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Dynamic Risk Assessment Method Statement

A Dynamic Risk Assessment tool that can be used before undertaking a task that has substantial risk that doesn't already have a risk assessment / SOP, or is a new or unfamiliar task.
Dugdale
03/06/2023

Dynamic Risk Assessment Method Statement

A Dynamic Risk Assessment tool that can be used before undertaking a task that has substantial risk that doesn't already have a risk assessment / SOP, or is a new or unfamiliar task.

    Why am I using this tool?

    If "Other" please specify

    Who is conducting the work?

    Where is the work taking place?

    Method Statement:

    What work is taking place? (start with a job title, then bullet point your method)

    Don't forget to check other works going on in the area!

    HAZARDS

    Who are at risk?

    Is a two man team required?

    • Yes
    • No
    • N / A

    What HAZARDS could I face?

    Any other HAZARDS?

    Control Measures

    Do I need a Permit-To-Work

    Permit number (if used)

    What do I need to LOTO?

    LOTO number if used

    What PPE do I need?

    Control measures that have been taken to reduce the risk

    Are there any more control measures that must be implemented to minimise risk before work starts?

    Work Equipment & Factors Effecting Work

    Do I have the correct equipment?

    • Yes
    • No
    • N / A

    Is the equipment inspected and free from defect?

    • Yes
    • No
    • N / A

    Do I have safe & easy access to the work area?

    • Yes
    • No
    • N / A

    Do I have safe & easy access to my equipment?

    • Yes
    • No
    • N / A

    Is there sufficient lighting?

    • Yes
    • No
    • N / A

    Am I competent to conduct this task?

    • Yes
    • No
    • N / A

    Am I medically fit for this job?

    • Yes
    • No
    • N / A

    Can I summon help if I get hurt?

    • Yes
    • No
    • N / A

    Am I aware of the emergency procedure and equipped to deal with one?

    • Yes
    • No
    • N / A

    Do I need to inform anyone else?

    • Yes
    • No
    • N / A

    If "No" has been selected above, state what action has been taken

    Declaration

    ONLY PROCEED IF YOU ARE SURE YOU CAN DO THE JOB SAFELY! IF IN DOUBT, STOP AND SEEK ADVICE!

    I am content that all reasonable and practicable control measures have been made to minimise risk

    Click here to sign

    Overall risk category (post implementation of control measures)

    • Risk-matrix-diagram.png
Source: Dugdale (Community Member)

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