ATW & DRA

• Date of Issue

  Date

• Company Name

• Your Name

• Phone no.

• Vehicle details

• Site Pass no.

• DRA and ATW Number

Are you signing more than just yourself?

• Your Name

• Phone no.

• Vehicle details

• Site Pass no.

• Site induction / Orientation been completed

  Yes

  No

• Safe systems of work approved

  Yes

  No

• Competence checked

  Yes

  No

• Tools, equipment and personal protective equipment (PPE) checked

  Yes

  No

• Specific details of the work to be carried out

• High Risk Permit required? If 'Yes', CBRE Engineer to advise which Permit is required and attach Media image of completed Permit

  Yes

  N/A

• Does the contractor possess the appropriate trade specific qualifications and authority to perform the work?

  Yes

  No

  N/A

• Has the contractor checked in with the manager or engineers and do they have job sheets for the task?

  Yes

  No

  N/A

• Has the contractor advised the customer representative and the individuals in the area where they will be working?

  Yes

  No

  N/A

• If the contractor is working alone, has the onsite manager or engineers arranged for regular communication with the contractor during their work?

  Yes

  No

  N/A

• Does the Contractor understand the up-to-date MoP/SoP/EoP/ Run Book/Risk Assessment for the tasks?

  Yes

  No

  N/A

• Has the Contractor got the relevant “Safety Data Sheet” (SDS) for the chemical/substances?

  Yes

  No

  N/A

• Have you carried out an inspection of the tools/equipment?

  Yes

  No

  N/A

• Where required, are Calibration, Test certificates and Formal examinations in date?

  Yes

  No

  N/A

• Are the tools and equipment serviceable and fit for purpose?

  Yes

  No

  N/A

• Are access routes safe and adequate?

  Yes

  No

  N/A

• Is the weather, temperature of the work area and ventilation safe at work?

  Yes

  No

  N/A

• Does the contractor have adequate space and lighting?

  Yes

  No

  N/A

• Is the contractor protected from contact with power sources, falls from heights, machinery, and vehicles in motion?

  Yes

  No

  N/A

• Has the contractor set up the necessary "hazard barriers and warning signs" in and around the work area?

  Yes

  No

  N/A

• Is the contractor aware of emergency measures, including what to do in case of fire, exit routes, safety zone?

  Yes

  No

  N/A

• Is the contractor aware of how and where to obtain first aid and eye wash station?

  Yes

  No

  N/A

• Does the contractor know how to report hazards/incidents?

  Yes

  No

  N/A

• If PPE is necessary, does the contractor have it and is it approved?

  Yes

  No

  N/A

• Does the contractor know how to monitor the condition and how to use and maintain PPE?

  Yes

  No

  N/A

• Detail the PPE that should be used here.

• Describe the RISK CONTROL measures that the Contractor has in place to manage the risk.

• Is the Contractor satisfied that it is safe to perform the work in the manner in which it will be performed in that location and environment AND all necessary checks and emergency<br>procedures are in place and satisfactory?

  Yes

  No

  N/A

Hazards to consider

• Electrical Energy

• Bio Hazard

• Manual handling

• Work near water

• Lone working

• Use of/ Exposure to gas or gasses

• Fragile surface/ roof

• Working at Height/ Fall/ Drop

• Excessive noise

• Adverse weather

• Vehicle movement

• Excessive vibration

• Asbestos potential

• Slips and Trips

• Poor ventilation

• Moving machinery

• Dust/ Fumes

• Confined spaces

• Waste/ Pollution

• Fire / Heat / Cold

• Violence

• Pressure/ Vacuum

• Poor lighting

• Chemical contact/ spill

• Vermin

• Access and Egress

• Radiation

• PPE

Risk Controls - Measures to Consider

• Lone working arrangements

• Effective means of communication (tested)

• Two persons working

• Authority for access

• Inspection up to date

• Pre-use check

• Current SOP/ MOP

• Stop and check asbestos register

• Guarding

• Powered platform

• Podium tower

• Approved ladders/ steps

• Safe access equipment

• Edge protection/ kickplate

• Approved tools/ equipment

• Permit to work

• Lifting aids

• Remote cooling/ heating

• Adequate ventilation

• Task lighting

• Earthing and LOTO

• Housekeeping

• Waste control

• PPE

• Harness/ Lanyard

• Floatation device

• Inoculation (specify)

• Hygiene and Egress

• Atmospheric measurements

• Fire/ First aid controls

• Specialist training

• Specialist intervention

• Contractors Signature

  Sign
Additional Signatures

• Contractor Name

  Sign

• CBRE Engineer approving works