POINT OF WORK / TASK RISK ASSESSMENT

  • Name of Supervisor responsible for controlling work activity

  • Name of person Responsible for communicating this assessment

  • Work activity

  • Work location

  • Tools / Equipment used

REASON FOR ISSUE

  • Reason for Issue

  • Reason
  • First Issue

  • Reviewed no Change

  • Changed Methods

  • Changed Environment

  • Changed location

  • Changed Plant / Equipment

  • Changed Materials

  • Other

POTENTIAL HAZARDS

  • Potential Hazards

  • Hazard
  • 1

  • 2

  • 3

  • 4

  • 5

  • 6

  • 7

  • 8

WHO/WHAT MAY BE HARMED

    Who/What may be harmed
  • Employees

  • S/C Employees

  • Members of Public

  • Clients staff

  • Environment ( On site )

  • Environment (off site )

  • Quality

  • Other

  • Other - State

INITIAL RISK RATING

  • Initial Risk Rating

  • Risk
  • Potential Severity

  • Negligible = 1

  • Minor = 2

  • Reportable = 3

  • Serious = 4

  • Catastrophic = 5

  • X Probability

  • Improbable = 1

  • Remote = 2

  • Occasional = 3

  • Probable = 4

  • Frequent = 5

  • Risk Rating
    Potential Severity x Probability

  • Risk Rating

RESIDUAL RISK

  • Residue Risk

  • Risk
  • Residue Risk

SITE SPECIFIC PRECAUTIONS TO BE TAKEN

  • Site Specific Precautions to be taken

  • Precaution

CONTENTS COVERS

  • Contents Cover

  • Cover
  • Ability of Personnel

  • Additional Materials

  • Changed Plant / Equipment

  • Changed Scope

  • Changed Location

  • Additional COSHH

  • Changed Nuisances Dust/Noise

  • Changed Manual Handling

VISUAL INSPECTION OF AREA

  • Visual Inspection of Area

  • Image
  • Visual inspection of Area

ADDITIONAL REQUIREMENTS

  • Additional Requirements:

  • Requirement
  • Any additional requirement

  • Method Statement Required

  • Permit to Work Required

SIGNATURES

  • Prepared by GIG

  • Approved by Principle Contractor

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