Title Page
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Job Number:
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Site/ Task:
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Date:
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Site 1:
Hazard Check
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Will the planned activities present a hazard <br>to the public & others?
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Why is it high?
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Why is it medium?
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why is it low?
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why is it insignificant?
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Do you have adequate information, RAMS <br>& COSHH assessments to complete the task?
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why is it high?
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why is it medium?
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why is it low
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why is it insignificant?
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Do you have adequate plant and equipment <br>to complete the task?<br>
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why is it high?
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why is it medium?
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why is it low
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why is it insignificant?
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Workplace guarding and protection
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why is it high?
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why is it medium?
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why is it low
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why is it insignificant?
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Underground/ Overhead Services
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why is it high?
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why is it medium?
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why is it low
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why is it insignificant?
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Enclosed/ Confined space working
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why is it high?
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why is it medium?
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why is it low
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why is it insignificant?
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Access to from site
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why is it high?
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why is it medium?
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why is it low
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why is it insignificant?
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Working Space
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why is it high?
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why is it medium?
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why is it low
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why is it insignificant?
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Level of PPE required
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why is it high?
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why is it medium?
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why is it low
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why is it insignificant?
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Emergency Procedures
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why is it high?
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why is it medium?
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why is it low
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why is it insignificant?
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Weather Conditions
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why is it high?
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why is it medium?
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why is it low
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why is it insignificant?
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Environmental Risks (i.e. damage resulting <br>from doing the work)
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why is it high?
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why is it medium?
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why is it low
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why is it insignificant?
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Noise & Nuisance
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why is it high?
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why is it medium?
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why is it low
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why is it insignificant?
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COVID-19
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why is it high?
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why is it medium?
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why is it low
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why is it insignificant?
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Other hazards e.g. manual handling, <br>hazardous substances, etc.
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why is it high?
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why is it medium?
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why is it low
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why is it insignificant?
Untitled Page
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Step 2: Action Required:
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Step 3: Additional Control Measures:
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Step 4: Review:
- Work may proceed without any additional control measures
- Work is safe to proceed with the additional control measures above
- Unsafe to proceed/ job 'stop', or 'abort' & Supervisor Informed
