Risk Assessment Record
Site: Worcester Road Filling Station
Contract No......................................................................... Date............................................
Activity: Drainage and Services Instalation
A Clearance Certificate must be completed for each task each day. The contents of the clearance certificate and this document must be discussed fully with the site
representative ( where appropriate) and the work team.
METHODS AND SEQUENCES
Understanding and acceptance must be recorded on the last page of this document.
Critical tasks completed by (signature)
1 Drainage and services set out using marker spray in accordance with engineers drawings
2 Existing systems surveyed to ensure links are made correctly
3 Once runs of drainage or services are set out a permit to excavate will be issued.
4 The area of trench or excavation will be CAT scanned prior to excavation commencing
5 Any buried services located during excavation will be fully identified
6 Excavation will be carried out by mechanical excavator operated by qualified competent operator.
7 Spoil arising from excavation will be placed at a safe distance from the excavation to prevent collapse or loading
8 Excavations will be battered back or shored at the discretion of the site manager / foreman
9 A banksman will attend the excavator at all times to ensure safe movement and monitoring of the excavation
10 All excavations will be check at frequent intervals to ensure correct line and level
11 On completion of the trench bedding material will be laid to correct levels
12 Ducting or pipework will be installed sequentially to ensure secure joints are made then backfilled to prevent movement with
specified granular material.
13 final backfill will then be carried out by the excavator.
14 Any excavation which cannot be fully completed within the shift will be fully protected and closely monitored at regular intervals
15 should conditions / weather change between shifts trnches may require additional shoring
TOOLS AND EQUIPMENT :--(PRE-USE AND WEEKLY INSPECTION MUST BE RECORDED IN SITE REGISTER)
1 Mechanical excavator. 2. Tape measures, 3. String lines, 4. Site level. 5. CAT scanner, 6. Hand Tools
ACTIVIITY :
HAZARDS
SIGNIFICANT RISKS
RISK
(H/M/L)
H
CONTROLS
(H/M/L)
USE OFEXCAVTOR
Crushing / striking operatives
EXCAVATION
Excavation stability and falling debris
H
Removal of spoil and operative exclusion zone
L
BURIED SERVICES
Electrocution, inrush and disruption
H
Consult service drawings and CAT scan area
L
FITTING EXCAVTOR ATTACHMENTS
Trapping fingers / hands and unintended release of attachments
H
NOISE
Operative exclusion zone and competent banksman
M
H
Trained operatives and quick hitch check book
Operative exclusion zone and use of ear defenders
L
H
Damp down as required
L
H
PPE, appropriate hygiene measures before breaks and gas
monitoring
Removal of spoil and operative exclusion zone
L
NIHL, Tinnitus and temporary threshold shift
DUST
Health effects and nuisance
CONTAMINATED GROUND
Operatives / equipment falling into
excavations
Ingestion, inhalation and skin contact
Personal injury and equipment damage
H
L
ACTIVITY :
WHO MAY BE HARMED
EMPLOYEES
SUBCONTRACTORS
OFFICIAL VISITORS
GENERAL PUBLIC
INFORMATION, INSTRUCTION AND TRAINING.
1 Operatives to hold current UK PIA Passport.
2 Operatives briefed in emergency procedures during induction and during discussions of method statements / risk assessments.
3 Operators to be time served tradesmen.
4 Operatives to be trained in site and client rules. Eg, Shell Life Saving Rules, BP Code of safe Practice.
5 Operatives to have undertaken asbestos awareness training and be trained in PPE and RPE selection, use and care.
PERSONAL PROTECTIVE EQUIPMENT.
SAFTEY HELMET
EAR DEFENDERS
SAFTEY BOOTS
HIGH VISIBILITY VEST or COAT
GOOGLES / VISOR
SAFETY GLASSES
................................................................................................................
OVERALLS
.................................................................................
................................................................................................................
GLOVES
..................................................................................
................................................................................................................
EAR PLUGS
GAS MONITOR
REMEMBER PPE IS ALWAYS A LAST RESORT
P DEACON
RESPIRITORY PROTECTION
25/07/13
COMPLETED BY
SIGNATURE
DATE
REVIEWED ON SITE BY
SIGNATURE
DATE
ACTIVIITY :
SITE ADAPTATIONS / MODIFICATIONS
IN SIGNING BELOW I CONFIRM MY UNDERSTANDING AND ACCEPTANCE OF THIS RISK
ASSESSMENT / METHOD STATEMENT
NAME
SIGNATURE
DATE
WILL THE WORK INVOLVE ANY OF THE ACTIVITIES BELOW? (CIRCLE ANY THAT APPLY)
IF “YES” A PERMIT TO WORK MUST BE OBTAINED
HOT WORKS
CONFINED SPACE ENTRY
FLAMABLE GAS FLARING
LIVE ELECTRICAL WORK
WORK
EXPLOSIVE BLASTING
LIFTING / CRANES
EXCAVATION>1.5m
ASBESTOS
OTHER (Specify):
WORK AT HEIGHT
THIS RISK ASSESSMENT IS A WORKING DOCUMENT AND MUST BE REVISED AS NECESSARY AS SITUATION CHANGE. ALL PERSONS AFFECTED BY THE RISK ASSESSMENT MUST BE MADE
AWARE OF IT AND ANY SITE SPECIFIC CHANGES MADE TO IT.
ACCEPTANCE / UNDERSTANDING MUST BE RECORDED ABOVE
ANY INFORMATION THAT INVALIDATES THIS RISK ASSESSMENT MUST BE BROUGHT TO THE ATTENTION OF THE AUTHOR