Pre-Service Site Risk Assessment

• Document No.

• Audit Title

• Client / Site

• Location
  Address

• Conducted on

  Date

• Prepared by

• Personnel

Site Acces Hazards

• Overhead hazards - e.g. Powerlines/Cables, Awnings, Entrances, Roller doors, Trees and vegetation, Gutters

  Yes

  No

  N/A

• Traffic on-site - e.g. Speed limits, High traffic movement, Cars/Bikes/Trucks/Forklifts

  Yes

  No

  N/A

• Entry/Exit from premises - e.g. To highway or busy street, Reversing, Narrow entrance, Tight turning

  Yes

  No

  N/A

• Access time restrictions

  Yes

  No

  N/A

• Any Other Hazards Observed

  Yes

  No

  N/A

On-Site Hazards

• Pedestrians - e.g. Adults, Children during Entry/Exit

  Yes

  No

  N/A

• Hazardous Waste - e.g. Chemicals, Medical waste, Potential for contaminated waste, Asbestos, Dusty Loads

  Yes

  No

  N/A

• Electric Shock - e.g. Exposed wires, Low hanging cables

  Yes

  No

  N/A

• Slip/Trips/Falls - e.g. Stairs,Slope, Slippery/Rough ground, Objects in pathway, Open holes, Housekeeping

  Yes

  No

  N/A

• Other Hazards Observed

  Yes

  No

  N/A

Special Site Requirements

• Driver Site Induction

  Yes

  No

  N/A

• P.P.E Specific requirements

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Site Map

• Site Map - Include Entries/Exit, Bin Locations, Street names etc. Include existing damages, Scratches etc

  Drawing

• Onsite Assessment

• Phone Enquiry Assessment

• Customer Signature

  Sign

• Select date

  Date

• Operations Manager

  Sign

• Select date

  Date

• Bin Delivery Driver

  Sign

• Select date

  Date

• Remondis Driver

  Sign

• Select date

  Date