Title Page

  • Customer Name

  • Contract Number

  • Conducted on

  • Prepared by

  • Location

Surveyed Works

  • Description of the works being surveyed

Site Access

  • Vehicle Access

  • Site Access i.e long walk, access through property, through rear, etc.

Manual Handling - Recommendations

  • Lifting Equipment

  • Hoist Required?

  • Can materials be stored on site?

Working At Height

  • What Height will we be working at?

  • Scaffold recommended?

  • Scaffold Location?

Electrical/Pipework

  • Household cables present?

  • Overhead cables?

  • Shrouding Required?

Asbestos

  • Is Asbestos present near the work area?

  • Does the asbestos need inspecting

Structural

  • Are Lintels Present?

  • Are Acros Required?

  • Strongboys Required?

  • Hoist Required

Installation

  • Control/Planning Required?

  • Customer Availability

  • I can confirm the Risk Assessment has been completed to the best of my Knowledge. NBE to make full responsibility for works to be completed in accordance to HSE.

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.