Risk Assessment Pro Forma

P Limited

R

©

Prepared for

by Pasc Ruggiero,

MCIBSE, MSLL, FRSH, MIIRSM, FIOSH, RSP

2 Maes Ty Canol, Port Talbot, SA12 8UW. Tel/Fax: 01639 814014 www.PRsafety.co.uk E-mail: [email protected]

GENERAL RISK ASSESSMENT

Ref: GRA -

Project/Site/Address/Room No etc: To be determined by PK. Type of Assessment:

Safety

Task/Activity: Next Review (date):

Generic (conditions as GRA – 1).

Page 1 of 3

Notes and Abbreviations: 1. To be read in conjunction with GRA Notes –

GRAN-1 and produced.

Equipment:

other

GRAs

as

these

are

2.

This Assessment Carried Out by :

Name: Mr Pasc Ruggiero (PR)

Signed ...................................................... Date: …………………………..

In Conjunction with:

Name: Mr

Signed ...................................................... Date: .....................................….

(PK)

Name: Leading Hand (LH)

No

Hazard and Description

Persons at Risk

Poten- ProbRisk Acceptial ability Rating table ? Seve- Rating No.‡ rity * Rating

Signed …………………………………... Date: …………………………..

Existing Controls/SSW/Best Practice, Existing Information and Training

¤

Controls/ Info Acceptable?

Action Required

¤

Target Date

Nomination/Actioned by – Name, Date, Signature (PK unless otherwise stated)

A:

‡ = See attached Risk Rating Table. * = Without taking into account existing controls, information and training. ¤ = Residual risk rating. # = delete as appropriate. op = operatives. ot = others. Y = Yes. N = No/None. n/r SSW = new/revise SSW. t = training in SSW/procedures. SST/SSM = Suppliers Safety Training/ Suppliers Safety Manual. TBT = Tool Box Talk/at work training. OG = ongoing. $ = By start of work element unless otherwise stated. SSW/SMS = written Safe System of Work/Safety Method Statement. Apx I/d = see Appendix I/d. SP = adopt CSHSP. RA = Risk Assessment. W/P/M = Warning/Prohibition/Mandatory Sign(s). = End of month number (Jan = 1) unless otherwise stated. MH = Manual Handling. © PRSL

71r4graBLANK

2004

Prepared for

P R Limited ©

by Pasc Ruggiero,

MCIBSE, MSLL, FRSH, MIIRSM, FIOSH, RSP

Safety

2 Maes Ty Canol, Port Talbot, SA12 8UW. Tel/Fax: 01639 761020 www.PRsafety.co.uk E-mail: [email protected]

GENERAL RISK ASSESSMENT

Ref: GRA-

Continuation of ©

Continuation Page 2 of 3

PRSL 3071graBLANK

2004

Prepared for

P R Limited

Safety

©

by Pasc Ruggiero,

MCIBSE, MSLL, FRSH, MIIRSM, FIOSH, RSP

2 Maes Ty Canol, Port Talbot, SA12 8UW. Tel/Fax: 01639 761020 www.PRsafety.co.uk E-mail: [email protected]

GENERAL RISK ASSESSMENT No

Hazard and Description

Persons at Risk

Poten- ProbRisk Acceptial ability Rating table ? Seve- Rating No.‡ rity * Rating

Ref: GRAExisting Controls/SSW/Best Practice, Existing Information and Training

¤

Controls/ Info Acceptable?

Action Required

Continuation of ©

Continuation Page 3 of 3

¤

Target Date

PRSL 3071graBLANK

Nomination/Actioned by – Name, Date, Signature (PK unless otherwise stated)

2004

Prepared for

P R Limited ©

by Pasc Ruggiero,

MCIBSE, MSLL, FRSH, MIIRSM, FIOSH, RSP

Safety

2 Maes Ty Canol, Port Talbot, SA12 8UW. Tel/Fax: 01639 761020 www.PRsafety.co.uk E-mail: [email protected]

GENERAL RISK ASSESSMENT

Ref: GRA-

Continuation of ©

Continuation Page 4 of 3

PRSL 3071graBLANK

2004

Prepared for

P R Limited

Safety

©

by Pasc Ruggiero,

MCIBSE, MSLL, FRSH, MIIRSM, FIOSH, RSP

2 Maes Ty Canol, Port Talbot, SA12 8UW. Tel/Fax: 01639 761020 www.PRsafety.co.uk E-mail: [email protected]

GENERAL RISK ASSESSMENT No

Hazard and Description

Persons at Risk

Poten- ProbRisk Acceptial ability Rating table ? Seve- Rating No.‡ rity * Rating

Ref: GRAExisting Controls/SSW/Best Practice, Existing Information and Training

¤

Controls/ Info Acceptable?

Action Required

Continuation of ©

Continuation Page 5 of 3

¤

Target Date

PRSL 3071graBLANK

Nomination/Actioned by – Name, Date, Signature

2004

Prepared for

P R Limited ©

by Pasc Ruggiero,

MCIBSE, MSLL, FRSH, MIIRSM, FIOSH, RSP

Safety

2 Maes Ty Canol, Port Talbot, SA12 8UW. Tel/Fax: 01639 761020 www.PRsafety.co.uk E-mail: [email protected]

GENERAL RISK ASSESSMENT

Ref: GRA-

Continuation of ©

Continuation Page 6 of 3

PRSL 3071graBLANK

2004