Powra

• Call number (no need for SERV..) and short location name (only required for checking site is correct for call number).

• Conducted on

  Date

• Prepared by

Site walkthrough

• Ensure all areas that require access have been walked through to identify any risks. Take particular attention to any new or on-going works and agree to stop and re-assess if anything changes or new risks are identified.

Pre-Assessment questions:

• Have I got the correct personal gas detector? Do I need a permit? - if so do I understand and have I mitigated all of the risks identified. Do I need a separate risk assessment for any of the work, i.e. confined space? Is lone working mitigated? Do I need a second safety person? Has the customer advised of any hazards? Is asbestos present? Is 240V connected to relays/outputs?

• Have all of the pre-assessment questions been taken note of and actions taken to mitigate any risks?

  Yes

  No

• Please add notes to advise of the outcome and report problems to customer. If the work is not safe then put 'Unsafe - stop work' in the response.

  Safe

  Unsafe - stop work

• Are you trained and competent to carry out the work?

  Yes

  No

• Working at height

  Yes

  No

• Are you using ladder or step ladders?

  Yes

  No

• *********All tools and equipment stored securely, 3 points of contact and short periods of work only, rescue plan if required? Are you safe to carry out your work?

  Yes

  No

• Are you using scaffold for access?

  Yes

  No

• ********Scaftag in date, tools and equipment stored correctly, rescue plan if required? Are you safe to carry out your work?

  Yes

  No

• Are you using a MEWP?

  Yes

  No

• ********Trained and competent, area cordoned off and rescue plan in place? Are you safe to carry out your work?

  Yes

  No

• Slips, trips, falls

  Yes

  No

• ********Walk carefully, report any issues, ensure adequate lighting and stick to walkways where possible

  Yes

  No

• Are you working with portables or fixed equipment where you are applying dangerous gases?

  Yes

  No

• ********Can the gases be safely exhausted and have you got a personal gas detector in the area?

  Yes

  No

• Does the work affect other people or can your work affect other people

  Yes

  No

• *********Communicate with any other persons affecting or effected by your work. Barrier/cordon if required. Are you safe to carry out your work?

  Yes

  No

• Are there any hazardous chemicals, biological agents or any possible infection controls required?

  Yes

  No

• ********Ensure all hazards have been identified and adequate protection and mitigation has taken place. Add controls and PPE as required. Are you safe to carry out your work?

  Yes

  No

• Are there any hazards due to either gas (toxic, flammable or asphyxiation), any airborne particles or fumes?

  Yes

  No

• ********Ensure correct gas detector is worn, wear appropriate masks if required, talk to site contact about associated risks. Are you safe to carry out your work?

  Yes

  No

• Does any nearby plant or machinery pose a danger due to Heat, moving parts or stored energy

  Yes

  No

• *********Ensure customer isolates any plant/machinery that could endanger workers. Wear appropriate PPE, barrier if necessary. Are you safe to carry out your work?

  Yes

  No

• Can your tools or PPE become contaminated?

  Yes

  No

• ********Ensure correct PPE is used and disposed of correctly if necessary. Use appropriate cleaning materials to clean tools and equipment as and when required. Are you safe to carry out your work?

  Yes

  No

• Are there any environmental conditions affecting your work - Adverse weather, risks of overheating, dehydration, exceptionally cold temperatures or poor lighting ?

  Yes

  No

• ********If necessary delay the job until conditions are improved. Take regular breaks and drink fluids, wear appropriate PPE. Ensure adequate lighting using portable devices or headtorch. Are you safe to carry out your work?

  Yes

  No

• Are there any moving plant - Vehicle, Crane, Forklifts etc.?

  Yes

  No

• ********Keep to safe routes (walkways), communicate and ask for lock offs on any overhead cranes. Gain eye contact with drivers and remain at least 2 metres away from forklifts. Are you safe to carry out your work?

  Yes

  No

• Are there any other issues that could affect you carrying out the work? Please use the notes box to identify and mitigate any further risks.

  Yes

  No

Safe to proceed

• Is it safe to proceed with the planned work?

  Safe

  Unsafe - stop work