Risk assessment

• Document No.

• Lone Worker

• Factory

• Location
  Address

• Date Undertaken

  Date

• Completed by

  Sign

Relevant legislation and regulations taken into account

• Relevant legislation and regulations

  Select the Health & Safety at Work act 1974 the Management of Health and safety at work regulations 1999

  • the Health & Safety at Work act 1974
  • the Management of Health and safety at work regulations 1999

Who are Lone Worker s; Lone workers are those who work by themselves without any close or direct supervision

• Does the work place present a specific risk to the lone worker. Foe example due to temporary access equipment or trestles that one person would have difficulty handling

  Yes

  No

  N/A

• Comments

• Has a follow up been requested

  Safe

  At Risk

  N/A

• Is there machinery involved in the work that one person can operate

  Yes

  No

  N/A

• Comments

• Has a follow up been requested

  Safe

  At Risk

  N/A

• Are chemicals or hazardous materials or substance being used that may pose a risk to the lone worker

  Yes

  No

  N/A

• Comments

• Has a follow up been requested

  Safe

  At Risk

  N/A

• Does the work involve lifting of heavy materials that is to much for 1 person (20kg)

  Yes

  No

  N/A

• Comments

• Has a follow up been requested

  Safe

  At Risk

  N/A

• Have any medical conditions of the person working alone been considered

  Yes

  No

  N/A

• Comments

• Has a follow up been requested

  Safe

  At Risk

  N/A

Training. Training is particularly important where there is limited supervision to control, guide and help in uncertain situations

• Has the operator been trained for the work to be carried out

  Yes

  No

  N/A

• Comments

• Operate to be trained. Follow up to be raised

• Has the worker been trained in emergency procedures

  Yes

  No

  N/A

• Comment

• Has a follow up been requested

  Yes

  No

  N/A

Persons at risk

• Persons at risk

  Select employees contractors visitors Young persons disabled other

  • employees
  • contractors
  • visitors
  • Young persons
  • disabled
  • other

Control measures

• Hazards identified for control measures

Control Measures

• Manual handling

  Safe

  At Risk

  N/A

• Lack of supervision

  Safe

  At Risk

  N/A

• Training

  Safe

  At Risk

  N/A

• Medical and emergency situations

  Safe

  At Risk

  N/A

Corrective & Preventative actions

• Corrective actions required

• Follow up audit for actions scheduled