Site Risk Assessment Safety Checklist

Form 1/2
Important Note: This form must be assessed carefully according to job type, any marked questions with "Unsafe", you should go
to form 2/2 named "Residual risk register" to re-assess the uncontrolled identified hazards, where additional control measures
must be in place prior starting the job

Assessment Date:
Site DU ID:
Site Name:
Site type: Outdoor / Indoor
SubContractor: SBC Team Leader Name:

Status
Potential Hazards
Safe Unsafe
Person(s) who carry the job:
1- Competent, certified, and authorized to do the job
2- Medically fit to do the job they are assifgned to
People 3- Inspect and use appropriate PPE in all operations where hazards are indicated
workers at ground floor are trained on fighting fires.
First Aider is available on site
Competent supervision on site available
Working at heights safe work procedures are applied
Fall protection for perple and objects is applied on site
Safe electric work methods are applied
Site roof edge is protected
Rooftop is safe enough (no skylight, no fragile roof, no weak ponits)
Safe load limits are calculated prior to start the work
Activity Area under loading item is clear for safe movements
Rigging equipment for material handling is inspected prior to use in each shift
Earthing means are provided
Wring & connections are safe and in a good working condition
Tags are available for equipment or circuit being worked on
Emergency plans/numbers are in place
People are well trained on the emergency plan
* Foot protection (in a good safe working condition)
* Head protection (in a good safe working condition)
* Eye and face protection (in a good safe working condition)
* Approved safety harness, lifelines, and lanyards and other fall protection tools (in a
good safe working condition)
Equipment First aid supplies & emergency facilities are easily accessible
/Tools Portable fire extinguishers are available & in a good working condition & suitable for
fire hazard involved
Proper, approved, inspected, safe, and maintained PPE are available
Availability of mobile and communication means and charger
Approperiate barricade/signs/tags/signals in place
All defective hand tools are removed from service
Safe means of access/egress at all time & free from obstructions for both vehicles and
workers
Site surrounding area is free from Gases, vapors, fumes, dusts, and mists
Exit way is clear and identified
Safe distance from overhead electrical cables
Working area
Site housekeeping is clear and free from any obstacles in and around the site
Site is free of animals, snake, and other harms attack.
Electromagnetic risk is controlled

Site is free from flammable, combustible liquids, or gases, expliseves agents.

Assesor's Signature / Date

 Site DU ID: Assessment Date:

Residual Risk Register

Form 2/2

,nacceptable, Stop the work, immediate action to reduce the risk, apply
A Death/Major injury or major damage to property or equipment 1 Likely to occur A1/A2/B1
more control
Red

Reportable injury (I.e. Over 3 days absence) or damage to

B 2 Possible to occur A3/B2/C1 Urgent attention to reduce risk
property or equipment Yellow

B3/C2/C3
C Minor injury or minor damage to property or equipment 3 Slight chance of occurring Green Attention is required , Frequent review to ensure risk is controlled

Risk Evaluation
Identified Hazards (uncotrolled) Additional Control Measures
Severity Liklihood Priority

Assesor's Signature / Date