Questionnaire

The version control will be maintained by the SHEQ team and is controlled via the Safety Equipment Inspections Document 2073838157-15.
The following section details job steps and associated identified hazards which, without controls, have been identified as High or Extreme Risk. It is the candidates responsibility to detail the controls they believe to be appropriate as part of this process.
Considering process of establishing the work-site and equipment, please detail the controls you believe should be used in relation to the following identified hazards:

Working in severe weather conditions such as high wind, rain or bush fire conditions with the risk of personal injury

Access to, working in or around confined spaces where potential exposure to gases exists or the risk of asphyxiation may be present

Accessing live sewage environments where the risk of exposure to biological contaminants exists

Electrocution through contact between items of plant and overhead electrical assets

Slips, trips or falls while accessing heights, working over/adjacent to depths

Has the candidate provided appropriate responses?

Considering the task of identification of isolation requirements, please outline controls for the following hazard(s):

Exposure to raw sewage/biological contaminants due to either high flow or overflow from holding pots

Injury through exposure to moving parts

Electrocution/Electric shock from exposure to potentially live equipment

Illness or asphyxiation from exposure to gases in live sewage environment

Injury or equipment damage by working on equipment with stored pressure/vacuum

Has the candidate provided appropriate responses?

Considering the task of inspecting, removing or repairing the pump assembly, please outline controls for the following hazard(s):

Personal injury from slips, trips and falls while working at heights where a risk of fall exists (or where potential fall height is >2m)

Illness or potential for inundation through exposure to raw sewage

Illness or potential for asphyxiation through exposure to gases

Musculoskeletal injuries through physical manipulation of equipment

Has the candidate provided appropriate responses?

Considering the task of installing and recommissioning the vacuum pump assembly, please outline controls for the following hazard(s):

Injury to personnel through exposure to raw sewage or fluids under pressure during de-isolation

Illness or potential for asphyxiation through exposure to gases

Electrocution or electric shock during re-energising of circuits

Environmental contamination through uncontrolled leaks or raw sewage (failure to reseal joints)

Has the candidate provided appropriate responses?

Considering the various emergency response scenarios an operator may be faced with, please outline controls in the following situations:

Fire or explosion

Has the candidate provided appropriate responses?

Acceptance: By signing this LOUQ both parties are recognising that either all questions have been answered appropriately or discussions have occurred in relation to any incomplete controls.
Candidate
Person Reviewing