Night Worker Risk Assessment

• Night Shift risk assessment

• Document No.

• Night Shift Worker Risk Assessment

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Completed by

  Sign

• Relevant legislation and regulations

  Select Health and safety act 1974 Working Time Regulations 1998 Management of Health and Safety at work regulations 1999

  • Health and safety act 1974
  • Working Time Regulations 1998
  • Management of Health and Safety at work regulations 1999

Shift length; under the WTR night shifts workers hours are governed according to tasks and average shift length average out over a period of time no longer then 52 weeks

• Length of Shift including incorporated overtime

  8 hours

  12 hours

• Has the worker signed WTR OPT out

  Yes

  No

  N/A
NCR

• NCR Number

• NCR Raised

• Has provision been made to calculate workers average hours over a 17 week period

  Yes

  No

  N/A

• Is the work involved low risk

  Yes

  No

  N/A
NCR

• NCR Number

• NCR Number

• NCR Raised

• Is the work free from working at height

  Yes

  No

  N/A
NCR

• NCR Number

• NCR Number

• NCR Raised

• Is the work free from the use of dangerous substances COSHH

  Yes

  No

  N/A
NCR

• NCR Number

• NCR Number

• NCR Raised

Occupational health

• Has the worker been given a occupational health questionnaire

  Yes

  No

  N/A
NCR

• NCR Number

• NCR Number

• NCR Raised

• Has the worker been given the opportunity to see an occupational health professional

  Yes

  No

  N/A
NCR

• NCR Number

• NCR Number

• NCR Raised

• Has the management team implemented a shift rota to minimise night shift working

  Yes

  No

  N/A
NCR

• NCR Number

• NCR Number

• NCR Raised

Training and unforseen events

• Has the Night Worker received emergency procedures training

  Yes

  No

  N/A
NCR

• NCR Number

• NCR Number

• NCR Raised

• Has the Night Worker received training for the Tasks assigned

  Yes

  No

  N/A
NCR

• NCR Number

• NCR Number

• NCR Raised

• Has the Night Worker received emergency contact information

  Yes

  No

  N/A
NCR

• NCR Number

• NCR Number

• NCR Raised

• Has the Night Worker access to a form of communication e.g mobile phone

  Yes

  No

  N/A
NCR

• NCR Number

• NCR Number

• NCR Raised