Construction Safety Risk Assessment

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Safety

• Unusual vibration levels?

  Yes

  No

  N/A

• Unusual noise levels?

  Yes

  No

  N/A

• Crane use?

  Yes

  No

  N/A

• General safety concerns?

  Yes

  No

  N/A

Utilities

• Utility interruption?

  Yes

  No

  N/A

• Shutdowns required?

  Yes

  No

  N/A

• General utility concerns?

  Yes

  No

  N/A

Hazardous Materials

• Hazardous materials used?

  Yes

  No

  N/A

• General hazmat concerns?

  Yes

  No

  N/A

Life Safety

• Hot work?

  Yes

  No

  N/A

• Work above ceiling?

  Yes

  No

  N/A

• Combustible loading?

  Yes

  No

  N/A

• Impact on way finding?

  Yes

  No

  N/A

• Impact on accessibility?

  Yes

  No

  N/A

• Life safety systems impacted?

  Yes

  No

  N/A

• General life safety concerns?

  Yes

  No

  N/A

• Interim life safety measures required?

  Yes

  No

  N/A

Security

• Badges issued?

  Yes

  No

  N/A

• General security concerns?

  Yes

  No

  N/A

Miscellaneous

• Notes

  Yes

  No

  N/A

Approval

• Scope and project requirements approved by ESEM?

  Yes

  No

  N/A