Point Of Work Risk Assessment & Method Statement

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

Part 1

• Are the works taking place fully controlled by the procedures contained within the company safety policies and generic risk assessments?

  Yes

  No

• If No, select the hazard or hazards below and the action to be taken where practical.

Part 2 Does the work involve any of the following hazards which are likely to cause an accident?

• Slips, Trips, Falls on the same level

• Falls from Height

• Falling / Flying Debris or Objects

• Chemicals or Harmful Substances

• Heat, Fire or Explosive Atmospheres

• Asphyxiation / Drowing

• Contact with Moving Parts (Machinery)

• Contact with Stationary Objects (Low Level Roofs Etc)

• Manual Handling

• Vehicles, Including Site Plant and Road Traffic

• Dust or Fumes

• Noise

• Vibration

• Electricity, Overhead and Ground Level Cables

• Radiation (Ionising & Non-Ionising)

• Poor Lighting

• Adverse Weather Conditions (Covering excessive Heat and Cold)

• Other Hazards Not Identified (Please Specify)

• Are Company Employees at Risk?

• Are Site Contractors at Risk?

• Are Members of the Public at Risk?

• If you have ticked any of the above sections, please specify the additional precautions required to mitigate the risks. If you cannot control the risks by reasonable measures, please stop work and report to your line manager.

Part 3 Final Check

• Are all risks now covered by the safety precautions contained within this assessment?

  Yes

  No

• Stop Work and Speak to Your Line Manager for Further Instructions

• Signature of person carrying out assessment.

  Sign

The persons undersigned have been instructed and understand the safety precautions contained within this assessment.

• Select date

  Date

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