Title Page

  • Site conducted

  • Student Name

  • Conducted on

  • Prepared by

  • Location
  • Job Description

Apply relevant health and safety legislation in the workplace

  • Demonstrate the appropriate use of personal protective equipment (PPE)

  • Identify the location of a suitable first aid kit and nominated person

  • Demonstrate methods of recording accidents

  • Conduct yourself properly around others in the workplace

  • Identify the location of the nearest fire point or fire extinguisher

  • Demonstrate an awareness of the fire safety procedure

  • Demonstrate an awareness of the emergency evacuation procedure

  • Demonstrate an awareness of the site or company induction process

  • Demonstrate precautionary actions with regards to personal hygiene

  • Source and confirm location of safety documentation

  • Demonstrate methods of reporting potential hazards

  • Work to procedures laid down in risk assessments and method statements

Use risk assessments to identify safe methods of working at height

  • Work to procedures laid down in risk assessments or method statements when working at height

  • Identify potential hazards when working at height

  • Safety check and select the appropriate access equipment

Perform the safe use of access equipment (two of the four items in the range listed below required across jobs 1 and 2)

  • Ladder

  • Tower scaffold or MEWP

  • Stepladder

  • Platform

Carry out safety checks and procedures within the work location

  • Provide evidence of a tidy work area

  • Provide evidence of adequate lighting in the work area

  • Provide evidence of protecting customer’s property

  • Verify suitable access and exit routes to and from the work location

  • Follow safety signs and notices

  • Store tools and equipment appropriately

  • Demonstrate safe transportation and use of tools and equipment

  • Demonstrate safe manual handling lifting techniques

  • Correct use of barriers or signs

Site Documentation

Risk Assessment

  • Is there a completed Risk Assessment on site?

  • Please complete the risk assessment for this job. Click the + button below to add a hazard and answer all questions. Please ensure you document all hazards applicable.

Risk Matrix and Hierarchy of Controls

  • Risk Matrix Reference:

    Screenshot 2021-12-01 at 16.27.24.png
  • Hazard
  • Description of hazard

  • Photo of hazard

Risk Rating (Prior to control measures)

  • Likelihood

  • Severity

  • Risk Rating is - 25 = Extreme

  • Risk Rating is - 20 = Extreme

  • Risk Rating is - 15 = Extreme

  • Risk Rating is - 10 = High

  • Risk Rating is - 5 = High

  • Severity

  • Risk Rating is - 20 = Extreme

  • Risk Rating is - 16 = Extreme

  • Risk Rating is - 12 = High

  • Risk Rating is - 8 = High

  • Risk Rating is - 4 Moderate

  • Severity

  • Risk Rating is - 15 = Extreme

  • Risk Rating is - 12 = Extreme

  • Risk Rating is - 9 = High

  • Risk Rating is - 6 = Moderate

  • Risk Rating is - 3 = Low

  • Severity

  • Risk Rating is - 10 Extreme

  • Risk Rating is - 8 = High

  • Risk Rating is - 6 = Moderate

  • Risk Rating is - 4 = Low

  • Risk Rating is - 2 = Low

  • Severity

  • Risk Rating is - 5 = High

  • Risk Rating is - 4 = High

  • Risk Rating is - 3 = Moderate

  • Risk Rating is - 2 = Low

  • Risk Rating is - 1 = Low

  • Comments/ observations

Risk Rating (After control measures)

  • Control Measure to be implemented

  • Likelihood

  • Severity

  • Risk Rating is - 25 = Extreme

  • Risk Rating is - 20 = Extreme

  • Risk Rating is - 15 = Extreme

  • Risk Rating is - 10 = High

  • Risk Rating is - 5 = High

  • Severity

  • Risk Rating is - 20 = Extreme

  • Risk Rating is - 16 = Extreme

  • Risk Rating is - 12 = High

  • Risk Rating is - 8 = High

  • Risk Rating is - 4 Moderate

  • Severity

  • Risk Rating is - 15 = Extreme

  • Risk Rating is - 12 = Extreme

  • Risk Rating is - 9 = High

  • Risk Rating is - 6 = Moderate

  • Risk Rating is - 3 = Low

  • Severity

  • Risk Rating is - 10 Extreme

  • Risk Rating is - 8 = High

  • Risk Rating is - 6 = Moderate

  • Risk Rating is - 4 = Low

  • Risk Rating is - 2 = Low

  • Severity

  • Risk Rating is - 5 = High

  • Risk Rating is - 4 = High

  • Risk Rating is - 3 = Moderate

  • Risk Rating is - 2 = Low

  • Risk Rating is - 1 = Low

  • Comments/ observations

Completion

  • Signature

Are appropriate procedures in place for the safe handling, storage and disposal of hazardous materials and products, in accordance with following:

  • Environmental Protection Act (1990)

  • The Hazardous Waste Regulations (2005)

  • Pollution Prevention and Control Act (1999)

  • Control of Pollution Act (1974)

  • Control of Noise at Work Regulations (2005)

  • Environment Act (1995)

Method Statement

  • Is there an up to date Method Statement on site?

  • Please complete the attached Method Statement and attach it above.

Other Documentation

  • Have you needed any other documentation Whilst on site?

Behaviour's and Feedback

The behaviours below are embedded into the performance units in this workplace logbook. These behaviours are part of the apprenticeship, and an expert witness and/or your assessor will also assess you against them. They will record and give feedback on your performance against these behaviours.

  • Behaviour1 (B1): Works reliably and effectively without close supervision

  • Behaviour 2 (B2): Accepts responsibility for the work of themselves and others

  • Behaviour 3 (B3): Accepts, allocates and supervises technical and other tasks

  • Behaviour 4 (B4): Uses oral, written and electronic methods for the communication of technical and other information

  • Behaviour 5 (B5): Works effectively with colleagues, other trades, clients, suppliers and the public

  • Behaviour 6 (B6): Undertakes work in a way that contributes to sustainable development

  • Behaviour 7 (B7): Maintains and enhances competence in own area

  • Behaviour 8 (B8): Exercises responsibilities in an ethical manner

Assessors and Expert Witness Feedback

  • Assessor Feedback

  • Expert Witness Feedback

Completed

Student Signature

  • By the act of making this submission I am declaring that this is all my own work and that: • The work has not, in whole or in part, been knowingly submitted elsewhere for assessment • Where the submission includes work from a previous assessment this has been identified • Where materials have been used from other sources it has been properly acknowledged • If this statement is untrue, I acknowledge that an assessment offence has been committed Attention is drawn to the plagiarism, collusion and cheating policies of both the centre and of the awarding body. Proven incidents of plagiarism, collusion or cheating can result in a student being withdrawn from a qualification. I confirm that I have read and understood the above statements on plagiarism and collusion. I confirm that I have not committed plagiarism when completing the work contained in this evidence, nor have I colluded with another student in the preparation and production of this work. I am satisfied with the way the learning activity/Assessment(s) was conducted and with the outcome(s). I agree that the information provided here is an accurate account of what has taken place

Expert Witness Signature

  • As the expert witness I can confirm that all the work carried out in this unit has been done by the student named above under my supervision to the required standards.

Work Based Tutor Signature

  • I agree that the information provided here is an accurate account of what has taken place.

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.