Title Page
-
Site conducted
-
Location
-
Conducted on
-
Prepared by
Risk Assessment
Risk Assessment Completed
-
Attended Site
-
Used previous knowledge of the area
Who could be harmed by the job
-
Operatives
-
Sub Contractors
-
General Public
-
Others
Hazards Present
-
Slips, Trips & Falls
-
Falls from Height
-
Chemicals
-
Heat/Fire/Explosion/Hot Works
-
Asphyxiation
-
Asbestos
-
Staionary objects
-
Manual Handling
-
Vehicles
-
Confined Spaces
-
Dust/Fumes
-
Noise/Vibration
-
Electricity
-
Poor Lighting
-
Adverse Weather
-
Other
Surveyor Sign Off
-
Surveyor Name
-
Signature
-
Date & Time
-
If conditions have changed, then a NEW assessment MUST be completed before work commences