Site Details

  • Document No.

  • Client

  • Name of Subcontractor

  • Conducted on

  • Prepared by

  • Location
  • Workers on site: (Include their name)

Risk assessment

  • 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)

  • Are all workers are trained and experienced to carry out the job?

  • Is site is being supervised by competent/ RSA21 Trained person ?

  • Do you have valid work permit of this job? If (applicable)

  • Have you obtained Updated utility drawings of the area? (If applicable)

  • Is team is fully equipped with required tools?

  • Are all tools maintained and in good working condition?

  • Is there adequate lighting on site while operatives are working?

  • Have you checked for any critical infrastructure adjacent to site? (Hospital, Fuel station, school, kindergarten, railway track , bus stop, pub club etc)

  • Is there first aid box, qualified first aider available to deal with emergency?

  • Do you have portable fire extinguisher with normal pressure available on site?

  • Are there SDS (Safety Data Sheets available on site) ? Fuel and chemicals

  • Have you checked for emergency response facilities nearby? (Hospital).

  • Have you taken members of public/ road user safety into account? Clear footway for pedestrians is available as per RSA21

  • Do you have appropriate arrangements for Underground Buried services identification? To avoid Utility strike/damage

  • Do you have enough barrier cones , trench covers to safe and guard the work area properly?

Close out

  • I confirm that Risk assessment has been conducted thoroughly and appropriate safety measures have been taken to perform the task safely.

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.