Customer Details

Customer Details

Are you a CCP Remedial Builder or a CCP Remedial Subcontract? Please select:

Please select your role:

Company Name:
CCP REMEDIAL

Customer Name:

Location of risk assessment:
Weather Conditions at the time of risk assessment:

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Enter your business Name:

What trade or trade service are you providing for this job?

Contact Number:

Customer name:

Location of risk assessment:
Weather Conditions at the time of risk assessment:

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clear.jpg

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HighWind1.png

RAINY.jpg

THUNDERSTORM.jpg

snow.jpg

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Important Note: The on-site risks may have changed. Review any existing risk assessment entries and update as necessary.

Identify High Risk Work

Identify The High Risk Work

Click the paper clip icon to the right of each question to add Notes, Photos and to assign Actions.

Is there a risk of a person falling from a height of more than 2m, or falling between different levels which could result in serious injury?

• Use the Action icon above to assign HIGH RISK WORK to CCP Remedial Construction Management.
• Add any photographs that would help the assessment.
• An SMS has been sent to...Do NOT start work without approval from CCP Remedial Construction Management.

Does the work involve demolition of load-bearing structure?

• Use the Action icon above to assign HIGH RISK WORK to CCP Remedial Construction Management.
• Add any photographs that would help the assessment.
• An SMS has been sent to...Do NOT start work without approval from CCP Remedial Construction Management.

Is the work likely to involve disturbing asbestos?

• Use the Action icon above to assign HIGH RISK WORK to CCP Remedial Construction Management.
• Add any photographs that would help the assessment.
• An SMS has been sent to...Do NOT start work without approval from CCP Remedial Construction Management.

Does the work involve tasks on or near energised electrical installations or services?

• Use the Action icon above to assign HIGH RISK WORK to CCP Remedial Construction Management.
• Add any photographs that would help the assessment.
• An SMS has been sent to...Do NOT start work without approval from CCP Remedial Construction Management.

Does the work involve tasks on or near pressurised gas mains or piping?

• Use the Action icon above to assign HIGH RISK WORK to CCP Remedial Construction Management.
• Add any photographs that would help the assessment.
• An SMS has been sent to...Do NOT start work without approval from CCP Remedial Construction Management.

Does work involve activities in an area where there is powered mobile plant movement?

• Use the Action icon above to assign HIGH RISK WORK to CCP Remedial Construction Management.
• Add any photographs that would help the assessment.
• An SMS has been sent to...Do NOT start work without approval from CCP Remedial Construction Management.

Does the work include temporary load-bearing supports for structural alterations or repairs?

• Use the Action icon above to assign HIGH RISK WORK to CCP Remedial Construction Management.
• Add any photographs that would help the assessment.
• An SMS has been sent to...Do NOT start work without approval from CCP Remedial Construction Management.

Does the work involve activities in or near a confined space (include roof space or under a house in this consideration)?

• Use the Action icon above to assign HIGH RISK WORK to CCP Remedial Construction Management.
• Add any photographs that would help the assessment.
• An SMS has been sent to...Do NOT start work without approval from CCP Remedial Construction Management.

Does the work include tasks in an area that may have a contaminated or flammable atmosphere?

• Use the Action icon above to assign HIGH RISK WORK to CCP Remedial Construction Management.
• Add any photographs that would help the assessment.
• An SMS has been sent to...Do NOT start work without approval from CCP Remedial Construction Management.

Does the work include tilt-up or precast concrete elements?

• Use the Action icon above to assign HIGH RISK WORK to CCP Remedial Construction Management.
• Add any photographs that would help the assessment.
• An SMS has been sent to...Do NOT start work without approval from CCP Remedial Construction Management.

Is the work in or near a shaft or trench deeper than 1.5m or in a tunnel?

• Use the Action icon above to assign HIGH RISK WORK to CCP Remedial Construction Management.
• Add any photographs that would help the assessment.
• An SMS has been sent to...Do NOT start work without approval from CCP Remedial Construction Management.

Does the work include activities on, in or adjacent to a road, railway, shipping lane or other traffic corridor?

• Use the Action icon above to assign HIGH RISK WORK to CCP Remedial Construction Management.
• Add any photographs that would help the assessment.
• An SMS has been sent to...Do NOT start work without approval from CCP Remedial Construction Management.

Does the work involve tasks in or near water or other liquid where there is a risk of drowning?

• Use the Action icon above to assign HIGH RISK WORK to CCP Remedial Construction Management.
• Add any photographs that would help the assessment.
• An SMS has been sent to...Do NOT start work without approval from CCP Remedial Construction Management.

Additional Media - Photos and Drawings
Add any additional photos if this could help us assess the risks that you have identified:

Flick the switch to add a sketch:

Add drawing

Identify Other Safety Risks

Step 1: Identify Hazard

Click the ADD HAZARD button for each hazard.

HAZARD

Identify a hazard...

Step 2: Identify The Risks For This Hazard

Step 3: Add Risk Controls For This Hazard

I will control the risk posed by this hazard by:

Where does your control fall on the Hierarchy of Controls?

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Level 1 (most effective), Level 2, Level 3 (least effective)

Pause, always consider whether there is a more effective control that you could implement!

Step 4: Rate The Highest Residual Risk For This Hazard

RISK ASSESSMENT MATRIX

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The Residual Risk Rating will be:

Negligible Risk: Your risk assessment indicates that it is safe to commence work.

Moderate Risk: Your risk assessment indicates that safety is a concern and further measures will need to be implemented. Speak with CCP Remedial Construction Management.

Extreme Risk: Your risk assessment indicates that it is unsafe to commence work.

An SMS has been sent to...Do NOT start work without approval from CCP Remedial Construction Management.

Additional Media - Photos and Drawings
Add any additional photos if this could help us assess the risks that you have identified:

Flick the switch to add a sketch

Add drawing

Sign Offs

CCP Remedial Builder sign off
Enter your name and signature to validate your risk assessment:

Click the SAVE button at the top right corner of this page to complete your risk assessment.

Subcontractor sign off

Tick to confirm that for High Risk Work: • The SWMS has been reviewed and updated where necessary; • The workers involved have been consulted; • The workers involved have signed and added the current date.

Enter your name and signature to validate your risk assessment:

Click the MARK AS COMPLETE button below and select EXPORT REPORT | Export As to submit your risk assessment.

Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.