Uploaded by Addien Wardiman

Risk Assessment Checklist Sample

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CONTRACTOR’S NAME
RISK ASSESSMENT
CHECKLIST
CONTRACT XXXX
CONSTRUCTION OF …..
Subcontractor:
Name of supervisor:
Date:
S/n
1
a.
b.
c.
Description
General Info
Work Activity: e.g. Construction of Skin Wall at B2 Concourse
Risk Register Reference Number: e.g. TKSS/GQ/RA/002
Number of workers: 22
2.
Pre-work Checks
a.
b.
Is RA up to date (to state latest review date)
I have confirmed that ALL workers have been
briefed on RA and SWP.
(Worker who is not briefed shall not be allowed to
commence work)
I have confirmed that ALL workers have been
trained to perform the work activity and able to
perform the job assigned to them.
(Worker who is not trained shall not be allowed to
commence work)
I have checked the PPEs of the workers and they
are in good working conditions.
I have checked the required tools and equipment
(including machine guards) to be used by the
workers and they are in good working conditions.
New worker has been paired with an experienced
worker.
(New worker without experienced buddy shall not
be allowed to commence work)
List of Critical Risk and Mitigating Measures from
Risk Register
c.
d.
e.
d.
3.
a.
b.
c.
Activity: e.g. access and work on scaffold platforms
above 3m
Hazards: e.g. slip and fall, tools drop from height
Safety Provisions Required: check scaffold tag, no
materials left on scaffold, lanyard for hand tools
Activity: e.g. mixing of cement grout
Hazards: e.g. exposure to cement dust, hand injury
while using handheld mixer, electrical shock
Safety Provisions Required: e.g. respiratory
protection, hand tools at 110V and checked by
LEW, proper mixing tank for grout mixing
Activity: e.g. drilling of CBP walls for planting of
starter rebars
Hazards: e.g. electrical shock, hand injury cause by
sudden twist of hand drill when drill bit gets
jammed
(Yes/No)
If No, pls provide details
Yes, dated 12 Oct 2022
e.g. No, 1 new worker (Amir Josei) joined
today, removed from team for follow up
briefing
Yes
Yes
Yes
Yes
Perform at least 3 checks per shift
e.g.
@11am found materials left by others on
scaffold, main-con informed to clear
@3.30pm – work in order
@6pm – work in order
e.g.
@10am workers reminded to dispose
empty cement bags that were left
scattered
@2.30pm – work in order
@ 5.30pm – work in order
e.g.
@9am – work in order
@2.00m – worker using wrong drill for the
work (without ATC), tool has been
removed, to reinforce in tomorrow’s tbm
1
CONTRACTOR’S NAME
RISK ASSESSMENT
CHECKLIST
Safety Provisions Required: e.g. electrical handheld
tools inspected by LEW, drill equipped with ATC
(Active Torque Control)
d.
e….
4.
a.
b.
c.
d.
e.
Activity:
Hazards:
Safety Provisions Required:
add on where necessary
End of Shift Review
I have checked and ensure All workers have left
the work areas.
(Supervisor shall ensure last worker has left the
work area before completing this checklist)
Are there any deviations from RA and SWP
observed today?
Are there any new hazards observed or reported
by workers today?
Is there any incident/accident during the works?
Are the current controls and measures adequate
for work to continue?
CONTRACT XXXX
CONSTRUCTION OF …..
@ 5.30pm – work in order
Yes
No
Yes, refer to observation and action
No
Yes, refer to observation and action
2
CONTRACTOR’S NAME
RISK ASSESSMENT
CHECKLIST
CONTRACT XXXX
CONSTRUCTION OF …..
OBSERVATION & ACTION REQUIRED
Observation
Action Required
1.
Worker feedback some rungs of the vertical
ladders on the scaffold work platform were partly
blocked by horizontal guardrails of scaffold and
could result in slip and fall.
1. Spoken to main-con’s WSHO Tan and have arrange
for a joint inspection of the affected ladders with their
scaffold contractor tomorrow morning.
2. This hazard would be included into RA and SWP, our
WSH Coordinator Muthusamy has been informed to
update the documents.
3. Workers would be reminded on this new hazard at
tomorrow’s toolbox meeting.
2.
Worker used an electrical hand drill without ATC
1. Need to identify and label hand drills used for RC
works so that workers use the correct tool.
2. WSH Coordinator Muthusamy to update the
equipment list and label the hand drills for RC works.
3. Workers would be reminded on this finding at
tomorrow’s toolbox meeting.
This Checklist shall be attached to the daily toolbox meeting record and file on site.
Name and Signature of Supervisor
Date
3
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