Title Page
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Site conducted
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Location
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Conducted on
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Prepared by
Point of Work Risk Assessment- Part 1- Before you start
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Have you read the Point of Works Risk Assessment completed by Surveyor?
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Have you done this type of job before?
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Do you have the right tools for the job?
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Aree tools that need calibration in date?
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Do you have the right documentation for the job?
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Do you have the right PPE for the job?
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Are power tools and leads PAT tested? (Every 3 months)
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Is equipment use for working at height inspected?
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If you have answered 'NO' to any of the above, take the required action or report it to Manager
Point of Work Risk Assessment- Part 2- Hazard Identification
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Tick hazards that arer significant and for which there are no (inadequate) controls. If you have identified hazards, add note to the hazard to include additional control measures that are to be put into place before works commmences.
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Slip, Trips or Falls
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Falls from Height
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Chemicals
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Heat/Fire/Explosion
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Asphyxiation
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Asbestos
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Stationary Objects
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Manual Handling
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Vehicles
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Confined Space
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Dust/Fumes
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Noise/Vibration
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Electricity
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Poor Lighting
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Adverse Weather
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Risk to others from your work
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Others (specify)
Operative Sign Off
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This is a record of a point of work survey conducted for the above job: all control measures have been put into place before i started the job
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Name
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Signature
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Date & Time
End of Job Review
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Is there anything that could be done safer the next time?
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Has the work created any new hazards?
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Comments
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If you have answered YES to either of these questions, tell your Manager.