Point of Work Assessment

• Location:
  Address

• Job No.:

• Description of work/task:

• Assessed by (Person in charge of work):

  Sign

• Date and Time:

  Date

• All working party members hold in date appropriate NRSWA / CSCS / CPCS or NPORS cards

• A POWRA Assessment must be completed before any work activity commences.

Step 1-4

• Step 1 Look around the site & list additional Significant Site Specific Hazards/Risks

• Step 2 Who/What may be harmed

  Select Work force Public, Livestock Property Environment

  • Work force
  • Public, Livestock
  • Property Environment

• Step 3 Control Measures required to eliminate/reduce/control the risk

• Step 4 ✔ In Place

Step 5: Checklist

• DO All operatives understand the work task and SSW? (Safe System of Work)

  Yes

  No

  N/A

• RAMS available at POW understood and signed by team?

  Yes

  No

  N/A

• Have health risks been identified and measures in place?

  Yes

  No

  N/A

• Utility & buried service drawings available at POW?

  Yes

  No

  N/A

• Construction & temp works drawings available at POW?

  Yes

  No

  N/A

• Permits: Hot Work/ to Pump/to Dig etc, in place?

  Yes

  No

  N/A

• DSR Safety Documents/ LOA/Permits in place?

  Yes

  No

  N/A

• Tools & Work equipment fit for purpose?

  Yes

  No

  N/A

• CAT / Genny & accessories available at POW?

  Yes

  No

  N/A

• Everyone fully compliant with SAFE SIX PPE?

  Yes

  No

  N/A

• Additional Specialist PPE required?

  Yes

  No

  N/A

• Do you/ team need to wear hearing Protection?

  Yes

  No

  N/A

• Are dust masks/respirators required?

  Yes

  No

  N/A

• Emergency plan / equipment available at POW?

  Yes

  No

  N/A

• IS IT SAFE TO START WORK?

  Yes

  No

  N/A

• Step 6. Assessment briefed to and understood by all members of the working party & site visitors

Members of the working party

• Name and Signature

  Sign
Visitors

• Name and Signature

  Sign

• Step 7. Continually review your POW Assessment and update on page 2 to reassess new hazards and changes