Annex XXXX: Example Health and Safety Risk Assessment Questionnaire

Pre – Visit

Yes

No

N/A

Comments

Occupants

Are the premises or site occupied? what is the nature of that occupation? (e.g. residential, retail, offices).

Are there any risks associated with the activity of the premises?

Will there be any vulnerable person(s) present during the home visit? (e.g. children, elderly, medical conditions)

Lone Working

Will the RA/RC be working alone during the visit?

Does the lone worker suffer from any medical condition that could affect personal safety?

Does the organisation have record of the employee’s mobile phone number? And have they been notified of their location/time expected to return to office/home?

Security

Is the dwelling located in a high crime area?

Are protocols in place to address and manage situations where the HO may exhibit abusive or resistant behaviour during assessments?  Is the RA/RC adequately trained for situations such as these?

Is there a secure method of storing and transporting personal/sensitive data obtained through the home visit?

Personal Protective Equipment (PPE)

Do you have the necessary PEE for the job?

Is appropriate PPE provided effective, comfortable, well-fitting, and used?

Are PPE checks recorded and defective equipment promptly replaced?

Is PPE stored in a clean and safe place?

During the Visit

Yes

No

N/A

Comments

Access

Is there clear and safe access to the dwelling for anyone entering and any materials/equipment that need to be brought to the site?

Are there any restricted areas within the dwelling?

Is neighbour access required? Has the neighbour’s permission been obtained?

External operations

Are there any external operations or construction activities nearby that may pose risk to safety?

Is the dwelling situated near industrial sites or other potential sources of pollution?

Property conditions

Are there any visible signs of structural damage or deterioration in the building that may pose a safety risk? e.g. cracking in walls, sagging ceilings

Are there any leaks in plumbing or roofing?

Any other structural risks?

Is there any evidence of dampness or mould present in the dwelling?

Are there any areas in the home defined as unsafe for access?

Property Features

Is the property in a conservation area or subject to specific regulations regarding renovations and modifications?

Does the property have any unique features or architectural elements that could pose risk to anyone entering the property? (e.g. sloped roof, narrow staircase)

Are there any unprotected bodies of water? e.g. ponds, swimming pool

Is the surrounding area prone to natural hazards such as floods, wildfires, or landslides?

Hazardous substances

Are there any hazardous substances on the site?

Is there any form of clinical waste present on sight (e.g. Hypodermic syringes, needles)?

Are there any hazardous chemicals stored improperly? (E.g. cleaning agents, pesticides)

Asbestos

Is there any presence of asbestos or lead-based paint in the building?

Are materials containing asbestos in good condition/sealed?

Gas Safety

Any signs of gas leaks? (e.g. distinctive odour, hissing sounds, dead vegetation near outdoor gas lines)?

Any blockages in vents or flues?

Any signs of damage, corrosion, or malfunction in gas appliances?

Any other risks?

Electrical Safety

Are there any exposed electrical wires or outlets that need to be addressed?

Are electrical panels accessible and properly labelled?

Environmental Hazards

Will weather conditions and/or light levels cause increased level of risk? E.g. windy conditions on high structures

Are there any environmental hazards present in or around the property e.g. steep terrain, nearby bodies of water

Animals + Vermin

Are there any animals or vermin present that may pose risks to safety?

Lighting

Is the lighting adequate for safe navigation and work within the dwelling?

Ventilation

Are ventilation systems to remove fumes, steam etc working and used properly?

Is there sufficient ventilation within the property to prevent exposure to Airbourne contaminants?

Working at height

Will any work be conducted at heights, and if so, have appropriate safety measures been implemented?

Use of ladders required?

Is scaffolding required?

Lifting and Manual handling

Will there be any lifting or manual handling of heavy objects?

Are personnel trained in manual handling?

Machinery and equipment

Do personnel have the appropriate competences and/ or trained to use machines / work equipment?

Temperature (working indoors)

Is the temperature comfortable?

Can breaks be taken away from hot/cold areas?

Confined Spaces

Is working in confined spaces required?

Noise

Is there excessive noise from nearby activities or equipment that could impact safety or communication?

Slips, Trips, Falls

Are there any potential tripping hazards such as loose floorboards, uneven floor surfaces, cluttered pathways etc.?

Are guardrails, handrails, edge protection etc in place and in good repair?

Fire Hazards

Are there any obvious fire hazards in the dwelling? E.g. Faulty electrical wiring, blocked exits, flammable materials stored incorrectly.

Functionality of appliances and systems (e.g. electrical, plumbing, heating) Visible signs of wear/damage/deterioration?

Are Carbon Monoxide & Safety Alarms installed and operational in all necessary areas?

Is there clear access to exits in case of emergency?

Are emergency contact numbers readily available?