Plumbing Risk Assessment

• Conducted on

  Date

• Select Your Name

  Select Warren the Worker

  • Warren the Worker
• Location
  Address

• Type of job

  Minor Repair

  Major Repair

  New Construction

  Follow Up

On arrival

• Select any on site hazards

  Select Slip Hazard Electrical Hazard Soil Erosion Exposed Earthworks Heights Vehicle Traffic Pedestrian Traffic Confined Spaces

  • Slip Hazard
  • Electrical Hazard
  • Soil Erosion
  • Exposed Earthworks
  • Heights
  • Vehicle Traffic
  • Pedestrian Traffic
  • Confined Spaces

• Include a photograph if possible

  Media

• Likely Severity Of Injury Should An Incident Occur

  Fatality

  Serious Injury

  Minor Injury

  First Aid Only

  Damage Equipment

• Risk Matrix

  

• Select Overall Risk Rating

  Low

  Medium

  High

  Extreme

• No Further Action Is Required. Take care and proceed with your work

• Select Type Of Control Measure

  Select Eliminate Substitute Administrative PPE Isolate Power Shut Off Mains Set Up Barricade Use a Harness Divert Traffic Hard Hat Eye Protection Gloves Work Method Statement Spotter Other

  • Eliminate
  • Substitute
  • Administrative
  • PPE
  • Isolate Power
  • Shut Off Mains
  • Set Up Barricade
  • Use a Harness
  • Divert Traffic
  • Hard Hat
  • Eye Protection
  • Gloves
  • Work Method Statement
  • Spotter
  • Other

• Provide Details What Control Measures Will Be Used

• Include an image of control measures if possible

  Media

• Sign off and email after completion

  Sign