Title Page

  • ERM

  • Task description

  • Region

  • Conducted on

  • Prepared by

PART 1 - STOP

  • BEFORE YOU START (Answer the questions below)

  • Have the requirements of all Safety documents (Hazard Survey/Risk Assessment/SSOW/TBT?) related to the work been explained to you and your team?

  • Do you have the right documentation for the job?

  • Are you in a safe environment?

  • Have you done the job before (consider complacency)?

  • Do you have the right tools for the task?

  • Are all the power tools PAT tested?

  • Have access equipment (i.e. Ladders/Steps) been inspected?

  • Is MHE deployed, does it meet requirements?

  • Can you ensure that there will be no unauthorised release to the environment?

  • Do you have the right PPE for the job?

  • Have external contractors been properly briefed?

  • If you have answered 'NO' to any of the above, take the required action or report to your Line/Site Manager

PART 2 - THINK & PART 3 - ACT

  • SAFETY ASSESSMENT (Answer the questions below to identify any hazards present and list any additional control measures)

  • Slips, trips or falls on the same level

  • Control measures implemented

  • Remaining Risk

  • Falls from height

  • Control measures implemented

  • Remaining Risk

  • Falling/Flying objects

  • Control measures implemented

  • Remaining Risk

  • Harmful substances

  • Control measures implemented

  • Remaining Risk

  • Hear/Fire/Explosion

  • Control measures implemented

  • Remaining Risk

  • Asphyxiation/Drowning

  • Control measures implemented

  • Remaining Risk

  • Risk to reputation

  • Control measures implemented

  • Remaining Risk

  • Contact with stationary objects

  • Control measures implemented

  • Remaining Risk

  • Object overturning/collapsing

  • Control measures implemented

  • Remaining Risk

  • Manual handling

  • Control measures implemented

  • Remaining Risk

  • Stored energy

  • Control measures implemented

  • Remaining Risk

  • Insecure load

  • Control measures implemented

  • Remaining Risk

  • Vehicles

  • Control measures implemented

  • Remaining Risk

  • Entry into a confined space

  • Control measures implemented

  • Remaining Risk

  • Dust/Fumes

  • Control measures implemented

  • Remaining Risk

  • Noise

  • Control measures implemented

  • Remaining Risk

  • Vibration

  • Control measures implemented

  • Remaining Risk

  • Electricity

  • Control measures implemented

  • Remaining Risk

  • Radiation (including non-ionising)

  • Control measures implemented

  • Remaining Risk

  • Contamination

  • Control measures implemented

  • Remaining Risk

  • Poor lighting

  • Control measures implemented

  • Remaining Risk

  • Temperature (high/low)

  • Control measures implemented

  • Remaining Risk

  • Adverse weather

  • Control measures implemented

  • Remaining Risk

  • Risk to others from your work

  • Control measures implemented

  • Remaining Risk

  • Risk to you from the work of others

  • Control measures implemented

  • Remaining Risk

PART 4 - REVIEW

  • Post Job Review

  • Are there any lessons learnt for next time?

  • Has the work created any new hazards?

  • If you have answered 'Yes' to either of the post job review questions, report to the line/site manager AND inform the HSE Advisor

  • Name and Signature

  • On completion of this DRA send to HSE@alcvehicles.com

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