Title Page
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POWRA No.
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Various locations
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Conducted on
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Location Borough (e.g. Kingston, Merton etc)
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Supervisor name
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Personnel (Write names of all personnel on site)
Hazards
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Are the works on the public highway (including footway)?
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Operatives are to ensure that work areas are completely cordoned off with Gate Guards, barriers, cones and suitable signage to prevent un-authorised entry. If possible try to minimise works within these areas. If working in a public highway works must comply with the New Road Street Works Act 1991.
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Are you working near live traffic?
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Traffic management plan required/available.; Signs, lighting & guarding to NRSWA standard.; Traffic lights needed.; Position vehicle to minimise risk to you and your team.; Wear appropriate hi-visibility Reflective Garments.
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Is there any manual handling involved in your works?
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Operatives to use TILE methodology: Task (Does the task need to be done manually or can it done by other means i.e. mechanical devices?) Individual (Are you up to the lift?) Load (What is it that you are going to lift) and Environment (What are the conditions and do you have a clear route?). All have been trained in manual handling techniques
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Are you at risk from slips, trips and falls?
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Plan how and where you walk around your work area.; Set out the work area to avoid hazards (E.g. positioning of spoil or tools etc.) ; Identify obstructions and underfoot risk areas before you start.; The work area/site is tidy and safe.
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Is a Vibrating/Whacker plate required for these works?
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Observe any special precautions required and wear all relevant PPE (Hi Viz clothing, Safety Boots, Ear Defenders, Eye Protection, FFP3 Face Mask); Check vibration HAVS limits for tool and stay within exposure levels by job rotation. Ensure Spill Kit available for any hydraulic leaks. Inspection and tagged.
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Is a petrol saw required for these works?
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Observe any special precautions required and wear all relevant PPE (Hi Viz clothing, Safety Boots, Ear Defenders, Eye Protection, FFP3 Face Mask); Use water suppression during cutting; use job rotation to ensure within HAVS limits. Have fire extinguisher to hand during refuelling. Inspection and tagged.
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Will your work involve the use of tools, work equipment or plant?
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Tools, plant & equipment secured/immobilised when not in use.; Observe any special precautions required and wear all relevant PPE (Hi Viz clothing, Safety Boots, Ear Defenders, Eye Protection, FFP3 Face Mask.; Ensure tools & equipment are maintained, undamaged, tagged (where applicable) and in good condition.
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Will your works involve the use of hazardous materials (Tarmac, Cement, Petrol)?
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Ensure all products used have a valid COSHH assessment, stored in the black safety folder. Wear PPE as instructed in the COSHH assessment. Ensure spills are cleaned up using the appropriate spill kit.
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Add picture(s) of site setup (Barriers, signage etc)
Completion
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Engineer signature
