Title Page
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Document No.
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Pre-start risk assessment
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Site address
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Conducted on
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Prepared by
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This checklist is used to help identify site hazards and works in conjunction with your safe work method statement. Site specific hazards: Contractors and sub-contractors must identify hazards that are not listed in your safe work method statements ( list them in your comments section of the hazards assessment). You must consult with your workers regarding these hazards.
Trades
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Please select what trade you are from the drop down list below.
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Please read and review the following safe work method statement.
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Please read and review the following safe work method statement.
HAZARDS. Tick the hazards that will hurt you on site.
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Services (Underground or Overhead)
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Traffic
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Public
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Clear site access
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Sharp objects
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Other Trades
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Falls from height
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Slips and trips
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Other
ACTIONS
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Take a photo of the hazards
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List other hazards
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What have you done to minimise the hazards? Write them down.
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I acknowledge and understand the safe work method statement and site risk assessment. I am the person responsible to implement or change the SWMS in accordance with the work.
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Worker on site sign off:
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Worker on site sign off:
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Worker on site sign off:
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Worker on site sign off:
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Worker on site sign off: