Shadbolt Rope Access Ltd Risk Assessment and Method Statement (RAMS) Form

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Job Number

• Job Type

  Install New

  Install Existing

  Service

• Select date

  Date

• Operatives on site

• Is this a Window cleaning task?

  Yes

  No

  N/A

• If it is not Window cleaning ?

  Duct work cleaning

  Maintenance work

  Glazing fitting/removal

  Misc

The following information constitutes an on-site risk assessment for the job. A Method Statement is also required.

• Access to height is via?

• Via Velux window or rooflight Sky SAT procedures with roped access techniques in use.

• Ladder. With minimum control measures ( sky's fall arrest systems, eye bolting ML and LM or equivalent from the Ladder Hierarchy.

• Via dormer Sky SAT procedures as trained with roped access techniques in use.

• Other means ( give details below ) Specify minimum control measures required.

• Additions to or variations from standard control measures. Any other relevant information- Please specify clearly.

• Which (if any) ladders are to be used? Select all required.
  NOTE: All PPE and ladder hierarchy should be used as minimum control measure.

• 8 rung ladder

• Single section

• Double section

• Triple section

• DAT roof ladder

• Combi ladder

• If anchor points are needed for Roped Access are they:

• Existing and Fixed ( and in date and granted permission to use?)

• Temporary - e.g. 20mm eyebolt (primary & back up?)

• Part of the building structure- Checked and verified by both Engineers?

On-site identified hazards.

• Can the following Hazards identified be removed. If hazard is not present select N/A

• Adverse weather

  Yes

  No

  N/A

• Third parties

  Yes

  No

  N/A

• Existing equipment

  Yes

  No

  N/A

• Garden Hazards

  Yes

  No

  N/A

• Ground Hazards

  Yes

  No

  N/A

• Any other Hazard ( give details below)

  Yes

  No

  N/A

• Additional Hazard information

• Can Hazards be controlled or minimised?

  Yes

  No

  N/A

• If Hazards cannot be controlled or minimised then they must be escalated (give details below)

Method Statement.

• A clear and detailed method for carrying out the work must be recorded here before the work commences. Items to be covered include site details, pre job preparation, roof type (flat/sloping(give apps angles)); rescue considerations (if standard rescue techniques say so, otherwise specify in detail). The method statement should have sufficient detail to allow another team to understand how they would carry out the work. Add photos/draw diagrams as necessary to illustrate.

• Add media

  Media

• Add drawing

  Drawing

• Both Operatives must sign before work commences.

• Operative leader 1

  Sign

• Operatitve 2

  Sign