Information
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Site conducted
H & S Guidance for Reactive & Planned Maintenance & Similar Minor Works The Contractor must complete this risk assessment for all works which are considered M Risk CAT 2. Once completed this assessment must be kept for 12 months, it may be requested as part of an audit by MAB.
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Client / Site
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BUN Number (followed by HS)
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Conducted on
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Prepared by
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Brief Description of works:
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Town
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Is there a risk of: Working at Height (Difficult access)? (Detail risk and control measure)
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Risk Level
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Risk Minimised by:
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Is there a risk of: Working alone in a remote area? (Detail risk and control measure)
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Risk Level
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Risk minimised by:
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Is there a risk of: Working in confined or restricted spaces? (Detail risk and control measure)
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Risk Level
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Risk minimised by:
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Is there a risk of: Hot works (Risk of Fire)? (Detail risk and control measure)
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Risk Level
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Risk minimised by:R
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Is there a risk of: Hazardous Dust, Fumes or Noise? (Detail risk and control measure)
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Risk Level
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Risk minimised by:
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Is there a risk of: Obstruction to Routes or Exits? (Detail risk and control measure)
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Risk Level
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Risk minimised by:
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Is there a risk of: Significant risk to customers or staff? (Detail risk and control measure)
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Risk Level
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Risk minimised by:
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Is there a risk of: Work involving difficult lifting? (Detail risk and control measure)
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Risk Level
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Risk Minimised by:
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Is there a risk of: Isolation of services? (Detail risk and control measure)
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Risk Level
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Risk minimised by:
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Is there a risk of: Isolation of emergency systems? (Detail risk and control measure)
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Risk Level
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Risk minimised by:
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Is there a risk of: Customers or Staff occupying an area where works are unfinished and a return visit is necessary? (Detail risk and control measure)
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Risk Level
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Risk minimised by:
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Works can be completed safely with existing personnel and equipment?
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Asbestos Register has been checked, the works will not disturb ACM's (or works are of a type which could never disturb an ACM)
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If trading, works can be carried out safely whilst premises are trading.
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Unfinished area is safe for customers or staff to re occupy.
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Engineer Signature:
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MAB Representative Signature:
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Date:
