Task Specific Risk Assessment for Site Staff Checklist

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A TSRA involves assessing the risks and hazards associated with a certain task and identifying ways to mitigate or prevent the risks by mapping every small aspect of the process. The inspection also helps find best possible ways to perform the task.

General

Is vehicle movement safe?

Yes No Na

Are there any adverse weather conditions?

Yes No Na

Are access and egress safe?

Yes No Na

Is there strong communication between contractors?

Yes No Na

Are confined spaces safe?

Yes No Na

Is energy isolation safe?

Yes No Na

Is machinery safe?

Yes No Na

Are any risks of entanglement?

Yes No Na

Is there a risk of substance explosion?

Yes No Na

Is there a risk of potential fire?

Yes No Na

Are there any health hazards related to fumes or dust?

Yes No Na

Is there a risk of objects falling?

Yes No Na

Is there a risk to the worker’s eyes?

Yes No Na

Are there any hearing hazards?

Yes No Na

Is there any exposure to hot surfaces?

Yes No Na

Are lifting equipments being used?

Yes No Na

Are lifting equipments safe?

Yes No Na

Is there a risk of leakages?

Yes No Na

Is there work going on the roof?

Yes No Na

Are any sharp hand tools being used?

Yes No Na

Are scaffolds being used?

Yes No Na

Are scaffolds inspected?

Yes No Na

Is lifting equipment inspected and tagged?

Yes No Na

Are hoists, chains, and slings safe?

Yes No Na

Is footing safe?

Yes No Na

Are there any potential tool hazards?

Yes No Na

Are welding and hot work safe?

Yes No Na

Is a hot work permit available?

Yes No Na

Is the vehicle movement plan compliant?

Yes No Na

Is work at height safe?

Yes No Na

Are there young workers on the site?

Yes No Na

Are there any untrained or inexperienced workers on site?

Yes No Na

Additional comments

Media

Suggestions

Date

Name of operative

Signature of operative

SIGNATURE

Name of reviewer

Signature of reviewers

SIGNATURE

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