Title Page

  • Conducted on

  • Prepared by

  • Location
  • Engineer/FCO/Driver

  • Team Mate/Others on site

  • Prior to approaching site. Pause and look at the overall site hazards and PPE. Are glasses worn etc.

  • Vehicles

  • Is the vehicle parked safely?

  • Are snow socks available?

  • Can the individual demonstrate the vehicle checks required. (focus on winter driving. Screenwash, de-icer/scraper etc)

  •  Are there any hazards within the vehicle?

  •  Does the individual know they MUST complete the 360 degree walk, unless a risk assessment identifies this would be unsafe.

  •  Did you know you MUST inform your own insurer after any vehicle incident at work? (Your insurance may be invalid if not)

  • Cables

  •  Where are the internal risk areas for drilling? (EB055) Tick all that are mentioned with no prompting.

  •  Do you maintain electrical continuity, and escalate if this can’t be done?

  •  Is the Take Care form fully completed?

  •  Has cable exposure been avoided?

  •  Is the safe system of work documented on the Take Care form? (above diagram on side 2)

  • Injury Avoidance

  •  What has the dynamic risk assessment identified?

  •  Were safety glasses worn when you arrived on site?

  • All relevant PPE including shoes/boots laced correctly? (document what is not correct)

  •  Are there other risks that have not been identified?

  •  Have any hazards been recorded via IMS/GDFO?

  •  What does Cadent wish to achieve in relation to injuries?

  •  How can we achieve this, particularly during the winter period?

  • ESD Recorded?

  • Hazard/Near Miss recorded?

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.