SWMS Survey

Question Title

* 1. Date

Date / Time

Date

Time

AM/PM

Question Title

* 2. Site Address

1 Anchor Point, Mount Martha Cove

41B Canning Street, Avondale Heights

22 Kalonga Road, Balwyn North

8 Melaleuca Drive, Clarinda

89 Scotsburn Avenue, Oakleigh South

14 York Street, Bentleigh East

11 Marston Street, Bentleigh

424 Balwyn Road, Balwyn North

7 Iris Crescent, Boronia

17 Roseland Grove, Doncaster

11 Rochell Court, Clarinda

435 Inkerman Street, St.Kilda East

66 Fifth Avenue, Chelsea

Lot 152 Arcola Street, Clyde North

Lot 153 Arcola Street, Clyde North

10A Richards Road, Montrose

203 Barkers Road, Kew

15 Woorite Place, Keilor East

76 Edgevale Road, Kew

44 Columbia Boulevard, Chirnside Park

276 Highbury Road, Mount Waverley

45 Daley Street, Bentleigh

119 Beach Road, Parkdale

9 Lantana Street, Clayton

81-101 High Park Drive, Wollert

25 Bellbrook Drive, Dandenong North

27 Hansworth Street, Mulgrave

12 Milleara Street, The Basin

27 Humphries Road, Frankston South

151 Chapel Road, Keysborough

130-136 Buckley Street, Footscray

19 Katoomba Street, Hampton East

47 Wells Road, Beaumaris

8 Mansell Close, Mulgrave

138 Tucker Road, Bentleigh

2-4 Village Way, Pakenham

6 Finn Court, Templestowe Lower

10S Trueman Street (McCormicks Rise), Cranbourne West

Lots 307-312 Everfair Crescent, Officer

2 Princess Street, Coburg North

Other (please specify)

Question Title

* 3. Company

Question Title

* 4. Scope of Work

Installation of Metal Roofing, Wall Cladding, Flashings, Cappings, Fast Flash, Box Cutters, Sumps, Fascia & Gutter including accessories, Downpipes and rainwater heads

Other (please specify)

Question Title

* 5. HAZARD IDENTIFICATION
(Please tick against ALL hazards relevant to the works)

N/A

Risk of falling more than 2 metres

Fall arrest equipment inadequate

Temporary load bearing support collapse

Uneven / slippery ground work area

Hazardous Manual handling

Working near unprotected edges

Working with metal sheets

Electrical hazards

Overhead Power lines

Working with powered tools

Traffic \ pedestrian access

Working alone

Exposure to asbestos or radiation (antennas)

Working on fragile surfaces i.e. skylights

External Weather Conditions

Working with or near chemicals

Working in a confined space

Falling objects

Exposure to mobile plant

Noise

Lighting

Trip hazards

Other (please specify)

Question Title

* 6. Personal Protective Equipment Required
(Place a tick against PPE Required Relevant to the works)

N/A

Hard Hat

High Visibility Clothing

Dust mask

Hearing Protection

Gloves

Long sleeve shirt and pants

Eye Protection

Safety Harness

Face Shield

Safety Shoes

If conditions are damp, spare pair of safety shoes with anti slip soles

Sunscreen

Face mask

Other (please specify)

Question Title

* 7. Training Required
(Place a tick against training required for site)

Construction Industry Induction

Site Induction

Company Specific Induction

QR code

N/A

Question Title

* 8. Relevant Permits Required
(Place a tick against PERMITS required relevant to the work)

Work at Height

Hot Work

Permitted worker permit

N/A

Other (please specify)

Question Title

* 9. Task / Location Specific Risks
(Place a tick against ALL specific risks relevant to the works)

N/A

Access & Egress

Overhead Obstructions

Poor Lighting

Pedestrians / workers

Unauthorised persons

Noise

Quick Cut Saw

Angle Grinder

Rotating Machinery

Hot Work / Burns

Dust

Weather

Fatigue

Exposure to UV

Obstacles / Buildings

Site at more than 25% OR 5 tradespersons

Other (please specify)

Question Title

* 10. EMERGENCY RESOURCES \ CONTACT DETAILS
Emergency Response call 000 or 112 from a mobile phone

Nearest Emergency Point

Contact Person

Nearest First Aid Kit

Phone Number

Question Title

Relevant Legislation

WH&S Act - Occupational Health & Safety Act 2004

WH&S Regulation - Occupational Health & Safety Regulations 2017

References:
Victorian WorkCover Authority – High Risk Construction Work – Prevention of Falls in General
Construction – Safe Work on Roofs - Noise - Hazardous Substances - SA HB 39:2015 Installation
code for metal roof and wall cladding

Assessment of Risks
The model below sets out the methodology in the assessment of risks; this process takes into account the likelihood of a hazard eventuating along with the consequences associated

<strong>Relevant Legislation </strong><br><br><strong>WH&S Act</strong> - Occupational Health & Safety Act 2004<br><br><strong>WH&S Regulation</strong> - Occupational Health & Safety Regulations 2017 <br><br><strong>References:</strong><br>Victorian WorkCover Authority – High Risk Construction Work – Prevention of Falls in General<br>Construction – Safe Work on Roofs - Noise - Hazardous Substances - SA HB 39:2015 Installation<br>code for metal roof and wall cladding<br><br><br><strong>Assessment of Risks</strong> <br>The model below sets out the methodology in the assessment of risks; this process takes into account the likelihood of a hazard eventuating along with the consequences associated

Question Title

* 1. Date

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* 2. Site Address

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* 3. Company

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* 4. Scope of Work

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* 5. HAZARD IDENTIFICATION (Please tick against ALL hazards relevant to the works)

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* 6. Personal Protective Equipment Required (Place a tick against PPE Required Relevant to the works)

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* 7. Training Required (Place a tick against training required for site)

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* 8. Relevant Permits Required(Place a tick against PERMITS required relevant to the work)

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* 9. Task / Location Specific Risks(Place a tick against ALL specific risks relevant to the works)

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* 10. EMERGENCY RESOURCES \ CONTACT DETAILS ***Emergency Response call 000 or 112 from a mobile phone***

Question Title

Question Title

* 5. HAZARD IDENTIFICATION
(Please tick against ALL hazards relevant to the works)

* 6. Personal Protective Equipment Required
(Place a tick against PPE Required Relevant to the works)

* 7. Training Required
(Place a tick against training required for site)

* 8. Relevant Permits Required
(Place a tick against PERMITS required relevant to the work)

* 9. Task / Location Specific Risks
(Place a tick against ALL specific risks relevant to the works)

* 10. EMERGENCY RESOURCES \ CONTACT DETAILS
Emergency Response call 000 or 112 from a mobile phone