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

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