Point of Work Risk Assessment
Doc Ref:
This Risk Assessment must be completed by a Supervisor/Manager prior to commencement of works and
read in conjunction with the appropriate Work Package Plan.
Site Details:
Address:
Date:
Who could be harmed – Please tick all as appropriate
Contractor
Hazards Present
Employee
Member of Public
Action to be taken to reduce the Risk
Slips, Trips or Falls
Other(s)
Residual Risk
H
M
L
Falls From a Height
H
M
L
Falling Objects
H
M
L
Chemicals
H
M
L
Hot Works/Fire/Explosion
H
M
L
Members of Public
H
M
L
Asbestos
H
M
L
Stationary Objects
H
M
L
Overturn/Collapse
H
M
L
Manual Handling
H
M
L
Insecure Load
H
M
L
Vehicles
H
M
L
Confined Spaces
H
M
L
Dust/Fumes
H
M
L
Noise
H
M
L
Vibration
H
M
L
Electricity
H
M
L
Radiation
H
M
L
Contamination
H
M
L
Poor Lighting
H
M
L
Temperature
H
M
L
Adverse Weather
H
M
L
H
M
L
Uncertified Equipment
Additional Notes/Comments:
This is a record of the Site Specific Risk Assessment conducted for the above job
Supervisor/Manager Name:
Signature:
Date:
Continuation, if this risk assessment is for more than one day on the same site and conditions have not
changed, please sign and date for each day:
Signature:
Date:
Signature:
Date:
Signature
Date:
Signature:
Date: