Page 1: Project Details
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Project Name & ID
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Site Location
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Delivery Manager & Contact Details
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Lead Engineer/Supervisor & Contact Details
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Start Date For Predicted Works
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Projected Works End Date
Page 2: Information & Compliance
General Building Information
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Number of Floors
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Number of exits (for emergencies)
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Access to work areas
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Confirm method of entry - Inclusive of door access codes
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Please confirm access with Delivery Manager ahead of attending the site
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No access arrangements required
Site Arrangements
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Site Contact & Number
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Out of Hours Contact Number
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Welfare
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Parking
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Storage
Scope Of Works
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Regulatory Compliance
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Health & Safety at Work Act 1974
Management At Work Regulations 1999
Duty Roll of Contractor Under CDM 2015
Working At Height Regulations 2005
Manual Handling Regulations 1992
PUWER Regulations 1998
Wiring Regulation 1998
Control Of Asbestos Regulations 2012
COSHH Regulations 2002
Control Of Noise At Work Regulations 2005
Control Of Vibrations AT Work Regulations 2005
Fire Stopping
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Please ensure all firestopping is undertaken using the appropriate installation method for the product type(s) being applied at the point of installation.
Protection Of Others
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It has been noted that the site is a fully occupied development and as such the protection and safety of others is paramount.
The working environment will be managed in a safe and appropriate manor. With all tooling, equipment and plant secured in safe working areas and attended by the operative or stored in authorised access areas. -
It has been noted that the site is not currently occupied, access and egress of the property should be reported to line management.
The working environment will be managed in a safe and appropriate manor. With all tooling, equipment and plant secured in safe working areas and attended by the operative or stored in authorised access areas.
Training
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Voltwave commit to ensuring that all personnel undertaking works are competent in the relevant tasks and complete the following training courses as a mandatory requirement within their role:
General Site Safety
PPE Requirements
Working at Height (safe use of stepladders)
Manual Handling
Asbestos Awareness
Page 3: Risk Assessment
Site Hazards
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Access & Egress
Slips, Trips & Falls
Vehicle Movements
Working At Height
Manual Handling
Falling Debris
Drilling/Digging ActivitiesStructural Instability -
State Other Hazards Specific To Site
PPE Requirements
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Hi-Visibility Waistcoat EN471
Safety Boots EN20345
Hard Hat EN397
Safety Glasses EN166
Ear Protection EN352
Gloves EN388
Dust Mask EN149 -
State Other PPE Requirements Specific To Site
Plant and Access Requirements
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Confirm Plant & Access Equipment
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State Plant or Equipment Requirements Specific To Site
Third Party Works
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Confirm all 3rd Party Works
- Electrical Connections
- Abseil Team
- Long Ladder Team
- Plumbing
- Excavation
Emergency Procesures
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First Aid Procedures:
All onsite personnel will be notified of the first aiders available and will have access to a first aid kit for administering treatment to minor injuries. -
First Aider & Contact Details (If Applicable)
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Location of Nearest Hospital
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Fire Evacuation Procedures:
All onsite personnel will familiarise themselves with the Fire Evacuation procedure and Fire Assembly Points. -
Location of Fire Assembly Point
Page 4: Risk Assessment Scoring
Access & Egress
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Likelihood X Severity indicates the possible level of risk prior to implementing any reasonable control measures
-Low Risk 1-3
-Moderate Risk 4-6
-High Risk 8-12
-Extremely High Risk 13-25
The residual risk level represents the actual level of risk as a result of control measures being imlemented -
Persons Affected
- Site Operatives
- Client Personnel
- Public & Site Visitors
- Other
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Likelihood
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Severity
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Risk Level
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Control Measures
-Segregation of working areas
-Correct use of signage & barriers
-Ensure safe walking routes
-Keep routes clean & tidy with adequate lighting -
Residual Risk
Slips Trips & Falls
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Persons Affected
- Site Operatives
- Client Personnel
- Public & Site Visitors
- Other
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Likelihood
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Severity
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Risk Level
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Control Measures
-Good levels of housekeeping in the working areas
-All walkways left clear of tooling & equipment
-No trailing cables to be left un-attended in public areas
-Non slip safety footwear to be worn at all times -
Residual Risk
Vehicle Movements
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Persons Affected
- Site Operatives
- Client Personnel
- Public & Site Visitors
- Other
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Likelihood
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Severity
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Risk Level
