Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Site Name

  • Sector Name

  • Location

Point of Work Risk Assessment

  • Is Signing, Lighting and Guarding set up correctly, fully enclosing the site?

  • Is there a Client Courtesy/Permit Board on display?

  • Is all working equipment and materials contained within barriered off area?

  • Are any of our works creating a trip hazard for Members of Public?

  • Is the Job Pack/Works Instruction on site?

  • Is the generic RAMS pack on site?

  • Has Manual Handling been considered for the task?

  • Has the works vehicle had a daily check and parked considerately?

  • Is work equipment working and calibrated (GDU)?

  • Is there any working at height?

  • Has Ladder/Steps undergone a pre-use inspection?

  • Is all PPE Clean, suitable, fit for purpose and worn correctly? (Safety Boots, CFL Branded Hi Viz etc)?

  • Are there any additional hazards? (Outside School, Busy Road Crossing, Inclement weather etc)?

  • Duct section
  • Start Location
  • Duct section clear

  • Civils Avoidance possible

  • Type of avoidance

  • From which pole to which pole.

  • please supply image of reroute

  • Please supply image of bypass route

  • Please provide location of blockages
  • Pavement width

  • TM Required

  • Comments

  • Please supply images of rope at start and end points

  • End Location
  • Meterage completed

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.