Point of Work Risk Assessment

• Site conducted

  Select

• location

• Conducted on

  Date

• Prepared by

• Location
  Address

Before you start ring the appropriate box

• Do I fully understand the pre task brief that I have been asked to do?

  Yes

  No

  N/A

• Do I have the relevant tools or equipment to complete the task safely?

  Yes

  No

  N/A

• Have I got the necessary documentation for the job?

  Yes

  No

  N/A

• Am I at the correct location/plant or item of machinery?

  Yes

  No

  N/A

• Do I have the right Personal Protective Equipment I need to complete the task safely?

  Yes

  No

  N/A

• Are power tools and leads PAT tested?

  Yes

  No

  N/A

• Are scaffolds. ladders & lifting equipment tested/inspected?

  Yes

  No

  N/A

• If you answer NO to any of the above, take the required action. If in doubt contact a Supervisor.

RISK ASSESSMENT:

• A Work Instruction or method statement may be out of date TICK any hazards that you consider may have been Introduced and take appropriate action to ensure safe working.

HAZARD

• Select hazard

  Select Slip/Trip or fall Fall from height Falling/flying object Hazardous substances Heat/fire explosion Asphyxia or drowning Risk to plant Contact stationary object Overturning collapsing Manual handling Stored energy/insecure load Vehicles Risk to you & or others Entry into a confined space Dust/fumes Asbestos or other fibres Noise Vibration Electricity Radiation Contamination Lighting Temperature Adverse weather Running nip/pinch point etc Risk to others from work Water under pressure Other

  • Slip/Trip or fall
  • Fall from height
  • Falling/flying object
  • Hazardous substances
  • Heat/fire explosion
  • Asphyxia or drowning
  • Risk to plant
  • Contact stationary object
  • Overturning collapsing
  • Manual handling
  • Stored energy/insecure load
  • Vehicles
  • Risk to you & or others
  • Entry into a confined space
  • Dust/fumes
  • Asbestos or other fibres
  • Noise
  • Vibration
  • Electricity
  • Radiation
  • Contamination
  • Lighting
  • Temperature
  • Adverse weather
  • Running nip/pinch point etc
  • Risk to others from work
  • Water under pressure
  • Other

• Specify

• Control/measures procedures deployed

• Residual risk key

  L

  M

  H

• I confirm that general safety has been maintained and agree to proceed with the task safely. Name and Signature

  Sign
ONGOING TASKS

• For ongoing tasks confirm that safety has been using the boxes fields below

• Date and Initials

  Sign

END OF JOBTASK REVIEW

• Is there a quicker or easier or safer way of doing this lob/

  No

  Yes

• Are there any lessons for the next time we do this lob/

  No

  Yes

• Did the work create any additional unforeseen hazards?

  No

  Yes

• If you have answered YES to any of the above please discuss the matter with your Supervisor

Person

• Name/Date/Signature

  Sign

• Please note that the maximum permitted number of personnel to work under a single point of use risk assessment is eight (08). All of whom should complete the above table before work commences.