Title Page
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POWRA HAZARD - Something with potential to cause harm / accident
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1) Think through your work.
2) List the Main HAZARDS you will encounter, e.g Falling from height
3) Decide on the Potential Injury for each Hazard. e.g. Falling from height = Fatal / Fracture
4) Fill in Section 3 with each Hazard in turn judging the most likely outcome
5) List Controls for the Hazard e.g. Electricity - Isolate
6) Talk them through with the team and get feed back -
Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Before you start - Check list
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Activity :-
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Are Lone Working Procedures being followed ?
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Are you trained and competent
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Have you done the Job before ? (Consider your competency and complacency )
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Do you have the correct tools for the task ?
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Have all the Life Saving Rules been met ?
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Do you have the correct documentation for the job ?
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Have you got the correct PPE
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All Tools and Equipment in good Order ?
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Have All scaffolds and Ladders been inspected. ?
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Have all lifting Equipment been checked - Certified - and in date ?
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IF YOU HAVE ENTERED NO TO ANY OF THE ABOVE LOOK AT ACTIONS / REPORT TO SUPERVISOR.
Before Starting Work - Hazard Check
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Before Starting Work - Hazard Check
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Slips Trips or falls on the same level
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Entry into confined spaces ?
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Falls from height ?
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Dust ?
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Falling / Flying Objects
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Fumes
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Chemicals / Harmful substances
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Noise
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Heat / Fire / Explosion
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Vibration
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Electricity
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Risk to plant
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Contact with stationery Object
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Contamination (Loose / Airborne / Contact )
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Object Overturning / Collapsing
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Poor Lighting
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Manual Handling
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Adverse Weather
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Temperature ( High / Low )
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Stored energy or insecure load
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Vehicles
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Un-certified equipment (Check all Equipment)
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Risk to you from work of others
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Risk to Others from your Work
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Others - Please add.
Additional Safety Assessments
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Hazard from section 2 - Hazard 1
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Control Measure
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Residual Risk High - Medium - Low
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Hazard from section 2 Hazard 2
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Control Measures
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Residual Risk High - Medium - Low
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Take Photo of Work Group Briefed.
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Signature
