Crew 10

Name:

Permit Number:

Date

Time:

Are you at the correct job location?

Yes

No

Does the work location carry any additional risks: Near a school or hospital, crossing, etc?

Yes

No

Is the work area free from slip and trip hazards?

Yes

No

Has a pre-use check been carried out on all plant that is being used?

Yes

No

Is all Sign, Lighting and Guarding on-site to the SSWRW Code of Practice? (Red Book)

Yes

No

Is at least one person on site with the NRSWA accreditation for the work?

Yes

No

Is all relevant PPE in good condition?

Yes

No

Is the material storage and site secured adequately for the work to be under taken?

Yes

No

Are safe dig details available?

Yes

No

Have you accessed, read and understood the safe digs?

Yes

No

Calibrated, in date, CAT and Genny available and in good order?

Yes

No

Operative trained in the use of CAT and Genny?

Yes

No

Has the area that is going to be excavated been scanned with a CAT?

Yes

No - If No has been selected DO NOT EXCAVATE

What Utilities did the CAT scan identify

Free Text

If you have identified Electricity, Communication Cables, Gas or other services following the CAT scan and consultation of the safe digs, read and follow this file before excavating: Safe Excavation Practices.

I confirm, I have read and understand the document above :

Confirm

Are insulated tools & flame retardant clothing, PPE being worn and are all tools fit for purpose including safety features where applicable?

Yes

No

Risks Identified - Select all that apply

List any other risks/hazards identified at this job

List all team member onsite:

List other people on site or attending site.

Declaration

By checking this and submitting this risk assessment, you confirm you have breifed all crew mebers listed above, regarding the risks and hazards that have been identified on this Risk Assessment.

Crew 10 Point Of Work Risk Assessment