Risk Assessment Home Installation:-

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Risk Matrix

  

• Does team have all required PPEs to complete Job safely?

  Yes

  No

  N/A

• Does team have relevant training ticket and qualification to carry out the job? (Streetwork / PIA trainings)

  Yes

  No

  N/A

• Is team is fully equipped with required tools?

  Yes

  No

  N/A

• Do you have enough gate guards to guard worksite / pole / chamber properly?

  Yes

  No

  N/A

Overhead work

• Have you checked pole label and conducted hammer test? If applicable

  Yes

  No

  N/A

• Is ladder tied with structure properly?

  Yes

  No

  N/A

• Harness and lanyards are in good condition? Without any wear and tear/ damage?

  Yes

  No

  N/A

• Are there appropriate work at height arrangements in place? if required

  Yes

  No

  N/A

Arrangements

• Is there fully stocked first aid box available on site ?

  Yes

  No

  N/A

• Portable fire extinguisher available ?

  Yes

  No

  N/A

• Is Working GDU available for Hazardous gas testing before operating in BT Chamber ?

  Yes

  No

  N/A

• Are all workers are competent to carry out the task?

  Yes

  No

  N/A

• Appropriate chamber key available ?

  Yes

  No

  N/A

• Roller Bar Available ?

  Yes

  No

  N/A

• Stud detector available?

  Yes

  No

  N/A

• Have you assessed all potential hazards and have adequate safety control measures in place to complete the job safely?

  Yes

  No

  N/A

• Signature

  Sign