Risk Assessment Pole Installation

• Document No.

• Client / Site

• Conducted on

  Date

• Risk Assessment Prepared by

• Location
  Address

• Crew Members Singed in

• Have you explained Potential hazards and suitable safety control measures to all crew members

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are all workers are trained and experienced to carry out the job?

  Yes

  No

  N/A

• Are there sufficient arrangements to avoid injuries?

  Yes

  No

  N/A

• Is team is fully equipped with required tools and equipment ?

  Yes

  No

  N/A

• Is there adequate lighting on site whilst operatives are working?

  Yes

  No

  N/A

• Is there Calibrated CAT and Genny available on site to ensure safe digging?

  Yes

  No

  N/A

• Does team have enough barriers, gate guards/ cones and chapter signs to perform activity safely?

  Yes

  No

  N/A

• Pole Erector Truck, has working beacon?

  Yes

  No

  N/A

• Pole Erector truck is maintained without any mechanical issue?

  Yes

  No

  N/A

• Pole Erector Truck has valid LOLER certificate.

  Yes

  No

  N/A

• Adequate safety arrangement for public and traffic?

  Yes

  No

  N/A

• Is there first aid box, qualified first aider available to deal with emergency?

  Yes

  No

  N/A

• Is Working and Calibrated GDU available for Hazardous gas testing?

  Yes

  No

  N/A

• Is there spill kit available on site to manage/control spill ?

  Yes

  No

  N/A

• Are there sufficient arrangements in place to ensure workers safety? Extreme weather, hazardous gases , fumes and dust, noise above acceptable limit?

  Yes

  No

  N/A

• Do you have traffic Management arrangements ? (If required).

  Yes

  No

  N/A

• Do you have valid work permit for this job?

  Yes

  No

  N/A

• Do you have utilities stats available for the site?

  Yes

  No

  N/A

• Have you checked the pole for any bleeding /sweating creosote ? (Evidence)

  Yes

  No

  N/A

• Is there any sign of bleeding or sweating on the pole posing a safety risk?

  No

  Yes

  N/A

• Refer to the RAMS for Excavation and Pole Installation and ensure compliance.

Team Lead

• Add signature

  Sign

Risk Matrix