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Control Measures
-Hi-Visability clothing to be worn at all times in high traffic areas
-Adequate barrier protection to be used for segregation ensuring 1.5m space to allow safe pedestrian access
-Signage denoting work activity to be displayed
-Ensure working area is well lit -
Residual Risk
Working at Height
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Persons Affected
- Site Operatives
- Client Personnel
- Public & Site Visitors
- Other
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Likelihood
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Severity
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Risk Level
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Control Measures
-Operatives using WAH access equipment are trained & competent
-Working at height activity will be conducted in a safe place
-Segregation of working at height with berrier or banksman
-User inspections of WAH access equipment prior to use -
Residual Risk
Manual Handling
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Persons Affected
- Site Operatives
- Client Personnel
- Public & Site Visitors
- Other
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Likelihood
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Severity
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Risk Level
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Control Measures
-Operatives trained in Manual Handling Regulations
-Use of mechanical aids to be used where reasonable practicable
-Two person lifting operations specific to the task
-Walkway and access areas to be assessed for clearance -
Residual Risk
Falling Debris
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Persons Affected
- Site Operatives
- Client Personnel
- Public & Site Visitors
- Other
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Likelihood
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Severity
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Risk Level
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Control Measures
-Segregation of working areas
-Correct use of signage & barriers
-Ensure safe walking routes
-Keep routes clean & tidy with adequate lighting
-Correct PPE being worn at all times
-Use of safety nets or similar protective measures where feasible -
Residual Risk
Structural Instability
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Persons Affected
- Site Operatives
- Client Personnel
- Public & Site Visitors
- Other
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Likelihood
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Severity
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Risk Level
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Control Measures
-Segregation of working areas
-Correct use of signage & barriers
-Ensure safe walking routes
-Keep routes clean & tidy with adequate lighting
-Correct PPE being worn at all times
-Use of temporary supports -
Residual Risk
Hidden Services
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Persons Affected
- Site Operatives
- Client Personnel
- Public & Site Visitors
- Other
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Likelihood
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Severity
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Risk Level
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Control Measures
-Correct PPE being worn at all times
-Use of stud finder to locate and existing wiring/services
-Isolate power to working area
-Isolate gas / water supply to working area
-Consult building plans where available -
Residual Risk
Dust and Noise
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Persons Affected
- Site Operatives
- Client Personnel
- Public & Site Visitors
- Other
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Likelihood
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Severity
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Risk Level
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Control Measures
-Correct PPE being worn at all times
-Keep windows and doors closed to contain dust and noise
-Use of water mist to contain dust particles
-Use of suction device to contain dust particles -
Residual Risk
Drilling/Digging Activity
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Persons Affected
- Site Operatives
- Client Personnel
- Public & Site Visitors
- Other
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Likelihood
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Severity
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Risk Level
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Control Measures
-Inspection of working area to check for other services
-Use of the required items of PPE
-Correct drilling/digging techniques
-Segregation from public areas prior to drilling/digging
-Area reinstated in a safe and compliant manner
-Permits in place and displayed (if required) -
Residual Risk
Page 5: Method Statement
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Safe Working Method
Work Flow
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-Report to site contact, sign in and complete and applicable induction/toolbox talk
-Obtain permission to work
-Review risk assessments and safe working procedures
-Select the appropriate PPE and ensure it is fit for use
-Carry out all works specified within the agreed scope of works and in accordance with all training and instructions
-Work in public areas are to have correct signage displayed and barriers installed
-Continue to review and risks throughout the installation for possible changes
-Complete documentation and report on all works carried out highlighting and significant changes
-Sign out of working area daily with site contact.
Page 6: Report Acceptance/Sign Off
Management
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Voltwave Director
Field Team
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Supervisor/Team Lead
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Operative
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operative
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operative
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operative
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operative
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operative
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operative
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operative
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Add signature
Site Visitors
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Site Visitor
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Site Visitor
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Site Visitor
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Add signature