Point of Work Risk Assessment (POWRA)

Point of Work Risk Assessment (POWRA)

Assigning of person in charge of safety (PICOS) V3.1
Project Name
Project No.
Date of risk assessment

DayMonthYear
Date
Site Location
What 3 Words (W3W)
PICOS

First NameLast Name
Completed by

First NameLast Name
Signature

Before work starts
Are you at the correct location?
Do you have the right documentation for the tasks?
Are your tools and equipment inspected and tested?
If you have answered "No" to any of the above, take the required action or report to your Supervisor. If in doubt always ask.

Working party register

All team members, and visitors to site must sign this register.
Workforce acknowledgement

I have participated in and understand this assessment, understand the pre-work assessment (where applicable) and have received the Site-Specific Safety Briefing. I have and am wearing the specified personal protective equipment (PPE) for the tasks I am completing. I have completed this type of task before and have had the correct training/authorisations and will work to the approved working methods. My competence certificates are relevant and in date for the tasks I am completing.

If control measures are not possible, we will STOP WORK and contact our supervisor.
Name

First NameLast Name
Signature
Name

First NameLast Name
Signature
Name

First NameLast Name
Signature
Name

First NameLast Name
Signature
Name

First NameLast Name
Signature
Name

First NameLast Name
Signature
Name

First NameLast Name
Signature
Do not submit until the end of the activity and all parties have signed.
Should be Empty:

Before work starts