What activity will you be performing?
Are you fit to perform the required task?
Do you understand the job - has it been explained sufficiently?
Are you competent to do the work and familiar with the equipment?
Are the tools and equipment in a safe condition?
Have you informed others who may be affected by your work?
List the risks & what controls you will use to reduce the risks in the text box if different to the defaults provided
GRAVITY - falling objects, working at height, slips, trips
*Dropping equipment: Wear safety boots, perform lift with at least 2 people.
MASS - pulling, pushing, sliding, being hit by vehicles/objects
*Moving equipment: Use a trolley, plan route; *Sliding equipment pinch points: take care when folding handles down, wear suitable gloves to protect fingers
HUMAN MOVEMENT - bending, lifting, carrying
*Back Injury: Stretch before starting lift, plan the lift, perform lift with at least 2 people.
ELECTRICAL - electrocution, damaged cables
*Low voltage cable risk: Inspect all cables before use; seek permission to power on equipment.
MECHANICAL - cutting, crushing, entanglement
*Sharp rail/cardboard box edges: Wear suitable gloves.
NOISE/VIBRATION - A/Cs, computer equipment, other machinery
*Data Centre Background Noise: Wear suitable ear protection if working in DC for extended period, perform work remotely outside room where possible.
ISOLATED WORKER - Working unaccompanied
*Check in with Supervisor every 1 hr via agreed method
THERMAL - hot, cold
PRESSURE/VACUUM - lifting floor tiles
STORED ENERGY - spings, flywheels, counterweights
RADIATION - UV sunlight
FIRE/EXPLOSION - ignition sources, flammable waste, packaging
ASPHYXIATION - lack of oxygen, fire suppresents
ENVIRONMENTAL - earth/air/water impacts, heat, cold, exposure
DESIGN - Hazards/impacts associated with design of products
VEHICLES - vehicle > vehicle / vehicle > person collisions
General Tools - Screw Drivers, hammers, extensions?
Which of the following PPE will be required?
Correct PPE Clothing
Please send this assessment to firstname.lastname@example.org and to the Safety Officer of the site you are working at!for filing