Anthony Squires LTD. Electrical Risk Assessment, Pre work Survey and Permit to work

• Client Name

• Conducted on

  Date

• Prepared by

• Location
  Address

• Duration of work activity

• Activity covered by this assessment

  Select Electrical work up to 415 Volts

  • Electrical work up to 415 Volts

• Circumstances which will require additional assessment

  Select Any work on circuits involving voltages in excess of 415 Volts Any work on equipment which may be energised by third parties

  • Any work on circuits involving voltages in excess of 415 Volts
  • Any work on equipment which may be energised by third parties

1. Working at Heights

• 1.1. Fall risks of 2m or more? (including voids, pits, and trenches)

  Safe

  At Risk

  N/A

2. Tools and Equipment

• 2.1. Tools/ equipment in good safe condition and working order? (including missing or damaged guards, electrical test leads etc)

  Safe

  At Risk

  N/A

• 2.2. Correct tools/ equipment for job? (e.g. Non insulated screwdrivers etc)

  Safe

  At Risk

  N/A

• 2.3 Power tools appliance tested.

  Safe

  At Risk

  N/A

• 2.4. Test meters calibrated?

  Safe

  At Risk

  N/A

3. Loft spaces

• 3.1. Safe and secure access to the loft (i.e loft ladder or extendable ladder safety positioned)

  Safe

  At Risk

  N/A

• 3.2. Loft has adequate flooring to work in or a crawl board in place where work is to take place

  Safe

  At Risk

  N/A

• 3.3 Adequate lighting in place to avoid addition risk of injury

  Safe

  At Risk

  N/A

4. Other people and animals (pets) at the property

• 4.1. Customer and other adult occupants aware of the work area and agree to avoid entering it until work area is cleared away?

  Safe

  At Risk

  N/A

• 4.2. Children and other vulnerable people under due care from a competent adult and restricted from entering the work zone

  Safe

  At Risk

  N/A

• 4.3. Support systems in place for unsupervised vulnerable people. (i.e. heating kept on for elderly person, emergency call phone line still attached)

  Safe

  At Risk

  N/A

• 4.4. Approved warning and health and safety signs on display in a prominent area?

  Safe

  At Risk

  N/A

5. Noise

• 5.1. All occupants of the property protected from noise above 83dB(A)

  Safe

  At Risk

  N/A

6. Ladders

• 6.1. Ladders/ steps safe and not damaged?

  Safe

  At Risk

  N/A

• 6.2. Safe positioning of ladders / Steps?

  Safe

  At Risk

  N/A

• 6.3. Ladder properly secured?

  Safe

  At Risk

  N/A

• 6.4. Ladder Suitable for job? (e.g. Step ladder used for accessing loft spaces)

  Safe

  At Risk

  N/A

7. Work area and manual Tasks

• 7.1. Risk of exposure to live electrical contact

  Safe

  At Risk

  N/A

• 7.2. Risk of damage or injury from heavy lifting?

  Safe

  At Risk

  N/A

• 7.3. Work area clean and tidy?

  Safe

  At Risk

  N/A

8. Asbestos exposure

• 8.1. Asbestos present?

  Safe

  At Risk

  N/A

9. Personal Protective Equipment (PPE)

• 9.1. Lack of, or inadequate PPE (including sun protection)

  Safe

  At Risk

  N/A

• 9.2. Lack of system to issue, inspect, replace and monitor PPE?

  Safe

  At Risk

  N/A

• 9.3. Lack of training in safe use, clean-up and inspection of PPE?

  Safe

  At Risk

  N/A

10. Goods/valuables affected by work

• 10.1. Customer property in good condition, robust enough to be moved?

  Safe

  At Risk

  N/A

• 10.2. Perishable goods protected(i.e. freezer supply maintained during works)

  Safe

  At Risk

  N/A

• 10.3. Customer carpets and other belongings protected from exposure to excessive dust?

  Safe

  At Risk

  N/A

11. Pre works Survey (Electrical)

• 11.1. Is the current system/ consumer unit capable of coping with the intended additions and/or adaptions?

  Yes

  No

  N/A

• 11.2.. Are all extraneous conductive parts adequately earthed?

  Yes

  No

  N/A

• 11.3. Has the maximum demand of the system been recalculated to accommodate the works that will take place?

  Yes

  No

  N/A

• 11.4. Is there adequate RCD protection in place?

  Yes

  No

  N/A

• 11.5. Upon completion, what type of certificate will be issued?

  Minor Electrical Works Certificate

  Electrical Installation Condition Report

  Electrical Installation Certificate

  Other (specify)

• 11.6. Will the work require building control notification?

