Title Page

  • Name

  • Location
  • Date

  • Activity:

Tick confirms this has been carried out

  • Has the van been checked to ensure that first aid kit is present and is well stocked?

  • Does the van have suitable spillage matts or granules present in case of fluid spillage?

  • Have all machines being used been checked and serviced as per manufactures recommendations? If machinery not working correctly or damaged please inform manager

  • Have the fuel cans being used been checked for any damage? If fuel can is damaged do not use and inform manager

Tool Box Talk. Discuss relevant aspects of the job / site. Tick the boxes which are applicable to the job prior to work starting. Ticking the box ensures you and the team have considered and understand the health and safety considerations associated with the site, the public and machines being used.

Site & Location

  • Site Access

  • Signage

  • Slopes / Uneven Ground

  • Roads / Pathways

  • Overhead Power lines

  • Pulp Stacks

  • Weather conditions

  • Wildlife

  • Welfare


  • 3.44 Cut & Treat (Chain Saw / Herbicides)

  • W Coppicing (Chain Saw / Clearing Saw / Chipper)

  • X Treatment (Brushcutter)

  • M Treatment (Brushcutter)

  • H/L Treatment / Woody Weeds (Herbicides)

  • Species Pruning (Hedge Trimmers / Chippers)

  • Footpath Pruning (Hedge Trimmers / Chippers)

  • Hedge Cutting (Hedge Trimmers / Side Arm Flail / Shippers)

  • Tree Felling

  • Stump Treatment

  • Fertiliser Application

  • Litter Picking


  • PPE Required (Standard = Hi-Vis Top, Safety Work Boots, Work Trousers)

  • Chain Saws

  • Chipper

  • Strimmer / Brushcutter / Clearing Saw

  • Winches / Ropes/ Cables

  • Ladders and Step Ladders

  • Tractors

  • MEWP

  • Non-powered hand tools

  • Fuel / Petrol / Diesel / Oil

Main Hazards

  • Vibration

  • Noise

  • Manual Handling

  • Record Any Unexpected Hazards & Control Measures Applied, additional to the General Risk Assessment

Emergency Planning

  • Emergency Plan: (Dial 112)

  • What3Words Location

  • Acknowledged by all workers on site:
  • Signature

  • Date

Acknowledgment of changes to work site should be noted below (to be signed and dated by Supervisor each day of work including any changes to site

  • Changes

  • Signature of Supervisor

Incident Records

  • Send information to Health & Safety Manager

  • Record any minor incidents that have happened, including Near Miss, Unsafe Acts & Unsafe Conditions.

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.