Imtech G and H Risk Assessment / Method Statement Review

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Select date

  Date

Project Information :

• Project Name :

• Project Number :

• Company / Sub Contractor :

• Method Statement / Risk Assessment No

• Method Statement / Risk Assessment for (Operation) :

• Is this a High Risk Operation

  Yes

  No

• Does this Operation involve Specialist Technical Knowledge

  Yes

  No

• IF A HIGH RISK OPERATION, THE PROJECT MANAGER & HSE ADVISOR MUST REVIEW THE WORKING METHOD BEFORE WORK COMMENCES

Method Statement

Description of the works to be included :

• : Time / Duration<br>

  Yes

  No

  N/A

• : Sequence of Works

  Yes

  No

  N/A

• : Location

  Yes

  No

  N/A

• : Delivery of Materials, Plant and Equipment

  Yes

  No

  N/A

• : Laydown and Storage Areas Detailed

  Yes

  No

  N/A

• : Interfaces with Other Contractors

  Yes

  No

  N/A

Personnel Required :

• : Number of Operatives ( Including Young Persons )

  Yes

  No

  N/A

• : Supervision Contact Details

  Yes

  No

  N/A

• : Is a Language Translator Required

  Yes

  No

  N/A

Personnel Competence :

• : All Operatives to have a Current CSCS Certificate

  Yes

  No

  N/A

• : Non CSCS Competency Certificates

  Yes

  No

  N/A

• : PASMA

  Yes

  No

  N/A

• : Confined Space

  Yes

  No

  N/A

• : Banksman

  Yes

  No

  N/A

• : Abrasive Wheel

  Yes

  No

  N/A

Temporary Systems of Work Required :

• : Traffic Routing

  Yes

  No

  N/A

• : Re routing of the Emergency Access / Egress

  Yes

  No

  N/A

• : Fire Arrangements

  Yes

  No

  N/A

Method of Access / Egress :

• : To / from workface

  Yes

  No

  N/A

• : Podiums

  Yes

  No

  N/A

• : Mobile Tower Scaffold

  Yes

  No

  N/A

• : Fixed Scaffold

  Yes

  No

  N/A

• : MEWPS

  Yes

  No

  N/A

• : Step Ladders ( Agreement , requiring site Specific Method Statement )

  Yes

  No

  N/A

Equipment Required :

• : Plant / Equipment

  Yes

  No

  N/A

Substances Required :

• : Flammables

  Yes

  No

  N/A

• : Harmful to the Operatives / Environment

  Yes

  No

  N/A

Documentation Required :

• : HAV Risk Assessment

  Yes

  No

  N/A

• : PAT Test Certifcation

  Yes

  No

  N/A

• : Lifting Equipment Test Certification ( eg harnesses )

  Yes

  No

  N/A

• : Scaffold Register

  Yes

  No

  N/A

• : Equipment Calibration Certficates

  Yes

  No

  N/A

• : Equipment Register

  Yes

  No

  N/A

Risk Assessment :

• : Young Persons

  Yes

  No

  N/A

• : Manual Handling

  Yes

  No

  N/A

• : COSHH

  Yes

  No

  N/A

• : Noise

  Yes

  No

  N/A

• : HAVS

  Yes

  No

  N/A

• : Asbestos / Lead

  Yes

  No

  N/A

• : Lift Plans

  Yes

  No

  N/A

• : Weather

  Yes

  No

  N/A

Control Measures : ( Over and Above the HSE Plan )

• : Additional PPE

  Yes

  No

  N/A

• : Permits to Work ( Fire Alarm Isolation, Hot Works, Riser, Electrical Isolations, Plantroom Access )

  Yes

  No

  N/A

• : Restricted Access ( Barriers )

  Yes

  No

  N/A

• : Safety Signage ( Welding, Pressure Testing )

  Yes

  No

  N/A

Site Specific Emergency Procedures :

• : Contact Detail of the Nearest Hospital

  Yes

  No

  N/A

• : Named First Aider & Contact Details

  Yes

  No

  N/A

• : Safe Zone / Muster Points

  Yes

  No

  N/A

Enviromental

• : General Waste Disposal

  Yes

  No

  N/A

• : Segregated Waste Disposal

  Yes

  No

  N/A

• : Hazardous Waste Disposal

  Yes

  No

  N/A

• : Spill Kits

  Yes

  No

  N/A

• : Noise

  Yes

  No

  N/A

• : General House Keeping

  Yes

  No

  N/A

Special Site Conditions

• : Confined Spaces

  Yes

  No

  N/A

• : Working in Excavations

  Yes

  No

  N/A

Risk Assessments :

Hazards and Controls :

• : Have the Relevant Hazards been Identified

  Yes

  No

  N/A

• : Have the Relevant Control Measures been Identified

  Yes

  No

  N/A

Do the Control Measures follow the Hierarchy of the Risk Control ( 1 is best, 6 is worst ) 1. Eliminate Hazard / Risk 2. Reduce Hazard / Risk 3. Isolate Hazard / Risk 4. Control Hazard / Risk 5. Provision of PPE 6. Provision of Signage / Warnings

• Do the Control Measures follow the Hierarchy of the Risk Control ( 1 is best, 6 is worst ) <br> 1. Eliminate Hazard / Risk<br> 2. Reduce Hazard / Risk<br> 3. Isolate Hazard / Risk<br> 4. Control Hazard / Risk<br> 5. Provision of PPE<br> 6. Provision of Signage / Warnings

  Yes

  No

  N/A

COSHH :

• : Are Specific COSHH Assessments required

  Yes

  No

  N/A

• : Have the required Control Measures been Identified

  Yes

  No

  N/A

• : Have the required Monitoring been Identified

  Yes

  No

  N/A

Manual Handling Assessment :

• : Is a Manual Handling Risk Assessment provided where required

  Yes

  No

  N/A

• : Are the Manual Handling Controls Adequate

  Yes

  No

  N/A

• General Comments ( Add detailed Comments that are required to change the Risk Assessment / Method Statement on the Submitted copy of the RAMS, which will need to re-submitted for further review ) :

Grading of the Method Statement / Risk Assessment :

• : Received from (Sub-Contractor Company)

  Date

• : Imtech Review by ( Supervsior of the works )

  A

  B

  C

• : Supervisors Name & Signature

  Sign

• : Supervisors Review Date

  Date

• : Imtech Review by ( Site Manager )

  A

  B

  C

• : Site Managers Name and Signature

  Sign

• Site Managers Review Date

  Date

• : High Risk Operation Reviewed by

  Sign

• : High Risk Operation Review Date

  Date

• : Method Statement Briefing Done by

  Sign

• : Method Statement Briefing Date

  Date