Information

  • Prepared by

  • Conducted on

  • Location description (to match order)

  • Location (from GPS)
  • Job number.

  • SOS number.

  • Nature of site

  • Speed limit

  • Carriageway width

  • Foot way width

Site Nature

  • Traffic Management

  • Diversion in place

  • Weather

  • Dual Carriageway (up to 40mph)

  • Roundabout

  • Proximity to junction

  • Within 50 meters of controlled crossing (traffic lights/zebra crossing etc.)

  • Evidence of utilities apparatus

  • Anglian water

  • Please provide photo of apparatus

  • Transco

  • Please provide photo of apparatus

  • UK Power Networks

  • Please provide photo of apparatus

  • British Telecom

  • Please provide photo of apparatus

  • Virgin media

  • Please provide photo of apparatus

  • Other

  • Please provide photo of apparatus

Specific Methods

  • The following generic risk assessment list details generic risks identified and the control measures to be implemented as part of these works

  • HS 01 Abrasive wheels and disc cutters

  • HS 02 Animal and bird remains - removal from highway

  • HS 03 Wet cell - Batteries

  • HS 04 Biological and chemical hazards

  • HS 05 Bitumen boilers

  • HS 06 Chainsaws

  • HS 07 Confined spaces

  • HS 08 Coring rig

  • HS 09 Drainage operations

  • HS 10 Driving

  • HS 11 Electrical tools

  • HS 12 Emergency out of hours call out

  • HS 13 Emergency pothole repairs

  • HS 14 Excavations

  • HS 15 Excavators 180 and 360

  • HS 16 Gully emptying

  • HS 17 Hand tools

  • HS 18 Hot boxes

  • HS 19 Hydraulic equipment

  • HS 20 Incident report

  • HS 21 Jet patcher operations

  • HS 22 Kerb and slab laying

  • HS 23 Kerr pins and setting out stakes

  • HS 24 Leptospirosis

  • HS 25 Lifting accessories

  • HS 26 Lifting equipment

  • HS 27 Livestock and animals - working near to

  • HS 28 Loading plant and vehicles including trailers

  • HS 29 ???

  • HS 30 Manual handling

  • HS 31 Noise

  • HS 32 Noxious weeds

  • HS 33 Patching and resurfacing

  • HS 34 Pigeon dropping

  • HS 35 Plant - drivable and ride on

  • HS 36 Pneumatic equipment

  • HS 37 Reversing vehicles

  • HS 38 Road marking operations

  • HS 39 Road sweeper operations

  • HS 40 Safety fencing (VRS)

  • HS 41 Service avoidance

  • HS 42 Service avoidance underground services

  • HS 43 Sharps (needles)

  • HS 44 Signpost erection and maintenance

  • HS 45 Small plant (powered)

  • HS 46 Street lighting

  • HS 47 Structures inspection

  • HS 48 Tower lights

  • HS 49 Traffic management

  • HS 50 Use of chippers and crushers

  • HS 51 Vibration (HAV)

  • HS 52 Water - working on, over or near

  • HS 53 Winter maintenance

  • HS 54 Working on the highway

  • HS 55 Working at height - ladders

  • HS 56 Working at height - MEWP's

  • HS 57 Working at height - scaffolding

Authorisation

  • On inspection of the site and the detailed scope of works provided I have reviewed the GRA's highlighted. I can confirm that all lists are listed and the relevant control measures are in place to ensure safe working practice prior to the commencement of works.

  • Inspectors authorisation

  • On inspection of the site and the detailed scope of works provided I have reviewed the GRA's highlighted. further risks have been identified which will be controlled through the POINT OF WORK ASSESSMENT (attached). I confirm that both the GRA and POW control measures are in palace to ensure safe working practice prior to the commencement of works

  • Depot authorisation

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