Attachment 4 - Bushfire management vegetation clearing approval

Hanley Signata Pty Ltd ATF
HANFORD TRUST t/as Tree Fix
ABN: 39 019 550 176
veww.treefix.com.au

Direct: 0439 724.013
Office:07 5446 8635

| Depot: 212 Wappa falls Ri
Yandina 4
Depot: 22 Gerber Ri

PRUNING | REPO

<T re

 

Depot: 413 Blacksnake R

oad,
as61
load,

Widgee 4570

oad,

Blacksnake 4600

 

 

 

 

 

Job Location RISK ASSESSMENT FORM Task Road Type | __ Traffic Vol
NOTE: Each new site requires this risk assessment to be readdressed with all Teak & Bhurrip Local Road (LR) Very tow volume (VLV)
site workers and any changes communicated. Paling tress/parts Mair Roads (MR) Low VowneytV]

EWP/Crane Private Property High Volume (HV)
Site: QPCARE OP Cooyar 4 Mica | hie work | Povee | VL
STANDARD FIELD PRESTART CHECK LIST (if ‘No’ stop work) HES IINOD ae

 

Has a Pre-start/Site briefing of work being carried out with all team member

 

Are all Sub-contractors briefed on work being carried out

 

IS THERE APPROPRIATE SUPERVISION provided for trainees

 

Are Staff inducted to SWMS and the use of relevant equipment

 

\s the worksite access restricted et ively to public vehicles and pedestrians: List Precautions taken?
Apa Yen) + +barrier + traffic control

 

‘DeVou have the appropriate equipment to complete task and are all Crew and Sub-contractor’s: tools, rigging
equipment and machinery in good order and prestart checked

 

Do all Sub-Contractors and Team Members have the appropriate PPE

 

Do Subcontractors have the appropriate insurances in place (Work Cover and Public Liability)

 

Clear of protected Flora or fauna (list) or any DANGEROUS Flora or fauna present (list precautions)

Spe

 

Are there suitable First Aid, Rescue equipment, and trained rescue personal on site

 

 

NANA SASS

 

Control] Measures if control score result is
higher than ‘LOW’ consult management

Risk Score
Before Controls

A rectiei Hazard

Risk Score
After Controls

 

 

 

 

 

 

 

Oo Work under traffic risk N/A O Signage- Traffic Controllers (Licence) Ke
Pedestrian traffic risk work site defined to public & pedestrian spotter pa
traffic volume changes (heview site traffic controls (top work pan
M Lack of visibility - sind corners arricading, Bollards, Cones —
7 é ‘ 1 Exclusion Zone (Elec=3m Low V) Cable locater, DBYD,

q Sprvices and electrical risk (A Dedicated SPOTTER, (approvals by Energex) e
DW Lack of Road Shoulders, Soft ®Set up work site location that is suitable to equipment ran
Edges, steep drop offs. and task needs

Working at Height Pali protection, ladder security A

 

[climbing and rigging gear checked
Procedure Communicated
Ground support 0 EWP/Crane needed

Wee cutting at height

WMS - Working safely
with trees (the green
book) Score L

 

wh munication intention to drop material

Cf Falling objects ‘Control material with rigging methods

L

 

 

 

 

 

Yr PSF] S| SS

 

 

Manual Handling ¥nder 40kg -Mechanical Assistance or Team Lift ie
silt traps & Spill kits «

environment 1D Manage noise, dust and erosion a Rafarenyro.plan Ee
Emergency / communication Evacuation & Assembly Point prepared Bignal Dial-000112 Ly
& Outdoor work (Sunscreen, PPE, Shade, Rest, Water L
Site Induction Record: the undersigned people have participated in the risk assessment process and agree to abide by all control
measures for workplace health & safety. All persons to work safe and to there limits, at no time put themselves in harms way or knowingly
endanger themselves or others . ALL Site Personal must sign below.

NAME SIGNATURE DATE Document*

 

 

 

 

 

 

 

 

 

1

 

 

MAKE COMMENTS OF REVERSE SIDE OF THIS FORM. Is there comments on back of this form Yes / No

 

Doc: Tree Fix Insurance Quote Form
Reviewed by: Scott Hanley

Review 1 March 2020-2021
Status: Released

Document Location:
QA System !SO 9001:2015

 

 

 

 

 

Page 1 of 2