Pre Start Risk Assessment - Rev 01

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• ENABLE DEVICE LOCATION AND CAMERA DATE & TIME STAMP BEFORE PROCEEDING!

• Are there any obvious physical hazards that may affect the Operatives on site? E.g.exposed wiring, loose fittings, damaged pathways, decay pole??

  Yes

  No

  N/A

• Attach image of the surroundings

  Media

• Attach image of the surroundings

  Media

• Explain why it is not applicable

• List the control measures that you will put in place

• Are there any environmental issues on site that affect the operatives? Extreme weather, hazardous gases , fumes and dust, noise above acceptable limit?

  Yes

  No

• Attach evidence of control measures

  Media

• Attach images of surroundings and work site

  Media

• List the Environmental issues identified

• Is there anything hazardous that the Operatives need to work with, near or dispose of? E.g. Laboratory, fuel depot, bulk chemicals, train tracks, Highway?

  Yes

  No

  N/A

• Are there any unsafe areas the Operatives must access or pass through to complete their work?

  Yes

  No

  N/A

• List the unsafe areas and control measures in place

• Is there any risk of sharps injuries? Sharp edges of cable ties , cutting grinding tools?

  Yes

  No

  N/A

• Will Operatives be working isolated/lone working?

  Yes

  No

  N/A

• Provide photo evidence of the full team

  Media

• Attach evidence of lone worker arrangements i.e., lone worker safety tracker - app, wrist alarm etc

  Media

• Is there adequate lighting on site whilst operatives are working?

  Yes

  No

  N/A

• Will work continue outside daylight?

  Yes

  No

  N/A

• List the arrangements in place for working in the dark

• Explain why it is not applicable

• attach evidence of arrangements e.g. site setup, artificial lighting etc.

  Media

• Is there first aid box, qualified first aider available to deal with emergency?

  Yes

  No

• Attach image of First Aid kit and Certificate of Training

  Media

• Explain why there is no first aid box and no one trained to deal with emergency

• Is there waste disposal procedures for the site operatives? E.g. fiber sharps & general waste

  Yes

  No

  N/A

• Explain why

• Explain why

• Is team fully equipped with required PPEs and tools?

  Yes

  No

  N/A

• List what is missing, reasons and request/follow-up evidence

• Explain why it is not applicable

  Yes

  No

  N/A

• Is gas tested before operating in confined space?

  Yes

  No

  N/A

• Attach image of GDU and evidence of calibration

  Media

• EVIDENCE OF A WORKING GDU SHOULD BE PROVIDED!

  Media

• Explain Why it is not applicable

• Are there enough safety measures in place to perform activity safely?

  Yes

  No

  N/A

• Does the task require a lot of manual handling?

  Yes

  No

  N/A

• Read RAMS001

• Explain why it is not applicable

• Sign if you have understood the RAMS

  Sign

Working at Height

• Does your work involve working at Height?

  Yes

  No

  N/A

• Read RAMS003

• Sign if you have understood the RAMS

  Sign

• Select access platform

  Select MEWP Extension Ladder Pole Climbing Other

  • MEWP
  • Extension Ladder
  • Pole Climbing
  • Other

• Attach MEWP Pre-use Inspection checklist

  Media

• Attach valid IPAF training certificate

  Media

• Attach MEWP 3rd party (LOLER) inspection certificate

  Media

• Read RAMS004

• Sign if you have read and understood the RAMS

  Sign

• Has a Ladder Pre-use Inspection been completed?

  Yes

  No

  N/A

• visually inspect ladder for signs of damage, ensuring that all components are in good working order before use

• Attach any Ladder training received ( SA051C etc.)

  Media

• Attach Ladder Regular/Planned Inspection Evidence

  Media

• Read RAMS011

• Sign if you have read and understood the RAMS

  Sign

• Attach evidence of Fall Arrest / Restraint system in place, inc Inspection record

  Media

• Attach evidence of pre climb checks

  Media

• Attach image of MEWP User Manual

  Media

• Attach evidence of Fall Arrest / Restraint system in place, inc Inspection record

  Media

• Are you physically and mentally fit to perform work at Height?

  Yes

  No

• DO NOT PROCEED WITH WORK! CONSULT YOUR SUPERVISOR.

• Attach SA001 training (Overhead Safety) evidence

  Media