Please fill out the below form to submit the Coates Transport JSEA when required.
Coates Transport JSEA
Section 1
Customer and Job Location:
*
Date
*
Activity:
*
Claytons Job No:
*
Asset 1 No:
*
Asset 2 No:
Asset 3 No:
Asset 4 No:
Section 2 - Before Commencing – Vehicle and Load Assessment
Transport Vehicle Configuration/ Suitability
Vehicle Load Capacity (kg)
*
Weight of Load (kg)
*
What load/unload method will be used? (Refer to Drivers Guide as required)
What load/unload method will be used? (Refer to Drivers Guide as required)
*
Winch and Drive
Winch and Freewheel
No Winch (Drive on/Catcher Chain)
Drive Only (No Winch)
Crane
Forklift/Jib
Manual Handling
Towed Item
What load restraint is required? (Refer to NTC Load Restraint Guide)
Chain size (mm)/Quantity
*
Other Restraints (SWL)/Quantity
*
What are the vehicle/load dimensions?
STOP! If your load is higher than 4.3m contact your Supervisor. Over dimension loads require a permit.
Overall Load Height (m)
*
Width (m)
*
Length (m)
*
Is a High Risk Licence/specific competency required to perform the task?
*
LF (Forklift)
WP (Elevating Work Platform)
CV (Vehicle Loading Crane)
DG (Dogging)
Other (specify)
N/A
Do I have the appropriate documentation e.g. Pre-Transit Checklist; Container Weight Declaration; Permit?
Yes
No
Not Applicable
Is the load restrained appropriately? (Refer NTC LRG)
Yes
No
Section 3 - On Arrival at Site
Report to site office to establish site contact/s and site specific requirements.
Is it safe to proceed
Yes
No
Details
Section 4 - Load/ Unload Zone Assessment
Is the load/unload area identified and accessible? Check for unstable, un-level, soft surfaces, trenches & slippery ground conditions.
If a Hazard Exists – What can I do about it?
Is it safe to proceed
Yes
No
Is the load/unload area free of overhead obstructions? Check for power lines, tree branches, awnings or structures
If a Hazard Exists – What can I do about it?
Is it safe to proceed
Yes
No
Can I establish an effective safe zone without a spotter?
If a Hazard Exists – What can I do about it?
Is it safe to proceed
Yes
No
Section 5 - Key Hazards and Controls (refer overleaf)
Hazards – How can I, or other people get hurt?
What can I do about it?
Is it safe to proceed?
Yes
No
IF YOU ANSWERED “NO” TO ANY OF THE ABOVE QUESTIONS, STOP AND CONTACT YOUR SUPERVISOR.
Section 6 - Before I Leave Site
Do I have the appropriate documentation e.g.
Pre-Transit Checklist; Container Weight Declaration; Permit?
Is it safe to proceed?
Yes
No
Not Applicable
Is the slew lock/articulation pin engaged?
Is it safe to proceed?
Yes
No
Not Applicable
Are bonnets/canopies latched and secure?
Is it safe to proceed?
Yes
No
Not Applicable
Have I stowed or restrained loose items e.g. chains, dunnage, fire extinguishers etc.?
Is it safe to proceed?
Yes
No
Not Applicable
Is the load restrained appropriately? (Refer NTC LRG)
Is it safe to proceed?
Yes
No
Not Applicable
I have a photo of the load.
Is it safe to proceed?
Yes
No
Not Applicable
Overall Load Height (m)
Overall Load Width (m)
Overall Load Length (m)
STOP! If your load is higher than 4.3m contact your Supervisor. Over dimension loads require a permit.
Print Name
Signature
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Submit
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