Makesafe QA Template

• Job Number

• Client / Site Address

• Trade attending

• Conducted on

  Date

• Before photos

  Media

• Select date

  Date

• After Photos

  Media

• Makesafe work undertaken

Section 1 - High Consequence hazards If you answer yes to any of the below questions in this section please contact your JOHNS LYNG Supervisor immediately

• Is there any loose or broken asbestos present

  Yes

  No

  N/A

• Comments

• Provide an image of the area

  Media

• Is there a risk of additional damage to the home or property

  Yes

  No

  N/A

• Comments

• Provide images

  Media

• Is there mould or moisture damage to the property

  Yes

  No

  N/A

• Comments

• Provide images of the area affected

  Media

• Is there a risk of falling objects / debris

  Yes

  No

  N/A

• Comments

• Provide images of hazards there

  Media

• Is there any damaged or exposed electrical wiring

  Yes

  No

  N/A

• Comments

• Provide images of the area

  Media

Section 2 - External roof area and surrounds

• Is there any building debris or tree waste left on site ?

  Yes

  No

  N/A

• If yes , ensure debris or waste is retrained and presents no risk to occupants Comments

• Provide an image of area

  Media

• Is there any trip , collision hazard from ropes , props or similar?

  Yes

  No

  N/A

• Add media

  Media

Section 3 - Resident / Client

• Is the resident satisfied with the completed Makesafe

  Yes

  No

  N/A

• Comment

QA assessment completed by

• Additional comments

• Name of person undertaking the site risk assessment

  Sign