Zero Harm Pre-Start Meeting Record

• Site conducted

  Select

• Pre-start meeting conducted by

• Date and Time

  Date

• Scope of works for shift

• Site / Project

• Address
  Address
• Nearest Hospital (incl. address)
  Address

• First Aid Officers (incl. phone number)

• CP Supervisor details: (incl. phone number

• Downer Supervisor details: (incl. phone number)

• Site map completed? (see section 6)

  Yes

  No

• Vehicle and plant pre-starts completed?

  Yes

  No

• Are all personnel authorised to work on site?

  Yes

  No

• Site packed up and made safe at end of shift?

  Yes

  No

SECTION 2 – SITE ACTIVITY HAZARD IDENTIFICATION

Critical Risks

• Working near mobile plant / moving vehicles

• Uncontrolled movements of vehicles or loads

• Movement of vehicles on public roads

• Working on / near energised services / electrical installations

• Work near underground assets

• Stored energy

• Confined space entry (do you have a permit?)

• Crane operation and lifting equipment

• People or objects falling from height or to depth (do you need a permit?)

• Excavation and trenching >1.5m depth

• Handling / transporting hazardous substances & dangerous goods

• High risk health hazards

High Risk Activities

• Working near traffic or within a rail corridor or near shipping lanes

• Asbestos removal / disturbance

• Demolition of load bearing structures

• Work on / near pressurised gas distribution mains or piping

• Artificial extremes of temperature

• Contaminated or flammable atmospheres

• Structural alterations / temporary support structures including scaffolding

• Working near or over water with risk of drowning

• Work on / near chemical, fuel or refrigerant lines

• Work on / near telecommunication towers / antennae

• Work in a tunnel or shaft

• Occupational diving

• Tilt-up / precast concrete

• Use of explosives

• Working in isolation

• Hot work (do you have a permit?)

• Hazardous manual handling

Environmental Risks

• Working near drains, and waterways

• Soil erosion

• Working with hazardous liquids

• Generation / disposal of regulated waste

• Disturbance of flora or fauna

• Potential to start fire

• Generating excessive noise or dust

• Working near heritage sites

• Biosecurity / weed spread

• Traffic Management Team Member Name and Signature

  Sign

• Qualification Type

  Select Implementation of traffic management plan Traffic Controller

  • Implementation of traffic management plan
  • Traffic Controller

• Qualification Number

• Applicable Traffic Guidance Scenario

  Select Scenario card/s Site-specific

  • Scenario card/s
  • Site-specific

Senario Cards

• Choose Scenario most suitable for your site.

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• Set up time

• Pack down time

SECTION 3 – SHIFT ACTIVITIES

• Scheduled Activities to be Undertaken this Shift

SECTION 4 – SITE-SPECIFIC HAZARDS

• e.g. Adverse weather conditions, high temperatures / humidity, severe weather warnings, flood warnings, total fire ban days, interface with other work, site location, nearby end users, COVID-19, TGS variations, etc.

• Tap "+"

Item

• Site-Specific Hazards Not Covered in SWMS

• Controls

SECTION 5 – SITE-SPECIFIC REQUIREMENTS

• 1. A current SWMS, signed and understood by all personnel, is available onsite for all critical and high-risk activities? (record applicable SWMS numbers)

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• TCS SWMS and Reference Guide

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• SWMS Reference guide and SWMS

• 2. Required permits to work have been completed and authorised (where applicable)? (record permit details)

  Yes

  No

  N/A

• 3. New personnel and role changes have been communicated?

  Yes

  No

  N/A

• 4. Hazards / incidents reported since last shift have been discussed?

  Yes

  No

  N/A

• 5. Suggestions / good ideas from previous shift have been captured?

  Yes

  No

  N/A

• 6. PPE requirements met by all workers? (as outlined in SWMS / site-specific)

  Yes

  No

  N/A

• 7. Rail-Specific: Has the Rail Safeworking pre-work brief been presented to personnel on site and all controls checked?

  Yes

  No

  N/A

• 8. Gas monitoring of manholes / pits undertaken prior to entry?<br>Assess manholes / pits for confined space requirements as per flowchart in TCS-SWMS-006. Note: Record gas results on end sheet.

  Yes

  No

  N/A

• 9. Have required isolations been completed? (EME, electrical, gas, water, etc.)

  Yes

  No

  N/A

• 10. Critical risk controls have been checked and verified effective?

  Yes

  No

  N/A

SECTION 6 – WORKSITE DIAGRAM i.e. zone of understanding. Recommend completion in multiple colours to increase readability

• 

• The worksite diagram can be used as a short-term works Vehicle Movement Plan (VMP) and / or to communicate (e.g. fencing, barriers, temporary warning signs, roads, or rail tracks) and / or define (e.g. exclusion zones, evacuation points, spotters, or vehicle turning bays) interfaces with other activities/ work teams (e.g. schools, shops, traffic, or overhead power).

  Drawing

SECTION 7 – PRE-START MEETING ATTENDEES

• By signing this pre-start meeting record, you are confirming that you understand the activity you are employed to undertake, you understand and agree to implement the nominated controls for risks identified on this form and in SWMS / WI applicable to your work. You also confirm you are fit for duty (physically, mentally, and emotionally), not adversely affected by fatigue and meet Downer’s drug and alcohol policy requirements.

• Tap "+"

Attendee

• Name and Signature

  Sign

• Responsible Supervisor Declaration: I confirm that the hazards, risks and controls associated with the activities scheduled for today have been discussed with and are understood by the above attendees. (Name and Signature)

  Sign

• Gas Detection

  

• Tap "+"

Gas Detection Results
• Location
  Address

• Time

  Date

• O2% (19.5 – 23.5%)

• H2S (Max. 10ppm)

• CO (Max 25ppm)

• LEL% (Max 5%)