Occupational Health, Safety and Environmental Risk Assessment

Activity/task Carrying Out Breaking Out Or Drilling Operations Indoors

Relevant documents Windowless Sampling MS, Inspection Pit MS, Cable Percussive MS
Work must not proceed until the level of risk
Project/contract location Contract No
associated with ALL hazards is tolerable
Hazard Groups affected Nature of risk Risk before Preventative/control measures Risk after
category P O M controls I/T How do you stop it going wrong? controls I/T
The Site Engineer to complete a Confined Space Permit to Work for every
location and not issue the permit until they are satisfied that all required checks
have been carried out and that it is safe to proceed.
Carry a gas monitor during the works. Readings to be taken as per the method
Asphyxiation statement risk assessment dictates.
Oxygen deficiency Open all avaialble exits in the work area such as windows or doors.
Toxic gases, fumes, vapours or Use fume extraction equipment to vent gases away from the work area.
dusts Use diesel exhaust fume filters where applicable.
Residues giving off toxic gases, First aiders and kits must be present at the work area.
15,20,23,29 x x x High Low
etc. Site Specific Risk Assessment/Method Statements should include details such as
Dust nearest exits and venting routes.
Explosive gas Wear appropriate PPE including dust masks if the works release dust.
Use electric rather than combustion powered equipment where possible
No lone working to be undertaken at any time.
Keep access and egress clear at all times.
Switch off engines when not in use.

Noise
Echoes Provision of hearing defenders
16 x x x Med Low
Equipment Switch off equipment when not in use.
Other hazards masked

Evacuation
Blocked access/egress
Working in a diffcult access area
High Low

THIS SECTION SHOULD BE SITE SPECIFIC THIS SECTION SHOULD BE SITE SPECIFIC

Name Date
Key Person completing the
H Health; S Safety E Environment; L Low Risk; M Medium Risk; H High Risk; P People carrying assessment:
out the activity/task; O Others working in the vicinity; M Members of the public
Notes Person completing the
1. Where young persons or expectant mothers are involved in the activity, ensure that any assessment on site:
additional controls are put in place in accordance with local procedures
2. In addition to the above, consideration must be given to other individuals' susceptibility due to
pre-existing health conditions, eg bad back, poor hearing, etc
3. Where a hazard is identified that is not listed, enter 33 in the Hazard Category column and
describe under ‘Nature of risk’

HS087 Issue 2