SJC Maintenance Prestart Job Safety Analysis
Staff Name
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Task Observed:
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Case ID:
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Pit ID:
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Asbestos
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Confined Space / Hot Works
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Excavation Deeper than 1.5 m
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Mains to Meter Services
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Manual Handling
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Underground Services
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Overhead power lines
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Personal Protective equipment
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Plant and Equipment
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Public
*
Slips, trips & Falls
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Traffic
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Environmental Hazard
Is there an environmental Hazard?
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Is the job safe to proceed?
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All controls advised to site personnel?
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All controls advised to site personnel?
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By signing the below I confirm that I have been advised of the Risks and control measures in place on site. I have been made aware of the H&S Co-ordination plan & Pre start checklist during site induction.
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Signed
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Signed.
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Signed
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Submit
Should be Empty: