GFR - Pre-start Hazard Analysis

• Document No.

• Audit Title

• Conducted on

  Date

• Prepared by

Occupant Name

• Location
  Address

• Personnel

Property Address

• Add media

  Media

Project Ref No;

Additional Notes;

Weather conditions at time of inspection.

Priority Action Levels H-Immediate risk of injury to persons in the vicinity and/or breach of statutory regulation. Possible enforcement action M- Risk of injury to site personnel from pending activity. Hazards require specific control measures prior to commencement of work L- Insignificant risk of injury from low risk activities and environmental. Monitor activity for significant changes

1. PARKING

• Is parking available on site?

  Yes

  No

  N/A

2. ACCESS ARRANGEMENTS

• Is there safe and clear access to the site and work locality?

  Yes

  No

  N/A

3. SECURITY, KEYS, ALARMS

• Are the any specific security measures/arrangements that need to be taken into account?

  Yes

  No

  N/A

4. PROPERTY VACANT / OCCUPIED

• Is the property vacant ?

  Yes

  No

  N/A

5. OCCUPANTS

• Do the occupants present or increase the hazards relating to the work?

  Yes

  No

  N/A

6. CHILDREN /ANIMALS

• Do children or animals present a hazard to Personnel?

  Yes

  No

  N/A

7. VALUABLES ON DISPLAY

• Are any valuable items on display that may be affected by the work activity?

  Yes

  No

  N/A

8. CELLAR HAZARDS

• Is access to a cellar area required and does this present a hazard to personnel?

  Yes

  No

  N/A

9. LOFT HAZARDS

• Is access to a loftspace required and does this present a hazard to Personnel?

  Yes

  No

  N/A

10. ACCESS SAFETY - paths, drives, etc.

• Is access in and around the work locality safe?

  Yes

  No

  N/A

11. ASBESTOS

• Are ACM's present on site and is any action required prior to commencement?

  Yes

  No

  N/A

12. WORKING AT HEIGHT

• Will there be any working at height undertaken and have safe access arrangement been established?

  Yes

  No

  N/A

13. OVERHEAD POWER LINES

• Do overhead power lines impinge on the work activity?

  Yes

  No

  N/A

14. GAS PIPES

• Do gas supply pipes present a hazard to the work activity?

  Yes

  No

  N/A

15. WATER PIPES

• Are water pipes at risk from the work activity and are the risks controlled?

  Yes

  No

  N/A

16. LOCAL AUTHORITY LICENSES/APPROVALS

• Is a Pavement License required for scaffold access?

  Yes

  No

  N/A

• Is a Highways License required for waste disposal skips?

  Yes

  No

  N/A

17.OTHER

• Are there any hazards not identified that need to be controlled?

  Yes

  No

  N/A