THE GUTTER CLEANING
PROFESSIONALS
RISK ASSESSMENT
DATE
START TIME
ADDRESS
PERSON CONDUCTING ASSESSMENT
Choose persons(s) conducting Assessment
Aundres
Carlos
Dilan
Hernan
Patrick
Pablo
Yolvi
Zane
NUMBER OF WORKERS
RUSHING
YOUR WORK
CREATES
ACCIDENTS
HAVE YOU CHECKED EQUIPMENT PRIOR TO COMMENCEMENT
YES
NO
RISK ASSESSMENT - At least one checkbox must be selected
Lifting
Height
Slip/Trip
Unsafe property
Falling Objects
Poor weather conditions
Aggressive dog
No where to attach harness
Ladder only
Fragile roof
PPE PERSONAL PROTECTIVE EQUIPMENT - At least one checkbox must be selected
Head
Ear Protection
Eye Protection
Mask
Gloves
Harness
Shoes
ACCESS CONTROL - At least one checkbox must be selected
Barricades
Signage
Traffic Control
Asbestos Register?
Visitors book Signed
BUILDING INFORMATION - At least one checkbox must be selected
Single Storey
Double Storey
Three Storey
Multi Storey
Terracotta
Tin
Tile
Asbestos
Pergola / Verandah
Gutter Guard
Ladder only
UNITS - HOW MANY
SOLAR PANELS - HOW MANY
COMPLETE
THIS SECTION
BEFORE
STARTING
UPLOAD BEFORE AND AFTER IMAGES
PROVIDE DESCRIPTION
UPLOAD BEFORE AND AFTER IMAGES
PROVIDE DESCRIPTION
UPLOAD BEFORE AND AFTER IMAGES
PROVIDE DESCRIPTION
UPLOAD BEFORE AND AFTER IMAGES
PROVIDE DESCRIPTION
UPLOAD BEFORE AND AFTER IMAGES
PROVIDE DESCRIPTION
UPLOAD BEFORE AND AFTER IMAGES
PROVIDE DESCRIPTION
UPLOAD BEFORE AND AFTER IMAGES
PROVIDE DESCRIPTION
UPLOAD BEFORE AND AFTER IMAGES
PROVIDE DESCRIPTION
UPLOAD BEFORE AND AFTER IMAGES
PROVIDE DESCRIPTION
UPLOAD BEFORE AND AFTER IMAGES
PROVIDE DESCRIPTION
UPLOAD BEFORE AND AFTER IMAGES
PROVIDE DESCRIPTION
UPLOAD BEFORE AND AFTER IMAGES
PROVIDE DESCRIPTION
COMPLETE
THIS SECTION
AFTER WORK
IS COMPLETED
EQUIPMENT USED - At least one checkbox must be selected
Single Ladder
2 Storey Ladder
3 Storey Ladder
Vacuum
Blower
Hose
Hand Work
Ext Pole
ALL EQUIPMENT BACK IN VEHICLE
YES
NO
ANY PROPERTY DAMAGE
YES
NO
UPLOAD IMAGES OF PROPERTY DAMAGE
DETAILS OF PROPERTY DAMAGE
UPLOAD IMAGES OF PROPERTY DAMAGE
DETAILS OF PROPERTY DAMAGE
UPLOAD IMAGES OF PROPERTY DAMAGE
DETAILS OF PROPERTY DAMAGE
UPLOAD IMAGES OF PROPERTY DAMAGE
DETAILS OF PROPERTY DAMAGE
UPLOAD IMAGES OF PROPERTY DAMAGE
DETAILS OF PROPERTY DAMAGE
UPLOAD IMAGES OF PROPERTY DAMAGE
DETAILS OF PROPERTY DAMAGE
RUSHING
YOUR WORK
TO GET
HOME EARLY
CREATES
ACCIDENTS
INJURY / ACCIDENT
YES
NO
IF YES - CONTACT
OFFICE IMMEDIATELY
JOB COMPLETE CHECK - At least one checkbox must be selected
Job Complete - Area left Clean
Clients Belongings Returned
WHO USED BLOWER
Name of Worker
No One
Aundres
Carlos
Dilan
Hernan
Patrick
Pablo
Yolvi
Zane
ADDITIONAL EQUIPMENT REQUIRED
LADDER TIED DOWN
MUST BE IMAGE OF BACK OF VEHICLE
It is an offence and your responsibility to ensure all equipment is secure. it attracts loss of demerit points, fine and possible conviction pending injury or death.
WHO DROVE THE VEHICLE
Name of Driver
Aundres
Carlos
Dilan
Hernan
Patrick
Pablo
Yolvi
Zane
WHICH VEHICLE
Isuzu white
Ford Transit
Ford Falcon
Mitsubishi
IMPORTANT: As a driver, you are responsible for all fines incurred whilst vehicle is in your possession including after hours. Guttersweep accepts no responsibility or liability for breach of legislation.
WAS THE CLIENT HOME
YES
NO
END TIME (H:M:AM/PM)
TOTAL
DIFFICULTY OF THE JOB
Choose from 1 (EASY) to 5 (HARD)
1
2
3
4
5
SIGNATURE
ACCEPTANCE
I Declare Work completed safely and to Guttersweep standard
Send