Title Page

  • Site Address

  • Post Code
  • Date

Questions

  • Is there a qualified First Aider on site?

  • Is it safe to carry out this job under the current weather conditions?<br>

  • Have you inspected the work route to identify any potential Hazards?<br>

  • Have you checked if the tools needed are serviced and suitable for the task?<br>

  • Can you confirm that everyone is using the appropriate PPE for the task, i.e Safety boots, Hi-viz, gloves, ear plugs, etc…<br>

  • Does all the team members have their Delteq uniform and visible ID’s?

  • Is a permit or keys required for your works?

  • Do you have the relevant competency to carry out the work?

  • Is the work area barriered off and adequate signage in place?<br>

  • Are all tools and Equipment kept with the barriers?<br>

  • Is there a minimum of 1.2m of space to enable pedestrians enough space to walk past the works safely?

  • Have you informed the Client of the works either by door knocking or calling?<br>

  • Are you aware of the site rules?<br>

  • Do you have NSWRA ,PQMS ,ASBESTOS AWARENESS ,WAH ,COSHH ,Manual Handling ,etc. in date?<br>

  • Are your hand tools strapped to yourself when using these at height?<br>

  • Are the works going to obstruct fire exits and/or escape routes?<br>

  • Do you know where fire evacuation point is or nearest safe point?

  • Do you know where the welfare facilities are? The cleaner’s toilets can be utilised.<br>

  • Do you have a first aid kit?<br>

  • I confirm that I have completed this Risk Assessment BEFORE starting any works Signature

  • I am happy to proceed with the work after carrying out this risk assessment<br>

  • Site Setup

Signatures

  • Team Leader Name

  • Team Leader Signature

  • Operative Name

  • Operative Signature

  • Operative Name

  • Operative Signature

  • PM Name

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.