V4 Pre start risk assessment

• Conducted on

  Date

• Job Number

• Prepared by

• Location
  Address

• Consider the task and site specific conditions and Identify All Hazards that you can reasonably foresee during today's work

  Select Electrical Live Working Electricity Manual Handling Work at Height Battery Work Lone Working Slips, Trips and Falls Dust Fire/Fire Suppression systems Asbestos Sharp Edges Portable Power Tools Confined Spaces Noise Hot or cold working environment Other contractors, Visitors in the work area Other Hazards not previously Identified

  • Electrical Live Working
  • Electricity
  • Manual Handling
  • Work at Height
  • Battery Work
  • Lone Working
  • Slips, Trips and Falls
  • Dust
  • Fire/Fire Suppression systems
  • Asbestos
  • Sharp Edges
  • Portable Power Tools
  • Confined Spaces
  • Noise
  • Hot or cold working environment
  • Other contractors, Visitors in the work area
  • Other Hazards not previously Identified

• Can the control measures stated in the "Risk 001" Risk Assessment document be implemented for each hazard you have identified?

  No

  Yes

• Can alternative control measures be put in place to ensure risk is reduced to an acceptable level?

  No

  Yes

• STOP! Stand Back Get Help.

• Please state the measures to be used to control the risk to an acceptable level.

• Put control measures in place and continue.

• Do other hazards not previously identified exist?

  No

  Yes

• Please document the Hazard identified.

• Please identify the control measures you will put into place to ensure work can be completed safely

• Are all control measures in place and can the work now continue safely

  No

  Yes

• STOP! Stand Back Get Help

• Proceed to the next section

Communication of Hazards and Controls

• Has a pre-start meeting been held and are all members of the work party aware of the control measures that are to be implemented to ensure safety during the work to be completed.

  No

  Yes

• STOP! Stand Back Get Help

• Please ask all work party members to sign to confirm they have been made aware of the hazards and control measures and will implement all stated control measures during the work

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Please continue to the next question

• Are all control measures in place and can the work now continue safely

  No

  Yes

• Stop! Stand Back get Help

  No

  Yes

• Continue to next section

Communication of Hazards and Controls

• Has a pre-start meeting been held and are all members of the work party aware of the control measures that are to be implemented to ensure safety during the work to be completed.

  No

  Yes

• Stop! Stand back get help

  No

  Yes

• Please ask all work party members to sign to confirm they have been made aware of the hazards and control measures and will implement all stated control measures during the work

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign