Title Page

  • Site conducted

  • Document No.

  • On site risk assessment for use of?

  • Conducted on

  • Prepared by

  • Location

Photo

  • Before photos of the chain saw

  • Is the workers familiar with using chainsaws

  • Has the worker demonstracted they can safety use a chainsaw

  • Does the worker have the appropriate PPE

  • Is the chainsaw guards in place and kick back stop working

  • Is the Worker aware of how to avoid falling branches and trees cut by the chainsaw

  • Are other workers informed to stay a safe distance away from the operation of the saw or falling trees

  • Date

Assessor/Operators/Training/Activities

  • Assessor

  • undefined

  • Personnel on site

  • Other

  • Relevant Certificate's/Training

  • Other

  • Activities

  • Has the M.E.W.P Pre-Task checklist been Completed?

  • No M.E.W.P Operations to be carried out writhing 15mts+ full extent of M.E.W.P from Power lines

  • Other

Site Assessment

  • Terrain

  • Action required

  • Trip hazzard

  • Action required

  • Services

  • Action required

  • Structures

  • Action required

  • Other site activities

  • Action required

  • Public access

  • Action required

  • Fire risk

  • Action required

  • Weather condition

  • Tree species

  • Other

  • Height

  • Girth

Tree condition

  • Overall condition of the tree

  • Root plate

  • Fruiting bodies

  • Stem cavities/splits

  • Branch cavities/splits

  • Major deadwood

  • Hanging branches

Emergency action plan

Emergency action plan

  • Location name and grid reference if known

  • Type of access

  • Nearest road.
    A362 picket post roundabout

  • Ambulance meeting point.
    Picket post - st842411
    Front house - st809430

  • Helicopter landing site grid reference.
    Park hill - st837433
    Lodge - st808428

  • Nearest landline telephone number.
    Both you - 01985 845 411/507
    Estate office - 01985 844 400

  • Radio call signs

  • Mobile phone signal strength

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.