Information

  • Job Number

  • Address

  • Conducted on

  • Prepared by

  • Location

General Hazards

  • Do you ensure that there are no trip hazards to the general public presented by trailing cables/equipment by cordoning off and displaying signs

  • Actions taken

  • Do you ensure that there are no slip hazard presented from wet pathways/walkway to general public by cordon and signage

  • Actions taken

  • Do you ensure that the operators are wearing PPE

  • Actions taken

  • Do you ensure there is no electrocution hazard from working near to power sources

  • Actions taken

Equipment

  • When choosing equipment do you consider the duration and extent of work

  • Actions taken

  • When choosing equipment do you consider the height and conditions at which work has to be done

  • Actions taken

Maintenance

  • Do you carry out a pre-use visual inspection - obvious defects in equipment

  • Actions taken

  • Do you have regular documented management inspections that takes into account the degree of use of equipment. In practise six monthly inspections are recommended

  • Actions taken

  • Do you have procedures in place for handling any defects found that would include repair or replacement

  • Actions taken

Roof Work

  • Is there edge protection to stop people or materials falling

  • Actions taken

  • Have you identified fragile materials such as cement sheets and roof lights

  • Actions taken

  • Have you taken precautions to stop people falling through fragile materials when working on the roof, eg by providing barriers, covers or working platforms

  • Actions taken

  • 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

  • Actions taken

Tools & Machinery

  • Are the right tools or machinery being use for the job and all in good repair and operating correctly

  • Actions taken

  • Are all operators trained and competent<br>

  • Actions taken

Hazardous Substances

  • Have you identified all harmful substances and materials, such as asbestos, lead, solvents, paints

  • Actions taken

  • Do you ensure the chemicals/solvents that are used are safe for the operator and do not prevent a risk to the environment

  • Actions taken

  • Do you ensure the cleaning chemicals that are used are safe for the operator

  • Actions taken

  • Have you controlled exposure to hazardous substances by doing the work in a different way, to remove the risk entirely

  • Actions taken

  • Have you controlled exposure to hazardous substances by using a less hazardous material

  • Actions taken

  • Do you ensure that the work area is well ventilated when mixing cement materials

  • Actions taken

  • Do you provide suitable respiratory protection against dust

  • Actions taken

Protecting the Public

  • Is the work fenced off from the public

  • Actions taken

  • Are the public protected from falling material

  • Actions taken

  • When work has stopped for the day is the boundary secure and undamaged and all ladders removed

  • Actions taken

  • When work has stopped for the day is all plant immobilised to prevent unauthorised use

  • Actions taken

  • When work has stopped for the day are chemicals or dangerous substances locked away in secure storage places

  • Actions taken

Hot Works

Hot Works Permit

  • Has a risk assessment been carried out

  • Are operatives trained in use of equipment

  • Is area clear of all combustible materials

  • Will a firewatcher be necessary & provided

  • Have the correct type of fire extinguishers been provided and are fully charged and inspected

  • Are flashback arresters fitted to gas cylinders

  • Any Additional Precautions

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.