Information
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
Stop! Take 5 This is a Point of Work Risk Assessment. Observe your work location & Think through the task you are about to perform.
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If possible take a picture of the cell / location / area of work.
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Are emergency procedures clearly understood (fire, emergency exits, security etc)?<br>(If not then seek this information. Record below)
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Confirm emergency information requested and reviewed
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Can the ABB equipment be accessed freely without obstruction?<br>(If No please briefly describe the obstruction below. Attach photos is relevant).
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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.
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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.
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Is there moving machinery / vehicles in close proximity to your work place?<br>If you answer At Risk, please provide details below & actions taken.
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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.
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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.
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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)
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Add details of the new hazard & its risk.
Assessment
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Enter a description of the hazard and then use the sliders below to rate the risk.
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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.
- Low (1 - 3)
- Medium (4 - 6)
- High (9)
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Enter details of how you will control the risk
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Safety Shoes Worn?
- Yes
- No
- N/A
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Safety Glasses / Eye Protection Worn?
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Hearing Protection Worn?
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High Visibility Clothing Worn?
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Other PPE required?
- Yes
- No
- N/A
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Provide details of the additional PPE.
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Sign