Title Page
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Site Location
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Conducted on
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Prepared by
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Location on Site (e.g. Basement Plant Room)
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Activity
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Total Number of Persons at Risk
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Are the works in a tenanted or communal area
Henshall & Sheehy Dynamic Risk Assessment for Site Specific Tasks
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Have you been fully Inducted to Site?
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Have you read the Site Risk Assessments/Method Statements for the works you are undertaking?
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Have you signed acknowledgement for them?
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Do you have required PPE for the task?
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Do you have the correct Tools and Equipment to undertake the task safely?
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Are you aware of Emergency Procedures for the site?
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Are there any obstructions present which are preventing you from carrying out the task as you have been instructed?
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Are COSHH Assessments in place for the task?
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Have you read and understood them and know where you can obtain copies?
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Do the works involve specialist qualifications e.g. Gas Safe, PASMA, IPAF?
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Do you fully understand that under NO circumstances must power tools be used when working adjacent to gas (or unknown) pipework, or any areas where pipes may be concealed in concrete.
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DO NOT PROCEED! Please speak to Dee Harris (Site Supervisor & Client Liaison) before proceeding any further and obtain her written confirmation that you have received this information and understand why.
