Information

  • Risk Assessment site number

  • Conducted on

  • Prepared by

  • Location

1. Utilities and Permits & Pre Start

  • Are TCS plans on site?

  • Searches on site? Dial before you dig.

  • Is the permit to excavate on site if required?

  • Have utilities been identified?

  • Potholing required?

  • Have the relevant authorities been notified?

2. Plant and Equipment

  • Unsafe or damaged plant/equipment? (including missing or damaged guards)

  • Pre-start check list to be completed?

  • Plant/equipment in good condition?

  • Lack of safe work instructions?

  • Lack of training in safe operation, clean-up and maintenance?

  • Trained operators?

3. Lifting Equipment

  • Loads lifted over persons, close proximity to obstacles incl. overhead power lines?

  • Lack of maintenance and inspection?

  • SWL information displayed?

  • Unsafe or damaged lifting equipment, including ropes, slings, chains, hooks?

  • Trained operators?

4. Hazardous Chemical (including fuel and oil)

  • Are chemicals/fuel correctly labeled?

  • Spill kits on site?

  • Materials Safety Data Sheets not accessible on site?

  • 8.7. Insufficient ventilation?

  • 8.8. Insufficient, or incorrect, PPE?

5. Emergency Response

  • Lack of, or no emergency plans for site?

  • Location of utility providers phone numbers known.

  • Lack of, or inadequate first aid kits aid equipment for site?

  • Insufficient access to formally trained First Aiders for all shifts?

6. Traffic Management

  • TMC notified of implementation of ROL?

  • Adequate TMP and VMP on site?

  • Correct clearances from traffic adhered to?

  • Are staff and contractors crossing the road in a safe manner?

  • Has provisions been made for predestions?

  • Lack of training in TMP for all persons on site? <br>(contractors and visitors)

  • Inadequate controls for TMP? (physical barriers, bollards, speed limits, flashing lights, spotters, etc)

7. Personal Protective Equipment (PPE)

  • Lack of, or inadequate PPE (including sun protection)

  • Lack of PPE to be reported. Inspect, replace and monitor PPE?

  • Lack of training in safe use, clean-up and inspection of PPE?

  • Are hard hats required?

8. Work Environment

  • Insufficient lighting?

  • Lack of, or inadequate noise/ vibration control?

9. Manual Handling

  • Are staff trained in correct lifting procedures?

  • Team lifts for heavy items.

Ladders and Working at Heights

  • Are ladders in good condition?

  • Is the correct ladder being used?

9. Electrical Hazards

  • Unsafe electrical leads? (damaged, out of test date or untested)

  • Two competent staff on site when working live?

  • Lack of RCD protection?

  • Contact with underground assets?

  • Contact with overhead electrical lines? Spotter in place?

Excavations

  • Stock piles to be sandbagged at the end of the shift.

  • Are unattended hole and trenches covered and barricaded?

  • Silt and debris contained from waterways during heavy rain.

  • Access into deep excavations to be made safe via benching or shoring.

10. Environmental Hazards

  • Lack of/or inadequate Environmental Management plan (EMP)?

  • Saw cutting run of to be contained.

  • Has noise been considered for the local residents?

  • Waste removed from site at end of shift?

  • Fumes.

  • Is the site free of trip hazards?

  • Lack of/or inadequate, dust suppression system?

  • Lack of/or inadequate systems to prevent contaminants entering stormwater drains?

11. Administrative Procedures

  • Subcontractors inducted?

  • Is Site Safety Plan adequate.

  • Fatigue to be managed?

  • Failure to obtain permits?

  • Lack of, or inadequate, induction for workers, contractors, visitors?

  • Lack or, or inadequate, supervisory arrangements?

  • Lack of/or inadequate training, licenses, skills, experience?

  • Lack of/or inadequate Safe Work Method Statements (SWMS) for high- risk work?

  • Lack of/or inadequate incident notification procedures?

  • Lack of, or inadequate, routine inspections, monitoring, audits?

Corrective Actions

  • Enter any corrective actions that will/must be undertaken.

Sign Off

  • RMS/Client representative

  • Audit conducted by

Sign On Sheet

  • Angus

  • Ben

  • Bruce

  • Gary

  • Mark

  • Jordon

  • Reece

  • Rob

  • Additional workers to sign on here.

  • Touch to add
  • Sign & Name

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.