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5 Steps Risk Assessment List

5 Steps Risk Assessment

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    • Risk Assessment Number
    • Contractor Name
    • Description of Task
    • Hazard Description
    • Risk Description
    • Details of Hazard
    • Hazard Potential Consequences
    • Hazard Probability of Occurrence
    • Hazard Rating
    • Initial Severity Ranking
    • Initial Likelihood Ranking
    • Initial Hierarchy of control Measures
    • Current Risk Rating
    • Hazard Action
    • Hazard Actioned by Who
    • Hazard Action Completion Date
  • PDF
Risk Assessment Number Contractor Name Description of Task Hazard Description Risk Description Details of Hazard Hazard Potential Consequences Hazard Probability of Occurrence Hazard Rating Initial Severity Ranking Initial Likelihood Ranking Initial Hierarchy of control Measures Current Risk Rating Hazard Action Hazard Actioned by Who Hazard Action Completion Date
No records
Wibble-00001 McDonalds Carrying out work on Conveyors - 144 / 155
  • Confined spacework is necessary
  • Fork Lift Trucks operate in work area
  • Oxygen Depletion
  • Crushing
  • Liquid Nitrogen
  • Possibility of interface with FLTS onsite
  • Moderate (2)
  • Moderate (2)
  • Occurred in my Company (3)
  • Occurred in my Company (3)
  • 5
  • 5
  • 2
  • 0
  • Unlikely (3)
  • Barely conceivable (0)
  • Moderate (Engineering Controls) - (3)
  • Very High (Elimination) - (0)
  • 5
  • 0
  • dfgd
  • Contractor
  • Contractor
  • 21-05-2020
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Wibble-00003 Please select Installation of new electrical panel
  • Exposed Electrical Conductors/Equipment in work area
  • Electric Shock
fgh
  • Catastrophic (5)
  • Occurred in my Dept (5)
10
  • 5
  • Likely (5)
  • Medium (Isolation / distance) - (2)
10 Isolation of Electric using LOTO
  • Site
  • 17-06-2020
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AANJ-00004 Please select
  • Construction taking place in area
  • Falling Objects
f
  • Severe (3)
  • Occurred in my Company (3)
6
  • 3
  • Very unlikely (2)
  • Medium (Isolation / distance) - (2)
5 g
  • Site
  • 10-11-2027
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AANJ-00005 Swale Consulting Ltd Tester
  • Flames in work area
  • Burns
Work adjacent to furnace
  • Minor (1)
  • Not in my Industry (1)
2
  • 1
  • Extremely unlikely (1)
  • Medium (Isolation / distance) - (2)
2 sff
  • Third Party
  • 04-06-2020
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Wibble-00006 Thorne International Boiler Services tfyfgyfy
  • Exposed Electrical Conductors/Equipment in work area
  • Falling Objects
gf
  • Minor (1)
  • Occurred in my Industry (2)
3
  • 5
  • Likely (5)
  • Very Low (Discipline / Training) - (5)
10
  • Contractor
  • 09-06-2020
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Wibble-00007 Speedy Services
  • Flames in work area
  • Burns
f
  • Major (4)
  • Occurred in my Company (3)
7
  • 2
  • Unlikely (3)
  • Medium (Isolation / distance) - (2)
5 v
  • Third Party
  • 23-06-2020
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Wibble-00008 Speedy Services Install new signage
  • Rail Traffic operates in work area
  • Crushing
Plant Traffic
  • Moderate (2)
  • Occurred in my Company (3)
5
  • 3
  • Very unlikely (2)
  • Moderate (Engineering Controls) - (3)
5 dsdf
  • Site
  • 16-02-2021
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Safety Work Method Statement List

