Gerald

Safety Statement Including Risk Assessment

Health and Safety Authority 16th March 2012

Health & Safety Policy

I / We of Gerald am / are committed to working in accordance with the provisions of the Safety, Health and Welfare at Work Act 2005 and other associated legislation. I / we are fulfilling our statutory obligations to manage and co-ordinate workplace safety and health and commit to as far as is reasonably practicable to ensuring that: Work activities are managed so as to ensure the safety, health and welfare of my / our employees. Our Safety Statement is maintained, updated and written risk assessments are carried out and reviewed as required and brought to the attention of all employees at least annually. Identified protective and preventive measures are implemented and maintained. Improper conduct likely to put an employees safety and health at risk is prevented. A safe place of work is provided, which is adequately designed and maintained. A safe means of access and egress is provided. Safe plant and equipment is provided. Safe systems of work are provided. Risks to health from any article or substance is prevented. Appropriate information, instruction, training and supervision are provided. Suitable protective clothing and equipment, where hazards cannot be eliminated, are provided. Emergency plans are prepared and revised. Welfare facilities are provided and adequately maintained. Competent personnel to advise and assist in securing the safety, health and welfare of my / our employees are employed when required. __________________________________ __________________________________ __________________________________ Managing Director / Owner

Signed: Date: Position:

Roles and Responsibilities

Employers responsibilities include: A commitment to managing and conducting our work activities in order to protect your health and safety. Providing a safe place of work which is adequately designed and maintained Providing safe means of access and egress to and from the place of work Providing safe plant, equipment and machinery Providing safe systems of work, e.g. operating procedures Preventing improper conduct likely to put an employees safety and health at risk Preventing risk to health from any article or substance (including plant, tools, machinery, chemical substances and equipment) as applicable to the place of work Providing appropriate information, instruction, training and supervision, taking account of the employees capabilities, when an employee begins work or is transferred to new tasks, and when new technology is introduced Providing suitable protective clothing and equipment where hazards cannot be eliminated Preparing and revising emergency plans Designating staff to take on emergency duties as necessary Providing and maintaining welfare facilities for example toilets, changing rooms, canteen area etc Providing, where necessary, a competent person to advise and assist us in securing the safety, health and welfare of all of our employees.

Note: Other Responsibilities included in Appendix I Employees responsibilities include: Complying with relevant health and safety legislation. Ensuring that you are not under the influence of an intoxicant while working as this could endanger your safety, health and welfare or that of others Ensuring that you do not engage in improper conduct or other behaviour that is likely to endanger your safety, health and welfare or that of others Co-operating with your employer and any other person to help us and any other person to comply with their legal duties. Use in such a manner so as to provide the protection intended, any suitable appliance, protective clothing, convenience, equipment or other means provided (whether for your use alone or for use in common with others) for securing your safety, health and welfare while at work. To report to your employer or immediate supervisor, without unreasonable delay, any defects in plant, equipment, place of work or system of work that might endanger safety, health or welfare at work of any employee or that of any other person of which you become aware.

No person(s) shall intentionally or recklessly interfere with or misuse any appliance, protective clothing, convenience, or equipment provided in pursuance of any of the relevant statutory provisions or otherwise, for securing the safety, health and welfare of persons arising out of work activities. Attend training as may be required or as may be prescribed relating to safety, health and welfare at work or relating to work carried out by you.

Note: Other Responsibilities included in Appendix I Contractors responsibilities include: [A contractor is a person or organization who signs a contract to do certain work within a specified time for payment.] All contractors involved in work activity on our premises are expected to comply with our policy for safety, health and welfare and must ensure that their own safety statement is made available while the work is being carried out. Contractors are required to provide us with details on any potential hazards that may impact on the wellbeing of our employees while work is being carried out in our workplace. To ensure compliance with the legislation we will provide the contractor with the relevant sections of our safety statement to ensure that they are aware of the hazards in our workplace. Contractors must report to the designated person on arrival at our workplace Note: Other Responsibilities included in Appendix I Visitors responsibilities include: [A visitor is a person other than an employee or contractor] All visitors to our premises are to be made aware of our safety procedures and where possible must be accompanied by an employee at all times. Visitors are required to conduct themselves in a safe manner at all times. Visitors are required to observe the fire policy and in the event of an emergency they should identify themselves to an employee and they shall be escorted to the designated assembly point. Note: Other Responsibilities included in Appendix I

