USI Pre-Work Assessment - Updated June 2021

• Team Completing Pre-work

• Document No.

• Conducted on

  Date

• By signing this document the above employees agree to having taken part in the Toolbox talk and agree that the checklist items have been completed as indicated

COVID-19 Declaration

• Do any workers feel unwell?

  Yes

  No

  N/A

• Please notify your Coorinators

• Do any workers have any cold & flu symptoms?

Pre-Work Information

• A toolbox talk is required at the start of each new shift. Please ask these questions and carry out these Pre-work checks on your team and equipment and record with checks applicable aspects as required. Comments can be placed in the box at the bottom of the screen if there are any issues

• Does the work party have all SWMS required for the shift?

• Have the site SWMS been read and understood by all workers on site?

• Does the work party have all COVID Safe plans required and has been read and understood by all workers on site?

  Yes

  No

  N/A

• Does the team have all appropriate WPP's for work conducted on rail sites not requiring a PO?

• is the Site Safety Management Plan (SSMP) with the work party?

• Confirm all workers have current ID cards?

• Do all workers have their drivers licenses and WorkCover licenses with them?

• If required, do all workers have their RIW, ASIC, MSIC and/or site induction cards with them?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Are all workers inducted to the sites they will be working on during the shift?

• Are all required SDS's and a hazardous substances register present?

• Is there at least one functioning mobile phone in the team?

• Are all power tools and electrical leads tested and tagged and in date?

• Are all required permits to work with the team?

• Is there a fully stocked first aid kit with the team?

• Name of designated first aid qualified team member (must be trained and/or certified)?

• If required, has the EWP logbook been completed?

• If required, do abseil team members have their logbook with them?

• Comments

Toolbox talk topics of discussion

• 
  (Thought points to consider - weather conditions, workers notes, safety issues, aspects specific to job being performed during the day)

• Have you discussed the following:

• Toolbox topic 1: Preventing Falls

  Yes

  No

  N/A

• Toolbox topic 2: Static lines

  Yes

  No

  N/A

• Toolbox topic 3: Anchor Points

  Yes

  No

  N/A

• Toolbox topic 4: Access Points - roofs, ladder brackets

  Yes

  No

  N/A

• Toolbox topic 5: Inspecting harnesses - double yokes, lanyards & shock absorbers

  Yes

  No

  N/A

• Toolbox Topic 6

• Harnesses being used? (Record whether abseil or full body)

  Full Body Harness

  Abseil

All workers must complete the full Harness Inspection:

• CHECK ALL STITCHING AND WEBBING FOR SIGNS OF FRAYING

• ENSURE NO CHEMICALS OR PAINT HAVE BEEN SPILLED ON YOUR GEAR

• CHECK ALL FIXINGS ARE TIGHT AND SECURED

• CHECK ALL D RINGS AND HOUSING ARE IN GOOD ORDER

• CHECK LANYARDS AND DOUBLE YOLKS FOR EXCESSIVE WEAR

• CHECK ALL SAFETY CLIPS AND HOOKS FOR BENDING, CRACKS OR STRESS FRACTURES

• CHECK THAT THE FALL ARREST SECTION IS INTACT AND NOT DISTURBED

• Are all karabiners free of cracks, bends or dents?

  Yes

  No

  N/A

• Are all slings free of rips, tears, fraying ends, burns or chemical spills?

  Yes

  No

  N/A

• Are all attachments like yokes and shock absorbers on your harnesses?

  Yes

  No

  N/A

• Are team members harnesses free from rips, tears, burns, fraying edges and chemical spills?

  Yes

  No

  N/A

• Can the serial number tags be read clearly?

  Yes

  No

  N/A

• Are any signs of wear above listed?

  Yes

  No

  N/A

• DO NOT USE YOUR EQUIPMENT IF SIGHTING ANY OF THE ABOVE FAULTS.
  REMEMBER TO REPORT ANY FALLS AND HAVE YOUR EQUIPMENT CHECKED BY MANAGEMENT IF ANY SIGNS OF WEAR LISTED ABOVE ARE SIGHTED
  

• All harnesses are subject to 3 monthly inspections and recorded, it is the installers responsibility to visually check all safety gear (harnesses and attachments) prior to all work activity. YOUR SAFETY EQUIPMENT IS A VITAL PART OF YOUR ONGOING SAFETY, ALWAYS RESPECT AND MAINTAIN YOUR EQUIPMENT
  

Equipment Checks

• It is the daily responsibility of all workers to check all items prior to use and answer the following questions about their PPE and other equipment when asked by their supervisor. If any item is found to be defective it is to be withdrawn from service and replaced prior to any work commencing

• Do all workers have access to Hand Sanitiser?

  Yes

  No

  N/A

• Please ask management for hand sanitiser

• Which ladders are you using?

  Select Fibreglass Extension 22ft Fibreglass Extension 30ft Aluminium Extension 22ft Aluminium Extension 30ft Aluminium Extension 40ft Fibgreglass Step ladder Aluminium Step ladder N/A

  • Fibreglass Extension 22ft
  • Fibreglass Extension 30ft
  • Aluminium Extension 22ft
  • Aluminium Extension 30ft
  • Aluminium Extension 40ft
  • Fibgreglass Step ladder
  • Aluminium Step ladder
  • N/A

• Are all ladders free from major dents and crack?

• Are all ladders safe to use?

PPE - all workers must check they have the following items present with them and that they are in serviceable condition

• Do all staff have a hi-vis vest in an approved colour and style?

• Are all staff wearing steel capped boots (lace up for Rail Sites)?

• Is sunscreen available?

• All staff wearing face masks when required with the NSW Health Laws?

  Yes

  No

  N/A

• Do all staff have their harness with double yolks and lanyards?

• Do all workers have their hard hat?

• If on Rail Sites, do all staff have long sleeve shirts and pants, safety glasses and gloves?

• Is all PPE gear clean and tidy?

Fatigue management - team leaders are to ask all workers the following questions before starting work. If any worker/s answer NO then they cannot commence work USI has a zero tolerance policy towards drugs and alcohol at work

• When working on Rail sites, have all workers had a minimum 11 hour break between shifts?

• Are all workers free from any drugs or alcohol in their system?

• Are all workers alert, fit and able to work and free from fatigue?

Sign off

• Team Leader

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• Installer

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• Installer

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• Installer

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• Installer

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• Installer

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• Installer

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• Installer

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• Installer

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