Information
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Job No. Ver 30/08/13
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Conducted on
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Assessor
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Clients Name
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Location
Complete this Risk Assessment for the site hazards you have identified.
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Manual Handling. Is the hazard present at this location
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Is the hazard controlled
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Is it safe to continue
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Comments
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Has the risk been made safe
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DO NOT CONTINUE!!
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Asbestos. . Is the hazard present at this location
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Is the hazard controlled
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Is it safe to continue
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Comments
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Has the risk been made safe
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DO NOT CONTINUE!!
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Slips, Trips & Falls Is the hazard present at this location
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Is the hazard controlled
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Is it safe to continue
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Comments
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Has the risk been made safe
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DO NOT CONTINUE!!
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Dangerous Machinery. Is the hazard present at this location
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Is the hazard controlled
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Is it safe to continue
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Comments
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Has the risk been made safe
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DO NOT CONTINUE!!
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Hot Works. Is the hazard present at this location
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Is the hazard controlled
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Is it safe to continue
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Comments
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Has the risk been made safe
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DO NOT CONTINUE!!
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Falling Objects Is the hazard present at this location.
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Is the hazard controlled
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Is it safe to continue
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Comments
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Has the risk been made safe
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DO NOT CONTINUE!!
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Electricity. . Is the hazard present at this location
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Is the hazard controlled
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Is it safe to continue
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Comments
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Has the risk been made safe
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DO NOT CONTINUE!!
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Gas. . Is the hazard present at this location
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Is the hazard controlled
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Is it safe to continue
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Comments
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Has the risk been made safe
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DO NOT CONTINUE!!
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Weather Issues. Is the hazard present at this location.
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Is the hazard controlled
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Is it safe to continue
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Comments
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Has the risk been made safe
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DO NOT CONTINUE!!
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Pressure Vessels. Is the hazard present at this location
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Is the hazard controlled
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Is it safe to continue
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Comments
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Has the risk been made safe
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DO NOT CONTINUE!!
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Light/Night Work. Is the hazard present at this location
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Is the hazard controlled
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Is it safe to continue
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Comments
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Has the risk been made safe
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DO NOT CONTINUE!!
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Waste. Is the hazard present at this location.
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Is the hazard controlled
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Is it safe to continue
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Comments
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Has the risk been made safe
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DO NOT CONTINUE!!
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Spillage. . Is the hazard present at this location
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Is the hazard controlled
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Is it safe to continue
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Comments
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Has the risk been made safe
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DO NOT CONTINUE!!
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(Animal faeces/sharps/needles. Is the hazard present at this location
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Is the hazard controlled
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Is it safe to continue
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Comments
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Has the risk been made safe
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DO NOT CONTINUE!!
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Carrying Cash Is the hazard present at this location
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Is the hazard controlled
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Is it safe to continue
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Comments
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Has the risk been made safe
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DO NOT CONTINUE!!
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Violent/Abusive Clients. Is the hazard present at this location
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Is the hazard controlled
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Is it safe to continue
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Comments
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Has the risk been made safe
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DO NOT CONTINUE!!
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Lone Working. Is the hazard present at this location
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Is the hazard controlled
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Is it safe to continue
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Comments
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Has the risk been made safe
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DO NOT CONTINUE!!
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Working at height. . Is the hazard present at this location
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Is the hazard controlled
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Is it safe to continue
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Comments
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Has the risk been made safe
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DO NOT CONTINUE!!
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Confined Spaces. . . Is the hazard present at this location
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Is the hazard controlled
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Is it safe to continue
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Comments
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Has the risk been made safe
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DO NOT CONTINUE!!
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Noise. Is the hazard present at this location
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Is the hazard controlled
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Is it safe to continue
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Comments
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Has the risk been made safe
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DO NOT CONTINUE!!
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Vibration Is the hazard present at this location
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Is the hazard controlled
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Is it safe to continue
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Comments
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Has the risk been made safe
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DO NOT CONTINUE!!
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Additional Hazards Is the hazard present at this location
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Is the hazard controlled
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Is it safe to continue
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Comments
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Has the risk been made safe
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DO NOT CONTINUE!!
Additional Information
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Is the mobile phone signal of sufficient strength
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Is there safe access for emergency services
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Are there at least two employees working on the site
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Please state what other emergency precautions are in place should anyone get injured
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I confirm that i have carried out a visual inspection on all tools that are to be used for work on this job and confirm that they are in satisfactory condition and safe to use
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Completed by (Print name & sign)