Safety Work Method Statement and Work Request

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    • date_time
    • id
    • Will this work come under CDM 2015
    • SWMS Start Date Requested
    • SWMS Time Requested
    • SWMS Plant Location
    • SWMS Area or Equipment
    • SWMS Brief Description of Work
    • SWMS Has Local Access Egress been agreed
    • SWMS Is Work Start Date Agreed
    • SWMS Company Authorisation Name
    • SWMS Has Pre-Work Discussion Taken Place
    • SWMS Pre-Work Discussion Contractor Name
    • SWMS Pre-Work Discussion Company Name
    • SWMS Has the Job Work Location Been Inspected
    • SWMS Job Work Location Inspect Contractor Name
    • SWMS Job Work Location Inspect Company Name
    • SWMS Estimated Duration (Work Days)
    • SWMS Purchasing Conditions Applicable
    • What Type of Supervision is this Contract
    • Have Site Regulations Been Employed to Complete SWMS
    • SWMS Is this the first time Contractor has been used by Company
    • SWMS Company Purchase Order Number
    • SWMS Any Agency Personnel
    • SWMS Lone Worker Application
    • SWMS Any Contractor Employees Under 18
    • SWMS Any Contractor Consultant Employees
    • SWMS Any Contractor Employees Over 65
    • Safety Helmet
    • Safety Helmet Details
    • Safety Footwear
    • Safety Footwear Details
    • Eye Protection
    • Eye protection Details
    • Hearing Protection
    • Hearing Protection Details
    • High Visibility Wear
    • High Visibility Wear Details
    • Personal Dangerboards
    • Personal Dangerboards Details
    • Respiratory Protection
    • Respiratory Protection Details
    • Breathing Apparatus
    • Breathing Apparatus Details
    • Site Traffic or Transport
    • Estimate Number of Personnel to be Employed
    • Are all Sub-Contractors Craft/Trade Competent
    • Sub-Contractor Competency Details
    • Sub-Contractor Personnel Valid NSP
    • Sub-Contractor Personnel Site and Plant Inducted
    • Is Business Authorisation Required
    • Detail and List any Agreed Plant Equipment 1
    • Authorised By 1
    • Detail and List any Agreed Plant Equipment 2
    • Authorised By 2
    • Are there any Transport or Mobile Plant Requirements
    • Give Details of any Transport or Mobile Plant
    • Details of any Transport or Mobile Plant
    • Tick the following yes if to be used
    • Cartridge Power Tools
    • Electrical Power Tools
    • Hydraulic Power Tools
    • Pneumatic Power Tools
    • Burning Gear
    • Cutting Gear
    • Heating Gear
    • Welding Gear
    • Cryogenic Freezing
    • Disc Cutters
    • Grinding Machines
    • Pressurised Jetting Gear
    • Power Saw or Cutters
  • PDF
date_time id Will this work come under CDM 2015 SWMS Start Date Requested SWMS Time Requested SWMS Plant Location SWMS Area or Equipment SWMS Brief Description of Work SWMS Has Local Access Egress been agreed SWMS Is Work Start Date Agreed SWMS Company Authorisation Name SWMS Has Pre-Work Discussion Taken Place SWMS Pre-Work Discussion Contractor Name SWMS Pre-Work Discussion Company Name SWMS Has the Job Work Location Been Inspected SWMS Job Work Location Inspect Contractor Name SWMS Job Work Location Inspect Company Name SWMS Estimated Duration (Work Days) SWMS Purchasing Conditions Applicable What Type of Supervision is this Contract Have Site Regulations Been Employed to Complete SWMS SWMS Is this the first time Contractor has been used by Company SWMS Company Purchase Order Number SWMS Any Agency Personnel SWMS Lone Worker Application SWMS Any Contractor Employees Under 18 SWMS Any Contractor Consultant Employees SWMS Any Contractor Employees Over 65 Safety Helmet Safety Helmet Details Safety Footwear Safety Footwear Details Eye Protection Eye protection Details Hearing Protection Hearing Protection Details High Visibility Wear High Visibility Wear Details Personal Dangerboards Personal Dangerboards Details Respiratory Protection Respiratory Protection Details Breathing Apparatus Breathing Apparatus Details Site Traffic or Transport Estimate Number of Personnel to be