Document Review Due: / Document Issue Date: / Document Version #:
1.0 / OHS Document Number:
OHS-0000

Ensure printed documents are the same version as published on the Ruby Pharma OHS Intranet site.

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PART A – JSA Summary

Enter Council Details / JSA Number
Workgroup: / Environmental Health / Work Location: / Private domestic premises
Work Activity: / Domestic premises inspections (squalor/public health pests)
Work/s Supervisor: / To enter
Contact Phone: / To enter
Names of Workers who were involved in developing this JSA / To enter / Names of Workers who were also consulted in developing this JSA. / To enter
Person Responsible for ensuring compliance with JSA / To enter / Last JSA Review Date:
Person(s) Responsible for reviewing the JSA / To enter / Signature:

This is a predefined JSA. Should there be identified risks or hazards once onsite then this JSA will need to be updated with those risks/hazards and controls implemented and the additions signed off.

This JSA will need to be authorised and re-communicated.

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(Council logo) / Job Safety Analysis (JSA)
For construction and other work / Version No: / 3
Issued: / Oct 2013
Next Review: / Oct 2015

PART B – Hazard Identification

Use the following prompts to identify the hazards associated with the activity as indicated in Part B – Hazard and Risk Identification, Assessment and Control

If the prompt is applicable tick ‘Yes’ then continue with the risk assessment in Part B. If the prompt is not applicable tick ‘No’. If the prompt does not apply tick ‘N/A’.

Code / A. Personal Injury/Illness or Death – Due to… / Yes / No / N/A
A1 / Access or egress from site / work area / ü
A2 / Asbestos / lead / ü
A3 / Biological (Exposure to infection / infectious diseases) / ü
A4 / Burns (Exposure or contact with radiant heat, fire, hot objects, sparks) / ü
A5 / Chemical exposure (use and handling, spill or leak) / ü
A6 / Confined Spaces / ü
A7 / Demolition work or alteration of a structure / ü
A8 / Drowning / ü
A9 / Dust / Particles / airborne contaminants / ü
A10 / Electrocution/electric shock / ü
A11 / Ergonomics (eg workstation, equipment controls) / ü
A12 / Falling from the same level (eg falling over on the same level) (See Note 1 for criteria) / ü
A13 / Falling from height (eg falling from one level to another) (See Note 1 for criteria) / ü
A14 / Falling objects (eg from same level or above) / ü
A15 / Insect / animal bites and/or stings / ü
A16 / laceration from sharp or rough edges / objects / materials / ü
A17 / Manual handling (lifting, bending, twisting, repetitive, cramped, awkward, heavy) / ü
A19 / Noise (eg machinery) / ü
A20 / Overhead hazards (power lines, scaffold, equipment, works) / ü
A21 / Poor lighting / ü
A22 / Pressurized gas, fuel or refrigerant lines / ü
A23 / Plant and equipment (entanglement, crush, cut, stab, puncture, shear, burn, strike, struck by moving machinery / mobile plant) / ü
A24 / Remote or isolated work locations / ü
A25 / Suffocation by gas, fumes, lack of oxygen (exposure to toxic chemical vapours, exposure to toxic combustion products, exposure to toxic chemical reaction gases) / ü
A26 / Slipping (eg on loose or wet or slippery surface / ü
A27 / Traffic / Pedestrians (WZTM) / ü
A28 / Tripping (eg over an object) / ü
A29 / Trenching / Excavations / ü
A30 / Uneven surface (eg gradient / embankments) / ü
A31 / Vibration (eg machinery) / ü
A32 / Working over a pit / hole / ü
A33 / Weather conditions (wind, rain, UV Radiation, visibility) / ü
A34 / Other hazards identified – Physical threat from violent persons / ü
/ Code / B. Fire or Explosion – Resulting from the activity / Yes / No / N/A
B1 / Ignition source in hazardous area (Naked flame, sparks, welding) / ü
B2 / Generation of static discharge / ü
B3 / Ignition of flammable or explosive vapours / ü
B4 / Decomposition reaction / ü
B5 / Chemical reaction / ü
B6 / Reaction of incompatible materials / ü
B7 / Detonation of explosive materials / ü
B8 / Dust explosion / ü
B9 / Overpressure of vessel or tank / ü
B10 / Other – specify: / ü
Code / A. Excavation & Trenching – Due to…. / Yes / No / N/A
C1 / Underground essential services / ü
C2 / Fall or dislodgement of earth or rock / ü
C3 / Fall from one level to another / ü
C4 / Inappropriate placement of excavated materials, plant or other loads / ü
C5 / The instability of any adjoining structure caused by the excavation / ü
C6 / Any previous disturbance of the ground including previous excavation / ü
C7 / The instability of the excavation due to persons or plant working adjacent to the excavation / ü
C8 / The presence of or possible inrush of water or other liquid / ü
C9 / Hazardous manual tasks / ü
C10 / Hazardous chemicals (e.g. these may be present in the soil where excavation work is to be carried out) / ü
C11 / Hazardous atmosphere in an excavation (e.g. using Methyl Ethyl Ketone (MEK) solvent for PVC pipes in poorly ventilated trenches) / ü
C12 / Vibration and hazardous noise / ü
C13 / Overhead essential services (powerlines) and ground mounted essential services (transformers, gas and water meters). / ü

