Gristwood and Toms SSRA

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

EQUIPMENT USED ON SITE

• Chainsaws used on site?

  YES

  NO

  N/A

• Safety features in place?

  Yes

  No

• Chipper used on site?

  YES

  NO

  N/A

• Safety features in place?

  Yes

  No

  N/A

• Stump Grinder used??

  YES

  NO

  N/A

• Safety features in place?

  Yes

  No

  N/A

• Working at Height?

  YES

  NO

  N/A

• Climbing kit suitable and fit for purpose?

  Yes

  No

  N/A

• MEWP on site?

  YES

  NO

  N/A

• Safety features in place?

  Yes

  No

  N/A

PPE

• Please indicate all PPE used. A tick indicates fit for purpose and correct type.

• Chainsaw boots?

• Safety helmet?

• Eye protection?

• First aid kit?

• Hi-Viz top?

• Gloves?

• Hearing protection?

• Fire extinguisher?

• Hand Cleaner?

Works info

• Work ref no:

• Tree species?

• Brief description of works?

• TM needed on site?

  Yes

  No

  N/A

• TM plan used?

  Yes

  No

  N/A

Site information

• Nearest A&E hospital?

• Phone signal strength?

• Wildlife risk?

  LOW

  MEDIUM

  HIGH

• Weather conditions?

  Select Dry Warm Hot Cold Damp Rain Ice Snow Windy

  • Dry
  • Warm
  • Hot
  • Cold
  • Damp
  • Rain
  • Ice
  • Snow
  • Windy

• Are weather condition likely to impact on works?

  Yes

  No

• Describe actions taken

• Is the wind speed likely to influence direction of branch fall in a bad way?

  Yes

  No

• What action will be taken to deal with this?

  Select Increase work site area? Rope down branches? Other?

  • Increase work site area?
  • Rope down branches?
  • Other?

• Describe other.

Generic risk assessments

• General Ground works?

• Hand tools?

• Highway?

• Rigging?

• Pole pruner?

• Hedge cutter?

• MEWP?

• Powerlines?

• Tree climbing?

• Crane?

• Chainsaws used?

• Ladders?

• Tree planting

• Felling?

• Wood chipper?

• Grubbing?

• Noise and or vibration?

• Stump grinder

• Bonfires?

• Manual handling?

• Aware of Tetanus?

• Working near water course?

• Area of Lyme disease?

COSHH

• Chain oil?

• Diesel?

• London plane?

• Petrol?

• Red diesel?

• Two stroke oil?

• Eco plugs?

Additional infomation

• Describe any hazards or measures not covered by any of the above:

• Photo of site set up and or any other hazards

  Media

Sign off

• Team leader

  Sign

• Other gang members with names

  Sign

Completion of works

• Area clear of all hazards on completion?

  Yes

  No

• If no, then what actions taken to ensure a safe site?