Risk Assessment Questionnaire

Basic Details
Start date of project
Q1.

Working at height?

Roof work?
Unprotected edges?
Scaffolding?
Tower scaffolding?
Working in shafts?
Confined space?
Adequate light?
Safe access?
Others?
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Stepladders?
Ladder access?
Cradles?
Placing of roof trusses?
Steel frame erection?
Mast climbers?
Rope access equipment?
Hop-ups?
Plastering stilts?
Man baskets?
Bosuns chair?
Window cleaning?
External ship work?
External painting?
Others?
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MEWP's?
Cherry picker?
Scissor lift?
Others?
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Others?
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Q2.

External Works / Construction Tasks?

Buried services present?
Unstable soil?
Manually excavating?
Mechanical excavating?
Depth more than 1.2m
Water present?
Removal of structural walls?
Work in confined spaces?
Concrete breaking and similar operations?
Fixing steel reinforcement?
Carpentry and Joinery work?
Laying bricks and blockwork - ground level?
Concrete floor slabs?
Demolition of structures?
Adjacent structures?
Basements and cellars?
Structural survey available?
Services disconnected?
Hazardous materials present?
Others?
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Removal of waste?
Manual handling?
Loads more than 25KG?
Others?
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Near to vehicle access routes?
Working near a highway?
Laying of pipes?
Laying of flags?
Manhole construction?
Using bricks?
Pre cast concrete units?
Others?
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Abrasive cleaning or grit blasting?
Rendering?
Cable pulling?
Chasing out?
Removal / Installation of bathroom units?
Removal / Installation of kitchen units?
Work that interfaces with the public?
Provision of electrical services?
Erecting / Dismantling falsework?
Road laying?
Overhead power lines?
Erecting precast concrete units?
Others?
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Q3.

Plant & machinery?

360 Excavators?
180 backhoe excavator?
Generators?
Vibrating plates?
Hydraulic breakers?
Road rollers?
Concrete mixer?
Passenger hoists?
Power floats?
Grader?
Placing boom?
Bobcat?
Dumper?
Glass lifter?
Bar bender?
Use of a gin wheel?
Use of lifting gear?
Vibrating pokers?
Welding machine?
Fork lift truck?
Bulldozer?
Others?
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Q4.

Small power equipment and Tools?

Drill?
Circular Saw?
Table Saw?
Wall Saw?
Disc Cutter?
Use of strimmers / rotavators?
Survey equipment?
Abrasive Wheels?
Pneumatic Tools?
Cartridge Operated?
Hand tools?
Electric Planer?
Jig?
Others?
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Q5.

Cranes?

Tower crane?
Mobile crane <35 T?
Mobile crane >35 T?
Gantry crane?
Floor cranes?
Cantilever cranes?
Truck mounted crane?
Others?
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Q6.

Welfare facilities?

Toilets?
Wash basins?
Soap and towels?
Drying room?
Canteen facility?
Potable Water?
First aid facilities?
Working with young people (under 18)?
Working with pregnant females?
Exposure to rats or other vermin?
Possible contact with hypodermic needles?
Others?
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