Dynamic Risk Assessment - with sign on sheet

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Documentation

• Are the health, safety and environmental risks on this work covered by the documentation you have received, and are control measures in the Operational Instructions / Routine Schedules?

  Yes

  No

  N/A

• Have you read and understood the documentation to ensure you are aware of the risk control measures?

  Yes

  No

  N/A

• Is there a completed Emergency Plan in place?

  Yes

  No

  N/A

People

• Do you know who is in charge on site?

  Yes

  No

  N/A

• Is there safe access / egress to the working site?

  Yes

  No

  N/A

• Are all people on site capable of undertaking the work they have been asked to do?

  Yes

  No

  N/A

Plant / Equipment

• Do you have the right plant and equipment for the task to be carried out?

  Yes

  No

  N/A

• Has a relevant GN0 form been completed and have you applied control measures?

  Yes

  No

  N/A

• If lifting or winching is required, have you got a lifting and/or winching plan?

  Yes

  No

  N/A

• If you are working in the vicinity of underground / overhead services, are necessary control measures in place?

  Yes

  No

  N/A

• Are appropriate controls in place to manage the risks of plant and equipment travelling / working along haul roads or the top of a flood bank?

  Yes

  No

  N/A

Environmental Considerations

• Do you know how to manage waste materials and hazardous substances applicable to this work? i.e. COSHH, Waste Transfer.

  Yes

  No

  N/A

• If relevant, are control measures in place to manage the risks of low oxygen levels and silt disturbance?

  Yes

  No

  N/A

• If the work to be carried out is in, or could affect, a designated conservation area, do you have the necessary permission to proceed? i.e. FRB / NEAS approval

  Yes

  No

  N/A

• Are weather and ground conditions suitable? i.e. no adverse weather increasing any risk on site

  Yes

  No

  N/A

• Are you satisfied with the Health safety and environmental controls? i.e. no concerns about the work you are being asked to carry out?

  Yes

  No

  N/A

If all answers are Yes then work can go ahead. If not have a rethink of the work, is there another way to do the work safely? If so do it. If there is something missing or the work cannot be done safely consult field team leader.

• STOP ---> THINK ---> ACT

Training and subject

• Type of training

• Refresher

• Skill

• Toolbox Talk

• Other

• Subject

• Training given by:

  Sign

• Attendance on:

  Date

Signing sheet

• Attendee

  Sign

• Trade/Status

• Company & Date joined

• Attendee

  Sign

• Trade/Status

• Company & Date joined

• Attendee

  Sign

• Trade/Status

• Company & Date joined

• Attendee

  Sign

• Trade/Status

• Company & Date joined

• Attendee

  Sign

• Trade/Status

• Company & Date joined

• Attendee

  Sign

• Trade/Status

• Company & Date joined

• Attendee

  Sign

• Trade/Status

• Company & Date joined

• Attendee

  Sign

• Trade/Status

• Company & Date joined