1 - Site Induction

  • 1.1 - Completed a site induction including H&S

2 - High Risk Process Evaluation

  • 2.1 - is the work are a confined space?

  • Please ensure the correct permit permit is issued for this type of work.

  • 2.2 - Are you undertaking Hot Work? (Grinding, cutting, welding and in some cases soldering)

  • Please ensure you have the correct permit type and a suitable fire extinguisher to hand. Ensure you follow the customers fire watch procedure.

  • 2.3 - Are you working on live electricity?

  • Please ensure you have the correct permit type for this work.

  • 2.4 - Are you working at heights? (Using steps, ladders, platforms, MEWP's....)

  • Please ensure you have the correct permit for this work and any licences required for the equipment to be used.

  • 2.5 - Are you working on high pressure air lines?

  • Please ensure that you have the correct permit for this work.

  • 2.6 - Does the work involve exposure or potential exposure to asbestos?

  • This work should not be carried out without the correct PPE and and additional risk assessment and permit being carried out/issued.

3 - Workplace Hazards

  • 3.1 - Is there free access and exit routs to and from the workplace?

  • Please state the observed hazards.

  • 3.2 - Is the work area free from danger of slips, trips and falls?

  • Please state the observed hazards.

  • 3.3 - Is the work area free from obstructions and projections?

  • Please state the observed hazards.

  • 3.4 - Is the work area free from falling or moving objects?

  • Please state the observed hazards.

  • 3.5 - Is there enough room to work safely?

  • Please state the reason for the lack of space.

  • 3.6 - Are dangers from traffic adequately controlled?

  • Please state the observed hazards.

4 - Machinery Hazards

  • 4.1 - Has the machine been isolated in such a way that tit cannot be inadvertently operated?

  • Please state what other protection methods have been put in place to justify this.

  • 4.2 - Have all electrical hazards been safely covered?

  • Please state why not.

  • 4.3 - Can the task be carried out without removing safety devises?

  • Please state what other safety procedures have been put in place.

  • 4.4 - Are you adequately protected from extremely hot and cold machine parts?

  • Please state what precautions have been put in place to avoid exposure.

5 - Personal Exposure Hazards

  • 5.1 - Have all lifting tasks been safely addressed? (2 man lift, hoist etc......)

  • Please state the reasons.

  • 5.2 - Are you adequately protected against excessive noise?

  • Please state what additional precautions have been put in place to combat this.

  • 5.3 - Is there adequate light to safely carry out the task?

  • Please request an additional lighting source.

  • 5.4 - Is the work area free from excessive vibration?

  • What precautions have been put in place?

  • 5.5 - Is the work area free from exposure to high temperature and humidity?

  • Please state what precautions have been put in place.

  • 5.6 - Is the work are free from exposure to low temperature?

  • Please state what precautions have been put in place.

  • 5.7 - Do you have the correct tools to carry out the task safely and are they in a good state or repair?

  • Please specify what is to be done to rectify this.

  • 5.8 - Is the work area free from exposure to harmful substances covered under COSHH?

  • Please specify what additional precautions have been put in place.

6 - Administrative Controls

  • 6.1 - Do you have the correct PPE to complete the task?

  • Ensure you attain the correct PPE before continuing with the task.

  • 6.2 - Has the operator been informed of the work to be carried out?

  • Please specify who is aware of the work being done.

  • 6.3 - Do you have the required skills to complete the task?

  • Please specify which parts of the task you are unable to complete and how this work is to be done.

7 - Comments

  • Domino UK signature

  • Customer signature

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