Checklist
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Document No.
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Client
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Conducted on
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Prepared by
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Location
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Personnel
Risk assessment
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Does team have all required PPEs to complete this Job safely? <br>(Safety Helmets , Safety Gloves, Safety Masks, Ear Protectors, safety goggles, high visibility dress and safety shoes)
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Are all workers are trained and experienced to carry out the job?
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Is site is being supervised by competent/ senior person?
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Do you have valid work permit of this job? If (applicable)
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Have you obtained Updated utility drawings of the area? (If applicable)
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Is team is fully equipped with required tools?
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Are all tools maintained and in good working condition?
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Is there adequate lighting on site whilst operatives are working?
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Have you checked for any critical infrastructure adjacent to site? (Hospital, Fuel station, school, chemical depot, railway track , bus stop, pub club etc)
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Is there first aid box, qualified first aider available to deal with emergency?
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Do you have portable fire extinguisher with normal pressure available on site?
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Are there sufficient arrangements in place to ensure workers safety? Extreme weather, hazardous gases , fumes and dust, noise above acceptable limit?
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Are there SDS (Safety Data Sheets available on site) ? Fuel, fibre cleaning chemical ?
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Have you checked for emergency response facilities nearby? (Hospital).
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Have you taken members of public/ road user safety into account?
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Do you have appropriate arrangements for Underground Buried services identification?
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Do you have enough barrier to guard the work area properly?
Close out
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I confirm that Risk assessment has been conducted thoroughly and appropriate safety measures have been taken to perform the task safely.
