RAMS Template - Barker- OSH

• Business Name

  Media

• Business Logo

  Media

• Document number

• Where is work to be completed ?

• Location
  Address

• Photo of location

  Media

• Conducted on

  Date

• Prepared by

• Date work commences

  Date

• Date work finishes

  Date

• Supervisor for Work being completed

• Description of work to be completed

• Names of people carrying out the work

• Total number of workers

Hazard, Risks and Controls

• What is the hazard?

  Select Slip Trips on Level Slip Trips at Height Falls From Height Manual Handling Electrical Confined Space Asbestos Lead Fire Lone Working Weils Disease Cuts and Abrasion Exposure to Cold/ Heat Vehicle Movement

  • Slip Trips on Level
  • Slip Trips at Height
  • Falls From Height
  • Manual Handling
  • Electrical
  • Confined Space
  • Asbestos
  • Lead
  • Fire
  • Lone Working
  • Weils Disease
  • Cuts and Abrasion
  • Exposure to Cold/ Heat
  • Vehicle Movement

• Who Might be Harmed

  Select Employees Other Contractors Customer Employees Members of the Public Children Vulnerable Adults New and Expectant Mothers

  • Employees
  • Other Contractors
  • Customer Employees
  • Members of the Public
  • Children
  • Vulnerable Adults
  • New and Expectant Mothers

• What are the control measures?

• What is the likelihood?

  Very Likely

  Likely

  Unlikely

  Highly Unlikely

• What are the consequences?

  Fatality

  Major Injuries

  Minor Injuries

  Negligible Injuries

• What is the risk level?

  High

  Medium

  Low

• Is the risk level acceptable?

  Yes

  No

  N/A

• Specify the extra control measures required to ensure the risk level becomes acceptable.

References

• Risk Matrix Reference

• Hierarchy of Controls Reference

Method Statement

Training

• Specify the training

Tools and Equipment

• undefined

PPE

• Requirements

First Aid

• Requirements

Emergency Procedures

• Requirements

Welfare Requirements

• Welfare Arrangements

• First Aid Arrangements

Environmental and Waste Management

• Arrangements

• Do you need a Permit to Work?

  Yes

  No

• Specify the PTW required

Procedure Before Work Commences

• What do you need to do ?

  Select

• Specify

Procedures During the Work

• How are you going to do the work?

Procedure at the End of Works

• What do you need to do?

Completion

• Are there any other issues that might need to addressed in future

  Yes

  No

• Specify

• Signature

  Sign
Staff Sign Off

• Name

• Signature

  Sign

• Date

  Date