Assessment Details

  • Risk Assessment Completed By

  • Operative completing job

  • 2nd Operative onsite

  • Date & Time

Job Details

  • Location
  • Job Details (Take a photo of 1st page on click)

  • Meter Location (OSB, Kitchen, Hall etc)

  • Has the ladder restraint system been installed

  • Are weather conditions suitable

PPE

  • Safety Footwear

  • Hard Hat

  • Manual Handling Gloves

  • Toolbelt

Hazards

  • Ladder has been inspected, securely locked in position, and deemed appropriate for the task

  • Is the work site in a hazardous area e.g. open pit, restricted space,

Ground Level

  • Are there any obstructions around the position of the work site?

  • Provide details and a photo if safe to proceed

  • Is there any traffic

  • Are barriers, cones & Hi-Viz required

  • Confined space

  • Additional controls required e.g. emergency rescue procedure

Overhead

  • Overhead obstructions e.g. overhead lines

Photo

  • Please take a stand back photo of the worksite

  • Additional Comments

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.