Information
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Site conducted
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Project
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Task
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Customer / Site
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Location
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Actioned by
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Date
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Document No.
Part 1 - Stop For A Moment
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This Dynamic Risk Assessment is only suitable for short duration (1 day), low hazard tasks. It is essential that it is completed in it's entirety and before starting work. The risk assessment must be task and site specific and carried out where the tasks is to be completed. You must be trained to carry out risk assessments to be able to undertake this dynamic risk assessment. If you are unsure on any part of carrying out the risk assessments and that the residual risk is low, take advice from Tom Mickleburgh or contact your competent Health & Safety Practitioner.
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Is the work area barriered off with signage?
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Is the task clearly defined and is the right documentation and instruction in place and been briefed to those carrying out the work?
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Have all personnel carrying out the tasks had sufficient training and, been approved as a competent person to perform the tasks?
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Are the required permits to work, power isolation, emergency plans and temporary warning signs in place?
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Do all personnel have the appropriate Personal Protective Equipment for the job and been trained in it's use?
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Is all equipment including hand tools, power tools and extension leads in good condition and tested where applicable (e.g. PAT tested)?
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Have all access equipment been inspected/tested (in date thorough examination & pre-use inspection today)?
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If you have answered 'NO' to any of the above, take the required action or report it to Tom Mickleburgh / Client Supervisor for advice - If in doubt always ask!
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No of workers
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Name of Supervisor
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Equipment to be used:
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Materials to be used
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List COSHH Assessments required:
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Safe System of Works, Method Statement. Describe how the task is to be carried out:
Part 2 - Think
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What Are The Hazards? & are they sufficiently controlled,- detail controls in place in the notes section.
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Offloading
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Vehicles
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Slips, trips or falls on the same level
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Falls from height
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Falling / flying objects
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Heat / fire / explosion
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Risk from plant
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Contact with moving object
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Overturning / Collapsing
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Risk to you from the work of others
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Risk to the environment (e.g. spillages & releases)
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Dust / fumes
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Asbestos
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Substances Hazardous to Health
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Noise
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Vibration
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Electricity
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Live Services e.g. Electricity / Gas / Water/ Sprinkler etc...
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Poor lighting
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Adverse Weather (e.g. high winds, wet, cold)
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Pinch / trapping points
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Risk to others from your work
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Management of waste materials
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Sharps (e.g. needles and blades)
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Sources of infection (e.g. Leptospirosis & Legionella)
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Lone working
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Others (specify)
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Mandatory PPE: Safety Helmet BS EN 397: 2012 & BS EN 12492: 2012, Safety Boots BS EN345, Hi visability vest / jacket EN 471, Gloves EN388 & Light Eye Protection EN166
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List additional PPE required for this task, mandatory listed above
Part 3 - Act
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Additional Safety Assessment
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Hazards (If selected previously as not sufficiently controlled, what more needs to be done to keep the risk low?
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Additional control Measures / precautions you have taken
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Remaining Risk*
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* If 'High' or 'Medium' additional precautions are needed - no task should be undertaken with a 'Medium' or 'High' risk remaining
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Name of person who has completed this Dynamic Risk Assessment
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Name
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Signature:
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Date and time
Briefing Sheet
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I confirm that I have read and understood this method statement, all the risk assessments and COSHH assessments listed within this document and I agree to abide by this method of work. I also understand that I am responsible to ensure that I wear all the stated PPE and will cease work immediately if I am not in possession of any of the items, immediately contact the site manager and attain the missing item/s before returning to work.
If this SSOW cannot be adhered to stop work, reassess, amend and gain approval prior to re-commencing. -
Name
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Signature
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Name
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Signature
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Name
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Signature
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Name
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Signature
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Name
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Signature
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Name
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Signature
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Name
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Signature
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Name
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Signature
