Title Page
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CLIENT
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INSTALLATION/RECOVERY DATE/TIME
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SITE ADDRESS
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QUOTE REFERENCE
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DATE AND TIME
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PREPARED BY
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INSTRUCTIONS:
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1. Fill out required fields and answer other questions as needed.
2. Add photos and notes/remarks by clicking on the paperclip icon.
3. To add a Corrective Measure, click on the paperclip icon then click on "Add Action". Provide a description, assign to a member, set priority and then set the due date.
4. Complete audit by providing a digital signature.
5. Share your report by exporting as PDF, Word, Excel or Web Link.
RISK RATING ACTION GUIDE:
• Insignificant (no action required)
• Low (action 6-12 mths)
• Medium (action 3-6 mths)
• High (immediate action)
SIGNIFICANT HAZARDS
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Working adjacent to water
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Keep away from edge of bank/beware of over-hanging banks *Life jackets must be worn* Crew must be capable of swimming
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RISK RATING
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Notes:
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take/upload photo as needed
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Handling contaminated panels
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Good standard of personal hygiene maintained. Request COSH H assessments from client.
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RISK RATING
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Notes:
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take/upload photo as needed
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Working in dark conditions
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Provide and use well placed artificial lights. Cease work until daylight
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RISK RATING
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Notes:
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take/upload photo as needed
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Use of Telehandler or Fork Lift Trucks
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Ensure all drivers are trained in operating the correct type of machine.
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RISK RATING
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Notes:
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take/upload photo as needed
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Laying & Retrieval of panels
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All operatives trained and competent in tasks carried out and equipment used.
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RISK RATING
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Notes:
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take/upload photo as needed
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Carrying out of lifting operations using vehicle mounted cranes
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Only qualified competent crane drivers, slingers and banksmen.
All operatives trained and competent in tasks carried out and equipment used -
RISK RATING
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Notes:
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take/upload photo as needed
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Working with third party/persons operated machinery
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Only qualified competent crane drivers, slingers and banksmen.
All operatives trained and competent in tasks carried out and equipment used -
RISK RATING
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Notes:
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take/upload photo as needed
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Moving Machinery and Plant
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Report our presence on site where possible keep to designated routes
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RISK RATING
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Notes:
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take/upload photo as needed
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Working in noisy areas/operating air guns
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Noise 84dB(A) - tool usage max 2 hours. Hearing protection available.
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RISK RATING
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Notes:
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take/upload photo as needed
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Laying panels using a lorry mounted crane adjacent to or under Overhead Power Lines
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Safe system of work in place
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RISK RATING
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Notes:
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take/upload photo as needed
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Petrol/Electric Disc Cutters
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Only trained persons to use disc cutters
High impact eye protection to be provided and used -
RISK RATING
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Notes:
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take/upload photo as needed
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Removing of damaged bolts/plates from panels
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Operative trained and competent in use of equipment.
Equipment checked and is in good working order. -
RISK RATING
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Notes:
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take/upload photo as needed
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Working adjacent to or on public roads
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Customer to supply traffic management.
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RISK RATING
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Notes:
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take/upload photo as needed
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Stockpiling materials
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Portable roadway to be stockpiled on site
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RISK RATING
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Notes:
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take/upload photo as needed
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Working over underground services
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Obtain information from client as to location of electrical cables, Gas pipes,Water pipes and Service cables.
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RISK RATING
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Notes:
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take/upload photo as needed
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Working on unstable ground
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Always check ground conditions before entering site.
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RISK RATING
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Notes:
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take/upload photo as needed
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Working in adverse weather conditions
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Cold/wet weather clothing provided
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RISK RATING
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Notes:
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take/upload photo as needed
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Working at height
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Ensure employees are trained in working at height and harness and lanyard are used.
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RISK RATING
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Notes:
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take/upload photo as needed
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Excavations
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Keep a safe distance from the edge of the excavation do not venture near to unsupported trenches.
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RISK RATING
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Notes:
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take/upload photo as needed
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Casual/Sub Contractor Labour
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All work must be planned, and only approved agencies is to be used.
Any task given must be subject to a toolbox talk. -
RISK RATING
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Notes:
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take/upload photo as needed
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Environmental issues
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Comply with legal requirements of Wildlife and Countryside Act 1981.
Countryside and rights of way act 2000.
All waste to be collected and stored then returned to the depot for disposal. -
RISK RATING
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Notes:
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take/upload photo as needed
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Working at Height (ladders, vehicles).
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Ladders must be inspected before use.
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RISK RATING
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Notes:
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take/upload photo as needed
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Using hand held tools/welding
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Tools must be inspected before use, always use the correct tool for the job.
Only trained and competent personal to use welding equipment. -
RISK RATING
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Notes:
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take/upload photo as needed
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Temporary Roads – Post Task Assessment
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All panels must be bracer plated in accordance with the correct method statement, Cloaking mats must be positioned correctly.
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RISK RATING
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Notes:
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take/upload photo as needed
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Rail
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Installing portable roadway up to 10m of the railway line.
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RISK RATING
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Notes:
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take/upload photo as needed
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Misuse of Drugs and Alcohol/Sleep Deprivation
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Drug and alcohol policy.
If affected Cease work and report to the office. -
RISK RATING
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Notes:
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take/upload photo as needed
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Transporting Loads
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Haulage to deliver additional panels to site.
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RISK RATING
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Notes:
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take/upload photo as needed
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Are there other Significant Hazard not mentioned above?
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Click "Add Significant Hazard"
Significant Hazard
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Specify Significant Hazard here
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RISK RATING
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Notes:
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take/upload photo as needed
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Are there any time Restrictions?
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Do you need to be inducted?
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Do you need to report to Client?
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PERSONS AFFECTED
- Employees
- General Public
- Visitors
- Young Persons
- Other
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Details:
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PPE REQUIREMENTS
- Head Protection
- Hi-Vis Vest / Jacket
- Eye Protection
- Gloves
- Boots
- Other PPE
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Details: As required by task
SIGN OFF
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Assessed by
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Date of Assessment
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Reviewed by
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Date of Review
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WERE THERE ANY ADDITIONAL HAZARDS FOUND AFTER THE INITIAL ASSESSMENT
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Click "Add Hazard"
Hazard
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Specify Hazard
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Control Measure Needed
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Crew Member: Click "Add Name"
Name
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Crew Member's Name and Signature
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IF ADEQUATE CONTROLS CANNOT BE IMPLEMENTED THEN YOU MUST NOT COMMENCE WORK.
