MRC - DRA

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Personnel

• New Method Statement following Dynamic Assessment:

This form is to be completed if any event or situation has introduced hazards that were not included on the initial Task Risk Assessment.

When assessing the level of risk - use the following Risk Rating Matrix and follow the instructions related to your estimated level of risk.

• Risk Rating Matrix

  Drawing

1.0 Access to Task Area

• 1.1 Is there the risk of Slips, Trips or Falls on the route to the Task Area?

  Yes

  No

  N/A

• If the answer is "Yes" - Evaluate the level of risk using the slider

• Are "Reasonably Practicable" controls available to be introduced? If "Yes" - List the controls

  Yes

  No

  N/A

2.0 Work at Height

• 2.1 Is there safe access to the Task Area?

  Yes

  No

  N/A

• If the answer is "No" - Evaluate the level of risk using the slider

• Are "Reasonably Practicable" controls available to be introduced? If "Yes" - List the controls

  Yes

  No

  N/A

• 2.2 Is there adequate edge protection around the task area?

  Yes

  No

  N/A

• If the answer is "No" - Evaluate the level of risk using the slider

• Are "Reasonably Practicable" controls available to be introduced? If "Yes" - List the controls

  Yes

  No

  N/A

3.0 Work Equipment

• 3.1 Is there a risk of being injured whilst using hand tools or electrically operated tools and equipment?

  Yes

  No

  N/A

• If the answer is "Yes" - Evaluate the level of risk using the slider

• Are "Reasonably Practicable" controls available to be introduced? If "Yes" - List the controls

  Yes

  No

  N/A

4.0 Manual Handling

• 4.1 Is there a risk of Musculoskeletal Injuries from Manual Handling Activities?

  Yes

  No

  N/A

• If the answer is "Yes" - Evaluate the level of risk using the slider

• Are "Reasonably Practicable" controls available to be introduced? If "Yes" - List the controls

  Yes

  No

  N/A

5.0 Hazardous Substances (Liquids, Dusts, Mists etc)

• 5.1 Is there a risk of your health being adversely affected whilst using hazardous substances or carrying out work activities that produce hazardous substances?

  Yes

  No

  N/A

• If the answer is "Yes" - Evaluate the level of risk using the slider

• Are "Reasonably Practicable" controls available to be introduced? If "Yes" - List the controls

  Yes

  No

  N/A

6.0 Noise

• 6.1 Is there the risk of your hearing being damaged by high noise levels?

  Yes

  No

  N/A

• If the answer is "Yes" - Evaluate the level of risk using the slider

• Are "Reasonably Practicable" controls available to be introduced? If "Yes" - List the controls

  Yes

  No

  N/A

7.0 Vibration

• 7.1 Is there a risk of Hand Arm Vibration Syndrome (HAVS) as a result of increased vibration levels?

  Yes

  No

  N/A

• If the answer is "Yes" - Evaluate the level of risk using the slider

• Are "Reasonably Practicable" controls available to be introduced? If "Yes" - List the controls

  Yes

  No

  N/A

I confirm that a "Suitable and Sufficient Assessment" of the latest hazards has been carried out and the Method Statement/ Method of Working has been developed to include all the necessary control measures.

• Signature of MRC Foreman/Representative.

  Sign

New Method Statement:

• Method Statement: