of Approach Manual Handling Non Restrained Animals Sharp Objects Falls From Holes Not Safe with Single Man Customer acting in threatening or dangerous manor Unsafe worksite or area Parking Congestion

  • Lighting
  • Traffic Hazard Assessment
  • Public Area Clearances
  • Dangerous/Hazardous Materials
  • Limits of Approach
  • Manual Handling
  • Non Restrained Animals
  • Sharp Objects
  • Falls From Holes
  • Not Safe with Single Man
  • Customer acting in threatening or dangerous manor
  • Unsafe worksite or area
  • Parking Congestion

General Hazard Control Measures

• Visual inspection

• Clear access obtained

• Full PPE in serviceable condition - Reflective Vest + LV Gloves + Eye Protection

• Other 1 - General Hazard Control Measures

  Select Spotlight or Torch Signs/Labels/Tags/Barriers Ladder and/or LV Sticks Housekeeping Fire Extinguisher First Aid Kit

  • Spotlight or Torch
  • Signs/Labels/Tags/Barriers
  • Ladder and/or LV Sticks
  • Housekeeping
  • Fire Extinguisher
  • First Aid Kit

Environmental Hazard(s) Identified (tick if applicable)

• Are there Any Environmental Hazards Identified?

  YES

  NO

Environmental Hazard(s) Identified (tick if applicable)

• Asbestos

• Weeds, erosion, etc.

• Vehicle use - grass fires, emissions

• Oil and fluid spills

• Flora, water and minerals

• RF antenna

Environmental Hazard Control Measures

• Asbestos - isolate and report

• Wash car, take alternate route

• Maintain clearance

• Location of fire prevention equipment

• Site evacuation plan and emergency process

• Hazardous substance procedure

Live Works Hazard(s) Identified (tick if applicable)

• Working with and in the vicinity of live electrical apparatus

• Electrocution

• Damaged assets

• Reverse polarity

• Back feed

• Alternate generator supply

• Metal meter box

• Surge Arrestors (identified during Faults and HVI's)

Live Works Hazard Control Measures

• Isolate supply

• Appropriate clearance

• Full PPE in serviceable condition - Reflective Vest + LV Gloves + Eye Protection

• Insulated tools

• Visual inspection

• Surge Arrestors - Isolate and make safe prior to energisation

• Other - Live Works Hazard Control Measures

  Select Tags, Labels and Barriers Control Physical Movements

  • Tags, Labels and Barriers
  • Control Physical Movements

Additional Hazard(s) identified

• Are there Additional Hazards to be Identified?

  YES

  NO

Additional Hazard (s) Identified

Additional Hazard Control Measures

Working From Heights

• Is Working at Heights involved with the Job?

  YES

  NO

• Fall from heights greater than 2 meters or over 2 meters near edge

Working from Heights Hazard Controls (Hierarchy)

• 1st - Complete Task on Ground

• 2nd - EWP or Guarding/Scaffold

• 3rd - Restraint System

• 4th - Lanyard/Harness/Belt

• 5th - Ladder

• 6th - Observer / Temporary Barrier (eg. Signs, witches hats, barricade tape)

Additional Comments / Notes

• Comments

Mandatory Section - Signature Required

• The risk assessment has been completed in accordance with the appropriate Safe Work Method Statement (SWMS), and all mandatory tests have been performed in accordance with TSA procedures
  
  By signing this form you acknowledge that you understand the Work Instructions and are authorised to carry out this work

• Signature

  Sign

• Signature

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• Signature

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• Signature

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• Signature

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