GCL - Work Action Safety Plan - duplicate

• A WASP must be completed daily.

• Branch:

  Select

• Date:

  Date

• Prepared By:

• Location:
  Address

• Job Ref:

PU Prints attached

• Add media

  Media

• Describe the work to be undertaken.

• Are you and your team authorised to carry out this work? i.e. Supervisor Approval / Council Notice in Place.

  Yes

  No

• Do you and your team have the correct knowledge & competence to complete the work safely?

  Yes

  No

• Have you & your team read & understood the Risk Assessments & Method Statements associated with the work to be carried out?

  Yes

  No

• Add any additional comments you may have regarding the Risk Assessment & Method Statements:

• Do you have the correct information on the job, i.e. drawings?

  Yes

  No

• Do you and your team have the correct mandatory PPE for the tasks to be undertaken?

  Yes

  No

• Have you considered the weather conditions

  Yes

  No

• Have you identified any slips or trip hazards

  Yes

  No

• Are work vehicles parked safely and not causing any obstructions to third parties?

  Yes

  No

• Is a suitable, fully pressurised Fire Extinguisher available?

  Yes

  No

• Do you have a Spill Kit available?

  Yes

  No

• Are First Aid & Eye Wash Kits available?

  Yes

  No

• Do you know the location of the closest Welfare Unit?

  Yes

  No

• State the location:

• Please contact your supervisor for welfare locations:

• Is the work area safe to begin work? (Provide Pictures)

  Yes

  No

• Site Setup:

  Yes

  No

• Red Book - Safety at Street Works & Road Works

• Is sufficient SLG available for the work to be carried out safely:

• Ensure sufficient sandbags are used to secure equipment:

• All Warning Signage to be in place as per Chapter 8:

• All work activities to take place within a securely barriered site:

• Ensure there is no risk to public safety from the way the site has been set-up:

• Add photos of site setup:

  Media

• Working Near/On Carriageway:

  Yes

  No

• Class 3 Hi-Viz Clothing must be worn:

• Never work on live carriageways, i.e. work from the safe side of vehicles & within site boundaries away from live traffic.

• Excavation Work:

  Yes

  No

• HSG 47

• Calibrated Cat & Genny must be used:

• Identified services to be marked up:

• Pre-use check of excavator by competent person:

• Banksman to be used while mechanically excavating:

• No mechanical digging within 0.5m of known services:

• Use of Power Tools and/or Hand Tools:

  Yes

  No

• Tools inspected & in good working order:

• Users to be trained & competant:

• Choose the correct tool for the task:

• Vibrating Tools can cause HAVS, refer to HAVS Risk Assessment for more detail:

• Hearing protection to be worm when exposed to high noise levels: (Refer to Noise Exposure Risk Assessment for more details)

• Refuel petrol-powered tools only while using a drip tray:

• Manual Handling:

  Yes

  No

• Assess all Manual Handling tasks using, L.I.T.E Acronym:

  

• Mechanical Aids to be used whenever possible:

• Maintain good posture when manually handling objects:

• Ensure the transit area is free of slip or trip hazards & the area is well lit:

• Ensure there is a safe designated laydown area for the object(s) being moved:

• Working In, Manholes, Chambers etc.

  Yes

  No

• Visual Inspection of work area:

• Confined Space training required:

• Perform Gas Test with calibrated Gas Detection Unit: (Verify GDU is within calibration date)

• 2-Man minimum operation:

• Beware of vermin:

• Working With Hazardous Substances:

  Yes

  No

• Store Hazardous Substances correctly, as per CoSHH Assessments:

• Wear appropriate PPE for working with the hazardous substance:

• Refer to COSHH Assessments and Substance Data Sheets for further safety information:

• Traffic Management:

  Yes

  No

• (Pink Book) Safety at Streetworks & Roadworks

• Traffic Management to be set up as per Chapter 8 or site-specific drawings:

• Do not exceed traffic flows and site lengths as stated in Chapter 8 or Safety at Street Works and Road Works Booklet:

• Ensure all signs are visible to traffic and free from defects:

• Ensure sufficient sandbags are used to secure equipment:

• Once TM is in place, assess if the setup is coping with the type and speed of traffic & amend if required:

• Work At Height:

  Yes

  No

• Inspect all W@H equipment & accessories before use:

• Verify LOLER thorough inspections, (6 monthly for equipment that lifts people & lifting accessories):

• Confirm ground conditions are safe for W@H operation:

• Consider PPE requirements for the W@H task:

• Set up an exclusion zone below the working area if there is a risk of falling objects:

• Additional Hazards:

  Yes

  No

• Add additional hazards here:

• PPE must be inspected daily, with any defective items reported and replaced immediately.

• Select PPE Requirments:

  Select

• Please Specify:

• Gang Lead:

  Sign

• Gang Member 2:

  Sign

• Gang Member 3

  Sign

• Gang Member 4

  Sign
Visitor Sign Off:

• Add signature

  Sign

• Provide picture of how the site will be left at the end of the shift:

  Media

• Gang Lead Sign Off:

  Sign