M C

My Risk Assessment

General risk assessment before maintenance or service visit. HVAC,Lightening, Security Systems

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Title Page

Document No.
Task Name
Conducted on
Client / Site
Prepared by
Location
Personnel

Did you got relevant permits?
Did you agree with client work that needs be done?
Did you inspect working area and identified hazards?<br>
Hazards identified:
- Slips, Trips, Falls
- Injury using hand tools,
- Injury using battery operated tools,
- Manual handling
- Electricity
- Lone working
- Moving vehicle
- Working on height
- Pinch points
- Weather condition
Additional hazards that hasn't been listed.
What PPE do you need??
- Hi-Vis Vest
- Safety Glasses
- Hard hat / Bump Hat
- Cut Resistant Gloves
- Safety Harness
- Ear Plugs
- Safety Boots / Shoes
Did you inspect battery operated tools?<br>
On what voltage you working?
- 12/24V DC
- 12/24V AC
- 110/230V AC
- 380/400V AC
Do you need to isolate power?<br>
Did you inspect MEWP before use?
Did you inspect safety harness before use?
Did you inspect ladder before use?
Clean as you go policy at all time?
Other information.
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M C

My Risk Assessment

General risk assessment before maintenance or service visit. HVAC,Lightening, Security Systems

Use this Template

Print as PDF

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.