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Risk Assessment Template : Working on Scaffolding
This document should not be used until it has been thoroughly reviewed by a competent person.
| Company name: | |
| Project title: | |
| Location: | |
| Contract No: |
| Author: | |
| Reviewed by: | |
| Date: | |
| Signature: |
This document has been provided as a template. By completing the section above, you take full responsibility for the use of this document.
| Falls | ||
|
Initial Risk
Severity Probability Rating |
Who might be harmed?
Type of harm
Controls
|
Residual Risk
Severity Probability Rating |
| Structural instability | ||
|
Initial Risk
Severity Probability Rating |
Who might be harmed?
Type of harm
Controls
|
Residual Risk
Severity Probability Rating |
| Falling objects | ||
|
Initial Risk
Severity Probability Rating |
Who might be harmed?
Type of harm
Controls
|
Residual Risk
Severity Probability Rating |
| Electrocution | ||
|
Initial Risk
Severity Probability Rating |
Who might be harmed?
Type of harm
Controls
|
Residual Risk
Severity Probability Rating |
| Slips and trips | ||
|
Initial Risk
Severity Probability Rating |
Who might be harmed?
Type of harm
Controls
|
Residual Risk
Severity Probability Rating |
| Improper erection and dismantling | ||
|
Initial Risk
Severity Probability Rating |
Who might be harmed?
Type of harm
Controls
|
Residual Risk
Severity Probability Rating |
| Adverse weather conditions | ||
|
Initial Risk
Severity Probability Rating |
Who might be harmed?
Type of harm
Controls
|
Residual Risk
Severity Probability Rating |
| Improper use of equipment | ||
|
Initial Risk
Severity Probability Rating |
Who might be harmed?
Type of harm
Controls
|
Residual Risk
Severity Probability Rating |
| Lack of training and supervision | ||
|
Initial Risk
Severity Probability Rating |
Who might be harmed?
Type of harm
Controls
|
Residual Risk
Severity Probability Rating |
| Overloading of scaffolding. | ||
|
Initial Risk
Severity Probability Rating |
Who might be harmed?
Type of harm
Controls
|
Residual Risk
Severity Probability Rating |
Induction Record
| Company name: | Project title: | ||
| Location: | Contract No: |
| Subject: | Risk Assessment : Working on Scaffolding | Tutor: | |
| Date: | Signature: |
This document has been provided as a template. By completing the section above, you take full responsibility for the use of this document.
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