Information
-
Document No.
-
Conducted on
-
Prepared by
-
Location
-
IF HIGH RISK HAZARDS ARE IDENTIFIED AND CANNOT BE CONTROLLED THEN DO NOT START WORK AND REPORT TO YOUR SUPERVISOR
-
THE LOCATION
-
Have you identified all foreseeable hazards at the location?<br>(e.g. Slips trips and falls, live services, traffic, adjacent works, weather, noise etc)
-
Is there safe access/egress for persons/ plant to the work area ?<br>(e.g. Guarding, edge protection, signage, free from obstructions, designated routes with pedestrian and vehicle segregation)
-
Is there suitable lighting to complete task safely <br>(e.g. Existing, temporary etc)
-
Is a exclusion zone required to protect others.<br>(e.g. using other areas of sports halls, working etc.)<br>If YES an exclusion zone will be required <br>
-
Is there a safe and secure location for storing tools and equipment when not being used?<br>(e.g. preventing objects overturning, collapsing, insecure loading, stacking and storage)
-
THE TASK
-
Have you and other people involved the required training, knowledge and experience to undertake the task safely?
-
Are all appropriate tools and equipment to complete the task in good condition, safe inspected and in date?<br>(e.g. power tools PAT tested, steps, work platforms, ladders etc.)
-
Is monitoring of Hand Arm Vibration (HAVS) being carried out?
-
Have you the appropriate PPE to undertake task?<br>(e.g. eye protection, gloves, dust masks, ear protection, safety footwear, high viz clothing.)
-
Does the work require a permit to work?<br>(e.g. Hot works, work at height, electrical isolation etc.)
-
Does it require COSHH assessments for hazardous substances?
-
Have you briefed all your colleagues involved in task?
-
Are you satisfied that works can start and continue safely?<br>If NO, do not start task, inform your supervisor/line manager
-
Enter names of other persons involved and briefed in task:
-
Add signature
