LSM Risk Assessment

• Site Name

• Address / Postcode
  Address

• What three words if applicable

• Conducted on

  Date

• Prepared by

• Officer Name(s)

Generator Information

• has the generator been located?

  Yes

  No

  N/A

• Brief description of where the generator is located

• Cable description

  Media

• Distance of the guard to the gene / cables

Health and Safety

• Do the guards have adequate temporary welfare? Provisions?

  Yes

  No

  N/A

• Health and Safety Concerns?

• Speed limit of road?

• Is emergency information posted in guards location?

• Is the guard parked in a safe space?

  Yes

  No

  N/A

• Any other health and safety points to be raised?

PPE

• Is the mandatory PPE e.g. full orange hi vis, safety boots being worn?

  Yes

  No

  N/A

Method Statement and Risk Assessment

• Are guards aware of generic method statements and risk assessments in place for Security on these temporary generator jobs?

  Yes

  No

  N/A

• Has this been passed to head office to chase?

  Yes

  No

  N/A

• Any further comments to add?

  Yes

  No

  N/A

• Comments

  Yes

  No

  N/A

• Site manager/supervisor sig if applicable

  Sign

• Security Supervisor / Manager signature

  Sign

Any further photo evidence?

• Add media

  Media