SITE RISK ASSESMENT 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.

Assesment Date:
Site ID:
Site Name:
Site Type: Roof Top | Green Field | MonoPole | Palm (Tree) | Shelter | Other:
Subcontractor:

Status
Potential Hazards
Yes No
Person(s) who carry the job are:

1. Competent, certified and authorized to do the job

2. Medicaly fit to do the job they are assigned to

People 3. Inspect and use appropriate PPE in all operations where hazards are indicated

Workers on ground floor are trained on fighting fire

First aid Box is available on site

Competent supervision (SE/TL) is available on site

Work at height safe work or Safety Drop Zone procedures are applied

Safe electric work methods are applied on site

Site rooftop edges are protected

Rooftop is safe (no skylight, no fragile roof, no weak points)

Activity Area under loading items is clear for safe movement

Rigging equipment for material handeling is inspected prior to use in each shift

Wiring,ropes and connections are safe and in good working condition

Emergency Plan/numbers are in place

People are well trained in emergency plan

* Safety Shoes in a good safe working condition

* Safety Helmets and safety Vests are in a good safe working condition
* Approved safety harness, lifelines, lanyards and other fall protection tools are in a good safe
Equipment / working condition
Tools Portable fire extinguishers are available and in a good working condition & suitable for fire
hazard involved
Proper, approved, inspected, safe and maintained PPE are available

Approperiate barricade/signs/tags/signals in place

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

Working Area Safe distance from overhead electrical cables

Site housekeeping is clear and free from any obstacles in and around the site

Site is free of animals, snake, and other harms attack.

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