Professional Documents
Culture Documents
Name:
Company Name:
Position:
Date:
ABN:
Signature:
Phone:
Mobile:
PHONE NUMBER:
SITE ADDRESS:
PROJECT DESCRIPTION:
POSITION:
SIGNATURE:
DATE:
PHONE NUMBER:
MOBILE NUMBER:
POSITION:
SIGNATURE:
DATE:
PHONE NUMBER:
MOBILE NUMBER:
Page 1 of 1
MSDS
available?
(Tick)
Hard Hat
Safety Boots
High-visy clothing
Gloves
Hearing Protection
Safety Glasses
30+ Sunscreen
Dust Masks
Other (specify):
VERY
LIKELY
VERY
UNLIKELY
LIKELY
UNLIKELY
Could happen
anytime
Could
happen
sometimes
Could
happen, but
only rarely
(Tick)
Page 2 of 2
1.
2.
Entry to Site
Unloading Equipment
Movement of site
personnel, vehicles, plant
& equipment
Fall from vehicle
Manual handling injuries,
cuts, splinters & abrasions
3.
Controls Implemented
Setting out / up
equipment
Revised Risk
Rating (1-6)
Hazard Identification
Initial Risk
Rating (1-6)
STEP
Job Step
Person
Responsible
4.
Drilling piers
Fall in holes
5.
Controls Implemented
Decide what controls to use to eliminate or minimise the risks.
Detail the controls in this column, and enter the revised risk rating in
the next column.
Note: If the risk rating is still 1-3, do not begin work.
Revised Risk
Rating (1-6)
Hazard Identification
Initial Risk
Rating (1-6)
STEP
Job Step
Person
Responsible
6.
Page 4 of 4
7.
8.
Installation of formwork
Controls Implemented
Decide what controls to use to eliminate or minimise the risks.
Detail the controls in this column, and enter the revised risk rating in
the next column.
Note: If the risk rating is still 1-3, do not begin work.
Revised Risk
Rating (1-6)
Hazard Identification
Initial Risk
Rating (1-6)
STEP
Job Step
Person
Responsible
11.
12.
Laying of plastic
Carrying steel
Page 5 of 5
13.
Grinder use
Controls Implemented
Decide what controls to use to eliminate or minimise the risks.
Detail the controls in this column, and enter the revised risk rating in
the next column.
Note: If the risk rating is still 1-3, do not begin work.
Pieces of metal
penetrating eyes
Electrocution
Revised Risk
Rating (1-6)
Hazard Identification
Initial Risk
Rating (1-6)
STEP
Job Step
Person
Responsible
15.
16.
Tying Steel
Burns
Wear Gloves
Wear gloves
Penetrating wounds
Back Injury
Page 6 of 6
17.
Placing Concrete
Machine failure
18.
Controls Implemented
Revised Risk
Rating (1-6)
Hazard Identification
Initial Risk
Rating (1-6)
STEP
Job Step
Person
Responsible
Concrete burns
Avoid contact to skin, wash skin and clothing after.
Sun burn, skin cancer, eye
damage
Page 7 of 7
19.
Controls Implemented
Decide what controls to use to eliminate or minimise the risks.
Detail the controls in this column, and enter the revised risk rating in
the next column.
Note: If the risk rating is still 1-3, do not begin work.
Revised Risk
Rating (1-6)
Hazard Identification
Initial Risk
Rating (1-6)
STEP
Job Step
Person
Responsible
20.
THESE ARE STANDARD SWMS, THEY MUST BE MODIFIED TO SUIT YOUR WORKERS, YOUR EQUIPMENT AND
YOUR SITE.
Page 8 of 8
QUALIFICATIONS
TRAINING
Codes of Practice
OHS Consultation
OHS Induction Training for Construction
Amenities for Construction Work
Australian Standard
AS 1012
Page 9 of 9
NAME:
SIGNATURE:
DATE:
Page 10 of 10