Venue One Man Operations

• Document No.

• One Man Operations

• Venue

• Conducted on

  Date

• Conducted by

• Location
  Address

• Personnel

Staff

• Have any staff resigned and in their final weeks at work?

  Yes

  No

  Not Applicable

• Are any staff in their probationary period?

  Yes

  No

  Not Applicable

• Do any staff have a significant medial condition which would prevent them from working alone?

  Yes

  No

  Not Applicable

• Are any staff pregnant?

  Yes

  No

  Not Applicable

• Are there any staff who have not undergone induction and lone worker training?

  Yes

  No

  Not Applicable

Location

• Have any incidents of threatening or abusive behaviour occurred in the past 3months?

  Yes

  No

  Not Applicable

• Is the venue located in a known high crime area?

  Yes

  No

  Not Applicable

Activities

• Is significant manual handling other than deliveries carried out at the venue?

  Yes

  No

  Not Applicable

• Is any work with, on or near the electrical services or equipment required at the venue which staff may be required to carry out?

  Yes

  No

  Not Applicable

• Is there any requirement to use step ladders at the venue?

  Yes

  No

  Not Applicable

Name of Assessor:

• Add signature

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• Select date

  Date