Consultation and Participation

We recognise that employee involvement in health and safety is an integral part of our safety management system. We are committed to providing adequate and appropriate consultation and we welcome the views of all our employees on issues relating to health and safety. In particular should we change, update, or modify the manner, the location or the way we carry out a work activity, including the introduction of any new machines, procedures, materials and substances, we will consult with all our relevant employees. Furthermore, should any of our employees raise any matters relating to their health and safety connected in any way to our work activities we will consider such matters and we will endeavor to take any necessary action that we consider necessary or appropriate to deal with the matters raised. Note: Other arrangements included in Appendix I Safety Representative (where appointed) Our employees will be facilitated if they wish to decide on, select and appoint a safety representative. Where appointed the safety representative may make representations to us on safety, health and welfare matters relating to the employees in the workplace. We will consider these representations, and act on them if necessary. The person selected as our safety representative who accepts any of our proposals to deal with safety or health issues cannot be held legally accountable for putting the proposal into effect. The functions of our safety representative include: The Safety representative may be involved in investigations of accidents and dangerous occurrences. A safety representative, having given reasonable notice to the employer, has the right to inspect the workplace at a frequency or on a schedule agreed between him or her and the employer, based on the nature and extent of the hazards in the place of work. The safety representative shall be given access to information that relates to the safety, health and welfare of employees and the powers to investigate accidents and dangerous occurrences subject to any limitations as outlined in the legislation. The safety representative shall be given the opportunity to receive appropriate health and safety training.

The safety representative should be informed when an inspector from the Health and Safety Authority (HSA) visits the premises and may accompany an inspector on an inspection.

The safety representative shall not suffer any disadvantage through undertaking these functions. Our Safety Representative is ____________________________________________________ Note: Other arrangements included in Appendix I

Persons responsible for performing tasks The persons who are assigned responsibilities for carrying out health and safety tasks in particular are listed in the Appendix II

Welfare Facilities Requirements

Welfare facilities are provided and maintained in a clean hygienic state for the use of our employees and visitors. A sample list of welfare facilities given in Appendix III

Personal Protective Equipment (PPE)

For all our work activities we will endeavor to ensure that all our employees are adequately protected and where it is not reasonably practicable to reduce or eliminate the risk, then as a last resort we will provide PPE appropriate to the task / work environment. As required we will ensure: Provision of adequate and suitable PPE. Ensure PPE is maintained used and replaced as recommended by the manufacturers instructions. Record information of supply and training in use of PPE as required

Having received the appropriate PPE we will expect our employees to: Use PPE properly whenever it is required. Report any defects in or damage to the PPE immediately. Participate in any training or instruction we provide on PPE. Inform us of any medical conditions they have that might be affected by the use of the PPE provided to them. A sample PPE register is given in Appendix III

First Aid
Based on the type of hazards that exist in our work place we will ensure that we have provided adequate first aid equipment and facilities. Furthermore an Occupational First Aider will be provided should specific hazards in our workplace be identified through our risk assessment as requiring a trained First Aider. A sample list of first aid arrangements is given in Appendix III. Pregnant Employees There are specific regulations dealing with pregnancy at work which we will apply when any of our employees informs us that they are pregnant, has recently given birth or is breastfeeding and who provides us with an appropriate medical certificate. As the earliest stages of pregnancy are the most critical ones for the developing child it is in our employees best interest to let us know she is pregnant as soon as possible. We will carry out a specific risk assessment for that employee. We will particularly take account of any medical advice our employee has received. If a risk cannot be eliminated or reduced to an acceptable level we will: adjust the working conditions or hours of work or both. If this is not possible, we provide alternate work and if this is not possible we will facilitate granting the employee health and safety leave. When carrying out such a risk assessment we will identify hazards in the workplace that could pose a health and safety risk to the new and expectant mothers and take appropriate action to remove or reduce the risk. We will keep this risk assessment under review and update as necessary. Furthermore we will ensure that pregnant, post natal or breastfeeding employees have a suitable place to rest. Note: Other arrangements included in Appendix I

