Title Page

  • Housing Association:

  • Clients / Tenants Name:

  • Address:
  • Conducted On:

  • Risk Assessment Prepared By:

This risk assessment must be completed prior to any works commencing. Once completed this risk assessment must be forward to the admin support team.

Identify hazards associated with works to be undertaken, please mark potential hazards.

  • Electricity

  • Earthing / Wiring Issues

  • Asbestos

  • Cutting / Grinding

  • Lifting / Carrying

  • Handling Waste

  • Use Of Ladder / Step Ladder / Hop-up

  • Scaffold Work

  • Access / Cellar / Loft

  • Loose Carpets

  • Loose Floorboards

  • Unsafe Structure

  • Weather

  • Other Hazards

From the hazards identified above, please identify from the list below controls you will put in place to remove the hazard or reduce the risk.

  • Safe Isolation

  • Safety Footwear

  • Safety Helmet / Bump Cap

  • Hi-Viz Clothing

  • Ear Muffs

  • Face / Dust Mask (FP3)

  • Eye Protection / Glasses

  • Gloves

  • Fire Extinguishers

  • Harness / Lanyard

  • Lifting Straps

  • Loft Boarding

  • RCD Protection

  • Additional Lighting

  • 'A -Frame' Barriers / Barrier Tape / Rigid Barriers

  • Ladder Stand Off Bracket

  • Ladder Anti-slip Mat

  • Request help to remove the hazard/s. Asbestos Removal. Another Electrician. 2nd Pair Of Hands. Manager Assistance. (Please Indicate)

Areas of concern which could create a potential hazard.

  • Elderly / Vunerable

  • Disabled

  • Pets

  • Small Children

  • Confrontation

  • Property Congested With Furniture

  • Poor Hygiene

Please identify controls required to prevent hazards from the list below.

  • Walk the job prior to works commencing with client/tenant, identifying concerns and job plan.

  • Stair Rods

  • Dust Sheets

  • Warning Signage

  • Ask that pets are shut away in a safe area

  • Create a safe area away from the planned works for the client/tenant/family.

All operatives are to sign and print before any work commences.

  • Operatives Signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.