SECURE THE SCENE

Equipment Commissioning Checklist

HAS THE FOLLOWING BEEN COMPLETED:

AS/NZ 4024 Standard Met

HAS THE FOLLOWING DOCUMENTATION BEEN PREPARED:

Have SOPs / Safe Systems of Work

Training Requirements

Risk Management

Commissioning Approval

Please fill in all fields to be able to Submit

Have the Following Documents Been provided?

Reporting Procedures

Have The Following Insurance Certificates Been Provided?

Prosecution Details

Job Safety Analysis

Task Analysis

Task 1

RAW RISK ASSESSMENT

The raw risk assessment is: LOW
The raw risk assessment is: LOW
The raw risk assessment is: LOW
The raw risk assessment is: LOW
The raw risk assessment is: LOW
The raw risk assessment is: MEDIUM
The raw risk assessment is: MEDIUM
The raw risk assessment is: LOW
The raw risk assessment is: MEDIUM
The raw risk assessment is: MEDIUM
The raw risk assessment is: MEDIUM
The raw risk assessment is: MEDIUM
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: MEDIUM

RESIDUAL RISK ASSESSMENT

The residual risk assessment is: LOW
The residual risk assessment is: LOW
The residual risk assessment is: LOW
The residual risk assessment is: LOW
The residual risk assessment is: LOW
The residual risk assessment is: MEDIUM
The residual risk assessment is: MEDIUM
The residual risk assessment is: LOW
The residual risk assessment is: MEDIUM
The residual risk assessment is: MEDIUM
The residual risk assessment is: MEDIUM
The residual risk assessment is: MEDIUM
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: MEDIUM

Task 2

RAW RISK ASSESSMENT

The raw risk assessment is: LOW
The raw risk assessment is: LOW
The raw risk assessment is: LOW
The raw risk assessment is: LOW
The raw risk assessment is: LOW
The raw risk assessment is: MEDIUM
The raw risk assessment is: MEDIUM
The raw risk assessment is: LOW
The raw risk assessment is: MEDIUM
The raw risk assessment is: MEDIUM
The raw risk assessment is: MEDIUM
The raw risk assessment is: MEDIUM
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: MEDIUM

RESIDUAL RISK ASSESSMENT

The residual risk assessment is: LOW
The residual risk assessment is: LOW
The residual risk assessment is: LOW
The residual risk assessment is: LOW
The residual risk assessment is: LOW
The residual risk assessment is: MEDIUM
The residual risk assessment is: MEDIUM
The residual risk assessment is: LOW
The residual risk assessment is: MEDIUM
The residual risk assessment is: MEDIUM
The residual risk assessment is: MEDIUM
The residual risk assessment is: MEDIUM
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: MEDIUM

Task 3

RAW RISK ASSESSMENT

The raw risk assessment is: LOW
The raw risk assessment is: LOW
The raw risk assessment is: LOW
The raw risk assessment is: LOW
The raw risk assessment is: LOW
The raw risk assessment is: MEDIUM
The raw risk assessment is: MEDIUM
The raw risk assessment is: LOW
The raw risk assessment is: MEDIUM
The raw risk assessment is: MEDIUM
The raw risk assessment is: MEDIUM
The raw risk assessment is: MEDIUM
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: MEDIUM

RESIDUAL RISK ASSESSMENT

The residual risk assessment is: LOW
The residual risk assessment is: LOW
The residual risk assessment is: LOW
The residual risk assessment is: LOW
The residual risk assessment is: LOW
The residual risk assessment is: MEDIUM
The residual risk assessment is: MEDIUM
The residual risk assessment is: LOW
The residual risk assessment is: MEDIUM
The residual risk assessment is: MEDIUM
The residual risk assessment is: MEDIUM
The residual risk assessment is: MEDIUM
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: MEDIUM

Task 4

RAW RISK ASSESSMENT

The raw risk assessment is: LOW
The raw risk assessment is: LOW
The raw risk assessment is: LOW
The raw risk assessment is: LOW
The raw risk assessment is: LOW
The raw risk assessment is: MEDIUM
The raw risk assessment is: MEDIUM
The raw risk assessment is: LOW
The raw risk assessment is: MEDIUM
The raw risk assessment is: MEDIUM
The raw risk assessment is: MEDIUM
The raw risk assessment is: MEDIUM
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: MEDIUM

