NEW & REVISED JAS P WILSON ON SITE RISK ASSESSMENT

• Customer

• Job Card

• Prepared by

• Location
  Address

Serious Personal Health Issues

• Are there any Serious Personal Health Risks on Site (eg. Lone working)

  Yes

  No

• Is anyone on site able to provide help if needed

  No

  Yes

• Because no-one is available on Site - Is this Risk Acceptable?

  Negligible

  Tolerable

  Unacceptable

• Can control measures be put in place to make this risk acceptable?

  Select

• If you became incapable of driving would you be able to gain assistance?

  No

  Yes

• Because you are not able to gain assistance in event of not being able to drive - is this Risk Acceptable?

  Negligible

  Tolerable

  Unacceptable

• Can control measure be put in place to make this risk acceptable?

  Select

• If you received a minor injury in this working environment - would this Risk be acceptable?

  No

  Yes

• Can control measures be put in place to make this risk acceptable?

  Select

• If you received a major injury in this working environment - would you be able to get assistance?

  No

  Yes

• Because you are unable to get assistance in event of major injury - would this Risk be acceptable?

  Negligible

  Tolerable

  Unacceptable

• Can any control measures be put in place to make this risk acceptable?

  Select

• Any Notes:

Working at Height

• Whilst on site - Are you in danger of working at height?

  Yes

  No

• Are you at risk of falling and sustaining injury?

  Yes

  No

• Can any control measures be put in place to make this risk acceptable?

  Select

• Are you at risk because no work platform available?

  Yes

  No

• Can any control measures be put in place to make this risk acceptable?

  Select

• Are you at risk of injury due to using lifting heavy equipment?

  Yes

  No

• Can any control measures be put in place to make this risk acceptable?

  Select

• Are you at risk working on slippery surfaces?

  Yes

  No

• Can any control measures be put in place to make this risk acceptable?

  Select

• Notes:

Poor Working Environment

• Is the job to be carried out in a poor working environment (Either weather, unstable machinery or public etc)?

  Yes

  No

• Whilst on site is work to be carried out in adverse weather conditons (Heat, Cold)

  Yes

  No

• Because of the weather condtions, is this Risk Tolerable?

  No

  Yes

• Can any control measures be put in place to make this Risk acceptable?

  Select

• Is work to be carried out on unstable ground conditions?

  Yes

  No

• Because of the unstable ground conditions, is this Risk Tolerable?

  No

  Yes

• Can any control measure be put in place to make this Risk acceptable?

  Select

• Are mains cables overhead?

  Yes

  No

• Because of the mains cables, is this Risk acceptable?

  No

  Yes

• Can any control measures be put in place to make this Risk acceptable?

  Select

• Is there unregulated access to your working area (either non associated staff or members of public)?

  Yes

  No

• Because of public access is this Risk acceptable?

  No

  Yes

• Can any control measures be put in place to make this Risk acceptable?

  Select

• Notes:

Manual Handling on work site

• Is there a risk of Manual Handling on the Work Site?

  Yes

  No

• Is there only limited access to heavy lifting equipment?

  Yes

  No

• Because there is limited access to heavy lifting equipment, is this Risk acceptable?

  No

  Yes

• Can any control measures be put in place to make this Risk acceptable?

  Select

• Is there Risk of removing heavy objects at height?

  Yes

  No

• Because of removing heavy objects at height is this Risk acceptable?

  No

  Yes

• Can any contol measure be put in place to make this Risk acceptable?

  Select

• Is there a risk of using lifting accessories?

  Yes

  No

• Can any control measures be put in place to make this Risk acceptable?

  Select

• Is there a risk due to not being able to evaluate the weight of assembled unit?

  Yes

  No

• Can any control measures be put in place to make this Risk acceptable

  Select

• Notes:

Persons affected

• Persons affected

  Select

• Notes:

Personal Protective equipment

• What Safety Equipment is used/provided for this operation?

  Select Safety Footwear Safety Gloves Head Protection Eye Protection Hi-Vis Clothing Respirator/Dust Mask Ear Protection Safety Overalls

  • Safety Footwear
  • Safety Gloves
  • Head Protection
  • Eye Protection
  • Hi-Vis Clothing
  • Respirator/Dust Mask
  • Ear Protection
  • Safety Overalls

• Notes

Summary

• Overall evaluation and assessment of job - is the Risk ?

  Negligible

  Tolerable

  Unacceptable