Platinum Electrical Risk Assessment

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Job Number

JOB DESCRIPTION

HAZARDS

• Lifting

  Safe

  At Risk

  N/A

• Heights / Falls

  Safe

  At Risk

  N/A

• Access

  Safe

  At Risk

  N/A

• Temperature

  Safe

  At Risk

  N/A

• Energy Source

  Safe

  At Risk

  N/A

• Stored Energy

  Safe

  At Risk

  N/A

• Falling Object

  Safe

  At Risk

  N/A

• Slip, Trip etc

  Safe

  At Risk

  N/A

• Confined space

  Safe

  At Risk

  N/A

• Roads / Traffic

  Safe

  At Risk

  N/A

• Excavation

  Safe

  At Risk

  N/A

• Sun exposure

  High

  Moderate

  Low

• Weather conditions

  High

  Moderate

  Low

• Manual handling

  Safe

  At Risk

  N/A

RISK SCORE

• High; Moderate; Low

  High

  Moderate

  Low

P.P.E

• Head

  Safe

  At Risk

  N/A

• Eyes

  Safe

  At Risk

  N/A

• Ears

  Safe

  At Risk

  N/A

• Hands

  Yes

  No

  N/A

• Mask

  Yes

  No

  N/A

• Suit

  Yes

  No

  N/A

• Harness

  Yes

  No

  N/A

• Feet

  Safe

  At Risk

  N/A

ISOLATION CONTROL

• Electrical<br>

  Yes

  No

  N/A

• Mechanical

  Yes

  No

  N/A

• Infectious

  Yes

  No

  N/A

• Switchboard rescue kit

  Yes

  No

  N/A

• Safety observer

  Yes

  No

  N/A

• Rubber mat / Barrier mat

  Yes

  No

  N/A

• Insulating gloves

  Yes

  No

  N/A

• Safety gloves

  Yes

  No

  N/A

ACCESS CONTROL

• Barricade / Fence

  Yes

  No

  N/A

• Signage

  Yes

  No

  N/A

• Traffic Control

  Yes

  No

  N/A

ENVIRONMENT

• Silt & Sediment

  Yes

  No

  N/A

• Noise Pollution

  Yes

  No

  N/A

Waste Management

• Collection

  Yes

  No

  N/A

• Disposal

  Yes

  No

  N/A

RISK ASSESSMENT CARRIED OUT BY

• Name

  Sign

• Name

  Sign

• Name

  Sign

• Name

  Sign

• Name

  Sign

• Name

  Sign

I certify that the electrical installation, to the extent it is effected by the electrical work, has been tested to ensure it is electrically safe and is in accordance with the requirements of the wiring rules and any other standard applying to the electrical installation under the Electrical Safety Regulation 2002.