Title Page
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Date
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Conducted By
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Operatives/Staff Name
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Location
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Service Area
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Line Manager
Safety Conversation
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01 - What is your role?
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02 - Do you have a suitable and sufficient Risk Assessment for your role?
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03 - Have you read and signed the assessment?
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04 - Do you understand the risks? If so, what are they?
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05 - Where is the signed copy of your risk assessment?
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06 - What are the H&S Controls?
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07 - When was the last time your risk assessment was reviewed?
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08 - Do you have a Safe System of Work (SSoW) for you role?
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09 - Do you follow your safe system of work?
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10 - Do you use or carry any COSHH products, if so what are they?
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11 - Do you have any COSSH Assessments
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12 - Do you know the COSHH controls?
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13 - Do you have access to the Safety Data Sheets for the products you use?
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14 - Do you know what causes Hand Arm Vibration (HAVs)?
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15 - Do HAVs apply to you?
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16 -Are you aware of the illnesses/injuries caused by HAVs?
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17 - What Power Tools do you use?
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18 - Are there any PUWER/LOLER or other risk assessments for the tools or other equipment?
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19 - Are they registered on the Power Tool Register or Asset Tiger?
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20 - Does your role require any Manual Handling?
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21 - Have you been trained in Manual Handling? Are you aware of the pneumonic TILE? (Task, Individual, Load, Environment)
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22 - Do you have the correct equipment and support to minimise injuries?
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23 - Do you require RPE for your role?
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24 - Have you been Face Fitted and when?
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25 - Do you have PPE for your role?
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26 - Any additional PPE required?
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27- What qualifications do you have?
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28 - Are you competent for your role? (skill, knowledge, aptitude, training, experience)
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29 - Any other issues that you would like to discuss with me?
Feedback sent to Line Manager
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Select date
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Comments by Line Manager
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Agreed action plan
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Action required
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Update
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When By
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Completed?
