Installer Risk Assessment

• Contract Name

• Contract Number

• Prepared by

  Select Dave & Freddie Lewis & Alex Mark & Aaron Kurtis Gary & Nico Connor & Brandon Matt & Aaron Daniel Hall Connor Vincent Bradley Allison Craig Vincent

  • Dave & Freddie
  • Lewis & Alex
  • Mark & Aaron
  • Kurtis
  • Gary & Nico
  • Connor & Brandon
  • Matt & Aaron
  • Daniel Hall
  • Connor Vincent
  • Bradley Allison
  • Craig Vincent

• Conducted on

  Date
• Location
  Address

• Have you read and understood the surveyors risk assessment?

  Sign

• I can confirm and acknowledge as an installer to work within the requirements set

  Sign

Installers Risk Assessment

• Falls from Height - Hazard Present?

  Safe

  At Risk

  N/A

• What controls do you have?

• What controls do you have?

• Collapse of excavations - Hazard Present?

  Safe

  At Risk

  N/A

• What controls do you have?

• What controls do you have?

• Collapse of structures - Hazard present?

  Safe

  At Risk

  N/A

• What controls do you have?

• What controls do you have?

• Exposure to building dust - Hazard Present?

  Safe

  At Risk

  N/A

• What controls do you have?

• What controls do you have?

• Exposure to Asbestos - Hazard Present?

  Safe

  At Risk

  N/A

• What controls do you have?

• What controls do you have?

• Exposure to substances that are hazardous to health (COSHH) - Hazard Present?

  Safe

  At Risk

  N/A

• What controls do you have?

• What controls do you have?

• Activities or workers that require supervising?

  Yes

  No

  N/A

• Who requires supervising?

• Who will be supervising?

• Electricity - Hazard Present?

  Safe

  At Risk

  N/A

• What controls do you have?

• What controls do you have?

• Pipework - Hazard Present?

  Safe

  At Risk

  N/A

• What controls do you have?

• What controls do you have?

• Risks to members of the public, the client and others - Hazard Present?

  Safe

  At Risk

  N/A

• What controls do you have?

• What controls do you have?

• Other Dangers on site? - Hazard Present

  Yes

  No

• What is the Hazard?

• What controls do you have?

I confirm the Risk Assessment has been fully reviewed and completed to the best of my knowledge and i can confirm the Risk Assessment has been followed throughout the course of the job.

• Signature of on-site contractor

  Sign