RESIDUAL RISK ASSESSMENT

The residual risk assessment is: LOW
The residual risk assessment is: LOW
The residual risk assessment is: LOW
The residual risk assessment is: LOW
The residual risk assessment is: LOW
The residual risk assessment is: MEDIUM
The residual risk assessment is: MEDIUM
The residual risk assessment is: LOW
The residual risk assessment is: MEDIUM
The residual risk assessment is: MEDIUM
The residual risk assessment is: MEDIUM
The residual risk assessment is: MEDIUM
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: MEDIUM

Task 5

RAW RISK ASSESSMENT

The raw risk assessment is: LOW
The raw risk assessment is: LOW
The raw risk assessment is: LOW
The raw risk assessment is: LOW
The raw risk assessment is: LOW
The raw risk assessment is: MEDIUM
The raw risk assessment is: MEDIUM
The raw risk assessment is: LOW
The raw risk assessment is: MEDIUM
The raw risk assessment is: MEDIUM
The raw risk assessment is: MEDIUM
The raw risk assessment is: MEDIUM
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: MEDIUM

RESIDUAL RISK ASSESSMENT

The residual risk assessment is: LOW
The residual risk assessment is: LOW
The residual risk assessment is: LOW
The residual risk assessment is: LOW
The residual risk assessment is: LOW
The residual risk assessment is: MEDIUM
The residual risk assessment is: MEDIUM
The residual risk assessment is: LOW
The residual risk assessment is: MEDIUM
The residual risk assessment is: MEDIUM
The residual risk assessment is: MEDIUM
The residual risk assessment is: MEDIUM
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: MEDIUM

Task 6

RAW RISK ASSESSMENT

The raw risk assessment is: LOW
The raw risk assessment is: LOW
The raw risk assessment is: LOW
The raw risk assessment is: LOW
The raw risk assessment is: LOW
The raw risk assessment is: MEDIUM
The raw risk assessment is: MEDIUM
The raw risk assessment is: LOW
The raw risk assessment is: MEDIUM
The raw risk assessment is: MEDIUM
The raw risk assessment is: MEDIUM
The raw risk assessment is: MEDIUM
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: MEDIUM

RESIDUAL RISK ASSESSMENT

The residual risk assessment is: LOW
The residual risk assessment is: LOW
The residual risk assessment is: LOW
The residual risk assessment is: LOW
The residual risk assessment is: LOW
The residual risk assessment is: MEDIUM
The residual risk assessment is: MEDIUM
The residual risk assessment is: LOW
The residual risk assessment is: MEDIUM
The residual risk assessment is: MEDIUM
The residual risk assessment is: MEDIUM
The residual risk assessment is: MEDIUM
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: MEDIUM

Task 7

RAW RISK ASSESSMENT

The raw risk assessment is: LOW
The raw risk assessment is: LOW
The raw risk assessment is: LOW
The raw risk assessment is: LOW
The raw risk assessment is: LOW
The raw risk assessment is: MEDIUM
The raw risk assessment is: MEDIUM
The raw risk assessment is: LOW
The raw risk assessment is: MEDIUM
The raw risk assessment is: MEDIUM
The raw risk assessment is: MEDIUM
The raw risk assessment is: MEDIUM
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: MEDIUM

RESIDUAL RISK ASSESSMENT

The residual risk assessment is: LOW
The residual risk assessment is: LOW
The residual risk assessment is: LOW
The residual risk assessment is: LOW
The residual risk assessment is: LOW
The residual risk assessment is: MEDIUM
The residual risk assessment is: MEDIUM
The residual risk assessment is: LOW
The residual risk assessment is: MEDIUM
The residual risk assessment is: MEDIUM
The residual risk assessment is: MEDIUM
The residual risk assessment is: MEDIUM
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: MEDIUM

Task 8

RAW RISK ASSESSMENT

The raw risk assessment is: LOW
The raw risk assessment is: LOW
The raw risk assessment is: LOW
The raw risk assessment is: LOW
The raw risk assessment is: LOW
The raw risk assessment is: MEDIUM
The raw risk assessment is: MEDIUM
The raw risk assessment is: LOW
The raw risk assessment is: MEDIUM
The raw risk assessment is: MEDIUM
The raw risk assessment is: MEDIUM
The raw risk assessment is: MEDIUM
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: MEDIUM

RESIDUAL RISK ASSESSMENT

The residual risk assessment is: LOW
The residual risk assessment is: LOW
The residual risk assessment is: LOW
The residual risk assessment is: LOW
The residual risk assessment is: LOW
The residual risk assessment is: MEDIUM
The residual risk assessment is: MEDIUM
The residual risk assessment is: LOW
The residual risk assessment is: MEDIUM
The residual risk assessment is: MEDIUM
The residual risk assessment is: MEDIUM
The residual risk assessment is: MEDIUM
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: MEDIUM

Task 9

RAW RISK ASSESSMENT

The raw risk assessment is: LOW
The raw risk assessment is: LOW
The raw risk assessment is: LOW
The raw risk assessment is: LOW
The raw risk assessment is: LOW
The raw risk assessment is: MEDIUM
The raw risk assessment is: MEDIUM
The raw risk assessment is: LOW
The raw risk assessment is: MEDIUM
The raw risk assessment is: MEDIUM
The raw risk assessment is: MEDIUM
The raw risk assessment is: MEDIUM
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: MEDIUM

RESIDUAL RISK ASSESSMENT

The residual risk assessment is: LOW
The residual risk assessment is: LOW
The residual risk assessment is: LOW
The residual risk assessment is: LOW
The residual risk assessment is: LOW
The residual risk assessment is: MEDIUM
The residual risk assessment is: MEDIUM
The residual risk assessment is: LOW
The residual risk assessment is: MEDIUM
The residual risk assessment is: MEDIUM
The residual risk assessment is: MEDIUM
The residual risk assessment is: MEDIUM
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: MEDIUM

Task 10

RAW RISK ASSESSMENT

The raw risk assessment is: LOW
The raw risk assessment is: LOW
The raw risk assessment is: LOW
The raw risk assessment is: LOW
The raw risk assessment is: LOW
The raw risk assessment is: MEDIUM
The raw risk assessment is: MEDIUM
The raw risk assessment is: LOW
The raw risk assessment is: MEDIUM
The raw risk assessment is: MEDIUM
The raw risk assessment is: MEDIUM
The raw risk assessment is: MEDIUM
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: MEDIUM

RESIDUAL RISK ASSESSMENT

The residual risk assessment is: LOW
The residual risk assessment is: LOW
The residual risk assessment is: LOW
The residual risk assessment is: LOW
The residual risk assessment is: LOW
The residual risk assessment is: MEDIUM
The residual risk assessment is: MEDIUM
The residual risk assessment is: LOW
The residual risk assessment is: MEDIUM
The residual risk assessment is: MEDIUM
The residual risk assessment is: MEDIUM
The residual risk assessment is: MEDIUM
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: MEDIUM

Safety Observation Report

Enterprise

KTD and other PCBU's

KTD and other PCBU's

KTD and other PCBU's

KTD and other PCBU's

KTD and other PCBU's

KTD and other PCBU's

KTD and other PCBU's

KTD and other PCBU's

KTD and other PCBU's, Safety and Quality Risk's

KTD and other PCBU

KTD and other PCBU

KTD and other PCBU

Windows'

Engine

Tyre Status

Lights Status

Competency Assessment

HAZARD INFORMATION

A detailed description of the hazard.

A detailed description of how someone might get hurt.

A detailed description of how the hazard may cause the harm.

ISSUE INFORMATION

A detailed description of the issue and the risk it presents.

A description of the effects to the business should the risk materialise.

RISK RESPONSE

EFFECTIVENESS OF CURRENT CONTROLS

List and explain all the factors that affect and determine the likelihood and impact of the harm or issue.

RAW RISK ASSESSMENT

The raw risk assessment is: LOW
The raw risk assessment is: LOW
The raw risk assessment is: LOW
The raw risk assessment is: LOW
The raw risk assessment is: LOW
The raw risk assessment is: LOW
The raw risk assessment is: LOW
The raw risk assessment is: MEDIUM
The raw risk assessment is: MEDIUM
The raw risk assessment is: MEDIUM
The raw risk assessment is: MEDIUM
The raw risk assessment is: MEDIUM
The raw risk assessment is: MEDIUM
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH
The raw risk assessment is: VERY HIGH

CONTROLS

RESIDUAL RISK ASSESSMENT

The residual risk assessment is: LOW
The residual risk assessment is: LOW
The residual risk assessment is: LOW
The residual risk assessment is: LOW
The residual risk assessment is: LOW
The residual risk assessment is: LOW
The residual risk assessment is: LOW
The residual risk assessment is: MEDIUM
The residual risk assessment is: MEDIUM
The residual risk assessment is: MEDIUM
The residual risk assessment is: MEDIUM
The residual risk assessment is: MEDIUM
The residual risk assessment is: MEDIUM
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH
The residual risk assessment is: VERY HIGH

Gutter Clean Estimate

The estimated cost to clean your guttering would be $300
The estimated cost to clean your guttering would be $1000