Identify which construction activities are at risk for your particular job and assess the severity, likelihood and risk rating. Provide control measures and plans. Modify the template to include additional at risk activities.
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Instructions ------------------------- 1. Answer "Safe", "At Risk", "N/A" for each of the hazards below 2. If "At Risk", follow the questions to identify the likelihood of occurrence, severity and risk rating 3. Include any notes and photos by clicking on the paperclip icon and then "Add Image" 4. Answer the relevant control questions 5. Complete the form by providing the relevant signatures
Confined Space
Confined Space
Likelihood of occurrence
Severity
Risk rating
Confined Space permit received
Enter description of control measures
Working at Height
Working at Height
Likelihood of occurrence
Severity
Risk rating
Working at height permit received
Height safety harness worn
Enter description of control measures
Restricted Access
Restricted Access
Likelihood of occurrence
Severity
Risk rating
Enter description of control measures
Electricity
Electricity
Likelihood of occurrence
Severity
Risk rating
Enter description of control measures
Compressed Air
Compressed Air
Likelihood of occurrence
Severity
Risk rating
Enter description of control measures
Uneven/slippery Surfaces
Uneven/slippery Surfaces
Likelihood of occurrence
Severity
Risk rating
Enter description of control measures
Hazardous Gases
Hazardous Gases
Likelihood of occurrence
Severity
Risk rating
Enter description of control measures
Asbestos
Asbestos
Likelihood of occurrence
Severity
Risk rating
Enter description of control measures
Vehicular movement
Vehicular movement
Likelihood of occurrence
Severity
Risk rating
Enter description of control measures
Dust & Airborne particle's
Dust & Airborne particle's
Likelihood of occurrence
Severity
Risk rating
Enter description of control measures
Working over/near water
Working over/near water
Likelihood of occurrence
Severity
Risk rating
Enter description of control measures
Overhead hazards
Overhead hazards
Likelihood of occurrence
Severity
Risk rating
Enter description of control measures
Manual handling
Manual handling
Likelihood of occurrence
Severity
Risk rating
Enter description of control measures
Fire / Explosion
Fire / Explosion
Likelihood of occurrence
Severity
Risk rating
Enter description of control measures
Noise
Noise
Likelihood of occurrence
Severity
Risk rating
Enter description of control measures
UV
UV
Likelihood of occurrence
Severity
Risk rating
Enter description of control measures
Buried/Covered services
Buried/Covered services
Likelihood of occurrence
Severity
Risk rating
Enter description of control measures
Lone worker
Lone worker
Likelihood of occurrence
Severity
Risk rating
Enter description of control measures
Spills / Pollution
Spills / Pollution
Likelihood of occurrence
Severity
Risk rating
Enter description of control measures
Completion
Observations and recommendations
Work completed
Equipment is safe & fit to operate
Customer representative
SafetyCulture Staff
Construction Risk Assessment Form
Identify which construction activities are at risk for your particular job and assess the severity, likelihood and risk rating. Provide control measures and plans. Modify the template to include additional at risk activities.
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended
to
take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or
treatment;
or other applicable laws. You should also seek your own professional advice to determine if the use of such
checklist is
permissible in your workplace or jurisdiction.