PART C – Hazard and Risk Identification, Assessment and Control

Hazard Code
(From Part B) / Hazard Description
What is the problem? Describe the hazards and the risks and how they could cause harm to workers or the public. / Current Hazard Controls / Risk Rating
With current controls in place
Review / Additional Controls
(to reduce the Level of Risk)
Using the Hierarchy of Controls, (1. Eliminated, 2. Substitution, 3. Engineering Controls, 4. Administrative Controls, 5 Personal Protective Equipment) list the control measures required to eliminate or reduce the risk of injury and detail how the control measures will be put in place. / Residual Risk Rating
Review / Who is Responsible?
Write the name of the person responsible (supervisor or above) to implement the control measures identified. /
A1 / Inspect domestic premises
·  Access or egress from site/work area
o  Site is unpredictable and could cause sprains, strains, cuts, abrasions, concussion / Inspect site prior to entry for visible hazards / L / Nil – hazard controls have been in place prior to development of JSA / L
A2 / Inspect domestic premises
·  Asbestos/lead
o  Old pipework or other materials within a situation of domestic squalor may contain asbestos. Risk of mesothelioma if unmanaged / Where complaint is about asbestos, remain in car and do visual risk assessment about suitability for further exploration. Internal training will also be provided about asbestos risks and how to manage them and understanding where it is and is not suitable to attend on-site. Where visual assessment deems it is not safe for officer to attend and inspect closer, organize for asbestos specific contractor to attend and assess risk or utilise the precautionary principle in the South Australian Public Health Act and have the person illustrate to you that there is no risk to public health from the asbestos. / H / Nil – hazard controls have been in place prior to development of JSA / H
A3 / Inspect domestic premises
·  Biological (exposure to infection/infectious disease)
o  Needlestick injury from contaminated items or contact with vermin/human faeces / Wear gloves and long sleeved clothing if entering premises where there is domestic squalor as it may contain vermin, faeces, and other matter that may cause irritation to breathing or skin. Be sure to wear closed shoes, use leather or thick style rubber gloves if touching any items and use alcohol gel after leaving premises or before touching face. Wash shoes if necessary, particularly if having walked in effluent or other infectious by-products. Wear hair tied back to minimise risk of acquiring infestation by insect pests. For personal comfort, wear face masks if odour is strong. Wash hands frequently. Do not enter if reason to believe that it is unsafe to do so. / L / Nil – hazard controls have been in place prior to development of JSA / L
A8 / Inspect domestic premises
·  Drowning
o  Area requiring inspection may be near swimming pools, dams or open septic tanks and falling in could result in death, especially if they are concealed. / Assess presence of swimming pool, dams or other bodies of water prior to entering property. Remain a safe distance from them when undertaking activities to avoid falling in. Do not run around water bodies in case of slipping into water. / H / Nil – hazard controls have been in place prior to development of JSA / H
A11 / Record Findings
·  Ergonomics
o  Modified workspace may cause injury from trying to fit in small space for recording notes. Seat might not be available or appropriate. Limited desk space for notetaking.
Write legal Notice/letter
·  Ergonomics
o  If done back in office, usual RSI and office based risks / Contact premise user/owner and organise working space prior to attending
Place laptop on bench upon arrival at premises and work from this position. If adequate bench space is unavailable, utilise inspection/note pad instead as this is lighter and easier and easier to write in a less ideal recording environment.
Ensure that workspace is adequate with Council standard chair, desk and computer screen. Replace any broken or substandard equipment. Advise staff about adequate assessment of workstation. If aids are required to assist with posture or comfort, ensure that these are available and utilised by staff. / M
L / Nil – hazard controls have been in place prior to development of JSA
If workspace is inadequate and cannot be made suitable thought is to be given as to how to remedy / M
L
A12 / Inspect domestic premises
·  Falling from the same level (eg falling over on the same level) due to
o  Site may be cluttered
o  Surface may be slippery
o  Surface may be sloping
o  Sprains, strains, cuts, abrasions, concussion / Awareness of surroundings, visual inspection before moving to a new location within a site.
Housekeeping
Wear stable, nonslip sensible shoes which are those without excessive or thin/pointy heel and with a base that provides some grip
Ensure that access and egress is safe to use
Ensure that floor coverings are not worn or torn or wet
Workplace inspections / L / Nil – hazard controls have been in place prior to development of JSA / L
A15 / Inspect domestic premises
