Ensure Printed Documents Are the Same Version As Published on the Ruby Pharma OHS Intranet

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 premises / worksites
Work Activity: / Plumbing and wastewater system inspections
Work/sSupervisor: / 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.

Page 1 of 12

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

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 personresponsible (supervisor orabove) to implement the controlmeasures identified.
A1 / Inspect wastewater works

• Access or egress from site/work area
• Site is worksite and could cause sprains, strains, cuts, abrasions, concussion

/ Inspect site prior to entry for visible hazards
3 points of contact
Barricading, barrier tape and signage
Housekeeping
Look before moving
PPE / L / Nil – hazard controls have been in place prior to development of JSA / L
A2 / Inspect wastewater works

• Asbestos/lead
• Old pipework 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
A8 / Inspect wastewater works

• Drowning
• Workspace may be near swimming pools, dams or open septic tanks and falling in could result in death

/ Assess presence of swimming pool, dams, open septic tanks or other bodies of water prior to entering inspection site. Remain a safe distance from them when undertaking activities to avoid falling in. Walk slowly around these water bodies in case of slipping into water. Keep a safe distance to inspect tank with both feet on the ground.
PPE – non slip shoes / H / Nil – hazard controls have been in place prior to development of JSA / H
A9 / Inspect wastewater works

• Dust/particles
• Inhalation of dust may impact on breathing or dust in eyes may cause irritation/sight issues

/ Remain in vehicle if dust is too prevalent and wait until dust subsides. Cease inspection if dust will not subside. Ask excavator to cease excavation whilst you are inspecting if it is causing excessive dust.. / L / Nil – hazard controls have been in place prior to development of JSA / L
A11 / Record Findings

• Ergonomics
• Lack of desk and seat onsite may cause injury from moving body into difficult positions to record notes.

• Ergonomics
• If done back in office, usual RSI and office based risks

/ Contact premise user/owner and organise working space prior to attending
Record notes upon return to a comfortable position in the vehicle. Or if more appropriate for the site, record information upon return to the office.
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 wastewater works

• Falling from the same level (eg falling over on the same level) due to
• slippery surface
• Uneven surface
• Cluttered worksite
• 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
Signage advising of altered ground / surface conditions / L / Nil – hazard controls have been in place prior to development of JSA / L
A13 / Inspect wastewater works

• Falling from height (eg falling from one level to another)
• Sprains, strains, cuts, abrasions, concussion

/ Have awareness of trenches and other excavated areas on a building site.Cease inspection if the ground is not stable or if you cannot safely conduct inspection without risk of falling into trench/hole. / L / Nil – hazard controls have been in place prior to development of JSA / L
A15 / Inspect wastewater works

• Insect / animal bites and/or stings
• 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 wastewater works

• Laceration from sharp or rough edges / objects / materials
• Metal work and pipe cutting implements or pipes themselves may cause cuts or abrasions

/ Awareness of surroundings, visual inspection before moving to a new location within a site. First Aid kits are to be available in all Council vehicles in case of laceration injury – Apply first aid.
Housekeeping
Worksite Inspection
PPE / L / Nil – hazard controls have been in place prior to development of JSA / L
A17 / Inspect wastewater works

• Manual Hazardous Tasks-Musculoskeletal Disorders (sprains, strains, back injuries, joint / bone injuries, nerve injuries,)
• Sprain or strain injury from bending down to inspect pipework

/ 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 wastewater works

• Poor lighting
• Plumbing additions 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, cease inspection until adequate light is available.
Take a torch / L / Nil – hazard controls have been in place prior to development of JSA / L
A23 / Inspect wastewater works

• Plant and equipment (entanglement, crush, cut, stab, puncture, shear, burn, strike, struck by moving machinery/mobile plant)
• Injury from being hit by excavation vehicle onsite

/ Approach site in view of excavation and other heavy machinery.
Wear steel cap shoes and high visibility vest.
Get the attention of the excavator operator before entering the site.
Wear PPE-Hi Vis
Cease inspection if unable to safely get the attention of machinery operator without entering site first. / H / Nil – hazard controls have been in place prior to development of JSA / H
A24 / Inspect wastewater works

• Remote or isolated work locations
• 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 whereunsure. / M / Nil – hazard controls have been in place prior to development of JSA / M
A26 / Inspect wastewater works

• Slipping (eg on loose or wet or slippery surface)
• Sprains, strains, cuts, abrasions, concussion

/ Awareness of surroundings, visual inspection before moving to a new location within a site.
Wear steel cap boots.
Use 3 points of contact where available / L / Nil – hazard controls have been in place prior to development of JSA / L
A27 / Inspect wastewater works

• Traffic/pedestrians
• 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 wastewater works

