Information

  • Document No.

  • Name of Assesor

  • Conducted on

  • Plant / Equipment Area

  • Brief Description of the Task / Work Activity

Stop! Take 5 This is a Point of Work Risk Assessment. Observe your work location & Think through the task you are about to perform.

  • If possible take a picture of the cell / location / area of work.

  • Are emergency procedures clearly understood (fire, emergency exits, security etc)?<br>(If not then seek this information. Record below)

  • Confirm emergency information requested and reviewed

The Task, Location & Tools

  • Can the ABB equipment be accessed freely without obstruction?<br>(If No please briefly describe the obstruction below. Attach photos is relevant).

  • Is the area of work excessively noisy? <br>[Advice. If you need to shout to hold a conversation you need to wear hearing protection]. <br>If you answer At Risk, please provide details below & actions taken.

  • Is Working at Height required?<br>[Advice. Working at Height is defined as any place from which you may fall & injury yourself]. <br>If you answer At Risk, please provide details below & actions taken.

  • Is there any risk from COSHH substances?<br>[Advice. This risk could be from chemicals, vapours, fumes, particulate matter etc. Consult with customer & examine specific risk assessments / MSDS]. <br>If you answer At Risk, please provide details below & actions taken.

  • Is there moving machinery / vehicles in close proximity to your work place?<br>If you answer At Risk, please provide details below & actions taken.

  • Is the area generally well maintained, free of obstructions and suitable for the work activity?<br>If you answer At Risk, please provide details below & actions taken.

  • Have all persons involved received a local induction for the area?

  • Are there any special permit requirements?<br>E.g. Confined Space, Roof Access, ECPL, Hot Work.

  • Enter details of any permits here.

  • Is all tooling & equipment being used for the task in good condition and where necessary tested?<br>E.g. PAT

  • Are there any environmental factors that may impact on the task?<br>E.g. Wind, Rain. Ice

Risk Assessment - Existing or Add New Dynamic Assessment

  • Is any generic risk assessment suitable and sufficient to cover your activity at this site? (For Service = RA/MS MK-RA-0010) <br>(If Yes, ensure that you have read and signed a copy and that you have this with you today)<br>(If No - Record additional information below)

  • Conduct Full Specific risk Assessment

  • Add details of the new hazard & its risk.

  • Assessment
  • Enter a description of the hazard.

  • Enter details of the associated risks and then use the sliders below to rate the risk.

  • How Likely is it that risk will occur 1 = Very Unlikely (Easy to avoid, Minimal interaction) 2 = Unlikely (Some possibility to avoid, Much interaction) 3 = Likely (Hard to avoid, intensive interaction)

  • How severe would be the outcome? 1 = Slightly Harmful (Minor Injury, First aid required) 2 = Harmful (Serious Injury, Hospitalisation likely) 3 = Extremely Harmful (Fatality, Life changing injury)

  • Choose a risk rating (L x S) 1 - 3 = LOW. Monitor regularly to ensure that the risk does not grow. 4 - 6 = MEDIUM. Potentially serious. Long term issues anticipated. Plan ahead. 9 = HIGH. STOP ~ ACT NOW.

  • Enter details of how you will control the risk

PPE details

  • Safety Shoes Worn?

  • Safety Glasses / Eye Protection Worn?

  • Hearing Protection Worn?

  • Other PPE required?

  • Provide details of the additional PPE.

Declaration

  • Has this job / task been conducted before

  • Conduct Standard Risk Assessment for Future Use

  • Sign to Acknowledge Completion of Point of Work Risk Assessment

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.