Title Page

  • Conducted on

  • Prepared by

  • Location
  • Names of Site Team

  • Details of Task

Hazards relevant for work

  • Identify all relevant hazards associated with the work

  • List other ther Hazards identified

Control Measures - identify type of work and relevant controls from the list

  • General Safety and House-Keeping

  • Are there any dangerous or free roaming animals in the property?

  • Identify relevant controls

  • undefined

  • Has animal been removed from work area

  • Does the work involve Manual handling activities

  • Identify relevant controls

  • Vulnerable People

  • Identify relevant controls

  • Identify any addition controls you are undertaking

  • Lone Working

  • Identify relevant controls

  • Identify any additional controls you are undertaking

  • Interaction with public - Potential Violence & Aggression

  • Identify relevant controls

  • Add any additional controls you are undertaking

  • Identify any additional controls not previously listed

Sign off Section -POWRA is an important part of any site work and it is essential that everyone is aware of the details of this document and the agreed safe working methods. It is good practice to get everyone involved in POWRA as this ensures engagement and understanding plus can improve quality.

  • All personnel listed on the POWRA understand the hazards and control measures detailed

  • Site Team Member sign to show the have understood POWRA

  • Site Team Member sign to show the have understood POWRA

  • I confirm that the control measures above will be followed and I will ensure everyone site will follow the agreed safe methods of work agreed.

  • Jurassic Fibre Supervisor on site and reviewed POWRA

  • Name

  • Comments

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.