FTTH - Point Of Work Risk Assessment - Streetworks - SCCI V1.1

• Site

• Postcode:

• Job Number Reference

• Point of Work RA by:

• Date:

  Date

• What is speed limit for road?

• What is traffic flow for the road? (Vehicles per minute)

• What is pedestrian flow for the road? (Pedestrians per minute)

• Any road features to be taken account of? (Eg Pedestrian crossings, zigzags, schools etc)

• Is there a copy of Safety at Streetworks available on site?

  Yes

  No

• A copy must be held on site or accessibble at all times

• Does vehicle have working flashing amber beacon?

  Yes

  No

• Works must be stopped immediately until beacon is fixed

• Will task take up to 15 minutes?

  Yes

  No

• Follow guidance on Page 87 - Mobile Works on Single Carriage Way

• Will task take between 15 minutes and 60 minutes?

  Yes

  No

• Follow guidance on Page 91 - Short duration on Single Carriage Way

• Will works last for more than 60 minutes?

  Yes

  No

• Work must be undertaken with full standard signing, lighting and guarding

• Have any pits been opened?

  Yes

  No

• Record readings on GDU

• Ensure GDU is left in suitable location and countiously checked

• Photographs of area pre setup

  Media

• Photographs of area set up

  Media

Sign Off

• Additional Notes / Information

• Contractor Name

• Contractor Address

• Contractor Contact Details

• Operative

  Sign

• Supervisor

  Sign

• Completed Sign Off

  Date