Pre-Start Risk Assessment NB

• Document No.

• Conducted on

  Date

• Prepared by

• Location
  Address

• Risk Matrix

  

• Does team have all required PPEs to complete Job safely?

  Yes

  No

  N/A

• Does team have relevant training ticket and qualification to carry out the job? (Streetwork / PIA /EUSR trainings)

  Yes

  No

  N/A

• Is team is fully equipped with required tools?

  Yes

  No

  N/A

• Is there appropriate pit lifter and roller bar available with team?

  Yes

  No

  N/A

• Do you have enough gate guards to guard worksite / pole / chamber properly?

  Yes

  No

  N/A

• Working Calibrated and Charged GDU available for gas testing to operate in BT chamber?

  Yes

  No

  N/A

COSHH Assessment

• Is there fully stocked first aid box with eye washer and trained first aider available on site ?

  Yes

  No

  N/A

• Portable fire extinguisher available ?

  Yes

  No

  N/A

• Are there SDS (Safety Data Sheets available on site) ? For fibre cleaning chemical.

  Yes

  No

  N/A

• Is there fibre bin available to ensure safe disposal of fiber shards?

  Yes

  No

  N/A

• Have you taken pedestrians and road users safety into account?

  Yes

  No

  N/A

• Have you assessed all potential hazards and have adequate safety control measures in place to complete the job safely?

  Yes

  No

  N/A

• Sign and submit

  Sign