Risk Assessment & Method Statement

Information

RISK ASSESSMENT AND METHOD STATEMENT
Type of Site
Completed By

THIS SURVEY IS TO BE COMPLETED BEFORE THE HEALTH & SAFETY SITE FOLDER IS CREATED FOR LARGER PROJECTS.

THIS SURVEY MUST BE USED TO HELP COMPILE AN ACCURATE AND DETAILED SITE HEALTH & SAFETY FOLDER.

THIS SURVEY IS TO BE COMPLETED FOR ALL TYPES OF WORKS SO THAT WE CAN ENSURE ALL EMPLOYEES AND THOSE THEY WORK AROUND REMAIN SAFE.

THIS SURVEY IS TO BE ADDED TO THE HEALTH & SAFETY FOLDER.

LOCATION DETAILS

Assessment Carried Out By:
Date:
Site Location:
Description of Works to be Carried Out:

RISK ASSESSMENT

REFER TO THE LIST BELOW SELECTING THE AREAS WHICH MAY BE A RISK.

ONCE A SELECTION HAS BEEN MADE YOU MUST WRITE IN DETAIL THE POTENTIAL RISKS ASSOCIATED WITH THE ITEM SELECTED.
RA001 - Asbestos
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
Method Statement
RA002 - Brick / Block Work
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
Method Statement
RA003 - Cartridge Operated Fixing Tools
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
Method Statement
RA004 - Confined Spaces
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
Method Statement
RA005 - Demolition
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
If the Above Restrictions are in place Is it Safe to Proceed?
RA006 - Driving at Work
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
RA007 - Dust & Fumes
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
RA008 - Excavations
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
RA009 - Excavators
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
RA010 - Falling Objects
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
RA011 - Fire & Explosion
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
RA012 - Fork Lift Trucks
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
RA013 - Fragile Roofs
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
RA014 - Gin Wheels
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
RA015 - Hand Tools
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
RA016 - Working at Heights
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
RA017 - Highways
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
RA018 - Hot Works
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
RA019 - Industrial Roofs
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
RA020 - Violent / Dangerous Occupants
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
RA021 - Ladders
WARNING - CERTAIN SITES WILL NOT ALLOW WORKING AT HEIGHTS VIA LADDERS.

CONFORM WITH THE CLIENT IF LADDERS ARE ACCEPTABLE.

MAKE CONSIDERATIONS FOR TRAINING AND HARNESS'S.
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
RA022 - Lifting Gear
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
RA023 - Lone Working
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
RA024 - LPG
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
RA025 - Machinery
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
RA026 - Manual Handling
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
RA027 - Mobile Elevated Platform Works
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
RA028 - Mobile Cranes
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
RA029 - Mobile Masts
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
RA030 - Mobile Plant
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
RA031 - Noise at Work
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
RA032 - Openings
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
RA033 - Overhead Power Lines
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
RA034 - Breaking into Pipelines
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
RA035 - Pneumatic Tools
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
RA036 - Portable Electric Appliances
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
RA037 - Public On-Site
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
RA038 - Site Staff
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
RA039 - Scaffolding
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
RA040 - Sharpe Edges, Nails etc.
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
RA041 - Slips Trips & Falls
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
RA042 - Vulnerable Persons
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
RA043 - Step Ladders
WARNING - CERTAIN SITES DO NOT ALLOW USE OF STEP LADDERS.

IF THIS IS THE CASE HOP-UPS MUST BE USED.
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
RA044 - Tower Cranes
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
RA045 - Tower Scaffolds
WARNING - IT IS A MANDATORY REQUIREMENT THAT ONLY PERSONNEL WITH PASMA TRAINING WORKS WITH TOWER SCAFFOLDING.

IT IS ACCEPTABLE FOR THE TOWER TO BE ERECTED BY A PASMA TRAINED OPERATIVE FOR OTHERS TO USE.
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
RA046 - Underground Services
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
RA047 - Vibration
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
RA048 - Core Cutting
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
RA049 - Young Persons
WARNING - AUTHORISATION IS REQUIRED BY THE PARENT OR GUARDIAN IN WRITING CONFIRMING THE INDIVIDUAL HAS PERMISSION TO ATTEND SITE.

A COPY OF THE LETTER IS TO BE INSERTED INTO THE SITE HEALTH & SAFETY FOLDER AND EMAILED DIRECT TO THE CLIENT.
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?
RA050 - Electricity
Detail the Risk(s) Identified:
Give Detail of how to Limit, Reduce or Remove the Risk:
If the Above Restrictions are in place Is it Safe to Proceed?

METHOD STATEMENT

A DETAILED DESCRIPTION OF HOW THE WORKS ARE TO BE COMPLETED MUST BE NOTED BELOW.
Detailed Description of Method Statement:

HSNO

SELECT FROM THE LIST BELOW SELECTING THE AREAS WHICH MAY BE A RISK:
Silicon Based Products to be Used?
INSERT THE HSNO REPORT INTO THE HEALTH & SAFETY SITE FOLDER.
Will Dust be Present or Created by these Works?
INSERT THE HSNO REPORT INTO THE HEALTH & SAFETY SITE FOLDER.
Will there be a Requirement to Use Expanding Foam?
INSERT THE HSNO REPORT INTO THE HEALTH & SAFETY SITE FOLDER.
Please List any Other Hazardous Substance:
Please list preventative measures following key HSNO controls including: PPE Fire extinguishers Signs Approved handler Location test certificate Hazardous atmosphere zones Emergency response plan Secondary containment (bunding).

PPE Required

Dust mask?
Gloves?
High visibility clothing?
Knee pads?
Safety glasses?
Safety foot wear?
Safety work wear?
VDE Approved clothing?

Health and Safety

Fire Extinguisher?
First Aid Kit?
Lock off and tag kit?
Testing equipment?
Proving unit?

SPECIAL REQUIREMENTS

PLEASE DETAIL ANY SPECIAL REQUEST FOR THE WORKS OR WHICH MAY BE A REQUIREMENT TO COMPLETE THIS PARTICULAR PROJECT
Please Detail any Special Requirements:

POINTS TO REMEMBER

All Personnel have the Correct Competency Card?
All Personnel have an understanding of the dangers associated with asbestos?
A Plant certified and tested?
PAT Testing of All Electrical Equipment has either been Completed prior to starting or a date has been arranged?