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Job Safety and Environmental Analysis JSEA
Site Details and Hazard Assessment
Installer's Name
*
Company Name
*
Client's Name
*
Job Number
*
Has the site survey form been reviewed?
*
Yes
No
Job Activity
*
Installer's Email
*
Manager's Email
*
Summary of Assessed Hazards in this JSEA
Are you working at heights?
*
Yes
No
Rate how hazardous it is working at heights for this job:
*
Please enter a number from
1
to
36
.
Are you working alone?
*
Yes
No
Rate how hazardous it is working alone on this job:
*
Please enter a number from
1
to
36
.
Is there heat or cold stress?
Yes
No
Rate how hazardous the temperature stress is for this job:
*
Please enter a number from
1
to
36
.
Is there adverse weather?
Yes
No
Rate how hazardous adversie weather is for this job:
*
Please enter a number from
1
to
36
.
Is there exposure to energy (stored, live, running plant)?
Yes
No
Rate how hazardous energy exposure is for this job:
*
Please enter a number from
1
to
36
.
Is there interaction with people or animals on this job?
Yes
No
Rate how hazardous people or animals are for this job:
*
Please enter a number from
1
to
36
.
Is there manual handling on this job?
Yes
No
Rate how hazardous manual handling is for this job:
*
Please enter a number from
1
to
36
.
Are slips and falls a hazard on this job?
Yes
No
Rate how hazardous slips and falls are for this job:
*
Please enter a number from
1
to
36
.
Is driving or traffic management a hazard on this job?
Yes
No
Rate how hazardous driving or traffic management are for this job:
*
Please enter a number from
1
to
36
.
Does this job entail hot work (Heat Guns)
Yes
No
Rate how hazardous the hot work is for this job:
*
Please enter a number from
1
to
36
.
Are the tools used for this job hazardous?
Yes
No
Rate how hazardous the tools are for this job:
*
Please enter a number from
1
to
36
.
Is noise hazardous for this job
Yes
No
Rate how hazardous noise is for this job:
*
Please enter a number from
1
to
36
.
Are there hazardous materials on this job?
Yes
No
Rate how hazardous materials are for this job:
*
Please enter a number from
1
to
36
.
Are bees a hazard on this job?
Yes
No
Rate how hazardous bees are on this job:
*
Please enter a number from
1
to
36
.
Are there overhead or underground hazards on this job?
Yes
No
Rate the overhead or underground hazards of this job:
*
Please enter a number from
1
to
36
.
Are forklifts a hazard on this job?
Yes
No
Rate the hazard imposed by forklifts for this job:
*
Please enter a number from
1
to
36
.
General Safety Requirements:
Level of PPE required to be worn
Helmet
Sunhat
Safety Glasses
Safety Sunglasses
Hi-Viz Clothing
Cut-resistant Gloves
Safety or Slip-resistant Shoes
Coveralls
Knee Pads
Wet Weather Gear
Sunscreen
Hight Safety Equipmant
Emergency Procedures
Where is the closest Accident and Emergency clinic?
*
Is the work over 600V?
*
Yes
No
Is there a defibrillator on site?
*
Yes
No
Equipment Checks
Ladders in good condition
Lifting equipment usable
All equipment tested and tagged within date
Equipment calibrated (meta meter)
Harneses and ropes tested according to 6 monthly schedule
Standard Installation Steps
Frequently encountered hazards for this type of work – review and check for any exceptions for this site or any other controls required?
Step 1
Set up job
(Check roof or underfloor cavity, investigate DB or MSB) and plan cable run.
Risk of falling when climbing up ladder
Falling through ceiling
Lack of visibility in dark areas
Manual handling
Risk Rating 13
Controls (new)
(Eliminate, Procedure, PPE)
Secure Ladder
Check access is safe prior to entering roof space (no damage or weak boarding)
Use torch as required
Use mechanical aid or team lift as required
New Risk Rating 9
Completed on site?
*
Yes
No
Name
*
Step 2
Install rails, solar panels, cables
Risk of falling when accessing or working on roof
Public intera
Lack of visibility in dark areas
Manual handling
Risk Rating 29
Controls (new)
(Eliminate, Procedure, PPE)
Ensure ladder secured prior to accessing roof. Use of second person to support ladder while it is secured.
Use anti-slip footwear and gloves
Set up public exclusion zone around work access points
Establish safe rooftop work areas and paths. Demarcate unsafe areas.
Set up public exclusion zone around work access points
Hight safety equipment
Use panel lifter (where appropriate)
New Risk Rating 20
Completed on site?
*
Yes
No
Name
*
Step 3
Electrical work (running cables, installing and terminating components
Risk of electrical shock
Falling through ceiling
Manual handling
Risk Rating 32
Controls (new)
(Eliminate, Procedure, PPE)
Isolate power and test for dead (lockout)
Competent, trained and authorised electrician
PPE
Team Lifting
Walking on rafters (use plank wthere appropriate
New Risk Rating 15
Completed on site?
*
Yes
No
Name
*
Step 4
Commissioning and testing of system
Risk of falls climbing down from roof
Risk of electrical shop
Risk of damage to components
Risk Rating 32
Controls (new)
(Eliminate, Procedure, PPE)
Correct selection and use of tools
Wear PPE
Working at heights equipment
New Risk Rating 15
Completed on site?
*
Yes
No
Name
*
Step 5
Pack up gear and return to site
Manual handling if moving heavy items to vehicle
Poor housekeeping
Insecure equipment on van
Driving / Fatigue
Risk Rating 25
Controls (new)
(Eliminate, Procedure, PPE)
Use appropriate handing techniques, Team assist.
Use of appropriate tie downs
Good housekeeping practices
Regular breaks
New Risk Rating 20
Completed on site?
*
Yes
No
Name
*
Step 6
Batteries and storage systems
Manual handling
Stored energy
Short circuiting
Risk Rating 28
Controls (new)
(Eliminate, Procedure, PPE)
Insure terminals are insulated
Correct tool selection
Team lift or mechanical aid
New Risk Rating 10
Completed on site?
*
Yes
No
Name
*
Working at Heights Rescue Plan
Is a work at height rescue plan required
Yes
No
How will working at height hazard be managed?
Reason for exception
*
Approved by
*
Dated: 31/07/2021
Time Sheet
Name of Person in Charge
*
Person in control of work. (May be a contractor or Mercury employee, depending on the thy of work undertaken). eg. Initial installation or inspection.
Date
MM slash DD slash YYYY
Time in
:
Hours
Minutes
AM
PM
Time out
:
Hours
Minutes
AM
PM
Sign in Again?
Yes
No
Date
MM slash DD slash YYYY
Time in
:
Hours
Minutes
AM
PM
Time out
:
Hours
Minutes
AM
PM
Work Party Member 1
Date
MM slash DD slash YYYY
Time in
:
Hours
Minutes
AM
PM
Time out
:
Hours
Minutes
AM
PM
Work Party 1 Sign in Again?
Yes
No
Date
MM slash DD slash YYYY
Time in
:
Hours
Minutes
AM
PM
Time out
:
Hours
Minutes
AM
PM
Work Party Member 2
Date
MM slash DD slash YYYY
Time in
:
Hours
Minutes
AM
PM
Time out
:
Hours
Minutes
AM
PM
Work Party 2 Sign in Again?
Yes
No
Date
MM slash DD slash YYYY
Time in
:
Hours
Minutes
AM
PM
Time out
:
Hours
Minutes
AM
PM
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