GIG Point of Work / Task Risk Assessment New

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

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

  0-9 Low

  10-19 Medium

  20-25 High

RESIDUAL RISK

• Residue Risk

Risk

• Residue Risk

  High

  Medium

  Low

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

  Media

ADDITIONAL REQUIREMENTS

• Additional Requirements:

Requirement

• Any additional requirement

  Yes

  No

  N/A

• Method Statement Required

  Yes

  No

  N/A

• Permit to Work Required

  Yes

  No

  N/A

SIGNATURES

• Prepared by GIG

  Sign

• Approved by Principle Contractor

  Sign