Information
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Job Number:
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Client Reference:
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Site Name / Area
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Conducted on
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Prepared by
RISK ASSESSMENT
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01. Working at height (difficult access)
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Level of Risk:
- Low Risk
- Medium Risk
- High Risk
- Very High Risk
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Control Measures:
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02. Working alone in a remote area
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Significant Hazards:
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Control Measures:
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Level of Risk:
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03. Working in a confined / restricted space
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Significant Hazards:
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Control Measures:
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Level of Risk:
- Low Risk
- Medium Risk
- High Risk
- Very High Risk
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04. Hot works (risk of fire)
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Significant Hazards:
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Control Measures:
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Level of Risk:
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05. Excessive noise / dust
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Significant Hazards:
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Control Measures:
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Level of Risk:
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06. Obstructed routes and exit
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Significant Hazards:
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Control Measures:
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Level of Risk:
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07. Accessible to customers / staff
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Significant Hazards:
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Control Measures:
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Level of Risk:
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08. Work involves difficult lifting
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Significant Hazards:
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Control Measures:
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Level of Risk:
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09. Isolation of services
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Significant Hazards:
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Control Measures:
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Level of Risk:
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10. Isolation of emergency services
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Significant Hazards:
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Control Measures:
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Level of Risk:
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11. Electric shock
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Significant Hazards:
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Control Measures:
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Level of Risk:
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12. Customers or staff will re-occupy an area where works are unfinished and a return visit is necessary
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Significant Hazards:
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Control Measures:
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Level of Risk:
COMPLETION
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Your Name:
