WORKING AT HEIGHTS

RISK ASSESSMENT FORM

Project/Contract DATE ASSESSED

Chimney demolition works 27.02.2023

Activity

Working at height – General Risk Assessment

DESCRIPTION OF WORK:
Construction Agriculture

Manufacturing Material Handler

Utilities

 Other: Demolishing

WHO IS AT RISK
 Employee  Contractor

 Client / Customer  Members of Public

Other:

POTENTIAL HAZARD IDENTIFIED:

Yes No HAZARD

 Fall from height

 High winds

 Objects falling on worker(s)

 Objects falling on members of public

 Objects falling on resources (e.g. machinery, equipment)

 Equipment supporting worker at height collapsing or breaking loose

 Equipment supporting worker at height slipping/shifting around

 Personnel slipping or tripping at access way for elevated equipment

Other:
CONTROL MEASURES:
HAZARD CONTROL MEASURE Risk

L S R
 The worker must wear a protective belt
 In case of strong wind, stop the work
Fall of person  Installation of appropriate barriers and handrails
 Regularly clean work surfaces of waste material H H H
 Take care of the proper disposal and handling of materials

 Scaffold and work platform must only be ercted, altered L S R

Fall of the structure
(scaffold or working
platform)
Fall of tools, material and
equipment
or dimantled by qualified personnel
 All scaffolds to be inspected regularly and after particular
events (severe weather conditions, modification,...) by a
competent person and tagged
 Scaffold to be erected on firm and levelled ground M H H
 High scaffold to be (wind-)braced
 Objects on the work surface must be properly stowed to reduce
tripping hazards
 Sufficient edge protection provided alongside the L S R
scaffolds and the work platforms
 Tools and equipment to be secured
 Only necessary equipment and material as required for
specific works to be at height at any time M H H
 Good standard of housekeeping and tidiness to be maintained
at all times.

OBSERVATIONS:
Yes No OBSERVATION NOTES

Have workers been safely trained in safe working


methods?
Are items in the work area properly stored away to
 minimize tripping hazards?
Have all workers at height been determined to be
 competent, or supervised by someone who is?
Do contractors provide documentation to verify
 they have been screened and properly trained?
Are contractors supervised or monitored by a
 competent person?

Are safety harnesses, safety nets, and other safety

 equipment used provided and inspected on a regular
basis?

 Are ladders, lifts, and other elevated equipment

used provided and inspected on a regular basis?
Risk rating table

Risk Severity Risk Rating

Rating L M H
Severity
L L L M High Major Injury/ Pollution/ Damage
Likelihood

M L M H Medium Minor / Pollution/ Damage/ Loss

M H H Low Injury / low Damage / Loss
H Likelihood
High Likely
4 or more = Unacceptable Risk Medium Possible
Risk Rating = S x L = Risk Low Never /Very Unlikely

The above risk assessment has been briefed and fully understood.

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