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Job Safety Analysis (JSA)
JSA – Roof Rail
JSA – Scaffolding
Scaff Tags
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Scaffolding Handover Certificate
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Reporting page
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Home
Vehicle Inspection Check In
Labour Hire Docket
SWMS
Job Safety Analysis (JSA)
JSA – Roof Rail
JSA – Scaffolding
Scaff Tags
Handover Certificates
Scaffolding Handover Certificate
Roof Rail Handover Certificate
Reporting page
Safety Meeting/Toolbox Record
Upload Job Photos
Management
Employee Forms
Timesheets
Employee Self Evaluation Form
Application for Leave
Company Policies and Employment Documents
Labourer observation
Step
1
of
12
8%
General housekeeping
Person being observed:
Full Name
Date
DD slash MM slash YYYY
Has the employee read, understood, and signd onto the SWMS 3 (Scaffolding)?
If no is ticked do not proceed - all workers must be signed onto the SWMS before commencing work.
Yes
No
Has the employee been inducted onto site (if applicable) and have they signed in?
Yes
No
Not applicable
Site Requirements
Does the employee know where the first aid box is and where the emergency muster point is?
Yes
No
Advise/Comment
Further comment
Is correct PPE being worn for the site requirements (minimum requirement includes high-vis shirt, gloves, steel capped boots and hard hat)?
Yes
No
Advise/Comment
Further comment
Knowledge & Understanding
Has the Employee been informed of the scaffold requirements by the lead scaffolder onsite?
Yes
No
Advise/comment
Further comment
Can the employee read and identify the scaffold plan and gain an overall knowledge of what is required?
Yes
No
Advise/Comment
Further comment
Does the employee clearly understand their duties & responsibilities for the install of the scaffold?
(Read & understand plans, lay correct gear out for the scaffolders, keep site clear & clean)
Yes
No
Advise/Comment
Further comment
Has the employee created an exclusion zone from other workers prior to starting any of the scaffolding works?
Yes
No
Advise/Comment
Further comment
Does the employee understand the purpose in which they are helping build the scaffold for and what trades are to be utilising it for?
Yes
No
Advise/Comment
Further comment
Is the employee competent in the safe layout of the build of the scaffolding ensuring they are not leaning equipment up in an unsafe manner and/or laying down where this could create trip hazards to other workers?
Yes
No
Advise/Comment
Further comment
Does the employee understand and do they work as per their safe manual handling techniques as to not overload or twist their bodies?
Yes
No
Advise/Comment
Further comment
Is the employee obeying their obligations and requirements from their scaffolders?
Yes
No
Advise/Comment
Further comment
Does the employee continue to ensure that they are laying out the correct gear for the second lift of the scaffold?
Yes
No
Advise/Comment
Further comment
Are all scaffold components being visually checked for damage as they are taken from the stillage or laid out?
Yes
No
Advise/Comment
Further comment
Once the scaffolder installs the second lift and onto further lifts, does the employee continue to safely lay out the correct equipment for each bay?
Yes
No
Advise/Comment
Further comment
Does the employee understand if required to be on a working deck helping "chain" the gear up that it must be fully planked out with handrails (mid and top) for the external and internal if there is a live edge?
Yes
No
Advise/Comment
Further comment
Have all excess components been tidied up, congested and placed in a safe and secure place ready for pick up if required?
Yes
No
Advise/Comment
Further comment
Knowledge Test
What is the maximum legal distance a scaffold can sit off a wall or structure? And what is to happen if the gap exceeds the maximum distance?
Answer: 225mm, Internal handrail or Block off scaffold with transom AND danger tape.
Correct
Wrong
Advise/Comment
Further comment
What is the first step each day for a Scaffolder/Labourer BEFORE the prestart JSA is completed?
Answer: Read the plan, gain an understanding of the job and what the scaffold requirements are.
Correct
Wrong
Advise/Comment
Further comment
If you have equipment on top of jacks and sole boards, or face braces on top of standards and you need to reach the items underneath; what should you do with the stuff on top?
Answer: Lug/Carry the items on top where they need to be on the scaffold, do not double handle these items if there is somewhere for them to go.
Correct
Wrong
Advise/Comment
Further comment
When should a labourer help a truck driver unload?
Answer: Only if it's unsafe for the driver to unload on their own. I.e. over a pedestrian pathway, close proximity to powerlines or on a busy road.
Correct
Wrong
Advise/Comment
Further comment
When are lap boards required to be wired down?
Answer: Always.
Correct
Wrong
Advise/Comment
Further comment
When building a scaffold for a roof replacement, what height do we set the deck at and how far must the handrails go up past the gutter?
Answer: 1.0m below the roof and 1m above the roof.
Correct
Wrong
Advise/Comment
Further comment
What is the best way to lay out the base gear as a labourer/Scaffolder? What is the best way to lay out the top up gear?
Answer: Lay the base gear in front of the joins where it is needed AND in a tidy position where it can be reached by the scaffolders. No gear should ever be leant up on surfaces that can be scratched or damaged such as a metal fence, garage doors or painted surfaces.
Correct
Wrong
Advise/Comment
Further comment
If their is excess on site after the installation of the scaffolding, what must be done with it?
Answer: Fully condense the gear into 1 stillage and move it out of the way - check with onsite contact where this location may be.
Correct
Wrong
Advise/Comment
Further comment
How many components are required for the below scaffold intended for a new roof and cladding, that is 1 x 2.4m long x 1.2m wide - no hop up, The scaffold is to be set at 1m & 4m below the roof with a 1m dummy underneath the top deck. Top deck sits at 3.0m high off the ground
Answer: (Ledgers: 16)(Transoms: 5 per leg or 10 per bay)(Boards: 12)(Inside standard: 3,3)(Outside standard: 3,3,2)
Correct
Wrong
Advise/Comment
Further comment
How many packs of boards/stillages can the following trucks carry? DAF, DILLY, BIG, HINOS
Answer: (DAF - 3,2,3) (BIG - 2,2,2) (DILLY - 2,2) (HINOS - 1xpack of boards/ledger high, small cage with jacks/sole boards/trannies/fittings at rear.)
Correct
Wrong
Advise/Comment
Further comment
Notes and advice for further improvement:
Next review Due in:
Worker
Full Name
Signature
Worker Email address (if a copy is required)
Supervisor
Full Name
Signature