Information
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Site
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Postcode:
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Job Number Reference
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Point of Work RA by:
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Date:
Risk Assessment
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Works job pack information (inc; specifications) on-site & process understood.?
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CPHSP & RAMS applicable to works / briefed to the operative-engineers (inc; SC's) & sign to confirm understood.?
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Site supervisor /team leader in place & operative-engineers aware of lines of communication.?
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Site operative-engineers hold relevant qualifications to undertake the tasks on site (Hard or soft copy).?
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Relevant plant /tools /equipment suitable to the task /in a good state of repair & fit-for-use.?
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Site operative-engineers hold relevant qualifications to utilise plant /tools /equipment on-site.?
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Permits-to-Work in-place & signed off.?
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Suitable signage in-situ (inc; notice board where required) to ensure all public are aware no unauthorised site-access.?
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Suitable guarding barriers in place & interlocked (inc; material compounds) to ensure no unauthorised site-access.?
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General site-specific PPE being worn & in good condition.?
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Relevant work-at-height access equipment suitable to the task & inspected fit-for-use.?
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All work-at-height safety PPE available, suitable to the task & inspected fit-for-use.?
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Environmental hazards identified, suitably controlled & protected (inc; waste disposal, dust or noise, watercourses, wildlife).?
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Emergency arrangements in-place (inc; 1st aiders/1st aid kit /fire-alarm-fighting equipment) & including CityFibre reporting procedure.?
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Suitable & sufficient welfare provisions in-place.?
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Daily 'Point-of-Works or Dynamic Risk Assessment' in-place.?
Photographs of Area / Equipment in place
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Photographs of area pre setup
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Photographs of area set up
Sign Off
Sign Off
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Additional Notes / Information
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Contractor Name
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Operative (SCCI Alphatrack or on behalf)
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Supervisor (City Fibre)
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Completed Sign Off