·  Insect / animal bites and/or stings
o  Dogs or other animals/insects on site may bite or sting / Check Council’s property database for dog registration
Inspect the site for animals/insects prior to entry.
Where a site has high dry grass be aware of the possible presence of reptiles.
First aid kits available in all Council vehicles. Mobile phone available and charged in case of snake bite. Knowledge of snake bite first aid. / M / Nil – hazard controls have been in place prior to development of JSA / M
A16 / Inspect domestic premises
·  Laceration from sharp or rough edges / objects / materials
o  Mess within the premises may cause cuts or abrasions / Awareness of surroundings, visual inspection before moving to a new location within a site.
Housekeeping / L / Nil – hazard controls have been in place prior to development of JSA / L
A17 / Inspect domestic premises
·  Manual Hazardous Tasks-Musculoskeletal Disorders (sprains, strains, back injuries, joint / bone injuries, nerve injuries,)
o  Sprain or strain injury from bending down to inspect evidence of vermin or failing wastewater system / In accordance with the Alexandrina Council Manual Handling policy, no specific direction available.
Bend from the knees
Refrain from high or sudden use of force
Don’t maintain sustained or awkward posture
Undertake Manual Handling risk assessment
Use 2 people where there is a requirement to move an item that is heavier than 4kg / L / Nil – hazard controls have been in place prior to development of JSA / L
A21 / Inspect domestic premises
·  Poor lighting
o  Areas inside premises where areas may be poorly lit could lead to trips/injury / Awareness of surroundings, visual inspection before moving to a new location within a site. If lighting insufficient, utilise torch or if necessary, cease inspection. / L / Nil – hazard controls have been in place prior to development of JSA / L
A24 / Inspect domestic premises
·  Remote or isolated work locations
o  Hostage or Injury without medical attention / Charged Mobile telephone
Use of “Who’s In” to keep other staff informed of whereabouts.
Use of remote and isolated workers policy and Answering Adelaide service for monitoring the safe return of staff.
Take a backup staff member where unsure. / M / Nil – hazard controls have been in place prior to development of JSA / M
A26 / Inspect domestic premises
·  Slipping (eg on loose or wet or slippery surface)
o  Sprains, strains, cuts, abrasions, concussion / Awareness of surroundings, visual inspection before moving to a new location within a site.
Footwear should be with adequate grip and heel not too thin/pointy
Use 3 points of contact where available / L / Nil – hazard controls have been in place prior to development of JSA / L
A27 / Inspect domestic premises
·  Traffic/pedestrians
o  Injury from being hit by vehicle onsite / Vehicle is to be safely pulled over to the side of the road so as to reduce risk of danger to other vehicles/pedestrians or risk to officer/vehicle from inappropriate location of parked vehicle. / M / Nil – hazard controls have been in place prior to development of JSA / M
A28 / Inspect domestic premises
·  Tripping (eg over an object)
o  Sprains, strains, cuts, abrasions, concussion / Awareness of surroundings, visual inspection before moving to a new location within a site.
Housekeeping / L / Nil – hazard controls have been in place prior to development of JSA / L
A29 / Inspect domestic premises
·  Trenching/excavations
o  Sprains, strains, cuts, abrasions, from falling in / Awareness of surroundings, visual inspection before moving to a new location within a site. Ensure that when moving over site, care is taken to avoid moving close to open trenches.
Trenches should be secured from unathorised access (if greater than 1.5ms)
First aid kit in car / L / Nil – hazard controls have been in place prior to development of JSA / L
A30 / Inspect domestic premises
·  Uneven surface (eg gradient/embankments)
o  Sprains, strains, cuts, abrasions / Awareness of surroundings, visual inspection before moving to a new location within a site.
Use 3 points of contact on stairs / L / Nil – hazard controls have been in place prior to development of JSA / L
A33 / Drive to site
·  Weather conditions
o  Vehicle accident resulting in injury to driver
Inspect domestic premises
·  Weather conditions
o  Slip injury from wet or UV exposure/burn / Refer to Inclement weather and UV protection procedure. Ensure that staff are aware of the policy and its application is utilised within the team.
Vehicle licensed and insured
Driver licensed
Follow council procedure for working outdoors. Use appropriate PPE (sunglasses, sunscreen, long clothing etc). / E
L / Nil – hazard controls have been in place prior to development of JSA / E
L
A34 / Speak to owner/occupier/neighbour
·  Physical/psychological threat from violent/aggressive persons
o  Injury from violence / Do not enter a property alone if there is any expectation of a physical threat arising. Walk away if the site is unsafe and report this to Manager.
Ensure your mobile is charged and available / M / Nil – hazard controls have been in place prior to development of JSA / M


Part D – Other Safety Considerations