Information
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Job Number
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Address
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Conducted on
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Prepared by
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Location
General Hazards
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Do you ensure that there are no trip hazards to the general public presented by trailing cables/equipment by cordoning off and displaying signs
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Actions taken
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Do you ensure that there are no slip hazard presented from wet pathways/walkway to general public by cordon and signage
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Actions taken
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Do you ensure that the operators are wearing PPE
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Actions taken
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Do you ensure there is no electrocution hazard from working near to power sources
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Actions taken
Equipment
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When choosing equipment do you consider the duration and extent of work
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Actions taken
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When choosing equipment do you consider the height and conditions at which work has to be done
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Actions taken
Maintenance
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Do you carry out a pre-use visual inspection - obvious defects in equipment
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Actions taken
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Do you have regular documented management inspections that takes into account the degree of use of equipment. In practise six monthly inspections are recommended
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Actions taken
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Do you have procedures in place for handling any defects found that would include repair or replacement
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Actions taken
Roof Work
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Is there edge protection to stop people or materials falling
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Actions taken
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Have you identified fragile materials such as cement sheets and roof lights
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Actions taken
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Have you taken precautions to stop people falling through fragile materials when working on the roof, eg by providing barriers, covers or working platforms
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Actions taken
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Are people kept away from the area below the roof work? If this is not possible, have additional precautions been taken to stop debris falling onto them
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Actions taken
Tools & Machinery
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Are the right tools or machinery being use for the job and all in good repair and operating correctly
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Actions taken
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Are all operators trained and competent<br>
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Actions taken
Hazardous Substances
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Have you identified all harmful substances and materials, such as asbestos, lead, solvents, paints
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Actions taken
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Do you ensure the chemicals/solvents that are used are safe for the operator and do not prevent a risk to the environment
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Actions taken
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Do you ensure the cleaning chemicals that are used are safe for the operator
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Actions taken
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Have you controlled exposure to hazardous substances by doing the work in a different way, to remove the risk entirely
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Actions taken
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Have you controlled exposure to hazardous substances by using a less hazardous material
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Actions taken
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Do you ensure that the work area is well ventilated when mixing cement materials
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Actions taken
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Do you provide suitable respiratory protection against dust
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Actions taken
Protecting the Public
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Is the work fenced off from the public
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Actions taken
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Are the public protected from falling material
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Actions taken
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When work has stopped for the day is the boundary secure and undamaged and all ladders removed
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Actions taken
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When work has stopped for the day is all plant immobilised to prevent unauthorised use
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Actions taken
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When work has stopped for the day are chemicals or dangerous substances locked away in secure storage places
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Actions taken
Hot Works
Hot Works Permit
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Has a risk assessment been carried out
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Are operatives trained in use of equipment
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Is area clear of all combustible materials
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Will a firewatcher be necessary & provided
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Have the correct type of fire extinguishers been provided and are fully charged and inspected
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Are flashback arresters fitted to gas cylinders
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Any Additional Precautions