Jsa Termite Spraying
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Job Safety Analysis [JSA] ACTIVITY
TERMITE SPRAYING
SITE NAME
APPROVED BY:
DATE
JSA No.
CONTRACTOR TEAM MEMBERS SIGN OFF & APPROVAL,( print name and sign) 1
5
9
2
6
10
3
7
11
4
8
12
Legislation: [list according to task] Permit, Licence or Training Required: (please indicate by ticking box) YES
YES
YES
YES
YES
Electrical Isolation
Scaffolding
Gas Test Required
Solid/Liquid Waste
Excavation
Radiation
Explosives
Height Safety
Personnel Cage
Confined Space
Air/Water Emissions
Traffic Management
Other: PPE Requirements: (please indicate by ticking box) YES Dust Masks
YES
Safety Harness Gloves Other:
Eye Protection
Environmental Requirements: (tick box) YES
YES Hearing Protection
YES Noise Pollution
Spark Containment
Safety Boots
Stormwater Pollution
Extinguishers
Hard Hat
Soil Erosion
Other: January 2009 Page 1 of 3 © Safety@Work
STEP
ACTIVITY – Step by Step Task
HAZARDS
RISK CONTROL MEASURE
RESPONSIBILITIES
Running over or coming into contact with buried/exposed electrical services.
Prior to any new works being undertaken on site, report to the site office.
Supervisor/Foreman
Environmental damage to landscaped areas.
Undertake site inductions and training as required.
Vehicle/plant collisions, blocking access routes.
Follow directions and instructions provided on where the work is to be undertaken.
Park Truck
Other traffic
Inspect Site
Pedestrians
Park vehicle off road and footpaths.
Roll chemical hose out
Tripping over hose
Avoid high traffic areas on site.
List steps/tasks to perform the activity in the actual sequence
1
Accessing the site. Parking vehicles on site.
2
3
Against each task list hazards that could cause injury or illness
List control measures against each task to prevent injury or illness – include licences and permits
Name the person responsible (supervisor or above) to implement controls
Supervisor/Foreman
Apply handbrake.
Supervisor/Foreman
Liaise with other trades. 4
Put on PPE
No hazards
Gloves Face Mask 5
Start Spraying
Spray drift
Avoid spraying in windy conditions
Burst hoses
Properly maintain equipment
Supervisor/Foreman
Liaise with other trades
January 2009 Page 2 of 3 © Safety@Work
STEP
ACTIVITY – Step by Step Task List steps/tasks to perform the activity in the actual sequence
6
Clean up and pack up tools and materials
HAZARDS
RISK CONTROL MEASURE
RESPONSIBILITIES
Environmental hazard with rubbish and litter blowing across the site.
All rubbish to be disposed of as instructed by the site supervisor.
Supervisor/Foreman
Against each task list hazards that could cause injury or illness
Striking hazards during high winds, tools and materials may become projectiles.
List control measures against each task to prevent injury or illness – include licences and permits
Name the person responsible (supervisor or above) to implement controls
Tools and materials to be secured to prevent theft and projectile hazards.
Theft of tools and materials.
January 2009 Page 3 of 3 © Safety@Work
TERMITE SPRAYING
SITE NAME
APPROVED BY:
DATE
JSA No.
CONTRACTOR TEAM MEMBERS SIGN OFF & APPROVAL,( print name and sign) 1
5
9
2
6
10
3
7
11
4
8
12
Legislation: [list according to task] Permit, Licence or Training Required: (please indicate by ticking box) YES
YES
YES
YES
YES
Electrical Isolation
Scaffolding
Gas Test Required
Solid/Liquid Waste
Excavation
Radiation
Explosives
Height Safety
Personnel Cage
Confined Space
Air/Water Emissions
Traffic Management
Other: PPE Requirements: (please indicate by ticking box) YES Dust Masks
YES
Safety Harness Gloves Other:
Eye Protection
Environmental Requirements: (tick box) YES
YES Hearing Protection
YES Noise Pollution
Spark Containment
Safety Boots
Stormwater Pollution
Extinguishers
Hard Hat
Soil Erosion
Other: January 2009 Page 1 of 3 © Safety@Work
STEP
ACTIVITY – Step by Step Task
HAZARDS
RISK CONTROL MEASURE
RESPONSIBILITIES
Running over or coming into contact with buried/exposed electrical services.
Prior to any new works being undertaken on site, report to the site office.
Supervisor/Foreman
Environmental damage to landscaped areas.
Undertake site inductions and training as required.
Vehicle/plant collisions, blocking access routes.
Follow directions and instructions provided on where the work is to be undertaken.
Park Truck
Other traffic
Inspect Site
Pedestrians
Park vehicle off road and footpaths.
Roll chemical hose out
Tripping over hose
Avoid high traffic areas on site.
List steps/tasks to perform the activity in the actual sequence
1
Accessing the site. Parking vehicles on site.
2
3
Against each task list hazards that could cause injury or illness
List control measures against each task to prevent injury or illness – include licences and permits
Name the person responsible (supervisor or above) to implement controls
Supervisor/Foreman
Apply handbrake.
Supervisor/Foreman
Liaise with other trades. 4
Put on PPE
No hazards
Gloves Face Mask 5
Start Spraying
Spray drift
Avoid spraying in windy conditions
Burst hoses
Properly maintain equipment
Supervisor/Foreman
Liaise with other trades
January 2009 Page 2 of 3 © Safety@Work
STEP
ACTIVITY – Step by Step Task List steps/tasks to perform the activity in the actual sequence
6
Clean up and pack up tools and materials
HAZARDS
RISK CONTROL MEASURE
RESPONSIBILITIES
Environmental hazard with rubbish and litter blowing across the site.
All rubbish to be disposed of as instructed by the site supervisor.
Supervisor/Foreman
Against each task list hazards that could cause injury or illness
Striking hazards during high winds, tools and materials may become projectiles.
List control measures against each task to prevent injury or illness – include licences and permits
Name the person responsible (supervisor or above) to implement controls
Tools and materials to be secured to prevent theft and projectile hazards.
Theft of tools and materials.
January 2009 Page 3 of 3 © Safety@Work
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