01. Proplumb Risk Assessment

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Have all team members carried out company/site induction and hold a white card?

  Yes

  No

  N/A

• Are all team members on site wearing the required PPE.

  Yes

  No

  N/A

• Activity performed.

  Select Drainage Rough In Lock Up Dps and Flashings Fit Off Appliances Solar hot water Repairs Other

  • Drainage
  • Rough In
  • Lock Up
  • Dps and Flashings
  • Fit Off
  • Appliances
  • Solar hot water
  • Repairs
  • Other

• Other activity-

• Have you referred to the applicable Proplumb SWMS?<br>

  Yes

  No

  N/A

Hazards

• Fall from height above 2m

  Safe

  At Risk

  N/A

• Control Measure

  Select Isolation Signage Fire Blankets Gas detection Spotters Barricades Procedures UV Protection Lighting Fall arrests Competent people Locating equipment Respiratory Fire extinguishers PPE Screens Fall protection

  • Isolation
  • Signage
  • Fire Blankets
  • Gas detection
  • Spotters
  • Barricades
  • Procedures
  • UV Protection
  • Lighting
  • Fall arrests
  • Competent people
  • Locating equipment
  • Respiratory
  • Fire extinguishers
  • PPE
  • Screens
  • Fall protection

• Use of equipment

  Safe

  At Risk

  N/A

• Control Measure

  Select Isolation Signage Fire Blankets Gas detection Spotters Barricades Procedures UV Protection Lighting Fall arrests Competent people Locating equipment Respiratory Fire extinguishers PPE Screens Fall protection

  • Isolation
  • Signage
  • Fire Blankets
  • Gas detection
  • Spotters
  • Barricades
  • Procedures
  • UV Protection
  • Lighting
  • Fall arrests
  • Competent people
  • Locating equipment
  • Respiratory
  • Fire extinguishers
  • PPE
  • Screens
  • Fall protection

• Power lines

  Safe

  At Risk

  N/A

• Control Measure

  Select Isolation Signage Fire Blankets Gas detection Spotters Barricades Procedures UV Protection Lighting Fall arrests Competent people Locating equipment Respiratory Fire extinguishers PPE Screens Fall protection

  • Isolation
  • Signage
  • Fire Blankets
  • Gas detection
  • Spotters
  • Barricades
  • Procedures
  • UV Protection
  • Lighting
  • Fall arrests
  • Competent people
  • Locating equipment
  • Respiratory
  • Fire extinguishers
  • PPE
  • Screens
  • Fall protection

• Electricity

  Safe

  At Risk

  N/A

• Control Measure

  Select Isolation Signage Fire Blankets Gas detection Spotters Barricades Procedures UV Protection Lighting Fall arrests Competent people Locating equipment Respiratory Fire extinguishers PPE Screens Fall protection

  • Isolation
  • Signage
  • Fire Blankets
  • Gas detection
  • Spotters
  • Barricades
  • Procedures
  • UV Protection
  • Lighting
  • Fall arrests
  • Competent people
  • Locating equipment
  • Respiratory
  • Fire extinguishers
  • PPE
  • Screens
  • Fall protection

• Sharp objects

  Safe

  At Risk

  N/A

• Control Measure

  Select Isolation Signage Fire Blankets Gas detection Spotters Barricades Procedures UV Protection Lighting Fall arrests Competent people Locating equipment Respiratory Fire extinguishers PPE Screens Fall protection

  • Isolation
  • Signage
  • Fire Blankets
  • Gas detection
  • Spotters
  • Barricades
  • Procedures
  • UV Protection
  • Lighting
  • Fall arrests
  • Competent people
  • Locating equipment
  • Respiratory
  • Fire extinguishers
  • PPE
  • Screens
  • Fall protection

• Slippery/wet surfaces

  Safe

  At Risk

  N/A

• Control Measure

  Select Isolation Signage Fire Blankets Gas detection Spotters Barricades Procedures UV Protection Lighting Fall arrests Competent people Locating equipment Respiratory Fire extinguishers PPE Screens Fall protection

  • Isolation
  • Signage
  • Fire Blankets
  • Gas detection
  • Spotters
  • Barricades
  • Procedures
  • UV Protection
  • Lighting
  • Fall arrests
  • Competent people
  • Locating equipment
  • Respiratory
  • Fire extinguishers
  • PPE
  • Screens
  • Fall protection

• Gases

  Safe

  At Risk

  N/A

• Control Measure

  Select Isolation Signage Fire Blankets Gas detection Spotters Barricades Procedures UV Protection Lighting Fall arrests Competent people Locating equipment Respiratory Fire extinguishers PPE Screens Fall protection

  • Isolation
  • Signage
  • Fire Blankets
  • Gas detection
  • Spotters
  • Barricades
  • Procedures
  • UV Protection
  • Lighting
  • Fall arrests
  • Competent people
  • Locating equipment
  • Respiratory
  • Fire extinguishers
  • PPE
  • Screens
  • Fall protection

• Dust

  Safe

  At Risk

  N/A

• Control Measure

  Select Isolation Signage Fire Blankets Gas detection Spotters Barricades Procedures UV Protection Lighting Fall arrests Competent people Locating equipment Respiratory Fire extinguishers PPE Screens Fall protection

  • Isolation
  • Signage
  • Fire Blankets
  • Gas detection
  • Spotters
  • Barricades
  • Procedures
  • UV Protection
  • Lighting
  • Fall arrests
  • Competent people
  • Locating equipment
  • Respiratory
  • Fire extinguishers
  • PPE
  • Screens
  • Fall protection

• Underground utilities

  Safe

  At Risk

  N/A

• Control Measure

  Select Isolation Signage Fire Blankets Gas detection Spotters Barricades Procedures UV Protection Lighting Fall arrests Competent people Locating equipment Respiratory Fire extinguishers PPE Screens Fall protection

  • Isolation
  • Signage
  • Fire Blankets
  • Gas detection
  • Spotters
  • Barricades
  • Procedures
  • UV Protection
  • Lighting
  • Fall arrests
  • Competent people
  • Locating equipment
  • Respiratory
  • Fire extinguishers
  • PPE
  • Screens
  • Fall protection

• Hot water/Steam

  Safe

  At Risk

  N/A

• Control Measure

  Select Isolation Signage Fire Blankets Gas detection Spotters Barricades Procedures UV Protection Lighting Fall arrests Competent people Locating equipment Respiratory Fire extinguishers PPE Screens Fall protection

  • Isolation
  • Signage
  • Fire Blankets
  • Gas detection
  • Spotters
  • Barricades
  • Procedures
  • UV Protection
  • Lighting
  • Fall arrests
  • Competent people
  • Locating equipment
  • Respiratory
  • Fire extinguishers
  • PPE
  • Screens
  • Fall protection

• Overhead obstructions

  Safe

  At Risk

  N/A

• Control Measure

  Select Isolation Signage Fire Blankets Gas detection Spotters Barricades Procedures UV Protection Lighting Fall arrests Competent people Locating equipment Respiratory Fire extinguishers PPE Screens Fall protection

  • Isolation
  • Signage
  • Fire Blankets
  • Gas detection
  • Spotters
  • Barricades
  • Procedures
  • UV Protection
  • Lighting
  • Fall arrests
  • Competent people
  • Locating equipment
  • Respiratory
  • Fire extinguishers
  • PPE
  • Screens
  • Fall protection

• Hazardous substances

  Safe

  At Risk

  N/A

• Control Measure

  Select Isolation Signage Fire Blankets Gas detection Spotters Barricades Procedures UV Protection Lighting Fall arrests Competent people Locating equipment Respiratory Fire extinguishers PPE Screens Fall protection

  • Isolation
  • Signage
  • Fire Blankets
  • Gas detection
  • Spotters
  • Barricades
  • Procedures
  • UV Protection
  • Lighting
  • Fall arrests
  • Competent people
  • Locating equipment
  • Respiratory
  • Fire extinguishers
  • PPE
  • Screens
  • Fall protection

• Working in isolation

  Safe

  At Risk

  N/A

• Control Measure

  Select Isolation Signage Fire Blankets Gas detection Spotters Barricades Procedures UV Protection Lighting Fall arrests Competent people Locating equipment Respiratory Fire extinguishers PPE Screens Fall protection

  • Isolation
  • Signage
  • Fire Blankets
  • Gas detection
  • Spotters
  • Barricades
  • Procedures
  • UV Protection
  • Lighting
  • Fall arrests
  • Competent people
  • Locating equipment
  • Respiratory
  • Fire extinguishers
  • PPE
  • Screens
  • Fall protection

• Other persons (ie children)

  Safe

  At Risk

  N/A

• Control Measure

  Select Isolation Signage Fire Blankets Gas detection Spotters Barricades Procedures UV Protection Lighting Fall arrests Competent people Locating equipment Respiratory Fire extinguishers PPE Screens Fall protection

  • Isolation
  • Signage
  • Fire Blankets
  • Gas detection
  • Spotters
  • Barricades
  • Procedures
  • UV Protection
  • Lighting
  • Fall arrests
  • Competent people
  • Locating equipment
  • Respiratory
  • Fire extinguishers
  • PPE
  • Screens
  • Fall protection

• Ignition sources

  Safe

  At Risk

  N/A

• Control Measure

  Select Isolation Signage Fire Blankets Gas detection Spotters Barricades Procedures UV Protection Lighting Fall arrests Competent people Locating equipment Respiratory Fire extinguishers PPE Screens Fall protection

  • Isolation
  • Signage
  • Fire Blankets
  • Gas detection
  • Spotters
  • Barricades
  • Procedures
  • UV Protection
  • Lighting
  • Fall arrests
  • Competent people
  • Locating equipment
  • Respiratory
  • Fire extinguishers
  • PPE
  • Screens
  • Fall protection

• Material handling

  Safe

  At Risk

  N/A

• Control Measure

  Select Isolation Signage Fire Blankets Gas detection Spotters Barricades Procedures UV Protection Lighting Fall arrests Competent people Locating equipment Respiratory Fire extinguishers PPE Screens Fall protection

  • Isolation
  • Signage
  • Fire Blankets
  • Gas detection
  • Spotters
  • Barricades
  • Procedures
  • UV Protection
  • Lighting
  • Fall arrests
  • Competent people
  • Locating equipment
  • Respiratory
  • Fire extinguishers
  • PPE
  • Screens
  • Fall protection

• High pressure

  Safe

  At Risk

  N/A

• Control Measure

  Select Isolation Signage Fire Blankets Gas detection Spotters Barricades Procedures UV Protection Lighting Fall arrests Competent people Locating equipment Respiratory Fire extinguishers PPE Screens Fall protection

  • Isolation
  • Signage
  • Fire Blankets
  • Gas detection
  • Spotters
  • Barricades
  • Procedures
  • UV Protection
  • Lighting
  • Fall arrests
  • Competent people
  • Locating equipment
  • Respiratory
  • Fire extinguishers
  • PPE
  • Screens
  • Fall protection

• Lifting equipment

  Safe

  At Risk

  N/A

• Control Measure

  Select Isolation Signage Fire Blankets Gas detection Spotters Barricades Procedures UV Protection Lighting Fall arrests Competent people Locating equipment Respiratory Fire extinguishers PPE Screens Fall protection

  • Isolation
  • Signage
  • Fire Blankets
  • Gas detection
  • Spotters
  • Barricades
  • Procedures
  • UV Protection
  • Lighting
  • Fall arrests
  • Competent people
  • Locating equipment
  • Respiratory
  • Fire extinguishers
  • PPE
  • Screens
  • Fall protection

• Natural / LP gas

  Safe

  At Risk

  N/A

• Control Measure

  Select Isolation Signage Fire Blankets Gas detection Spotters Barricades Procedures UV Protection Lighting Fall arrests Competent people Locating equipment Respiratory Fire extinguishers PPE Screens Fall protection

  • Isolation
  • Signage
  • Fire Blankets
  • Gas detection
  • Spotters
  • Barricades
  • Procedures
  • UV Protection
  • Lighting
  • Fall arrests
  • Competent people
  • Locating equipment
  • Respiratory
  • Fire extinguishers
  • PPE
  • Screens
  • Fall protection

• Rotating machinery

  Safe

  At Risk

  N/A

• Control Measure

  Select Isolation Signage Fire Blankets Gas detection Spotters Barricades Procedures UV Protection Lighting Fall arrests Competent people Locating equipment Respiratory Fire extinguishers PPE Screens Fall protection

  • Isolation
  • Signage
  • Fire Blankets
  • Gas detection
  • Spotters
  • Barricades
  • Procedures
  • UV Protection
  • Lighting
  • Fall arrests
  • Competent people
  • Locating equipment
  • Respiratory
  • Fire extinguishers
  • PPE
  • Screens
  • Fall protection

• Entry and exit

  Safe

  At Risk

  N/A

• Control Measure

  Select Isolation Signage Fire Blankets Gas detection Spotters Barricades Procedures UV Protection Lighting Fall arrests Competent people Locating equipment Respiratory Fire extinguishers PPE Screens Fall protection

  • Isolation
  • Signage
  • Fire Blankets
  • Gas detection
  • Spotters
  • Barricades
  • Procedures
  • UV Protection
  • Lighting
  • Fall arrests
  • Competent people
  • Locating equipment
  • Respiratory
  • Fire extinguishers
  • PPE
  • Screens
  • Fall protection

• Ground openings

  Safe

  At Risk

  N/A

• Control Measure

  Select Isolation Signage Fire Blankets Gas detection Spotters Barricades Procedures UV Protection Lighting Fall arrests Competent people Locating equipment Respiratory Fire extinguishers PPE Screens Fall protection

  • Isolation
  • Signage
  • Fire Blankets
  • Gas detection
  • Spotters
  • Barricades
  • Procedures
  • UV Protection
  • Lighting
  • Fall arrests
  • Competent people
  • Locating equipment
  • Respiratory
  • Fire extinguishers
  • PPE
  • Screens
  • Fall protection

• Entanglement

  Safe

  At Risk

  N/A

• Control Measure

  Select Isolation Signage Fire Blankets Gas detection Spotters Barricades Procedures UV Protection Lighting Fall arrests Competent people Locating equipment Respiratory Fire extinguishers PPE Screens Fall protection

  • Isolation
  • Signage
  • Fire Blankets
  • Gas detection
  • Spotters
  • Barricades
  • Procedures
  • UV Protection
  • Lighting
  • Fall arrests
  • Competent people
  • Locating equipment
  • Respiratory
  • Fire extinguishers
  • PPE
  • Screens
  • Fall protection

• Animals, Pests

  Safe

  At Risk

  N/A

• Control Measure

  Select Isolation Signage Fire Blankets Gas detection Spotters Barricades Procedures UV Protection Lighting Fall arrests Competent people Locating equipment Respiratory Fire extinguishers PPE Screens Fall protection

  • Isolation
  • Signage
  • Fire Blankets
  • Gas detection
  • Spotters
  • Barricades
  • Procedures
  • UV Protection
  • Lighting
  • Fall arrests
  • Competent people
  • Locating equipment
  • Respiratory
  • Fire extinguishers
  • PPE
  • Screens
  • Fall protection

• High Voltage

  Safe

  At Risk

  N/A

• Control Measure

  Select Isolation Signage Fire Blankets Gas detection Spotters Barricades Procedures UV Protection Lighting Fall arrests Competent people Locating equipment Respiratory Fire extinguishers PPE Screens Fall protection

  • Isolation
  • Signage
  • Fire Blankets
  • Gas detection
  • Spotters
  • Barricades
  • Procedures
  • UV Protection
  • Lighting
  • Fall arrests
  • Competent people
  • Locating equipment
  • Respiratory
  • Fire extinguishers
  • PPE
  • Screens
  • Fall protection

• Confined space

  Safe

  At Risk

  N/A

• Control Measure

  Select Isolation Signage Fire Blankets Gas detection Spotters Barricades Procedures UV Protection Lighting Fall arrests Competent people Locating equipment Respiratory Fire extinguishers PPE Screens Fall protection

  • Isolation
  • Signage
  • Fire Blankets
  • Gas detection
  • Spotters
  • Barricades
  • Procedures
  • UV Protection
  • Lighting
  • Fall arrests
  • Competent people
  • Locating equipment
  • Respiratory
  • Fire extinguishers
  • PPE
  • Screens
  • Fall protection

• Corrosive

  Safe

  At Risk

  N/A

• Control Measure

  Select Isolation Signage Fire Blankets Gas detection Spotters Barricades Procedures UV Protection Lighting Fall arrests Competent people Locating equipment Respiratory Fire extinguishers PPE Screens Fall protection

  • Isolation
  • Signage
  • Fire Blankets
  • Gas detection
  • Spotters
  • Barricades
  • Procedures
  • UV Protection
  • Lighting
  • Fall arrests
  • Competent people
  • Locating equipment
  • Respiratory
  • Fire extinguishers
  • PPE
  • Screens
  • Fall protection

• Toxic

  Safe

  At Risk

  N/A

• Control Measure

  Select Isolation Signage Fire Blankets Gas detection Spotters Barricades Procedures UV Protection Lighting Fall arrests Competent people Locating equipment Respiratory Fire extinguishers PPE Screens Fall protection

  • Isolation
  • Signage
  • Fire Blankets
  • Gas detection
  • Spotters
  • Barricades
  • Procedures
  • UV Protection
  • Lighting
  • Fall arrests
  • Competent people
  • Locating equipment
  • Respiratory
  • Fire extinguishers
  • PPE
  • Screens
  • Fall protection

• Sun Rays

  Safe

  At Risk

  N/A

• Control Measure

  Select Isolation Signage Fire Blankets Gas detection Spotters Barricades Procedures UV Protection Lighting Fall arrests Competent people Locating equipment Respiratory Fire extinguishers PPE Screens Fall protection

  • Isolation
  • Signage
  • Fire Blankets
  • Gas detection
  • Spotters
  • Barricades
  • Procedures
  • UV Protection
  • Lighting
  • Fall arrests
  • Competent people
  • Locating equipment
  • Respiratory
  • Fire extinguishers
  • PPE
  • Screens
  • Fall protection

• Pollution

  Safe

  At Risk

  N/A

• Control Measure

  Select Isolation Signage Fire Blankets Gas detection Spotters Barricades Procedures UV Protection Lighting Fall arrests Competent people Locating equipment Respiratory Fire extinguishers PPE Screens Fall protection

  • Isolation
  • Signage
  • Fire Blankets
  • Gas detection
  • Spotters
  • Barricades
  • Procedures
  • UV Protection
  • Lighting
  • Fall arrests
  • Competent people
  • Locating equipment
  • Respiratory
  • Fire extinguishers
  • PPE
  • Screens
  • Fall protection

• Noise

  Safe

  At Risk

  N/A

• Control Measure

  Select Isolation Signage Fire Blankets Gas detection Spotters Barricades Procedures UV Protection Lighting Fall arrests Competent people Locating equipment Respiratory Fire extinguishers PPE Screens Fall protection

  • Isolation
  • Signage
  • Fire Blankets
  • Gas detection
  • Spotters
  • Barricades
  • Procedures
  • UV Protection
  • Lighting
  • Fall arrests
  • Competent people
  • Locating equipment
  • Respiratory
  • Fire extinguishers
  • PPE
  • Screens
  • Fall protection

• Grinding

  Safe

  At Risk

  N/A

• Control Measure

  Select Isolation Signage Fire Blankets Gas detection Spotters Barricades Procedures UV Protection Lighting Fall arrests Competent people Locating equipment Respiratory Fire extinguishers PPE Screens Fall protection

  • Isolation
  • Signage
  • Fire Blankets
  • Gas detection
  • Spotters
  • Barricades
  • Procedures
  • UV Protection
  • Lighting
  • Fall arrests
  • Competent people
  • Locating equipment
  • Respiratory
  • Fire extinguishers
  • PPE
  • Screens
  • Fall protection

• I have reviewed the appropriate SWMS and have assessed the site for any further hazards. I have completed this risk assessment to cover all other hazards involved and agree it is a fair assessment of the job and I authorize for this work to proceed.

  Sign