Title Page
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Document No.
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Conducted on
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Location
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Person undertaking assessment:
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Site/Location
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Full Description of Task/Activity:
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Provide details of people affected by the activity:
- Employees
- Contractor/Sub-contractor
- Visitor
- Public
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Personnel Involved with the Task/Activity:
Task Assessment
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IT IS IMPORTANT THAT ALL PERSONNEL INVOLVED IN THE WORK ACTIVITY/TASK PARTICIPATE IN THE TOOLBOX TALK/TASK ASSESSMENT
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Identify ALL hazards present:
- Electricity
- Machinery/Plant/Equipment
- Moving & Handling
- Work Environment
- Noise
- Vibrating Tools
- Hot Works
- Fire/Expolsion
- Confined Space
- Excavations
- Access/Egress
- Work at Height
- Lifting Operations
- Pressure Systems
- Vehicles/Traffic
- Combustible Liquids/Gases
- Hazardous Substances
- Fume/Dust
- Pollution
- Asbestos
- Work on/over water
- Other
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Provide details of ALL hazard(s) not listed:
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Identify ALL risks associated with the hazards:
- Electric Shock
- Burns
- Fall from Height
- Entrapment
- Crush Injury
- Nip Injury
- Musculoskeletal Injury
- Strain
- Slip
- Trip
- Fall (same level)
- Sprain
- Bruising
- Noise Induced Hearing Loss
- Deafness
- Tinitus
- Nerve Damage
- Cold
- Vibration White Finger
- Fire
- Spark
- Oxygen Depletion
- Heat Exhaustion
- Drowning (liquid and solid)
- Ground Collapse
- Smothering
- Fracture
- Concussion
- High Pressure Injury
- Striking Injury
- Poisoning
- Respiritory Injury
- Other
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Provide details of ALL risks not listed:
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Provide details of all measures taken to control the hazard(s):
- Electrical lock-out and prove dead
- Follow safe systems of work, procedures, instructions
- Work carried out by competent person
- Machinery guards in place
- Interlock safety devices in place
- Wearing of hearing protection
- Wearing of appropriate gloves for the activity
- Wearing of eye/face protection
- Wear hard hat
- Use mechanical aid(s)
- Use correct lifting techniques
- Share the load with colleague
- Reduce load size/split load
- Switch machinery off
- Remove power supply
- Have fire extinguishers available
- Remove flammable materials
- Prove and confirm confined space is safe to enter
- Use working platform
- Lift supervisor controls lifting activity
- Drain down pressure systems
- Remove pressurised cylinders from area
- Close all valves
- Store flammable materials and gases appropriately
- Use banksman for vehicle movements
- Use signaller for lifting operations
- Use RCD on electrical equipment/installations
- Use battery operated tools and equipment
- Use low voltage equipment (110v)
- Vehicles to have reverse alarms fitted
- Vehicles to have warning beacons
- Hi-Viz clothing to be worn
- COSHH assessments undertaken
- Ensure sufficient ventilation in place
- Respiritory protective equipment to be worn
- Lifejacket to be worn
- Thermal clothing worn
- Information, instruction, training and supervision provided to all persons
- Communication systems in place
- Drowning
- Cold water shock
- Hypothermia
- Other
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Provide details of additional controls implemented:
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Are the controls taken adequate to control risks associated with this task?
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If the answer is NO, a full risk assessment MUST be conducted for the work activity.
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Provide details of all safety equipment to be used, personal protective equipment (PPE) and respiratory protective equipment (RPE) to be worn and work instructions to be followed:
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Provide detail of all personnel involved in the task assessment/toolbox talk.
Person
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Signature:
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Insert appropriate photos.
