Information
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Site conducted
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JOB CARD
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Customer Name:
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Site Address:
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Work Ordered:
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Conducted on
RISK ASSESSMENT/JSEA
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ELECTRICAL SWMS: Tick the hazards that apply to the job, and acknowledge and refer to appropriate SWMS & Procedures to implement as effective controls.
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Live Testing / Testing for De-energized
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Refer to Safe Work Procedures and Documentation:
- SWP Live Testing and Testing for De-energized,
- NECA Red Book Section 11.1
- Section 3.2 Live Testing - Electrical Procedures
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Working Near Energized Electrical Equipment
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Refer to SWMS and Documentation:
- SWMS Working Near Energized Electrical Equipment or Services,
- NECA Red Book Section 9.11
- SWP Working Near Energised Electrical Equipment
- Section 3.10 Working in the Vincinity of Exposed Live Parts - Electrical Proceedures
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Working on Energized Electrical Equipment (i.e. WORKING LIVE)
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Is there a reason for Working Live as listed in NECA Red Book Section 11.0 ? IF NO, STOP WORK IMEDIATELY!
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Refer to SWMS and Documentation:
- SWMS Working On Energized Electrical Installations or Services,
- NECA Red Book Section 11.2,
- SWP Working on Energised Electrical Equipment
- Section 3.1 Live Work Proceedure - Electrical Proceedures
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Working Near Overhead Powerlines
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Refer to SWMS:
- SWMS Working Near Overhead Powerlines
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HIGH RISK CONSTRUCTION WORK SWMS: Tick the hazards that apply to the job, and acknowledge and refer to appropriate SWMS & Procedures to implement as effective controls.
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HR-ID 1 Working at Heights > 2m
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Refer to SWMS and Documentation:
- SWMS Heights,
- NECA Red Book Section 8.0, 8.1, 8.7
- Section 4.10 Ladders - WHS Proceedures
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HD-ID 6 Confined Spaces
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Refer to SWMS and Documentation:
- SWMS Confined Spaces
- Section 3.17 Working in Ceilings, Crawl In Spaces and on Conductive Roofs - Electrical Proceedures
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HR-ID 15 Mobile Powered Plant (e.g. forklifts etc)
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Refer to SWMS:
- SWMS Plant
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HR-ID 4 Asbestos
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Refer to SWMS and Documentation:
- SWMS Asbestos
- Section 4.13 Safe Working With Asbestos - WHS Proceedures
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HR-ID 14 Working Near a Traffic Corridor (other than pedestrians)
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Refer to SWMS:
- SWMS Working On or Near a Road
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HR-ID 7 Excavations or Trenching > 1.5m Deep
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Refer to SWMS and Documentation:
- SWMS Excavation and Trenching,
- Section 4.3 Excavation and Trenching - WHS Proceedures
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WORKPLACE HEALTH AND SAFETY PROCEEDURES: Tick the hazards that apply to the job, and acknowledge and refer to appropriate procedures to safely carry out task.
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Working on Property Poles
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Refer to SWMS:
- SWMS Working on Property Pole Top
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Conductive Foil Insulation Installed in Ceiling
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STOP WORK! CONTACT MANAGEMENT FOR FURTHER INSTRUCTION.
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Working With Power Tools
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Refer to Documentation:
- SAFE WORK PROCEDURE Power Tools
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Ladders
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Refer To Documentation:
- Section 4.10 Ladders - WHS Proceedures
- Section 4.8.9 - 4.8.12 WHS Proceedures
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Scaffolding
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Refer to Documentation:
- Section 4.11 Scaffolding - WHS Procedures
- Section 4.8.13 WHS Procedures
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UV Radiation
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Refer to Documentation:
- Section 4.15 Working In The Sun - WHS Procedures
SITE SPECIFIC RISK ASSESSMENT
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Are there any additional Hazards/Risks that have not yet been identified and effective controls implemented?
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CONTACT MANAGEMENT FOR RISK ASSESSMENT OF ANY ADDITIONAL SITE-SPECIFIC RISKS
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Additional Hazard/Risk:
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Likelihood of Risk Eventuating:
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Consequence of Risk Eventuating:
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Controls to be implemented:
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Residual Likelihood of Risk
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Residual Consequence of Risk:
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The level of risk is to be calculated in conjunction with the RISK MATRIX table found in any of the existing Safe Work Method Statements. The level of risk will determine if work can proceed or if further SWMS and controls are required to be put in place by senior management.
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Are there any additional Hazards/Risks that have not yet been identified and effective controls implemented?
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Additional Hazard/Risk:
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Likelihood of Risk Eventuating:
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Consequence of Risk Eventuating:
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Controls to be implemented:
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Residual Likelihood of Risk:
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Residual Consequence of Risk:
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The level of risk is to be calculated in conjunction with the RISK MATRIX table found in any of the existing Safe Work Method Statements. The level of risk will determine if work can proceed or if further SWMS and controls are required to be put in place by senior management.
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Are there any additional Hazards/Risks that have not yet been identified and effective controls implemented?
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Likelihood of Risk Eventuating:
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Consequence of Risk Eventuating:
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Controls to be implemented:
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Residual Likelihood of Risk:
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Residual Consequence of Risk:
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The level of risk is to be calculated in conjunction with the RISK MATRIX table found in any of the existing Safe Work Method Statements. The level of risk will determine if work can proceed or if further SWMS and controls are required to be put in place by senior management.
Certification
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I certify that this audit has a score of 100% and all appropriate Safe Work Method Statements, Safe Work Procedures, and other required documentation has been referred to, and appropriate risk control measures implemented or work is to cease immediately. Appropriate Safe Work Procedures have been referred to and work will be performed in accordance with these procedures, and suitable PPE will be worn according to appropriate SWMS and SWP documentation. I certify that any additional identified site specific hazards have control measures implemented as per risk assessment.
