Risk Assessment & Method Statement (Pre-Start Survey) V2.0

Information

Document No.
Audit Title
Client / Site
Completed By
- Colin Moore
- David Burns
- Gavin Burns
- Paul Carrick
- Andrew Shelton
- Mark Dannatt
- Craig Marshall

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 SITE SPECIFIC AND MUST BE COMPLETED ON SITE PRIOR TO ATTEMPTING THE CREATION OF THE HEALTH & SAFETY FOLDER.

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

INSTALLATION DETAILS

Assessment Carried Out By:
- Colin Moore
- David Burns
- Gavin Burns
- Paul Carrick
- Andrew Shelton
- Mark Dannatt
- Craig Marshall
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?
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?
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?
RA004 - Confined Spaces
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?
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?
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:

COSHH

SELECT FROM THE LIST BELOW SELECTING THE AREAS WHICH MAY BE A RISK:
Silicon Based Products to be Used?
INSERT THE COSHH REPORT INTO THE HEALTH & SAFETY SITE FOLDER.
Will Dust be Present or Created by these Works?
INSERT THE COSHH REPORT INTO THE HEALTH & SAFETY SITE FOLDER.
Will there be a Requirement to Use Expanding Foam?
INSERT THE COSHH REPORT INTO THE HEALTH & SAFETY SITE FOLDER.
Please List any Other Hazardous Substance:

SPECIAL REQUIREMENTS

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

POINTS TO REMEMBER

All Personnel have the Correct CSCS Card?
All Personnel have a UKATA Asbestos Training Certificate?
A Plant Register has been created for the RAMS File?
PAT Testing of All Electrical Equipment has either been Completed prior to starting or a date has been arranged?