Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Section 1 - Induction

  • Carried out and Prepared by

  • Start Time

  • Who is the contractor attending site?

  • List which employees are working on site.

  • What task are they here to complete?

  • Have the RAMS been reviewed and deemed suitable?

  • Ensure there is a copy of the site certificate induction form for the contractor?

  • Please sign and confirm that you have seen the following.

  • Has a remote ATW been issued?

  • Please sign and confirm that you have seen the following.

  • Is a PTW required?

Section 2 -Dynamic Risk Assessment

  • To be completed prior to commencing work - with the contractor present.

  • Does the contractor possess the appropriate trade specific qualifications and authority to perform the work?

  • Has the contractor checked in with the manager or engineers and do they have job sheets for the task?

  • Has the contractor advised the customer representative and the individuals in the area where they will be working?

  • If the contractor is working alone, has the onsite manager or engineers arranged for regular communication with the contractor during their work?

  • Does the Contractor understand the up-to-date MoP/SoP/EoP/ Run Book/Risk Assessment for the tasks?

  • Has the Contractor got the relevant “Safety Data Sheet” (SDS) for the chemical/substances?

  • Are access routes safe and adequate?

  • Is the weather, temperature of the work area and ventilation safe at work?

  • Does the contractor have adequate space and lighting?

  • Is the contractor protected from contact with power sources, falls from heights, machinery, and vehicles in motion?

  • Has the contractor set up the necessary "hazard barriers and warning signs" in and around the work area?

  • Is the contractor aware of emergency measures, including what to do in case of fire, exit routes, safety zone?

  • Is the contractor aware of how and where to obtain first aid and eye wash station?

  • Does the contractor know how to report hazards/incidents?

  • If PPE is necessary, does the contractor have it and is it approved?

  • Does the contractor know how to monitor the condition and how to use and maintain PPE?

  • Detail the PPE that should be used here.

  • Describe the RISK CONTROL measures that the Contractor has in place to manage the risk.

  • Is the Contractor satisfied that it is safe to perform the work in the manner in which it will be performed in that location and environment AND all necessary checks and emergency<br>procedures are in place and satisfactory?

Select all applicable hazards to take into consideration - one or more to choose from.

  • Electrical Energy.

  • Excessive Noise.

  • Excessive Vibration.

  • Pressure/Vacuum.

  • Fire/Heat/Cold.

  • Asbestos Potential.

  • Poor Ventilation.

  • Poor Lighting.

  • Bio hazard.

  • Use of/exposure to gas or gasses o Dust/Fumes.

  • Chemical Contact/Spill.

  • Waste/Pollution.

  • Fragile Surface/Roof.

  • Slips/Trips.

  • Vermin.

  • Work Near Water.

  • Working at Height, fall/drop.

  • Confined Spaces.

  • Access & Egress.

  • Manual Handling.

  • Vehicle Movement.

  • Moving Machinery.

  • Lone Working.

  • Adverse Weather.

  • Personal Protective Equipment (PPE).

  • Effective Means of Communication (tested).

  • Guarding.

  • Lifting Aids.

  • Harness/Lanyard.

  • Lone Working Arrangements.

  • Powered Platform.

  • Remote Cooling/Heating.

  • Two Person Working.

  • Podium Tower.

  • Adequate Ventilation.

  • Authority for Access.

  • Approved Ladders/Steps.

  • Task Lighting.

  • Hygiene & Egress.

  • Inspection up to date.

  • Safe access equipment.

  • Earthing and LOTO.

  • Pre-Use Check.

  • Edge Protection/Kick Plate.

  • Housekeeping.

  • Fire/First Aid Controls.

  • Current SoP/MoP.

  • Approve Tools/Equipment.

  • Waste Control.

  • Specialist Training.

  • Stop & Check Asbestos Register.

  • Permit to Work.

  • Personal Protective Equipment (PPE).

  • Specialist Intervention.

Section 3 - Behavioural Risk Review.

  • To be filled out during the work process by the CBRE Manager/Engineer.

  • Did the Operative arrive on time and was the presentation professional?

  • Have all the RAMS /COSHH assessment been signed by the operative(s) undertaking work to confirm understanding and adherence?

  • Can operatives demonstrate that they understand the applicable site-specific procedures?<br>for example, CBRE on-site communication agreements, accident/hazard reporting procedure, emergency measures, contractor code of conduct?

  • Has access to the workspace been restricted in an appropriate manner; in line with the RAMS?

  • Can the operative(s) produce copies of any Authority to Work (ATW) and Permit to Work (PTW) as appropriate?

  • Is the work area being kept clear of hazards and tidy?

Section 4 - Post Work Review.

  • Has the work area been left neat, clean, and tidy? (All waste is handled correctly)

  • Have all tasks been performed as per the agreed scope of service.

  • Have all records related to the waste duty of care, such as transfer and shipment notes, been completed?

  • Have all examination and/or completion certificates been correctly completed and received?

  • "Is there any remedial work that needs to be done after completion of this task? "

Completion.

  • Finish time.

  • Sign.

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.