Designer’s Hazard Checklist and Risk Reduction Schedule

• Project Title

• G. Network Job No.

• Project Description

• Design Discipline

• Project Type

  A

  B

  C

  N/A

• Date

  Date

• Prepared by

• Location
  Address

1. Existing Environment

• 1.1 Access restrictions

  Low

  High

  N/A

• 1.2 Interface with the public

  Low

  High

  N/A

• 1.3 Structural instability

  Low

  High

  N/A

• 1.4 Existing street furniture

  Low

  High

  N/A

• 1.5 Ongoing building works (i.e scaffolding/construction works)

  Low

  High

  N/A

• 1.6 Bridges

  Low

  High

  N/A

• 1.7 Fragile materials

  Low

  High

  N/A

• 1.8 Hazardous materials

  Low

  High

  N/A

• 1.9 Trees/trees roots

  Low

  High

  N/A

• 1.10 Traffic

  Low

  High

  N/A

• 1.11 Bus Lanes

  Low

  High

  N/A

• 1.12 Pedestrian Zone

  Low

  High

  N/A

• 1.13 Hospital entrances and schools

  Low

  High

  N/A

• 1.14 Are there any other hazards identified?

  YES

  NO

  N/A

• Please specify other

• Status

  Low

  High

  N/A

2. Existing Services

• 2.1 Underground

• • Electrical

  Low

  High

  N/A

• • Gas

  Low

  High

  N/A

• • Water (Asbestos pipes?) basements only

  Low

  High

  N/A

• • Telecommunications

  Low

  High

  N/A

• 2.2 Overhead Services

• • Electrical

  Low

  High

  N/A

• • Telecommunications

  Low

  High

  N/A

• • Are there any other hazards identified?

  YES

  NO

  N/A

• Please specify other

• Status

  Low

  High

  N/A

3. Earthworks

• 3.1 Deep excavations

  Low

  High

  N/A

• 3.2 Slope / ground stability

  Low

  High

  N/A

• 3.3 Interface with services

  Low

  High

  N/A

• 3.4 Are there any other hazards identified?

  YES

  NO

  N/A

• Please specify other

• Status

  Low

  High

  N/A

4. Basement Area

• 4.1 Access

  Low

  High

  N/A

• 4.2 Existing services (asbestos?)

  Low

  High

  N/A

• 4.3 Manual handling

  Low

  High

  N/A

• 4.4 Materials / substances

  Low

  High

  N/A

• 4.5 Confined spaces

  Low

  High

  N/A

• 4.6 Pressure systems

  Low

  High

  N/A

• 4.7 Testing operations

  Low

  High

  N/A

• 4.8 Fixings

  Low

  High

  N/A

• 4.9 Are there any other hazards identified?

  YES

  NO

  N/A

• Please specify other

• Status

  Low

  High

  N/A

5. Railway Activities

• 5.1 Overhead lines

  Low

  High

  N/A

• 5.2 Underground services

  Low

  High

  N/A

• 5.3 Are there any other hazards identified?

  YES

  NO

  N/A

• Please specify other

• Status

  Low

  High

  N/A

• Please click Next to continue on Hazard Elimination Checklist

Hazard Elimination Checklist

ITEM

• Reference

• Activity

• Add a photo

  Media

• Hazard

• Add a photo

  Media

• Persons at Risk

• Design Measures taken, or being taken to eliminate or reduce the hazard

• Information on the Residual Risk

Completion

• Additional comments and observations

• Prepared By Name and Signature

  Sign