Managers Scoping / Risk Assessment Form

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Job Details

• Job Address

  Yes

  No

  N/A

• Customer, Contact Name and Number

  Yes

  No

  N/A

• Time Allocated

  Yes

  No

  N/A

• Description of Works

  Yes

  No

  N/A

• Over 5 day pack required?

  Yes

  No

  N/A

• Access Requirements (include fall prevention measures)

  Yes

  No

  N/A

• Security Required

  Yes

  No

  N/A

• Delivery and Storage Requirements

  Yes

  No

  N/A

• Loading Requirements (consider access, overhead cables, underground services etc)

  Yes

  No

  N/A

• Waste requirements (skips on site, licensed contractor, Graham Roofing yard?)

  Yes

  No

  N/A

• Welfare Needs and Location

  Yes

  No

  N/A

• Permit Requirements (skips, scaffold, parking bays, road closure, street lighting, others

  Yes

  No

  N/A

• Environmental Aspects (check for birds, bats, proximity to waterways, SSSIs, asbestos survey required?)

  Yes

  No

  N/A

Risk Assessment / Method Statement Requirements

• Property Type and Arrival Procedures (include for induction process / sign in procedures)

  Yes

  No

  N/A

• Access To Work Area (scaffold, cherry picker, internal access etc)

  Yes

  No

  N/A

• Fall Prevention

  Yes

  No

  N/A

• Task Related Risk Assessments (add site specific requirements)

  Yes

  No

  N/A

• Key Materials (info on COSHH requirements, lead etc)

  Yes

  No

  N/A

• Tools and Equipment

  Yes

  No

  N/A

• Other People / Property at Risk

  Yes

  No

  N/A

• Environmental Requirements (surveys required, specific spill requirements)

  Yes

  No

  N/A

• Additional Information

  Yes

  No

  N/A

Additional Requirements

• Squad leader / site supervision requirements

  Yes

  No

  N/A

• Subcontractors

  Yes

  No

  N/A

• First Aid Requirements / Nearest Hospital

  Yes

  No

  N/A

• Any specific PPE or other requirements

  Yes

  No

  N/A