Reactive Maintenance Risk Assessment V3.0

• Site / Job Number

• Work being Carried Out:

Remember, YOU MUST check the SITE ASBESTOS REGISTER before starting any work. If the nature of your work is intrusive, if the register is not available, ask the site manager to ring their H&S officer for advice. You should also contact your manager to inform them

• Working at Height:

  Yes

  No

  N/A

• Add media

  Media

• Isolation of Emergency Systems:

  Yes

  No

  N/A

• Add media

  Media

• Excessive Noise & Dust:

  Yes

  No

  N/A

• Add media

  Media

• Public; Customers or Staff in area of work?

  Yes

  No

  N/A

• Add media

  Media

• Isolation of Gas / Electricity Services required, or breaks in Cross / Equipotential Bonding?

  Yes

  No

  N/A

• Add media

  Media

• Working alone or in remote area:

  Yes

  No

  N/A

• Add media

  Media

• Hot Works:

  Yes

  No

  N/A

• Add media

  Media

• Obstructed routes or exits:

  Yes

  No

  N/A

• Add media

  Media

• Work involves difficult lifting and handling:

  Yes

  No

  N/A

• Add media

  Media

• Work in confined or restricted spaces (May include some cellars or loft spaces)

  Yes

  No

  N/A

• Add media

  Media

Control Measures

• Significant Hazards:

• Control Measures:

• Low Risk

• Medium Risk

• High Risk

Confirmation:

• Works can be carried out safely with existing personnel and equipment - If trading, works can be carried out whilst premises are trading

  Yes

  No

  N/A

• Engineers Name:

• Engineers Signature:

  Sign

• Premises Representatives Name:

• Premises Representatives Signature:

  Sign

• Select date

  Date