Graham Roofing Managers Scoping / Risk Assessment Form

• Job No.

• Customer

• Contact Name

• Contact Number

• Job Address
  Address

• Start Date

  Date

• Time Allocated

• Scoped By

• Squad Leader

• Brief description of work to be carried out / Method Statement

• Over 5 Day Site Pack Required

  Yes

  No

• PART A B C must be completed prior to commencement of works

Part A

• Site Access & Issues (Include for operatives, plant and materials)

  No

  Yes

• Any Scaffold / Edge Protection (Work at gable ends?)

  No

  Yes

• Site Security

  Customers

  Our responsibility

• Material Storage, Delivery and Security

  Safe

  At Risk

  N/A

• Material Lifting Equipment (Consider access, overhead cables, underground services etc.)

  No

  Yes

• Material Waste Needs (By G.R. or Main Contractor, Recycle where possible)

  Customers

  Our responsibility

• Site Welfare Location and Needs

  Customers

  Our responsibility

• Permits Required

  Select Skip Scaffolding Parking Bay Closure Road/Lane Closure Street Lighting

  • Skip
  • Scaffolding
  • Parking Bay Closure
  • Road/Lane Closure
  • Street Lighting

• Follow Sections to assess type of work and risk assessment / method statement required.

Part B

Section A Property Type & Arrival Procedures

• Section A Risk Assessment Ref

• Describe Type of Property and access point

Section B Access to work area

• Section B Risk Assessment Ref

• Means of access to work area and assessed method. Include for Main Contractor induction process / sign in procedure

Section C Fall prevention

• Section C Risk Assessment Ref

• Fall prevention measures and assessed method of use

Section D Task related risk assessments

• Section D Risk Assessment Ref

• List the generic assessments applicable and add site specific details

Section E Key materials for job

• Section E Risk Assessment Ref

• Info on COSHH, lifting process, manual handling, delivery route List the generic assessments applicable and add site specific details

Section F Tools & Equipment

• Section F Risk Assessment Ref

• List the generic assessments applicable and add site specific details

Section G Other Persons or property at risk

• Section G Risk Assessment Ref

• Persons and property at risk and protection method LIST the generic assessments applicable and add site specific details include any requirements for gas flue checks and vents

Environmental Requirements

• Protected species, asbestos survey required, SSSI site in vicinity, waterways etc.

• Rough diagram & additional notes

  Drawing

• Any other hazards and risk not covered should be assessed on additional risk assessment form and attach.(take picture)

  Media

• UNDER NO CIRCUMSTANCES SHOULD UNCONTROLLED TASKS BE TACKLED!

Part C

• A. Does squad leader have relevant qualifications to take charge of job

  Yes

  No

  N/A

• What additional measures have been put in place List Sub Contractors to be used

• B. Will sub contractors be used for job

  Yes

  No

Emergency Procedures:

• In the event of failure of control measures, Emergency services must be called (999) in the first instance.
  This should not be delayed by any means especially where safety harness failure has occurred and operative is in a state of suspension.
  Operatives must ensure they are familiar with site address details
  Supervisor must be called after emergency services.
  Only where possible assist in rescue, do not risk further danger.
  In event of accident that needs treatment, call appointed person immediately, where possible drive casualty to ACCIDENT AND EMERGENCY or call ambulance.
  Site Specific Rules:
  

First Aid Facilities:

• First Aid Box Location:

• Location of Nearest A&E Hospital:

PPE Requirements

• select PPE requirements

  Select Hard Hat safety Glasses Hi-Viz Ear Defenders Gloves Overalls Safety Boots Harness/Lanyard

  • Hard Hat
  • safety Glasses
  • Hi-Viz
  • Ear Defenders
  • Gloves
  • Overalls
  • Safety Boots
  • Harness/Lanyard

Chain of ownership

• Manager

  Sign

• Health And Safety Manager

  Sign