PJR Point of Work Risk Assessment- On Site

• Site conducted

  Select
• Location
  Address

• Conducted on

  Date

• Prepared by

Cable location

• Clear photos of cable location cat and genny mark up

  Yes

  No

  N/A

Gas Detector

• Are GDU,S calibrated and used

  Yes

  No

  N/A

• Have you read the Point of Works Risk Assessment completed by Surveyor?

  Yes

  No

  N/A

• Have you done this type of job before?

  Yes

  No

  N/A

• Do you have the right tools for the job?

  Yes

  No

  N/A

• Aree tools that need calibration in date?

  Yes

  No

  N/A

• Do you have the right documentation for the job?

  Yes

  No

  N/A

• Do you have the right PPE for the job?

  Yes

  No

  N/A

• Are power tools and leads PAT tested? (Every 3 months)

  Yes

  No

  N/A

• Is equipment use for working at height inspected?

  Yes

  No

  N/A

• If you have answered 'NO' to any of the above, take the required action or report it to Manager

• Tick hazards that arer significant and for which there are no (inadequate) controls. If you have identified hazards, add note to the hazard to include additional control measures that are to be put into place before works commmences.

• Slip, Trips or Falls

  Yes

  No

  N/A

• Falls from Height

  Yes

  No

  N/A

• Chemicals

  Yes

  No

  N/A

• Heat/Fire/Explosion

  Yes

  No

  N/A

• Asphyxiation

  Yes

  No

  N/A

• Asbestos

  Yes

  No

  N/A

• Stationary Objects

  Yes

  No

  N/A

• Manual Handling

  Yes

  No

  N/A

• Vehicles

  Yes

  No

  N/A

• Confined Space

  Yes

  No

  N/A

• Dust/Fumes

  Yes

  No

  N/A

• Noise/Vibration

  Yes

  No

  N/A

• Electricity

  Yes

  No

  N/A

• Poor Lighting

  Yes

  No

  N/A

• Adverse Weather

  Yes

  No

  N/A

• Risk to others from your work

  Yes

  No

  N/A

• Others (specify)

Operative Sign Off

• This is a record of a point of work survey conducted for the above job: all control measures have been put into place before i started the job

• Name

• Signature

  Sign

• Date & Time

  Date

• Is there anything that could be done safer the next time?

  Yes

  No

  N/A

• Has the work created any new hazards?

  Yes

  No

  N/A

• Comments

• If you have answered YES to either of these questions, tell your Manager.

• Site clear pictures

  Yes

  No

  N/A

• Site reinstatement

  Yes

  No

  N/A

• Reason why site not cleared

  Yes

  No

  N/A