Maintenance Task Risk Assessment

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• DATE TIME PIRANA WORK ORDER NO

  Date

• Name

• Pirana Works Order Number

PPE Requirements

• Standard PPE, safety Glasses, safety boots, overalls

  Yes

  No

  N/A

• Ear protection

  Yes

  No

  N/A

• Harness required to be worn

  Yes

  No

  N/A

• Air feed mask, solvent mask or air feed mask required

  Yes

  No

  N/A

• Faces mask / goggles required

  Yes

  No

  N/A

Working area

• Is a barrier in place to stop un authorised access to working area

  Yes

  No

  N/A

• Is the area clear and free of obstruction

  Yes

  No

  N/A

• Is there safe access and egress

  Yes

  No

  N/A

• Additional information

  Drawing

• Photo of working area or risks

  Media

Electrical systems

• Is live testing required

  Yes

  No

  N/A

• Lock of and prove system dead prior to starting work

  Yes

  No

  N/A

Hydraulic systems

• Working on high pressure systems

  Safe

  At Risk

  N/A

• Floors clean with no slip hazards

  Safe

  At Risk

  N/A

• Are any manual handling tasks involved

  Safe

  At Risk

  N/A

Working at HIGHT

• Use of boom lift or scissor lift, has the operator got a current I path licence

  Safe

  At Risk

  N/A

• Work area barrier in place

  Safe

  At Risk

  N/A

Lifting / movement of equipment and materials

• Fork lift use, has the driver got a current KPM license for the equipment being used

  Yes

  No

  N/A

• Is all lifting equipment identified with correct inspection tag, and is the SWL correct for task being carried out

  Yes

  No

  N/A

Hot work taking place

• Type of hot work, are fire extinguishers available, 30 min fire watch on completion of work

  Yes

  No

  N/A

Tools being used

• Are all electrical tools covered by a PAT test

  Yes

  No

  N/A

• Are tools fit for purpose and not damaged

  Yes

  No

  N/A

Working with chemicals

• Are COSHH data sheets availabe

  Yes

  No

  N/A

• Are additional PPE requirements needed

  Yes

  No

  N/A