Home
Construction
Project planning and risk communication form cadent
Project planning and risk communication form cadent
Adam Goddard

Project planning and risk communication form cadent

Use this Template
Print as PDF
graphic of a hand making an okay sign ×

Free Project planning and risk communication form cadent Checklist

Use this Template

Title Page

  • Conducted on

  • Prepared by

  • Project - Flumes, Culverts and DItch Crossings

  • Project reference - RDOC

  • Work area reference

  • Work area address
  • Work area OS reference

  • Description of work - to install a concrete canvas over the below pipeline / pipelines to protect the main and restore depth of cover. The structure must be strong enough to withstand the flow of water in the ditch

  • Work below ground ?

    • Yes
    • No

  • Work over or near water? Give details if Yes

    • Yes
    • No

  • River bank remedials necessary?

    • No
    • Yes, to accommodate structure

  • Potential confined or limited space ?

    • Yes
    • No

  • Hot works/ structure repairs necessary?

    • Yes
    • No
    • N/A

  • Street works required?

    • Yes
    • No

  • Work tasks require barriers / protection?

    • Yes, tool store and work area to prevent animal access over night or when site is not in use
    • No

  • Lighting required?

    • Yes
    • No

  • Fencing required?

    • Yes
    • No

  • Access controls necessary?

    • Yes
    • No

  • Rights of way to be managed?

    • Yes
    • No

  • Frequency, duration and load of manual lifts

    • Often
    • Never
    • Unknown

  • Type of permit required

    • Form of authority
    • Permit to work

  • Site specific risk assessment required?

    • Yes
    • No

  • Specific sequence of work necessary?

    • Yes
    • No

  • Specific work procedure required?

    • Yes
    • No

  • Need for standby plant and equipment?

    • Yes
    • No

  • Working on live Gas?

    • Yes
    • No

  • Number of workers?

    • 1
    • 2
    • 3
    • 4

  • Plant, vehicles, equipment

    • Van
    • Excavator
    • Other ( state )

  • Potential substances to be used

    • Sandbags and concrete dependant on design
    • Other ( list )

  • Large item deliveries necessary?

    • Structural materials and tools
    • Other ( list )

  • Lifting operations/ crane required?

    • Yes
    • No

  • Waste skips, bunds, segregated areas required?

    • Waste to be removed from site including excess soil

  • Potential waste types?

    • General vegetation
    • Soil
    • Hardcore
    • Other ( list )

  • Amount and types stored temporarily?

    • List

  • Site waste management plan required?

    • Yes
    • No

  • Minimum welfare and hygiene provisions

    • Toilet
    • Handwash
    • Eyewash
    • First aid

  • Worst type of injury possible

    • Drowning
    • Crushing
    • Death

  • Most likely injury to occur

    • Injury to knees / ankles
    • Hand and arm injury’s from working with heavy materials
    • Minor skin abrasions
    • Other ( list )

  • Potential for fire?

    • Yes, use of tools and equipment
    • No

  • Fire extinguishers required

    • Yes
    • No

  • Date of work to commence

  • Duration of work

    • 1 week
    • 2 weeks
    • Other ( list )

  • Time restrictions - flume requires completion in 1 week unless agreed otherwise

  • Cost? Work package value

  • Local council/ authority

  • HSE office for area

  • EA office for area

  • Line search summary

  • Other services information

  • Drawings, gas maps, ELDs

  • Add media

  • Land owner details

  • Land owner / operator restrictions

  • Site possession issues

    • Yes
    • No

  • Current use of work area?

  • Ground water concerns?

  • Known contaminated land? Locations and extent?

  • Potential access route

  • Add media

  • Public right of way

    • Yes
    • No
  • Alternative access route

  • Add media

  • Road type and speed limit at access point

  • Traffic management required at access point

    • Yes
    • No

  • Access track type, width and condition

  • Route features / restrictions

  • Pedestrian / vehicle segregation required

    • Yes
    • No
    • N/A

  • Emergency vehicles access capability

  • Off road parking available?

    • Yes
    • No

  • Can vehicles turn around, reverse without restrictions

    • Yes
    • No
    • N/A

  • Sufficient space for materials, substances, waste, spoil, welfare lay down and storage

    • Yes
    • No
    • N/A

  • Other user impact/interfaces eg operational sites

  • Proposed welfare location

  • Proposed welfare location

  • Nearest A&E hospital

  • Potential emergency response time

  • Distance to nearest hospital

  • Nearest fire station and potential response time

  • Add media

  • Any known local issues - theft, vandalism etc?

    • Yes
    • No
    • N/A

  • Any overhead services visible?

    • Yes
    • No

  • Any evidence of below ground services?

    • Yes
    • No

  • Any livestock in field to be re located?

    • Yes
    • No

  • Temporary protection of plant or equipment required?

  • Ground conditions?

  • Site features that may need removal

  • Any drainage from land into site area?

    • Yes
    • No

  • Any risks, restrictions or site issues

    • Yes
    • No

  • Boundary sufficient secure and stable

    • Yes
    • No

  • Over night security necessary?

    • Yes
    • No

  • How good is mobile phone signal on site

  • 4g available?

    • Yes
    • No

  • Confirm emergency services available to contact from site?

    • Yes
    • No

  • Sufficient space for any temporary works expected?

    • Yes
    • No

  • De watering and discharge points

  • Assessment of manual handling loads

  • Possible things to lift ?

  • Crop / livestock disease control?

  • Farm waste?

  • Any vermin / disease / health hazards?

  • Layout plan required?

    • Yes
    • No
    • N/A

  • Any hazards to plant or equipment including ground conditions? If yes list

    • Yes
    • No
    • N/A
Project planning and risk communication form cadent
Adam Goddard

Project planning and risk communication form cadent

Use this Template
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.

Related checklists

O&M Generic
Kay Conway
O&M Generic
3 Downloads
back arrow for carousel
back arrow for carousel
iAuditor Logo Icon ©SafetyCulture 2022