FORM CG4 (or 8?)
Care Group Site Hazard Assessment and Control Form
Care Group Name: ....................................................................................................................................................................................................................
Project Name: ..........................................................................................
Location: ..............................................................................................
Site Assessor: ........................................................................................
Date of assessment: ............................................................................
Common Hazards
Yes
No
Potential Harm
How or what controls are in place
Controls: Isolate (I),
Eliminate (E) Minimise (M)
Bee/wasp stings
Pain, swelling, allergic reaction
Wear pants, long-sleeved shirts, gloves, shoes when working
outdoors. If stung by a bee remove the stinger as soon as possible.
Watch for an allergic reaction, which may take place immediately or
up to 30 minutes after the sting. Volunteers with known allergies
shall make them known to the Team Leader and carry their own
medication.
(I)
(E)
(M)
Plants (nettle, Bush
Lawyer, Rhus)
Lacerations, pain, swelling and
allergic reaction
Wear gloves, long-sleeved shirts and shoes. Seek medical assistance
if suspected allergic reaction.
(I)
(E)
(M)
Uneven terrain
Slip, trip, falls causing injury
Wear sturdy, covered footwear and ensure careful footing.
(I)
(E)
(M)
Animals/stock
Dog bites or injuries from charging
farm stock
If you come across an aggressive dog or animal remain calm, walk
slowly back to a safe place keeping your eyes on the animal at all
times. Signal for help if possible. Do not run. If in doubt do not enter
paddock.
(I)
(E)
(M)
Crossing rivers,
drains and streams
Drowning
Avoid entering water, use a bridge.
(I)
(E)
(M)
Effluent ponds
Drowning
Know where they are located and avoid.
(I)
(E)
(M)
O/H and U/G
services
Electrocution, gas fumes
Identify where all services are located to avoid contact.
(I)
(E)
(M)
FORM CG4 (or 8?)
Weather extremes
Sunburn, sunstroke, heat
exhaustion (hot), hypothermia
(cold), dehydration
Wear appropriate clothing, i.e. sun hat, carry fluids, use sunscreen.
Ensure adequate food and water if working for extended periods.
Check weather forecast before commencing work.
(I)
(E)
(M)
Vehicles/ traffic
Injury from vehicle accident
Exercise caution when working in areas where vehicles are present.
Do not ride on the back of motorbikes or ATV’s. Anyone using an
ATV must wear a helmet.
(I)
(E)
(M)
Trailer backing
Injury from trailer being backed
into a bystander or someone who
is assisting to direct the driver
Ensure competence before undertaking task.
(I)
(E)
(M)
Working near roads
Injury from vehicle accident
Carry out a traffic management plan to control people and vehicle
interactions prior to commencing project. Trained traffic controllers
in place or else use traffic management contractors.
(I)
(E)
(M)
Working under the
influence of
alcohol/medication
Injury to self or others
Do not allow volunteers on site if under the influence of
alcohol/medication
(I)
(E)
(M)
Fences
Electric shock, laceration from
barbed wire or injuries from falling
off
Use gates at all times. Do not attempt to climb fences. Find out from
landowners if fences are live.
(I)
(E)
(M)
Fires
Burns or property damage
No burning of vegetation. All vegetation to be removed.
(I)
(E)
(M)
Hand tools
Cuts from sharp edges
Spades and secateurs shall be transported with sharp edges
pointing down. Wear sturdy, covered footwear. Ensure there is a
safe working distance from others when using sharp tools e.g. a
minimum of one spade length.
(I)
(E)
(M)
Lifting
Strains
Determine weight before attempting to lift. When lifting – bend at
the knees and object close to the body. Get assistance if needed.
(I)
(E)
(M)
Spraying
Health risks from chemical toxicity
Do not spray when other people present. Ensure adequate training
(Growsafe) and equipment supplied. Wear appropriate PPE. Read
(I)
(E)
(M)
FORM CG4 (or 8?)
Safety Data Sheets before application. Check weather conditions.
Other Hazards
Present
Yes
No
How or what controls are in place
.......................................................
...............................................................
Assessor’s Signature
Date
Care group attendees (names):
Controls: Isolate (I),
Eliminate (E) Minimise (M)
(I)
(E)
(M)
(I)
(E)
(M)
(I)
(E)
(M)
FORM CG4 (or 8?)