Risk assessment -ERECTION of scaffold - Arise scaffold

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

JOB DESCRIPTION

• Erection of scaffold

Take an Image of the area being assessed.

• Image

  Media

SITE ASSESSMENT - IDENTIFY HAZARDS

• Is the work site safe from natural hazards, eg; terrain, climate, wind that presents a risk?

  Yes

  No

  N/A

• If no, refer to SWMS 002-9 preparing to build scaffold

• Is the worksite free from moving plant/machinery or high levels of human traffic?

  Yes

  No

  N/A

• If no, refer to SWMS 002-6 Secure work area

• Is the floor of the work surface safe? Eg. Clear from a slippery surface loose debris?

  Yes

  No

  N/A

• If no, refer to SWMS 002-9 Preparing to build scaffold

• Are workers safe from any potential energy sources that could cause harm. Eg electrocution?

  Yes

  No

  N/A

• If no, refer to SWMS 002-10 Building scaffold

INDIVIDUALS

• Are all employees free fro the effects of drugs and alcohol?

  Yes

  No

  N/A

• If no, remove from site immediately.

  Yes

  No

  N/A

• Have the employees received the necessary training to complete the task?

  Yes

  No

  N/A

• If no, move individual to a task they are competent in. Eg spotting or site clean up

  Yes

  No

  N/A

• Have you eliminated the risk of injury to others?

  Yes

  No

  N/A

• If no, refer to SWMS 002-6 Secure work area

  Yes

  No

  N/A

• Have workers been trained in correct manual handling techniques?

  Yes

  No

  N/A

• If no, supervisor is to demonstrate/train in correct lifting techniques relevant to the task at hand. Workers are provided with mechanical aids where possible.

• Do workers have the correct PPE for the task at hand?

  Yes

  No

  N/A

• If no, stop until correct PPE is provided.

  Yes

  No

  N/A

ADDITIONAL HAZARDS

• Additional hazards, which have not been shown above

• SWMS in relation to these hazards

• Yes

  No

  N/A

HAZARD RISK SCORE 1

• 

• RISK SCORE 1: Before SWMS have been chosen, select a Risk Score in reference to Risk Matrix table

  Select 5E 5D 5C 5B 5A 4E 4D 4C 4B 4A 3E 3D 3C 3B 3A 2E 2D 2C 2B 2A 1E 1D 1C 1B 1A

  • 5E
  • 5D
  • 5C
  • 5B
  • 5A
  • 4E
  • 4D
  • 4C
  • 4B
  • 4A
  • 3E
  • 3D
  • 3C
  • 3B
  • 3A
  • 2E
  • 2D
  • 2C
  • 2B
  • 2A
  • 1E
  • 1D
  • 1C
  • 1B
  • 1A

SAFE WORK METHOD STATEMENTS

• SWMS 002 Erection of scaffold

• SWMS 003 Dismantling of scaffold

HAZARD RISK SCORE 2

• 

• Have control measures been applied using SWMS?

• RISK SCORE 2: After SWMS have been chosen, select Risk Score in reference to Risk Matrix table.

  Select 5E 5D 5C 5B 5A 4E 4D 4C 4B 4A 3E 3D 3C 3B 3A 2E 2D 2C 2B 2A 1E 1D 1C 1B 1A

  • 5E
  • 5D
  • 5C
  • 5B
  • 5A
  • 4E
  • 4D
  • 4C
  • 4B
  • 4A
  • 3E
  • 3D
  • 3C
  • 3B
  • 3A
  • 2E
  • 2D
  • 2C
  • 2B
  • 2A
  • 1E
  • 1D
  • 1C
  • 1B
  • 1A

IF HAZARD RISK HIGH, REDO CONTROL MEASURES

• Is hazard risk score low?

  Yes

  No

  N/A

• Can work commence without changing the control measure?

  Yes

  No

  N/A

RISK ASSESSMENT CARRIED OUT BY

• Name

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• Name

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• Name

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• Name

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• Name

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• Name

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