HIGH RISK Task Risk Assessment
SITE DETAILS: The Worksite Supervisor must ensure that all persons entering the site are
appropriately briefed and have signed the register below.
Remove redundant power poles
Work Activity Details:
Commencement Date:
Responsible Person:
Location of Work:
Signature:
First Aid Location:
Time of Briefing:
Protection Officer Name:
First Aiders Name:
Emergency Assembly
Point:
Has a qualified protection
officer briefed the work
team on the Worksite
Protection in place:
Protection Officer Contact No:
Warning Alarm is:
YES / NO
Network Controller Emergency
Contact No:
(If no, STOP)
Safe Place Location:
Questions (Yes/No/N/A)
Day 1
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5
6
7
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9
Date
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Were all hazards at the
worksite identified :
Are all the controls
implemented:
Were all implemented
controls effective:
If answer is NO update the TRA/B
Are there any new tasks
not in the TRA/B:
Has any contamination
been identified:
Are environmental
controls required to be
installed and maintained
on site (ie sediment
fences)?
If answer is YES update the TRA/B
By signing this pre-start briefing, I confirm that:
I have the appropriate certification, licencing, permits to work and training required to perform this task.
I am free of the effects of alcohol and/or drugs.
I have considered my fitness for work (e.g. Fatigue level, illness) and feel that I am fit to perform this task.
I have had the opportunity to identify new hazards and question the safety controls.
I have advised the worksite supervisor of any prescription or other medications that may affect my ability to
perform work tasks safely.
I understand my responsibilities and obligations to implement and maintain nominated controls.
The task hazards have been identified and safety controls implemented and explained to my satisfaction.
I have been provided with the appropriate work task descriptions and the Worksite Protection
arrangements established for the site.
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I have been briefed in the relevant task risk assessment and have been provided with the opportunity to
suggest changes to safety, environment and quality controls.
I believe that the controls in place are appropriate to protect me, others around me and the environment.
FITNESS FOR WORK – All persons must meet the following criteria
Drugs and alcohol:
 ZERO level of drugs and alcohol prior to entering the site
Fatigue:
 Must have at least 10 hours break between shifts
 Must present themselves fit for work with a level of alertness that enables them to perform
their role and responsibilities safely and diligently
 Must manage their rest sufficiently to minimise the risks of fatigue-related incidents
 Must inform their supervisor / manager if they have not obtained sufficient sleep.
If any personnel do not meet the above criteria, they must not allowed to proceed to site.
SIGN OFF – A new TRA/B must be completed at the commencement of each roster period.
Day 1
Name
Signature
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9
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