Title Page

Dynamic Risk Assessment

  • Site Location

  • Job Number (if applicable)

  • Task outline and location

  • Completed by

  • Role/Job Title

  • Company Name

  • Date and Time

Dynamic Risk Assessment

Competence

  • Have you completed the required training including e-learning to carry out the work?

  • Do you have the required qualifications and authority to carry out the work?

Communication

  • Have you informed the clients representative and those in the area where you will work?

  • If working alone, have you made arrangements for regular contact during your work?

Risk Control Information

  • Do you understand the up to date Risk Assessments(s) for the task(s)?

  • Have you signed the relevant Risk Assessment(s)/Safe Systems of Work prior to starting work?

  • Have you got the relevant Safety Data Sheet(s) (SDS) for all chemicals/substances?

Tools & Equipment

  • Have you carried out an inspection of the tools/equipment?

  • Where required, are calibration, test certificates and formal examinations in date?

  • Are the tools and equipment serviceable and fit for purpose?

Work Area Condition

  • Are access routes safe and adequate?

  • Are the weather conditions, work area temperature and ventilation safe for work?

  • Have you got adequate space and lighting?

Work Area Protection

  • Are you protected from contact with energy sources, falls from height, machinery and moving vehicles?

  • Have you deployed suitable barriers and hazard warning signage at and around the work area?

Emergencies;- Do you know...

  • Emergency arrangements, including fire actions, climate event, exit routes, shelter/safe areas?

  • How and where to get first aid and eye wash?

  • How to report accidents, hazards/safety observations?

Personal Protective Equipment (PPE)

  • If PPE is required for the task, have you got it and is it approved?

  • Do you know how to check the condition, and do you know how to use and maintain your PPE?

Who is at risk from your work? (tick all that apply)

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Details of specific PPE that will be used (tick all that apply)

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Details of the risk control measure you have put in place to manage the risk (tick all that apply)

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Last check - I am satisfied that it is safe to do the work in the way it will be done at this place and in this environment and all the required controls and emergency measures are in place and satisfactory? IF THE ANSWER IS NO - YOU MUST CONTACT YOUR HOST BEFORE CONTINUING WITH WORK.

Hazards to Consider (tick all that apply)

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Risk Control Measures to Consider (tick all that apply)

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Signature

  • Add signature

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.