AASD002 ON-SITE RISK ASSESSMENT AND CHECKLIST Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Company / Work Group:* Date* MM slash DD slash YYYY Time* : Hours Minutes AM PM AM/PM Inspected By (Include All Personnel Who Took Part In The Inspection) Name First Last Position INSPECTION ITEMS 1. Is there anything RESTRICTING ACCESS & EGRESS* YES NO N/A Comments1a. Is the area clear of rubbish or scattered materials and immediate dangers?* YES NO N/A Comments1b. Are barricades required for such areas as: fences/around trenches/hazardous work areas? *If yes please detail which* YES NO N/A Comments2. Is ASBESTOS involved in direct work areas? *If Yes, ensure the following is completed SWMS, JTA, SSSP Required* YES NO N/A Comments2a. Are Asbestos SWMS completed and signed for working with or near Asbestos?* YES NO N/A Comments2a.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.* YES NO N/A Comments2b. Are all correct work procedures being followed on-site as per Asbestos SWMS?* YES NO N/A Comments3. 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* YES NO N/A Comments3a. Does the site have a Hazardous Substances Register listing the chemical used on site?* YES NO N/A Comments3b. Have Material Safety Data sheets (MSDS’s) been obtained for all chemicals used on site and are copies of the MSDS’s available?* YES NO N/A Comments3c. Have site workers using these substances/items been trained in how to use and store them safely and correctly?* YES NO N/A Comments3d. 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?* YES NO N/A Comments3d. 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?* YES NO N/A Comments3e. Is there an emergency plan for any risk of Fire and Explosion?* YES NO N/A Comments4. Are any on-site staff working in a CONFINED SPACE situation? *If Yes, ensure the following is completed - SWMS, JTA, SSSP Required* YES NO N/A Comments4a. Are Confined Space SWMS completed and signed for working in Confined spaces?* YES NO N/A Comments4a.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.* YES NO N/A Comments4b. Is the work area monitored by a spotter to communicate with the worker?* YES NO N/A Comments4c. Are all correct work procedures being followed on-site as per Confined Spaces WMS?* YES NO N/A Comments5. Is DUST a present risk during work actions?* YES NO N/A Comments5a. If so, has a plan of action been implemented to reduce such dust?* YES NO N/A Comments6. Will any work be carried out near or involving ELECTRICITY & OVERHEAD HAZARDS? *If Yes, ensure the following is completed - SWMS, JTA, SSSP Required* YES NO N/A Comments6a. Has an action been implemented for disconnection of electricity?* YES NO N/A Comments6a.1 If YES to 6a, how will staff know the connection of current is disconnected prior to starting work? (please explain)* YES NO N/A Comments7. Will any EXCAVATION works be carried out by on-site staff? *If Yes, ensure the following is completed - SWMS, JTA, SSSP Required* YES NO N/A Comments7a. Are Excavating SWMS completed and signed for working in Confined spaces?* YES NO N/A Comments7b. Is all machinery to be used checked and all evidence of service, hydraulics, licencing (if req) on-site and available for all to see?* YES NO N/A Comments7c. If relative, have all underground services been identified?* YES NO N/A Comments7d. Is there an excavation plan displayed on site and all personnel of aware of the plan?* YES NO N/A Comments8. Has proper training been provided for all MANUAL HANDLING to occur on-site?* YES NO N/A Comments9. Will NOISE AND VIBRATION be a factor on this job?* YES NO N/A Comments9a. Are site workers wearing hearing protection whilst doing and or working neat noisy work?* YES NO N/A Comments9b. Have all efforts been implemented to advise and protect others of noise levels?* YES NO N/A Comments9c. Will the monitoring of noise levels be monitored? *If NO, please provide reason.* YES NO N/A Comments10. Is the site OCCUPIED or in PUBLIC areas?* YES NO N/A Comments10a. 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.* YES NO N/A Comments10b. Have Construction/No Entry warning signs/barricades been displayed correctly?* YES NO N/A Comments11. Has the EMS (environmental Management System) been completed and passed including all WASTE DISPOSAL and recycling of any items?* YES NO N/A Comments12. Have all WORKING AT HEIGHTS regulations been implemented? *If Yes, ensure the following is completed - SWMS, JTA, SSSP Required* YES NO N/A Comments12a. Are Working at heights SWMS completed and signed for working in this procedure?* YES NO N/A Comments12b. 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?* YES NO N/A Comments12c. Have all staff working at heights completed working at heights training?* YES NO N/A Comments12d. Has Climbing & Rigging Gear been checked for safety recently?* YES NO N/A Comments12e. Is it raining or a strong wind prevailing?* YES NO N/A Comments13. Do the machines/tools on site have SAFETY GUARDS fitted?* YES NO N/A Comments14. Are the LEADS AND PLUGS in good condition?* YES NO N/A Comments15. Are the EXTENSION LEADS off the ground?* YES NO N/A Comments16. Is there any ELECTRICAL EQUIPMENT overdue for inspection?* YES NO N/A Comments17. Are there EXPLOSIVE TOOLS on site?* YES NO N/A Comments18. Are there suitable FIRE EXTINGUISHERS on site?* YES NO N/A Comments19. Is all PPE gear being used correctly and in good order? (Safety Helmets; Safety footwear; hearing protection; UV protective clothing; Eye Protection etc..)* YES NO N/A Comments20. Is a first a current and fully stocked FIRST AID box available on-site?* YES NO N/A Comments20a. Is there a trained first person on-site?* YES NO N/A Comments21. Falling and above dangers?* YES NO N/A Comments21a. Are powerlines or Telephone Cables nearby tree?* YES NO N/A Comments21b. Nearby Roof, fence or structures, or cars that should be moved?* YES NO N/A Comments21c. Are water or gas mains location nearby the drop zone?* YES NO N/A Comments21d. Will branches fall onto the road or footpath? - Safety Cone or Barrier Tape Hazard zone.* YES NO N/A CommentsOther Inspection Items 22. Inspection Item YES NO N/A Comments23. Inspection Item YES NO N/A Comments24. Inspection Item YES NO N/A Comments25. Inspection Item YES NO N/A Comments26.ISSUES RAISED DURING INSPECTION ISSUE ONE Insert Inspection # Item action relates to: Actions RequiredDue Date MM slash DD slash YYYY Responsible Person Entered in Action Tracking System (yes/no) Yes No ISSUE TWO Insert Inspection # Item action relates to: Actions RequiredDue Date MM slash DD slash YYYY Responsible Person Entered in Action Tracking System (yes/no) Yes No ISSUE THREE Insert Inspection # Item action relates to: Actions RequiredDue Date MM slash DD slash YYYY Responsible Person Entered in Action Tracking System (yes/no) Yes No CAPTCHA
