OCCUPATIONAL HEALTH AND SAFETY
Site Risk Assessment Checklist
Residual Risk Register
Form 2/2
Severity Likelihood Risk
A Death/Major injury or 1 Likely to occur AI/A2/B1 Unacceptable, Stop the work,
major damage to immediate action to reduce the
property or equipment risk, apply more
B Reportable injury (i.e. 2 Possible to occur A3/B2/C1 Urgent attention to reduce risk
Over 3 days absence)
C Minor Injury or damage 3 Slight chance of occurring B3/C2/C3 Attention is required. Frequent
to property or equipment review to
ensure risk is controlled
Risk Evaluation
Identified Hazards Additional Control Measures Severity Likelihood Priority
(uncontrolled)
Contractor: Assessment Date:
Site ID:
Site Name:
Site Type: Roof top /Monopole / Palm Tree / Shelter G.F Tower/ Other: ...............
Assessor Name: Title: Signature:
OCCUPATIONAL HEALTH AND SAFETY
Site Risk Assessment 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 pr ior starting the job
Assessment Date:
Site ID:
Site Name:
Site type: Rooftop /Monopole / Palm Tree / Shelter G.F Tower / Other:.......................................
Contractor: Assessor Name: Title: Signature:
Status
Potential Hazards Yes No
(Safe) (Unsafe) NA
Person(s) who carry the job:
1-Are all team members are competent, certified and authorized to do the job?
People 2- Are all team members are medically fit to do the job they are assigned to?
3-Is a competent supervisor available on site?
4-Is any high risk activity by minimum of two personnel attending and at least one of them trained on emergency
procedures; (e.g. WAH rescue, emergency shutdown, first aid, firefighting...etc.?)
1-Is the site housekeeping in good condition?
2-Is the site secured and has limited access? And are all the warning and safety signage in place. (e.g.
General Electrical, limited access, climbing, radiation...etc.?
Site 3- Are the site & surrounding area free from flammable, combustible liquids, or gases, explosive agents, vapors,
fumes, dusts and mists?
Conditions
4- Are all the means (e.g. doors, road, stairs...etc.) allow safe access and egress?
5-Is there a safe distance from overhead electrical cables?
6- Is the site free of animals, snake, and other harmful attacks?
7-Is electromagnetic risk controlled?
8- Are all electrical conductors and apparatus passed visually inspection "isolated and working properly" (e.g.
wires, cables, switches, controls, generator, transformers, lamps, batteries, fuses, D.B protection, earth means
installed..etc.)?
9- Is there any further unsafe condition observed in site?
1- Is manual lifting used in accordance with good practices "e.g. planned, appropriate pulley’s system used,
drop zones marked, secured and done under supervision...etc."?
2- Are lifting operations planned before being undertaken and using suitable equipment, competent operator
who has a valid license and applying good work practices?
3- Are appropriate controls for WAH applied (e.g. only by trained and physically proven, two
Activity
riggers minimum, using fall arrestor or fall restraint system properly...etc.?
4-Is the rooftop safe (e.g. roof edge protected, no skylight, no fragile roof, no weak points)?
5-Safe load limits are calculated prior to start the work?
6-Is the area under loading clear and allow safe movements? Is drop zone barricaded?
7-Rigging equipment for material handling is inspected prior to use in each shift?
8- Are all Hot Works controls are applied (e.g. planned, trained on use and techniques ones, using proper
PPES, rescue and emergency plan developed and n place...etc.?
9-Are electrical work controls applied (e.g. no live electrical activity, proper PPES, Lockout/ Tag out, portable
hand tools grounded and double insulated, earth means, permanent wiring used instead of extension
cords...etc.?
1- Are appropriate PPEs used and pre-inspected as hazards are indicated?
PPE and 2- Are fall protection PPES and tools used in a good safe working condition (e.g. harness, lifelines and
Tools lanyards)?
3-Foot & head protection in a good safe working condition?
4-Are tools and equipment subject to appropriate system of pre-use/after use checks, visual examination and
are thy maintained in a safe condition, neatly stored, safely carried?
1-Do Vehicle used to transport employees comply with Vodafone requirements (e.g. airbag, ABS, seatbelts,
Vehicle equipped with emergency kits...etc.)?
and Safety 2-Is the vehicle driver trained on Safe driving techniques?
Vehicle Safety
3-Is there an inspection checklist inside the vehicle, signed by the site engineer?
Emergency Response
4- Are the vehicle daily inspection, preventive/corrective maintenance, driver evaluation done and proven?
5-Are there a speed monitoring system and carkit installed?
1- Is there an emergency response plan in place?
Emergency 2- Are people well trained in the emergency plan?
Response 3-Is the first aid kit fully loaded with all the required materials?
4-Is there a certified fire fighter at the site?
5- Is there proper maintained 3kg fire extinguisher with the team?
6- Is there a certified working at height rescuer at the site?
7- Is there proper maintained recuse kit and prepared to use?
