Excavation Risk Assessment

• Client / Site

• Location
  Address

• Conducted on

  Date

• Prepared by

Risk Assessment

• Click + to add hazard identified

Hazard

• Description of hazard

  Select Impact with plant and underground services Crushing Security of Excavation Lone Working Contractor Competence Cutting/severing Falls from height & falling objects Reduced stability of nearby structures and buildings Vehicles and traffic collisions Hazardous substances in ground Safe access egress Other

  • Impact with plant and underground services
  • Crushing
  • Security of Excavation
  • Lone Working
  • Contractor Competence
  • Cutting/severing
  • Falls from height & falling objects
  • Reduced stability of nearby structures and buildings
  • Vehicles and traffic collisions
  • Hazardous substances in ground
  • Safe access egress
  • Other

• Enter description of other hazard identified

• People at Risk

• Controls

• Risk Rating

• Assessor's actions to further reduce risk

• REFERENCE

  

• 5 x 5 RISK MATRIX GUIDELINES

  

Completion

• Click + to list people involved in the risk assessment

Assessor

• Full Name and Signature of Assessor

  Sign

• Full Name and Signature of Documentor

  Sign