Under Floor and Ceiling Space Work – Task Analysis
The attached form is designed to assist you in setting up safely for the work you are
about to undertake. To assist in identifying the hazards associated with the work, and
assess the most suitable and safest way of completing the work.
You should always Eliminate (E) a hazard if you can. Where this is not possible, you
should Isolate (I) a hazard, and if you are unable to do either, you must Minimise (M)
the hazard. There may be occasions where multiple controls are appropriate.
Customer Name:
Assessor/Installer:
Contact Cell Ph:
Site Address/Job Number:
We recommend you use this checklist to identify hazard/s. Decide the best option/s
available to control the hazard/s for the work you are about to undertake. To brief
everyone involved in completing the work and ensure the appropriate controls are in
place. Once the above steps have been completed sign the form and keep onsite as
part of your work documentation.
Please contact HazardCo on 0800 555 339 if you require any assistance to identify
hazards or implement the required controls.
Date:
Task Description:
e.g. underfloor insulation
Task Steps:
e.g. removal of old insulation
Pre Start Checklist – to be completed prior to commencing working
At Base
1. HazardCo Team Pack is in vehicle
Yes
❑
At Site
1. Park in a safe place
Yes
❑
2. Vehicle has a current WOF/COF, lights and tyres in
working condition
❑
2. Ensure you wear your PPE/PPC and it is in good condition and appropriate for the work to be
undertaken i.e. overalls, boots, mask, gloves, eye, hearing and dust protection
❑
3. Minimum PPE/PPC available and in good condition
❑
3. HazardCo Hazard Board set up in the vicinity of where work is being undertaken
❑
4. All emergency equipment and materials required for
the work being undertaken loaded and load secure
❑
4. Ensure you are inducted onto site - liaise with any Site Manager/Contractor/Client present to
establish exactly what they are doing on site and any hazards associated with their work. Conduct
your own induction if alone on site. Conduct risk assessment using Task Analysis Checklist and
ensure the Hazard Board is updated
❑
5. All work documents for job in vehicle
❑
5. Explain to Site Manager/Contractor/Client any hazards you are bringing to site or that may be
present as a result of your survey work (use HazardCo Client Induction Cards where appropriate).
❑
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Hazard Identification and Management
Work through the listed hazards in the left hand column below and if they are present for the work being undertaken, choose and highlight which Control/s you will use to
Eliminate, Isolate or Minimise these hazards.
General things you need to consider before you
commence work
1. Will there be any other Contractors on site?
Yes
No
Put these Controls in place for the Hazards you have identified
❑
Hazard identified
(if Yes)
Visitors/Contractors
❑


2.
Will the Client/Children be present on site?
❑
❑
Injury to Occupants



Escort any Visitors (I).
Induct all Visitors/Contractors to site using HazardCo Client Induction
Cards (M).
Keep Children out of the area of work (I).
Escort Visitors (I).
Induct Clients to site with HazardCo Client Induction Cards (M).
3.
Are dogs present on site?
❑
❑
Dog Bites


Have Client tie up the dog (I).
Do not approach (M).
4.
Will there be any vehicles coming on to site?
❑
❑
Moving Vehicles
5.
Are electrical appliances going to be used?
❑
❑
Electricity in use
6.
Are hand or power tools going to be used?
❑
❑
Power Tools in use
7.
Is there likely to be trip or slip hazards on
site?
❑
❑
Slips and Trips












Keep clear (I).
Stay visible to driver (M).
Use tagged and tested RCD’s, leads and electrical appliances (E & I).
Check leads in good condition (M).
Trained users only (I).
Check in good condition (M).
Regular equipment servicing (M).
Use correctly (M).
Keep access ways clear of debris (I).
Keep worksite clean & tidy (M).
Use appropriate lighting (M).
Use bins (M).
8.
Will there be any loud noises on site?
e.g. power tools, nail guns
Will the work being undertaken involve
repetitive lifting, bending, twisting or other
types of manual handling?
❑
❑
Noise

Wear hearing protection (I).
❑
❑
Manual Handling



Use mechanical aids (E).
Use correct lifting techniques (M).
Manual handling training (M).
9.
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Specific things you need to consider about the work
being undertaken
10. Will there be any work conducted under the
floor?
Yes
No
❑
❑
Hazard identified
(if Yes)
Underfloor Crawl
Space Entry
11. Are there exposed (hanging) or damaged
electrical cables, or could you come in contact
with live electrical cables whilst undertaking the
work?
❑
❑
Electricity
12. Can you smell gas in the work area?
❑
❑
Gas
Explosion/Asphyxia
13. Will the work be conducted in a hazardous
environment?
e.g. biological hazards, dust, fibres, irritants etc
❑
❑
Hazardous
Environment
14. Will there be any work conducted in the roof
space?
❑
❑
Roof Space Entry
15. Will there be any overhead work?
❑
❑
Overhead Work
16. Will there be any work height?
❑
❑
Fall from Height
Put these Controls in place for the Hazards you have identified





























Do not enter areas that are not large enough to comfortably exit (I).
Use standby person (M).
Use correct PPE (M).
Ensure appropriate ventilation and lighting (M).
Make sure you have a rescue plan in place in the event of an
emergency (M).
Ensure you have had some basic confined space training (M).
Keep clear & do not proceed if there is obvious damage (I).
Contact an electrician to turn off electricity & tag or repair cables (I).
Protect cables using conduit (I).
Use 50mm isolation rule (I).
Use an electrical proximity meter (M).
Locate and mark (M).
Inform client if unsafe to proceed (M).
Keep clear & do not proceed (I).
Contact a plumber to isolate or repair leaks (I).
Inform client unsafe to proceed (M).
Use minimum required PPE & PPC (I & M).
Ensure you are suitably trained in its use and it is in good condition
(M).
Do not enter areas that are not large enough to comfortably exit (I).
Use knee pads (I).
Use standby person (M).
Use correct PPE (M).
Ensure appropriate ventilation and lighting (M).
Ensure you have had some basic confined space training (M).
Monitor temperature (M).
Take Regular breaks (M).
Secure tools from falling (E).
Visitors keep clear (I).
Use Working at Heights Task Analysis to assess the risk and
determine the appropriate Controls (M).
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17. Are ladders going to be used on site?
❑
❑
Ladders






Do not stand on ceiling panels (M).
Only commercial grade in good condition (I).
Use correctly (M).
Regular maintenance checks (M).
Use for short duration work or access to the work area only (M).
Do not use as a working platform (I).
Safety Briefing – Discuss this Task Analysis with your team and have them sign off that they understand the hazards associated with work being undertaken and
the preferred method of controlling these hazards
Safety Briefing Completed By:
Date:
Signed:
Staff Present During Safety Briefing:
Name:
Name:
Any notifiable work (listed in the Controls Column) must be notified to the Department of Labour using the prescribed form. Any additional hazards you identify for the work you
are undertaking that is not listed, should be added to the “Additional Site Information” box below. If you have any questions, have an accident on site, or require some training
information please contact HazardCo on 0800 555 339, or visit www.hazardco.com or www.hazardcotraining.com.
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Additional Site Information
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