Oskomera Point of Work / Task Risk Assessment

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Point of Work/Task Risk Assessment

• Name of Supervisor responsible for controlling work activity

• Name of person Responsible for communicating this assessment

• Work activity

• Work location

• Tools / Equipment used

REASON FOR ISSUE

• First Issue

• Reviewed no Change

• Changed Methods

• Changed Environment

• Changed location

• Changed Materials

• Changed Plant / Equipment

• Other

POTENTIAL HAZARDS

• 1

• 2

• 3

• 4

• 5

• 6

• 7

• 8

Who/What may be harmed

• Employees

• S/C Employees

• Members of Public

• Clients staff

• Environment ( On site )

• Environment (off site )

• Quality

• Other

• Other - State

INITIAL RISK RATING

• Potential Severity

• Negligible = 1

• Minor = 2

• Reportable = 3

• Serious = 4

• Catastrophic = 5

• X Probability

• Improbable = 1

• Remote = 2

• Occasional = 3

• Probable = 4

• Frequent = 5

• Risk Rating
  Potential Severity x Probability

• 0 - 9 Low

• 10 - 19 Medium

• 20 - 25 High

SITE SPECIFIC PRECAUTIONS TO BE TAKEN

• 1

• 2

• 3

• 4

• 5

• 6

• 7

• 8

CONTENTS COVERS

• Ability of Personnel

• Additional Materials

• Changed Plant / Equipment

• Changed Scope

• Changed Location

• Additional COSHH

• Changed Nuisances Dust/Noise

• Changed Manual Handling

RESIDUAL RISK

• High

• Medium

• Low

Visual Inspection of Area

• Visual inspection of Area

  Media

Additional Requirements:

• Method Statement Required

  Yes

  No

  N/A

• Permit to Work Required

  Yes

  No

  N/A

Signatures

• Prepared by Oskomera

  Sign

• Approved by Principle Constactor

  Sign