Platinum Electrical Risk Assessment

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Job Number

JOB DESCRIPTION

HAZARDS

• Lifting

  Yes

  No

  N/A

• Heights / Falls

  Yes

  No

  N/A

• Access

  Yes

  No

  N/A

• Temperature

  Yes

  No

  N/A

• Energy Source

  Yes

  No

  N/A

• Stored Energy

  Yes

  No

  N/A

• Falling Object

  Yes

  No

  N/A

• Slip, Trip etc

  Yes

  No

  N/A

• Confined space

  Yes

  No

  N/A

• Roads / Traffic

  Yes

  No

  N/A

• Excavation

  Yes

  No

  N/A

• Sun exposure

  Yes

  No

  N/A

• Weather conditions

  Yes

  No

  N/A

• Manual handling

  Yes

  No

  N/A

RISK SCORE

• High; Moderate; Low

  High

  Moderate

  Low

P.P.E

• Head

  Yes

  No

  N/A

• Eyes

  Yes

  No

  N/A

• Ears

  Yes

  No

  N/A

• Mask

  Yes

  No

  N/A

• Hands

  Yes

  No

  N/A

• Suit

  Yes

  No

  N/A

• Harness

  Yes

  No

  N/A

• Feet

  Yes

  No

  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