• Tripping (eg over an object)
• Sprains, strains, cuts, abrasions, concussion

/ Awareness of surroundings, visual inspection before moving to a new location within a site.
Wear steel cap boots.
Housekeeping / L / Nil – hazard controls have been in place prior to development of JSA / L
A29 / Inspect wastewater works

• Trenching/excavations
• 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 wastewater works

• Uneven surface (eg gradient/embankments)
• 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
A32 / Inspect wastewater works

• Working over a pit/hole
• Sprains, strains, cuts, abrasions from falling in

/ Remain a safe distance from an open septic tank or open soakage pit or excavations.
Keep both feet on the ground whilst inspecting. / L / Nil – hazard controls have been in place prior to development of JSA / L
A33 / Drive to site

• Weather conditions
• Vehicle accident resulting in injury to driver

Inspect wastewater works

• Weather conditions
• 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).
Be aware of the surrounding areas and conditions / E
L / Nil – hazard controls have been in place prior to development of JSA / E
L
A34 / Speak to plumber

• Physical/psychological threat from violent/aggressive persons
• 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

Type of Permit / Licence Required: (please indicate by ticking yes/no box)
Yes / No / Yes / No / Yes / No / Yes / No / Yes / No
Gov Authority (eg, TSA) /  / Lock Out /  / Scaffolding / Scafftag /  / EWP /  / Disp or Trans Solid / Liquid Waste / 
Hot Work /  / Traffic Control /  / Radiation /  / Explosives /  / Asbestos / 
Confined Space /  / Shoring / Battering / Boxing / Benching / Sheet Piling /  / Gas Test /  / Air /Water Emissions /  / Personnel Cage / 
Other (specify)
PPE Requirements: (please indicate by ticking yes/no box)
Yes / No / Yes / No / Yes / No / Yes / No / Yes / No
Goggles/ Glasses /  / Dust Mask /  / Signage /  / Safety Harness /  / Long Pants / 
Face Shield /  / Gloves /  / Fire Blanket /  / Static Line /  / Chemical resistant Gloves / 
Hearing Protection /  / Safety Boots /  / Fire Extinguisher /  / PPE for Asbestos /  / Clothing for Welding / 
Respirator /  / Helmet /  / Hi-Vis Clothing /  / Long Sleeves /  / Chemical resistant Clothing / 
Wet weather clothing /  / 
Other (specify) / Note: long pants and sleeves required in line with Council policy and may not be required in all instances.
Key safety equipment / plant / facilities / Key Safety Checks / Experience Training / Qualifications required to complete the work
Footwear / Assess surroundings / Manual handling
Utilise Answering Adelaide / Behaviour assessment & conflict resolution
By signing below, I am confirming that I understand the contents and will comply with the safety requirements identified in this JSA.
Name / Signature / Date / Name / Signature / Date / Name / Signature / Date
Cassie Tuck
Angela Sorger
Michelle Foster
Karen Rokicinski
(Doc version details) / The electronic version on Connect in the WHS area is the controlled version. Printed copies are considered uncontrolled.
Before using a printed copy, verify that it is the current version. / Page 1 of 16
Council Logo) / Job Safety Analysis (JSA)
For construction and other work / Version No: / 3
Issued: / Oct 2013
Next Review: / Oct 2015

Part E - WHS Risk Assessment Table

Risk is analysed by determining the consequences and their likelihood of an event occurring to provide a Level of Risk. Existing controls and their effectiveness and efficiency should be also taken into account when identifying a Consequence Rating and a Likelihood Rating.

Where no reliable or relevant past data is available, subjective estimates may be made which reflect an individual’s or group’s degree of belief that a particular event or outcome will occur. Assumptions made in the analysis should be clearly stated.

Likelihood / Consequences
1 Insignificant
No injuries, insignificant damage, minimal financial loss, no impact on staff , no impact on service delivery / 2 Minor
Minor injury, first aid treatment or minor medical treatment by GP, AE or Out Patient, internal defusing or minimal external debriefing / 3 Moderate
Moderate injury, medical treatment required by AE, In Patient and/or specialist, external debriefing, moderate property / equipment damage, moderate financial loss, incident contained with outside assistance / 4 Major
Extensive injuries which may result in death, loss of production capability, incident contained with outside assistance, major financial loss, service delivery reduced or suspended / 5 Catastrophic
Death/s, incident with detrimental effect, service delivery stopped or closed permanently, large financial loss, possible abolition of the service
A Almost certain
Is expected to occur / H / H / E / E / E
B Likely
Will probably occur
“has happened” / M / H / H / E / E
C Possible
Might Occur “Ive heard of it happening” / L / M / H / E / E
D Unlikely
Could occur “Not likely” / L / L / M / H / E
E Rare
May Occur “Practically impossible” / L / L / M / H / H

Risk Rating