Title Page
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Client / Site
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Location
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Conducted on
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Prepared by
Risk Assessment
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Click + to add hazard identified
Hazard
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Description of hazard
- 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
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Enter description of other hazard identified
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People at Risk
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Controls
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Risk Rating
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Assessor's actions to further reduce risk
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REFERENCE
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5 x 5 RISK MATRIX GUIDELINES
Completion
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Click + to list people involved in the risk assessment
Assessor
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Full Name and Signature of Assessor
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Full Name and Signature of Documentor