Site Specific Risk Assessment

• Scheme Name/Number

• RAMS Number

• Conducted on

  Date

• Prepared by

• Location
  Address

• Vehicle Registration

• Job Description

Activity

• Highways/Footpath

• Underground services

• Overhead services

• Contaminated land

• Excavations

• Confined spaces

• Lifting operations

• Hazardous substances

• Compressor/Air Tools

• Asbestos pipes

• Abrasive cut off tools

• Cranes

• Lorry Loader

• Excavators

• Winches

• Dumpers

• Vibrating equipment

• Removal of waste

• The Natural environment

• Moling/Grundomat

• Lone working

• Fault work

• Work in domestic property

• Manual handling

• undefined

• Do all team members hold a current Safety Passport with at least one member NRSWA and first aid trained?

  Yes

  No

  N/A

• Have all manual handling tests been addressed by Risk Assessment and operatives capability confirmed?

  Yes

  No

  N/A

• Does this assessment cover all activities taking place on site including Environmental Aspects?

  Yes

  No

  N/A

• Are all components of the Team Safety Pack current and available on site?

  Yes

  No

  N/A

• Have all team members been inducted and competency assessed?

  Yes

  No

  N/A

• Will the arrangements and control measures to be put in place ensure site safety?

  Yes

  No

  N/A

• Are all utility drawings on site, Electric, Cable, Gas, Water and BT available in colour?

  Yes

  No

  N/A

• Is all calibrated equipment including underground plant detection equipment in date and operational?

  Yes

  No

  N/A

• Is the team aware of HSG47 and the requirement to survey and mark all services on the ground?

  Yes

  No

  N/A

• Is the team aware of safe digging techniques? "No mechanical excavation within 500mm of services"

  Yes

  No

  N/A

• Are trial holes to be undertaken if required following Risk Assessment?

  Yes

  No

  N/A

• Are suitable welfare arrangements in place?

  Yes

  No

  N/A

• Is the appropriate PPE as identified and required by this assessment available on site?

  Yes

  No

  N/A

• Are there sufficient cones, signs and barriers on site to ensure safe working and protection of the public?

  Yes

  No

  N/A

• Have you assessed if there is a need to shore any excavation works?

  Yes

  No

  N/A

• undefined

TEAM MEMBERS AND VISITORS

• Name

• Name

• Name

• Name

• Name

• Name

• undefined

• undefined

Specific Risk Identified

• 1.

• 2

• 3

• 4

• 5

• 6

• 7

• 8

Who Might Be Harmed?

• MWS employees

• Sub-contractors

• Clients employees

• Members of the public

• Children

• Animal/Livestock

• undefined