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1
CompanyName Work Activity or Task
CompanyAddress Description ELECTRICAL CONNECTION & TESTING
Project Name: ProjectName
Principal Contractor:
Site Address:
Safety Vest (for Sun protection Footwear Protective Hard Hat Safety gloves Hearing protection Safety Harness
both dark or (Clothes, Sun Screen ) (Steel Caps) glasses/goggles
daylight conditions)
Protective Clothing Dust mask Face Shield Respirator Signage/barriers Safety lines Fire Extinguisher
(particle / gas etc.)
Undertaking Crane Forklift Chain Block Oxy Acetylene Arc Welder Solvents Synthetic Excavation Equipment
Manual Tasks Welder Mineral Fibres Lifter
Refer SWI-01 Refer SWI-02 Refer SWI-03 Refer SWI-04 Refer SWI-05 Refer SWI-06 Refer SWI-07 Refer SWI-08 Refer SWI-09 Refer SWI-10
Ladder Mobile Scaffold EWP PPCE Hazardous Working at Electric Hand Angle Grinder Electric Drop Nibblers/Shears
Substances Heights Drill Saw
Refer SWI-11 Refer SWI-12 Refer SWI-13 Refer SWI-14 Refer SWI-15 Refer SWI-16 Refer SWI-17 Refer SWI-18 Refer SWI-19 Refer SWI-20
Screw or Rolled Gas Cylinders ECLB Power Isolation Confined Spaces Work in the Sun Portable Work on Roofs Explosive Nail Inspection, Use
Machine & Tagging Electric Saw Gun & Maintenance
Refer SWI-22 Refer SWI-23 Refer SWI-24 Refer SWI-25 Refer SWI-26 Refer SWI-27 Refer SWI-58 Refer SWI-60 of Fall Arrest
Refer SWI-21 Equipment
SWI-062
Maintenance and inspection checks and service intervals required on any plant, equipment and tools:
Section 4: Risk Assessment: The following steps are used to conduct a risk assessment of the hazards that have been identified.
Step 1 - Determine how likely it is someone may be exposed to the hazard you Step 3 - Utilise the risk matrix to identify all risks and risk rating, match probability with the severity
have identified. of the outcome.
Definition of Probability SEVERITY
Likelihood Rating Description Probability Low Significance Minor Moderate Severe Major
Almost Certain -
Is expected to occur in most circumstances Almost Certain M1 M2 M3 H1 H2
Occurs frequently
Likely - Has occurred on
Will probably occur in most circumstances Likely L1 M4 M5 H3 H4
your site
Possible - Have heard it
Might occur sometime. Anecdotal evidence of an occurrence Possible L2 L3 M6 H5 H6
occurring at other sites
Unlikely – Not expected to
Could occur sometime. No evidence of an occurrence Unlikely L4 L5 M7 M8 H7
occur
Low Significance Minor material damage, self-administered first aid, no time lost and negligible impact on environment.
L = Low risk-manage by routine
Some material damage, first aid treatment, no rehabilitation, or days / weeks’ time lost minor localised impact on procedure
Minor
environment.
M = Moderate – administrative
Significant material damage, medical treatment, short rehabilitation, or days/time lost, moderate impact on environment, no controls mandatory in the short
Moderate
long term irreversible damage, may incur cautioning notice. term, long term solution required
Extensive material damage or medical / hospital treatment, lengthy rehabilitation, weeks or months in time lost, permanent H = High risk – immediate
Severe
minor disability, severe impact requiring remedial action and review of process to prevent recurrence. management action
Major material damage or hospital treatment, extensive rehabilitation, months or years in time lost, death, permanent major
Major
disability, large scale damage to the environment, serious breach of EPA legislation or licence conditions.
Section 5: Hierarchy of Control: Control the risk from highest to lower as far as reasonably practicable.
Section 7: Work Sequence: Sequence and analyse each step of the work
Break the task or job down into logical Consider all of the things that can injure Remember the Hierarchy of Control:
steps you or others and the business Eliminate/Substitute/Isolate/Engineer/Administrate/PPCE
Special Notes:
If required, use approved signs and barricades
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Revision No. Approved by: Signature Date Revision No. Approved by: Signature Date
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