Point of Work Risk Assessment - Hud-tech ltd

• Job reference number :

• Prepared by :

  Daniel Hudson

  Luke Hudson

  Other

• Are you lone working ?

  Yes

  No

  N/A

• Please select the names of all persons present.

  Select Daniel Hudson Luke Hudson Other

  • Daniel Hudson
  • Luke Hudson
  • Other

• What measures are place for lone worker safety ?

• What are you working on ?

  Select Working on Chambers Working on Poles Working on Chambers & Poles Other

  • Working on Chambers
  • Working on Poles
  • Working on Chambers & Poles
  • Other

• Please write a short description of the works

• Conducted on

  Date
• Location
  Address

• Do you have relevant Openreach accreditations ?

  Yes

  No

  N/A

• If the answer is no you must contact your manager immediately and the task must NOT commence.

• Are you wearing relevant PPE & is it all in good condition, Hi-vis clothing, Safety footwear, Gloves ?

  Yes

  No

  N/A

• If the answer is no you must contact your manager immediately and the task must NOT commence.

• Do you have Gate guards, Calibrated gas detector, Pit lifter & Roll bar and are all tools in good condition ?

  Yes

  No

  N/A

• If the answer is no you must contact your manager immediately and the task must NOT commence.

• Do you have any other comments regarding this work, before starting the task ?

  Yes

  No

  N/A

• Is your vehicle parked in a considerate manner ?

  Yes

  No

  N/A

• Has all PIA worked on been left in a secure/safe condition ?

  Yes

  No

  N/A

• If the answer is no you must contact your manager immediately.

  Yes

  No

  N/A

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• Select date

  Date

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• Add location
  Address

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• Add signature

  Sign