Information

  • Client Name

  • Conducted on

  • Prepared by

  • Location
  • Duration of work activity

  • Activity covered by this assessment

  • Circumstances which will require additional assessment

1. Working at Heights

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

2. Tools and Equipment

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

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

  • 2.3 Power tools appliance tested.

  • 2.4. Test meters calibrated?

3. Loft spaces

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

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

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

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?

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

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

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

5. Noise

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

6. Ladders

  • 6.1. Ladders/ steps safe and not damaged?

  • 6.2. Safe positioning of ladders / Steps?

  • 6.3. Ladder properly secured?

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

7. Work area and manual Tasks

  • 7.1. Risk of exposure to live electrical contact

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

  • 7.3. Work area clean and tidy?

8. Asbestos exposure

  • 8.1. Asbestos present?

9. Personal Protective Equipment (PPE)

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

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

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

10. Goods/valuables affected by work

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

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

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

11. Pre works Survey (Electrical)

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

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

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

  • 11.4. Is there adequate RCD protection in place?

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

  • 11.6. Will the work require building control notification?

  • 11.7 Will a temporary supply be required

12. COVID-19 - CORONAVIRUS RISKS

  • 12.1. Has anyone in the property been diagnosed with coronavirus?

  • 12.2. Is anyone in the property self isolating, shielding or immune deficient/ low immune system or vulnerable to Coronavirus?

  • 12.3. Can a 2 meter safe distance be assured at all times during the works?

  • 12.4. Do you have all the PPE you need and do you know how to don and doff it safely

  • 12.5. Have you prepared a double bagged waste bag for used/ contaminated waste?

Planning and Preparation

  • Action already taken to reduce risks

  • Planning

  • Physical

  • Absolute

Managerial / Supervisory

  • Specific instruction

Corrective Actions

  • Corrective actions.<br>

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

Permit to work.

  • Permit to work granted?<br>

  • Expiry Date of permit to work

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

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.

  • (Where applicable). It has been verbally agreed that the client or residents 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 under any circumstances. In addition they agree that ALL Covid-19 government rules including social distancing rules will be adhered to for the entire duration of the works.

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.