28810471 - Clone of Dammers Form

  • SUBCONTRACTOR SAFETY DECLARATION & RISK ASSESSMENT

  • Date of work*
     - -
  • Risk assessment :*

  • An inspected Safety Harness must be worn at all times when working at height

  • The following Personal Protective Equipment and Control measures must be implemented:
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  • Lift plan and risk assessment completed*
  • Do you require the lock out of machinery ?*
  • Do you require ventilation?*
  • Means of Access:*
  • Select the Hazards introduced by the Works:*
  • Rows
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  • I, the undersigned, confirm:

    • Full awareness of all safety and operational risks.
    • That I have been trained, skilled, and knowledgeable to safely perform my tasks
    • Commitment to wearing PPE and following all applicable procedures.
    • That all staff under my supervision have been briefed accordingly.
    • Full compliance with Dammers' Life Saving Rules.
    • All equipment such used must be certified and within their valid inspection period.
    • Vehicles and personnel must be insured in accordance with applicable laws and regulations.

    This safety declaration is part of Dammers Shipagencies’ ISO 9001 (Quality Management) compliance procedures.

  • Date*
     - -
     :
  • Should be Empty: