3CIX Risk Assessment (Civils)

• Activity name

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Operative Names

• Vehicle Reg

• Are all operatives aware of the Customer Life saving rules?

  Yes

  No

  N/A

• Have all operatives received the Customer project induction?

  Yes

  No

  N/A

• Are Task specific RAMS, Required permits (digging/hot works?) & Point Of Work Risk Assessment available on site/completed?

  Yes

  No

  N/A

• Can the operative(s) demonstrate understanding of the above documents?

  Yes

  No

  N/A

• Is correct PPE for task being worn (hard hat, Hi-vis, safety footwear, gloves) and in good condition, clean, in date along with the tools?

  Yes

  No

  N/A

• Is RPE/Dust mask (FPP3) being worn, in good condition, and has operative been face fit tested, and is currently clean shaven?

  Yes

  No

  N/A

• Is additional PPE requirements as detailed in RAMS being worn/used - e.g. correct standard Hi-Vis for Road type, harness etc.?

  Yes

  No

  N/A

• Are residents aware of work being undertaken, have they been informed - drop cards, local notices?

  Yes

  No

  N/A

• Are there enough safety precautions against physical hazards that may affect the Operatives on site? E.g.exposed wiring, loose fittings, damaged pathways, decay pole??

  Yes

  No

  N/A

• Are is safe for Operatives to access or pass through to complete their work?

  Yes

  No

  N/A

• Are there sufficient arrangements to avoid sharp injuries? Safety Gloves, PPEs.

  Yes

  No

  N/A

• Is there adequate lighting on site whilst operatives are working?

  Yes

  No

  N/A

• Is there working/calibrated CAT and Genny available on site to ensure safe digging?

  Yes

  No

  N/A

• Are there right people (trained/experienced) for right job?

  Yes

  No

  N/A

• Does team have enough barriers, gate guards/ cones and chapter signs to perform activity safely?

  Yes

  No

  N/A

• Is Vehicle have proper Chapter 8 markings along with beacon light installed on site?

  Yes

  No

  N/A

COSHH Assessment

• Is there first aid box, qualified first aider available to deal with emergency?

  Yes

  No

  N/A

• Is there COSHH items waste disposal process for the site operatives? E.g fiber sharps bin , small fuel containers?

  Yes

  No

  N/A

• Is Working GDU available for Hazardous gas testing before operating in confined space?

  Yes

  No

  N/A

• Are there enough safety measures in place to perform activity safely Without being exposed to harmful/hazardous substances)

  Yes

  No

  N/A

• Are all chemicals and COSHH items labeled? Fuel container, fibre bin , fibre cleaning chemical??

  Yes

  No

  N/A

• Is there spill kit available on site to manage/control spill ?

  Yes

  No

  N/A

• Are there sufficient arrangements in place to ensure workers safety? Extreme weather, hazardous gases , fumes and dust, noise above acceptable limit?

  Yes

  No

  N/A

• Are there SDS (Safety Data Sheets available on site) ? Fuel, fibre cleaning chemical ?

  Yes

  No

  N/A

Singnature

• Supervisor/Team Lead Name

• Any Comments

• Signature

  Sign