Site Risk Assessment

Stop! Think! Prepare!

• Site
  Address

• Claim No.

• Insured Surname

• Date / Time

  Date

• Prepared by

Site Stop Go Questions

• If NO is answered to any of the following 6 questions or if there is a threat to your immediate safety:
  - DO NOT CONDUCT THE ACTIVITY, and
  - CONTACT YOUR MANAGER FOR FURTHER INSTRUCTION

• Do I understand the activity I am here to do?

  Yes

  No

• Is the site free of local council or authority entry prohibitions?

  Yes

  No

• Is there safe road / driveway access for you to enter the site?

  Yes

  No

• Have I surveyed the site before entering to ensure there are no threats to my safety (animals, fallen powerlines, threatening person/s)?

  Yes

  No

• Do I have the appropriate PPE for this activity?

  Yes

  No

• Do I have the appropriate licence, training and competency to conduct this activity?

  Yes

  No

Weather and Environmental Conditions - Plan before you commence

• Will weather/environmental conditions increase the risk of this activity?

  Yes

  No

• If NO is answered to any of these specific questions or if there is a threat to your immediate safety and where you are unable to eliminate or mitigate the risk to undertake the activity safely:
  - DO NOT UNDERTAKE THE ACTIVITY, and
  - CONTACT YOUR MANAGER FOR FURTHER ADVICE

• If you are exposed to the sun, are you taking adequate rest breaks, keeping hydrated and wearing PPE?

  Yes

  No

  N/A

• If you are exposed to rain are you confident there isn't a heightened risk of injury caused by, for example, a slippery surface?

  Yes

  No

  N/A

• If you are exposed to wind are you confident there isn't a heightened risk of, for example, falling from height or debris flying from trees or damaged property?

  Yes

  No

  N/A

• Are you confident you are not exposed to atmospheric dust at the site? (not asbestos)

  Yes

  No

• Are you confident you are not at risk of any potential allergens in the atmosphere?

  Yes

  No

Vehicular and Pedestrian Traffic - Plan before you commence

• Is Vehicular or Pedestrian traffic a risk associated with this activity?

  Yes

  No

• If NO is answered to any of these specific questions or if there is a threat to your immediate safety and where you are unable to eliminate or mitigate the risk to undertake the activity safely:
  - DO NOT UNDERTAKE THE ACTIVITY, and
  - CONTACT YOUR MANAGER FOR FURTHER ADVICE

• If there are vehicles on site, are they using safe routes or roadways?

  Yes

  No

  N/A

• If there are pedestrians on site, are they using safe routes?

  Yes

  No

  N/A

• Are you confident you are not at risk of getting hit by a moving vehicle or the object it may be towing?

  Yes

  No

• Are you confident there is no risk of any vehicular or pedestrian activity impacting upon your safety?

  Yes

  No

Sharp Objects that may penetrate skin - Plan before you commence

• Are there any hazards associated with sharp objects that may penetrate your skin?

  Yes

  No

• If NO is answered to any of these specific questions or if there is a threat to your immediate safety and where you are unable to eliminate or mitigate the risk to undertake the activity safely:
  - DO NOT UNDERTAKE THE ACTIVITY, and
  - CONTACT YOUR MANAGER FOR FURTHER ADVICE

• Have you inspected the site for syringes, glass, nails, damaged metal or other sharp edged objects?

  Yes

  No

• Can you undertake the activity safely?

  Yes

  No

Hazardous Material - Plan before you commence

• Is there a risk of hazardous materials - chemical or biological on site?

  Yes

  No

• If NO is answered to any of these specific questions or if there is a threat to your immediate safety and where you are unable to eliminate or mitigate the risk to undertake the activity safely:
  - DO NOT UNDERTAKE THE ACTIVITY, and
  - CONTACT YOUR MANAGER FOR FURTHER ADVICE

• Are you satisfied that there are no chemicals or biological hazards stored?

  Yes

  No

• Are you satisfied that you are not at risk of inhaling, ingesting or being contaminated with chemical or biological hazards?

  Yes

  No

• Can you undertake the activity safely?

  Yes

  No

Slip, Trip and Fall

• Are there areas that you have identified that may cause slip trip or falls?

  Yes

  No

• If NO is answered to this specific question or if there is a threat to your immediate safety and where you are unable to eliminate or mitigate the risk to undertake the activity safely:
  - DO NOT UNDERTAKE THE ACTIVITY, and
  - CONTACT YOUR MANAGER FOR FURTHER ADVICE

• Can you safely clear the cause of the hazard on your intended path or identify an alternate path?

  Yes

  No

Excessive Noise - Plan before you commence

• Are you exposed to excessive noise?

  Yes

  No

• If NO is answered to any of these specific questions or if there is a threat to your immediate safety and where you are unable to eliminate or mitigate the risk to undertake the activity safely:
  - DO NOT UNDERTAKE THE ACTIVITY, and
  - CONTACT YOUR MANAGER FOR FURTHER ADVICE

• Are you confident you will not be exposed to excessive noise for a prolonged period of time?

  Yes

  No

• Are you equipped with earplugs?

  Yes

  No

• Do they sufficiently reduce the noise to enable you to undertake the activity safely?

  Yes

  No

Electrical Hazard - Plan before you commence

• Am I likely to encounter electrical hazards (exposed/damaged parts/wiring and or moisture affected electrical components)?

  Yes

  No

• If NO is answered to any of these specific questions or if there is a threat to your immediate safety and where you are unable to eliminate or mitigate the risk to undertake the activity safely:
  - DO NOT UNDERTAKE THE ACTIVITY, and
  - CONTACT YOUR MANAGER FOR FURTHER ADVICE

• Have you inspected the area for live parts/wires?

  Yes

  No

• Are you confident that water/moisture has not compromised electrical safety?

  Yes

  No

• Can you undertake the activity safely?

  Yes

  No

Manual Handling - Keep the load close to your body, bend your knees not your back, lift in one steady movement, avoid twisting the upper body and long reaches.

• Will there be manual handling involved with this activity?

  Yes

  No

• If NO is answered to any of these specific questions or if there is a threat to your immediate safety and where you are unable to eliminate or mitigate the risk to undertake the activity safely:
  - DO NOT UNDERTAKE THE ACTIVITY, and
  - CONTACT YOUR MANAGER FOR FURTHER ADVICE

• Have you assessed that the load is a size and weight within your capability to manage?

  Yes

  No

• Where possible, have you determined whether you can break the load into smaller loads?

  Yes

  No

• Have you checked, where necessary, if there is a mechanical aid such as a trolley or lifting device you can utilise?

  Yes

  No

• Where possible, have you asked for assistance or a team lift?

  Yes

  No

Other on site hazards - Plan before you commence

• Have you identified any other hazards on site?

  Yes

  No

• If NO is answered to this specific question or if there is a threat to your immediate safety and where you are unable to eliminate or mitigate the risk to undertake the activity safely:
  - DO NOT UNDERTAKE THE ACTIVITY, and
  - CONTACT YOUR MANAGER FOR FURTHER ADVICE

• Are you confident that there is no risk of being injured?

  Yes

  No