Safety Assessment

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

Point of Work Risk Assessment

• Task

• Do you have the right documentation for the job?

  Yes

  No

  N/A

• Do you have the right PPE for the job?

  Yes

  No

  N/A

• Are the power tools and leads tested?

  Yes

  No

  N/A

• Are ladders inspected?

  Yes

  No

  N/A

• Is there safe access?

  Yes

  No

  N/A

• If you have answered 'No' to any of the above, take the required action to report to your supervisor for advice

• SAFETY ASSESSMENT If a hazard is present tick the box, circle any you think are inadequately
  controlled and complete Part 3. If the hazards can be satisfactorily controlled and the task is
  repetitive, and no new hazards have been introduced, then you may re-validate the assessment
  using the date box in Part 4 as an alternative to completing a new assessment each day.

• Slip, trip or falls on the same level

  Yes

  No

  N/A

• Entry into a confined space

  Yes

  No

  N/A

• Falls from height

  Yes

  No

  N/A

• Falling / flying objects

  Yes

  No

  N/A

• Chemical / harmful substances

  Yes

  No

  N/A

• Heat / Fire / Explosion

  Yes

  No

  N/A

• Asphyxiation / Drowning

  Yes

  No

  N/A

• Dust / Fumes

  Yes

  No

  N/A

• Asbestos / MMMF

  Yes

  No

  N/A

• Noise

  Yes

  No

  N/A

• Vibration

  Yes

  No

  N/A

• Electricity

  Yes

  No

  N/A

• Risk to plant

  Yes

  No

  N/A

• Radiation (ionising & non-ionising)

  Yes

  No

  N/A

• Contact with stationary object

  Yes

  No

  N/A

• Contamination (loose / airborne)

  Yes

  No

  N/A

• Object overturning / collapsing

  Yes

  No

  N/A

• Poor lighting

  Yes

  No

  N/A

• Manual handling

  Yes

  No

  N/A

• Temperature

• Stored energy or insecure load

  Yes

  No

  N/A

• Adverse weather

  Yes

  No

  N/A

Vehicles

• Pinch / trapping points

  Yes

  No

  N/A

• Risk to you from the work of others

  Yes

  No

  N/A

• Risk to others from your work

  Yes

  No

  N/A

• Other(s) (specify)

Additional Safety Assessment

• Hazard