The current flowing in to Q4 gate is negligible so there is no load on the switch or whatever else is connected to "MASTER SW 12V". Q4 is an enhancement mode device so a high level on its gate will cause conduction between drain and source causing the drain to drop to almost GND potential. R316 and R273 then cause the gate of Q1 to go more negative with respect to its source, turning it on.
So basically, it's a solid state on/off switch to the "VCC12 SW" line.
Brian.