  Yes

  No

  N/A

• 11.7 Will a temporary supply be required

  Yes

  No

  N/A

• 11.8 Can works proceed once the client agrees with the quotation/ tender?

  Yes

  No

  N/A

12. Additional specific hazards identified.

• 12.1. Electric Shock

  Safe

  At Risk

  N/A

• 12.2. Slips and trips

  Safe

  At Risk

  N/A

• 12.3. Other contractors working nearby

  Safe

  At Risk

  N/A

• 12.4. Mechanical Machinery

  Safe

  At Risk

  N/A

• 12.5. Storage of materials

  Safe

  At Risk

  N/A

Planning and Preparation

• Action already taken to reduce risks

  Select Provision and Use of Work Equipment Regulations 1992 Management of health & Safety at Work Regulations 1992 Electricity at Work Regulations(EWAR) 1989 IEE Wiring regulations, BS 7671 17th Edition and Guidance 2008 HSE booklets HS (R)-25 Memorandum of Guidance. EWAR Regulations HS (G) 85 EWAR safe working practice HS (G) 13 Electrical testing (out of Print) HSE guidance notes GS 38 Test equipment for the use by Electricians BS6424: 1983 code of Practice for maintenance of switchgear & control gear up to 1KV

  • Provision and Use of Work Equipment Regulations 1992 Management of health & Safety at Work Regulations 1992 Electricity at Work Regulations(EWAR) 1989 IEE Wiring regulations, BS 7671 17th Edition and Guidance 2008 HSE booklets HS (R)-25 Memorandum of Guidance. EWAR Regulations HS (G) 85 EWAR safe working practice HS (G) 13 Electrical testing (out of Print) HSE guidance notes GS 38 Test equipment for the use by Electricians BS6424: 1983 code of Practice for maintenance of switchgear & control gear up to 1KV

• Planning

  Select Whenever possible, 'LIVE WORKS IS TO BE AVOIDED' if 'LIVE WORK' is required the assessment procedure in HS (G) 85 is to be followed and a safe system of work devised, preferably in writing. Sufficient personal protective equipment equipment (PPE) is to be available at the work place.

  • Whenever possible, 'LIVE WORKS IS TO BE AVOIDED' if 'LIVE WORK' is required the assessment procedure in HS (G) 85 is to be followed and a safe system of work devised, preferably in writing. Sufficient personal protective equipment equipment (PPE) is to be available at the work place.

• Physical

  Select Access to live conductors is to be controlled, and appropriate signs are to be in place. Written information and instructions will be required for on complex systems (control, meeting & parallel circuits). A clear access of 1 meter, gloves and matting to BS 697 and BS 921 are to be provided for ‘LIVE WORKING’. Electrical test equipment will be insulated and fused to GS38 requirements and in date for calibration. Electricity supply authority seals WILL NOT BE BROKEN and final connections will not be made with out written authority.

  • Access to live conductors is to be controlled, and appropriate signs are to be in place. Written information and instructions will be required for on complex systems (control, meeting & parallel circuits). A clear access of 1 meter, gloves and matting to BS 697 and BS 921 are to be provided for ‘LIVE WORKING’. Electrical test equipment will be insulated and fused to GS38 requirements and in date for calibration. Electricity supply authority seals WILL NOT BE BROKEN and final connections will not be made with out written authority.

• Absolute

  Select All circuits to be worked on will be treated as live until verified dead. There are NO EXCEPTIONS to this requirement. Experience of employees is irrelevant

  • All circuits to be worked on will be treated as live until verified dead. There are NO EXCEPTIONS to this requirement. Experience of employees is irrelevant

Managerial / Supervisory

• Specific instruction

  Live work is only to be carried out by authorised competent electricians under direct supervision of nominated supervisors. Electricians will not be permitted to work unaccompanied on live connections, above 125 volts. Unless specifically authorised to do so and good communications are in place. Adequate PPE, First-Aid and qualified First- Aiders are to be available at the work place where live work is to be done.

Corrective Actions

• Corrective actions.<br>

  Yes

  No

  N/A

• Do any corrective actions need to be applied prior to works starting?

  Yes

  No

  N/A

Permit to work.

• Permit to work granted?<br>

  Yes

  No

  N/A

• Expiry Date of permit to work

  Date

• Name and signature of person issuing this permit to work?

  Sign

Sign Off

• Operatives name and signature indicating that the content of this risk assessment will be adhered to at all times and that all work will be carried out in accordance with the health and safety at work act, the electricity at work act.

  Sign

• (Where applicable). Client or residents signature to agree they will take responsibility for themselves, children, guests and pets, and they will remain outside the working area at all times during works, that they will not attempt to energise all or part of the system without permission of the onsite staff.

  Sign