AASD002 ON-SITE RISK ASSESSMENT AND CHECKLIST Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Company / Work Group:*Date* Date Format: MM slash DD slash YYYY Time* : HH MM AM PM Inspected By (Include All Personnel Who Took Part In The Inspection) Name First Last PositionINSPECTION ITEMS 1. Is there anything RESTRICTING ACCESS & EGRESS*YESNON/AComments1a. Is the area clear of rubbish or scattered materials and immediate dangers?*YESNON/AComments1b. Are barricades required for such areas as: fences/around trenches/hazardous work areas? *If yes please detail which*YESNON/AComments2. Is ASBESTOS involved in direct work areas? *If Yes, ensure the following is completed SWMS, JTA, SSSP Required*YESNON/AComments2a. Are Asbestos SWMS completed and signed for working with or near Asbestos?*YESNON/AComments2a.1 If YES to 2a, are the Asbestos SWMS available on site? *If not, work should not commence until SWMS are available on-site and signed by all employees attending site.*YESNON/AComments2b. Are all correct work procedures being followed on-site as per Asbestos SWMS?*YESNON/AComments3. Will there be any BIOLOGICAL/TOXIC MATERIALS /CHEMICALS / COMBUSTIBLE ITEMS/DANGEROUS GOODS on-site? *If Yes, ensure the following is completed - SWMS, JTA, SSSP Required*YESNON/AComments3a. Does the site have a Hazardous Substances Register listing the chemical used on site?*YESNON/AComments3b. Have Material Safety Data sheets (MSDS’s) been obtained for all chemicals used on site and are copies of the MSDS’s available?*YESNON/AComments3c. Have site workers using these substances/items been trained in how to use and store them safely and correctly?*YESNON/AComments3d. Are all hazardous materials including hydrocarbons (any combustible material/chemical) stored with correct labelling, within appropriate containment, areas away from risk and direct work areas?*YESNON/AComments3d. Are all hazardous materials including hydrocarbons (any combustible material/chemical) stored with correct labelling, within appropriate containment, areas away from risk and direct work areas?*YESNON/AComments3e. Is there an emergency plan for any risk of Fire and Explosion?*YESNON/AComments4. Are any on-site staff working in a CONFINED SPACE situation? *If Yes, ensure the following is completed - SWMS, JTA, SSSP Required*YESNON/AComments4a. Are Confined Space SWMS completed and signed for working in Confined spaces?*YESNON/AComments4a.1 If YES to 4a, are the Confined space SWMS available on site? *If not, work should not commence until SWMS are available on-site and signed by all employees attending site.*YESNON/AComments4b. Is the work area monitored by a spotter to communicate with the worker?*YESNON/AComments4c. Are all correct work procedures being followed on-site as per Confined Spaces WMS?*YESNON/AComments5. Is DUST a present risk during work actions?*YESNON/AComments5a. If so, has a plan of action been implemented to reduce such dust?*YESNON/AComments6. Will any work be carried out near or involving ELECTRICITY & OVERHEAD HAZARDS? *If Yes, ensure the following is completed - SWMS, JTA, SSSP Required*YESNON/AComments6a. Has an action been implemented for disconnection of electricity?*YESNON/AComments6a.1 If YES to 6a, how will staff know the connection of current is disconnected prior to starting work? (please explain)*YESNON/AComments7. Will any EXCAVATION works be carried out by on-site staff? *If Yes, ensure the following is completed - SWMS, JTA, SSSP Required*YESNON/AComments7a. Are Excavating SWMS completed and signed for working in Confined spaces?*YESNON/AComments7b. Is all machinery to be used checked and all evidence of service, hydraulics, licencing (if req) on-site and available for all to see?*YESNON/AComments7c. If relative, have all underground services been identified?*YESNON/AComments7d. Is there an excavation plan displayed on site and all personnel of aware of the plan?*YESNON/AComments8. Has proper training been provided for all MANUAL HANDLING to occur on-site?*YESNON/AComments9. Will NOISE AND VIBRATION be a factor on this job?*YESNON/AComments9a. Are site workers wearing hearing protection whilst doing and or working neat noisy work?*YESNON/AComments9b. Have all efforts been implemented to advise and protect others of noise levels?*YESNON/AComments9c. Will the monitoring of noise levels be monitored? *If NO, please provide reason.*YESNON/AComments10. Is the site OCCUPIED or in PUBLIC areas?*YESNON/AComments10a. If YES to 10, have all best efforts been implemented to make the area safe and access denied to non-on-site staff? *If NO, work is not to commence until this is actioned correctly.*YESNON/AComments10b. Have Construction/No Entry warning signs/barricades been displayed correctly?*YESNON/AComments11. Has the EMS (environmental Management System) been completed and passed including all WASTE DISPOSAL and recycling of any items?*YESNON/AComments12. Have all WORKING AT HEIGHTS regulations been implemented? *If Yes, ensure the following is completed - SWMS, JTA, SSSP Required*YESNON/AComments12a. Are Working at heights SWMS completed and signed for working in this procedure?*YESNON/AComments12b. Are all the following items checked and confirmed safe to proceed: Harness points secure and checked; any use of scaffolding secure including handrails and planks and will not tip; any ladders safely secured prior to use; ladders, harnesses, scaffold in good repair and serviced?*YESNON/AComments12c. Have all staff working at heights completed working at heights training?*YESNON/AComments12d. Has Climbing & Rigging Gear been checked for safety recently?*YESNON/AComments12e. Is it raining or a strong wind prevailing?*YESNON/AComments13. Do the machines/tools on site have SAFETY GUARDS fitted?*YESNON/AComments14. Are the LEADS AND PLUGS in good condition?*YESNON/AComments15. Are the EXTENSION LEADS off the ground?*YESNON/AComments16. Is there any ELECTRICAL EQUIPMENT overdue for inspection?*YESNON/AComments17. Are there EXPLOSIVE TOOLS on site?*YESNON/AComments18. Are there suitable FIRE EXTINGUISHERS on site?*YESNON/AComments19. Is all PPE gear being used correctly and in good order? (Safety Helmets; Safety footwear; hearing protection; UV protective clothing; Eye Protection etc..)*YESNON/AComments20. Is a first a current and fully stocked FIRST AID box available on-site?*YESNON/AComments20a. Is there a trained first person on-site?*YESNON/AComments21. Falling and above dangers?*YESNON/AComments21a. Are powerlines or Telephone Cables nearby tree?*YESNON/AComments21b. Nearby Roof, fence or structures, or cars that should be moved?*YESNON/AComments21c. Are water or gas mains location nearby the drop zone?*YESNON/AComments21d. Will branches fall onto the road or footpath? - Safety Cone or Barrier Tape Hazard zone.*YESNON/ACommentsOther Inspection Items 22. Inspection ItemYESNON/AComments23. Inspection ItemYESNON/AComments24. Inspection ItemYESNON/AComments25. Inspection ItemYESNON/AComments26.ISSUES RAISED DURING INSPECTION ISSUE ONE Insert Inspection # Item action relates to:Actions RequiredDue Date Date Format: MM slash DD slash YYYY Responsible PersonEntered in Action Tracking System (yes/no)YesNoISSUE TWO Insert Inspection # Item action relates to:Actions RequiredDue Date Date Format: MM slash DD slash YYYY Responsible PersonEntered in Action Tracking System (yes/no)YesNoISSUE THREE Insert Inspection # Item action relates to:Actions RequiredDue Date Date Format: MM slash DD slash YYYY Responsible PersonEntered in Action Tracking System (yes/no)YesNoCAPTCHA
