Effective form templates

This example risk assessment has been prepared using the
F-HS20 General Risk Assessment form template - a purpose-built template designed to focus entirely on what matters: identifying hazards, rating risk and recording controls, without any unnecessary fields getting in the way.

The file is supplied in fully editable MS Word format and can be easily customised and saved to Google Docs format if required. The document uses pre-defined style formatting throughout with styles to match the risk-ratings which are input using select boxes pre-populated with all possible risk ratings. All text is in Calibri font for improved readability.
The following document labelling is included in the footer:

• Form number and title
• Information-classification
• Version
• Page number / total pages

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NRSWA Street Works Risk Assessment

What Does This NRSWA Street Works Risk Assessment Cover?

• Traffic management on live carriageways with operatives exposed to passing vehicles and unsafe driver behaviour
• Pedestrian management and protection of vulnerable users including wheelchair users, visually impaired persons and those with pushchairs
• Excavation collapse and falls from unsupported trench walls or into unguarded open excavations
• Contact with underground and overhead utility services including gas mains, electricity cables, water mains and telecommunications
• Signing, lighting and guarding (SLG) failures compromising the traffic management arrangement
• Plant and mobile equipment operating in proximity to operatives on foot
• Manual handling of heavy materials including paving flags, kerb stones, ironwork frames and trench boxes
• Slips, trips and falls from spoil, wet surfaces, trailing cables and uneven reinstatement
• Noise, dust and hand-arm vibration exposure from breaking, cutting and compaction activities
• Adverse weather and environmental conditions including reduced visibility, flooding of excavations and high winds
• Public safety and site security including unauthorised access to open excavations and unattended plant
• Hazardous substances including hot bituminous asphalt, fuels, hydraulic fluids and coal tar

Each hazard includes an inherent risk rating and a listing of applicable control measures covering areas such as;

• NRSWA-accredited Street Works Operative (SWO) supervision and traffic management to recognised industry standards
• Continuous segregated pedestrian routes with solid barriers, level surfaces and tactile transitions
• Permit-to-dig systems, utility plans, Cable Avoidance Tool (CAT) and Signal Generator (Genny) use, and hand-digging within service tolerance zones
• Edge protection, supported excavations and safe means of access and egress
• Banksman-controlled plant movements and operator competence requirements
• Mechanical handling aids, team lifting protocols and proprietary frame-lifting equipment
• Dust suppression, low-vibration tool selection, health surveillance and appropriate Respiratory Protective Equipment (RPE)
• Weather monitoring authority, secured signs and lamps, and excavation re-inspection after rainfall
• Robust site security at night, with hoarding, signage and emergency contact details
• Control of Substances Hazardous to Health (COSHH) assessments and appropriate Personal Protective Equipment (PPE) for hot bituminous materials and fuels

A residual risk rating is then assigned to each hazard, demonstrating how effective risk management can be used to reduce the overall risk to a tolerable level.

A Professional Easy-to-Use Risk Assessment Template

Who Is This NRSWA Street Works Risk Assessment Template Suitable For?

This NRSWA street works risk assessment template is suitable for health and safety advisers, utility contractors, highways contractors, NRSWA supervisors, street works operatives, site managers, and any employer with a duty to assess risks under applicable health and safety legislation. It can be implemented as a standalone document or as part of a broader occupational health and safety management system aligned with ISO 45001.

Note: This example risk assessment is supplied for use as guidance only and should be reviewed and completed by a competent person.