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e-Submission Confirmation

ENGIE LAST MINUTE RISK ASSESSMENT

ENGIE Toolbox Talk

HSE Observation and Near Miss Reporting submission

HSE Observations and Near Miss Reporting Confirmation Page

Public user fault reporting

Testing Fault reporting tool

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Last Minute Risk Assessment

Safe Plan of Action (SPA)

Contractor *

Date *

Location *

Permit No. *

ENGIE APPROVED RISK ASSESSMENT & METHOD STATEMENT (RAMS) NUMBER: *

DESCRIBE JOB STEPS: *

Max 8 steps.

Things to note

1) Work condition due to weather & other activities in the same area

2) At each Job Step, identify all potential hazards involved (tick on box)

3) If the hazard is not included below, please write it below

What are the Hazards involved doing the task?

Select applicable hazard(s) (Ask the team “what are the Hazards involved doing the task?”)

List all other hazards including live services:

*Work at Height: Please select working at height equipment that will be used *

Podium Step
Scissor
Mobile Tower
Scaffold
Platform Steps
Boom
Push Around Lift
Stepladder

Step / Ladder Use Justification:

**STOP THE DROP

Containment
Exclusion Zone
Floor edge / protection & netting
Tool tethers & helmet straps

***Material/ Equipment Movement: Identify plant/ equipment required for safe material/ equipment movement *

Crane
Telehandler
Forklift
Hoist
Pallet Truck
Chain Block
Slings / Chains
Shackles
Ratchet Slacks
Skates / Dollies
Trolley

Move In-Move Out Route details: *

Load Description: *

Weight of Load: *

Load Centre of Gravity: *

Lifting Points: *

Height of Lift: *

Correct Equipment: *

Safe Plan of Action (SPA)

Please select control measures *

Clean As You Go
Reuse / Recycle
Vacuum
Fire Protection
Air Monitoring
Confined Space Equipment
Scan
Welding Screens
Use of Plant
Use of Lifting Aids
Exclusion Zone
Log Out Tag Out
Spotter
Correct Tool
MEWP Anti-Crush

Please select personal protective equipment necessary *

Hard Hat
Eye Protection
Hi-Vis
Gloves
Steel Toe Cap Boots
Hearing Protection
RPE
Chemical PPE
Welding Equipment
Harness
Inertia Reel
Fall Restraint
Double Lanyard
Safe Anchor

Other Control Measures / Specialist PPE:

How will waste be stored and removed from the work location? *

Is your exclusion zone adequate? *

Emergency Response Readiness

Has the fire call point been identified? *

Yes
No
N/A

Has the rescue plan where applicable I.e. Confined space, Work At Height made available? *

Yes
No
N/A

Is there a fire extinguisher available for the activity to be carried out? *

Yes
No
N/A

Are there trained fire extinguisher users? *

Yes
No
N/A

Comments

Work Team Members Name & Signatures:

Number of Work Team Members *

Negative Number of Work Team Members is invalid

Name (Team Member 1) *

Name (Team Member 2) *

Name (Team Member 3) *

Name (Team Member 4) *

Name (Team Member 5) *

Name (Team Member 6) *

Name (Team Member 7) *

Name (Team Member 8) *

Name (Team Member 9) *

Name (Team Member 10) *

Max Number of Work Team Members is 10

Contractor Supervisors Sign-Off:

Before Work & After Inspecting the Work Location

Name *

Sign *

Contractor EHS Sign-Off:

Before Work & After Inspecting the Work Location

Name *

Sign *

Engie Site Management Daily Sign-Off:

During Work Activity

Name *

Sign *