Employed Are all Sub-Contractors Craft/Trade Competent Sub-Contractor Competency Details Sub-Contractor Personnel Valid NSP Sub-Contractor Personnel Site and Plant Inducted Is Business Authorisation Required Detail and List any Agreed Plant Equipment 1 Authorised By 1 Detail and List any Agreed Plant Equipment 2 Authorised By 2 Are there any Transport or Mobile Plant Requirements Give Details of any Transport or Mobile Plant Details of any Transport or Mobile Plant Tick the following yes if to be used Cartridge Power Tools Electrical Power Tools Hydraulic Power Tools Pneumatic Power Tools Burning Gear Cutting Gear Heating Gear Welding Gear Cryogenic Freezing Disc Cutters Grinding Machines Pressurised Jetting Gear Power Saw or Cutters
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(5)
No records
2020-05-18 16:58:00 2 Dummy
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2020-05-18 17:06:00 3 Dummy
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2020-05-18 18:50:00 7 Dummy Contractor Supervised
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2020-05-19 15:35:00 8 29-05-2020 Dummy Contractor Supervised
  • Yes
  • Yes
  • Yes
  • Yes
  • Yes
  • Yes
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2020-05-19 15:37:00 9 Dummy Contractor Supervised
  • Yes
  • Yes
  • Yes
  • Yes
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16:15:00(1)
No records
2020-05-19 16:41:00 10 16:15:00 Dummy gf
Alec McDonald Frank Green Alec McDonald Frank Green 4 1 Contractor Supervised 164789
  • Yes
  • Yes
  • Yes
  • Yes
  • Yes
  • Yes
  • Yes
  • Yes
  • No
  • Yes
  • Yes
  • Yes
  • Yes
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16:42:00(1)
No records
2020-05-18 16:41:00 1 18-05-2020 16:42:00
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17:32:00(1)
No records
2020-05-18 17:21:00 6 05-05-2019 17:32:00 t link to Separate table Furnaces
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::(3)
No records
2020-05-19 17:16:00 11 :: Dummy Contractor Supervised
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2020-05-22 18:27:16 12 :: Dummy Contractor Supervised
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2020-08-11 11:21:00 13 :: Dummy 4 Company Supervised
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dfhd:00:00(1)
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2020-05-18 17:18:00 4 21-05-2020 dfhd:00:00 Dummy dfhdhd
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poiuytr:00:00(1)
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2020-05-18 17:19:00 5 15-05-2020 poiuytr:00:00 t link to Separate table weeqqewq
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Work Method Statement List

Work Method Statement

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    • date_time
    • id
    • Sequence of Activity
    • MS Activity
    • MS Define Major Hazards
    • SWMS Cross Reference
    • MS Safe Systems of Work
    • MS Contractor Personnel Responsible
  • PDF
date_time id Sequence of Activity MS Activity MS Define Major Hazards SWMS Cross Reference MS Safe Systems of Work MS Contractor Personnel Responsible
No records
2020-05-22 13:00:31 1 4 1.2 Protective Clothing and Equipment
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2020-05-22 00:00:00 4 0 1.2 Protective Clothing and Equipment
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2020-06-04 00:00:00 5 1 Arrive on-site Site traffic 1.3 COMAH Substances
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2020-06-05 00:00:00 6 0 1.2 Protective Clothing and Equipment
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2020-06-05 00:00:00 7 0 1.2 Protective Clothing and Equipment
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2020-06-05 00:00:00 8 0 1.2 Protective Clothing and Equipment
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2020-06-22 16:06:00 9 0 1.2 Protective Clothing and Equipment
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2021-02-16 16:23:00 10 0 Tester 2 1.2 Protective Clothing and Equipment
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