H&E Risk Assesment

Important Information

• A POWRA must be completed for EVERY site and day. It must be signed by all operatives on site

• AIRLine 0800 138 3699. Must be called if there is an accident, incident or utility damage to site

• National Gas Emergency 0800 111 999. Must be called if you have damaged a gas pipe (even if there is no leak)

• Never attempt to repair a damaged service

• Supplier

  Select

• Date and Time

  Date

• Team Leader ID

• Job Number

• Site Address
  Address

• Weather Conditions

  Select

• Workstream

  Select

Documentation

• RA & MS briefed face to face with all gang members and fully understood ?

  Yes

  No

  N/A

• Is the relevant work stream craft manual and safety file on site ?

  Yes

  No

  N/A

• Are all control measures in place as detailed in the generic risk assessment ?

  Yes

  No

  N/A

Street Works

• At least one operative holds the required NASWA units for the work activity ?

  Yes

  No

  N/A

• All Signing, lighting and guarding to code of practise ? (Insert C.O.P Page Number in Yes Box) if No explain reason in comments below

  Yes

  No

  N/A

• Are all open chambers guarded with the correct amount of guards ?

  Yes

  No

  N/A

• Is the area free from risk for the general public ?

  Yes

  No

  N/A

Competency

• Do operatives on site have the appropriate accreditations ?

  Yes

  No

  N/A

Plant

• Have daily pre use checks taken place on all plant that is to be used ?

  Yes

  No

  N/A

• Do existing overhead cables impact on safe working or use of plant ?

  Yes

  No

  N/A

• Is there an adequate safety zone in place for any lifting operations ?

  Yes

  No

  N/A

• Is all plant being used for excavating or lifting appropriate for use and stabilised as per manufacturer's instructions ?

  Yes

  No

  N/A

Overhead Power

• Are all drop wires/Arial cables at correct height with adequate separation for OH power ?

  Yes

  No

  N/A

Equipment And PPE

• Is all the relevant PPE/Equipment available to be used and in good condition ?

  Yes

  No

  N/A

• Is specialist PPE required ? If Yes, give details in comments*

  Yes

  No

  N/A

• Insulated tools & flame retardant clothing / PPE worn

  Yes

  No

  N/A

• 4 head GDU calibration in date and available in good working order ?

  Yes

  No

  N/A

Manhole Entry

• Has the Manhole Entry Permit been completed ?

  Yes

  No

  N/A

Welfare

• Is there a means for washing and enough fresh drinking water ?

  Yes

  No

  N/A

Enviroment

• Is a water test kit available and is any water to be locally pumped out of a chamber clear ?

  Yes

  No

  N/A

• Are spill kits and an instructed operative available on site ?

  Yes

  No

  N/A

• Are there any other environmental issues ? (Put details and controls in comments )

  Yes

  No

  N/A

Other Risks

• Have you covered any additional risks in the comments ?

  Yes

  No

  N/A

Site Closure

• Has the site been left tidy and free from Hazards, including slips / trips / falls ?

  Yes

  No

  N/A

• Chamber Number

• Location
  Address

• Date And Time

  Date

• Gas Test Result

  Select

Operative

• Name

• Signature

  Sign

• Time And Date

  Date