Young Workers
There are specific regulations dealing with young persons at work which we will comply with in the event of a person under 18yrs of age entering employment with us. In particular; If the young person is under 16yrs old we will obtain written permission from their parent or guardian. We will not exceed the recommended working hours for young persons We will assess the risk to the safety and health of the young person arising from their lack of experience, maturity or awareness of risk any work activity likely to involve a risk of harmful exposure to physical, biological or chemical agents the physical and psychological capacity of the young person

and put in place all required control measures

Work Related Stress and Dignity at Work

As your employer we will as far as reasonably practicable ensure that; No employees workload is so high that he or she will have to consistently work overtime. No employee will be subjected to harassment or degrading behavior from colleagues or managers and that everyone in the workplace treats others with respect and courtesy even if they do not get along. No employee has to work in an environment which is unsafe and in which they would be worried about accidents. Employees are trained so they can do their jobs effectively and safely Everyone knows what their core job is There is in place a Dignity at Work Policy outlining our procedures with regard to addressing bullying and harassment at work, this is in keeping with the HSA Code of Practice on the Prevention and Resolution of Bullying at Work. Emergency Procedures Emergency refers to any event that may require an evacuation of the premises (e.g. gas leak, fire, bomb threat, etc.). On hearing the alarm all employees, visitors and customers are required to: GO IMMEDIATELY to the emergency exits, closing all doors as you leave. DONT wait to find out whats happening. DONT stop to collect personal items. GO at once to your assembly point and wait for further instruction. DO NOT re-enter the building until authorised to do so by the emergency services. A sample list of Emergency Contacts is given in Appendix III

Our Risk Assessments In carrying out our risk assessments and in consultation with our employees we have reviewed our workplace and work practices, we have both identified the hazards that exist and made an assessment of the risks arising from these hazards. Where additional controls are required to avoid or reduce the risk these have been identified on the risk assessment and action list and will be implemented by the responsible person. We will make every reasonable effort to give priority to the implementation of outstanding controls for those hazards of most concern. Where we are of the opinion that the necessary competence to carry out particular risk assessments is not available in house additional expertise will be obtained. All our risk assessments will be reviewed and revised if required at least annually or more often if something arises which could affect the risk assessments.

Hazard

Current Controls

Additional Controls (See Action List)

Employee Consultation Default Actions that must be carried out on all Risk Assessments. Electricity Contact with electrical installations or electrical equipment can cause burns, electrocution and other serious injuries to employees and/or visitors.

Bring the risk assessment and safety statement to the attention of your employees All new electrical installations and all extensions are tested and certified as safe, by a competent qualified electrician Electrical installations are checked regularly by a competent qualified electrician Testing, certifying and repairs are carried out in accordance with appropriate E.T.C.I. standards Enclosures/covers are in place to prevent contact with live electrical equipment/parts Damaged extension leads are repaired or removed from use Means of cutting off power to electrical installations and equipment are provided and employees are aware of their locations Work on live electrical equipment is avoided where reasonably practicable Fire extinguishers that are suitable for fighting electrical fires are provided All circuits supplying socket outlets are protected by an RCD Operation of the RCD is tested regularly in accordance with the manufacturers instructions

Where electrical portable appliances are subject to ongoing wear and tear, they are inspected and tested Any scorch marks associated with an electrical appliance or electrical wiring is checked urgently by a competent person Fire Fire can cause smoke inhalation, burns and other serious injuries to employees and/or visitors Sources of ignition are controlled and waste is removed daily Fire alarm and smoke detectors are in place, kept in good working order and tested regularly Emergency exits are clearly marked and kept clear Emergency lights are installed and tested regularly Fire extinguishers are accessible and inspected regularly Employees are trained in the use of fire extinguishers Emergency evacuation procedures are in place Fire drills are held regularly Maintenance Unsafe maintenance activities can cause cuts, lacerations, eye injuries, amputations and other serious injuries to employees and/or visitors. Only trained and authorised employees carry out maintenance work Maintenance employees are trained in the use of fire extinguishers, hot work permits and confined space entry as appropriate

Where maintenance work may involve disturbing asbestos, all possible types and locations of asbestos are identified by a competent person and suitable control measures put in place before work commences Maintenance employees are aware of all external gas, water and electricity cut off points Machines are isolated from electric, hydraulic and pneumatic power supplies before maintenance work commences Guards are only removed to the extent that work requires and replaced as soon as maintenance is complete Adjustments to machines when parts are moving are only carried out by maintenance employees and only when machine is at slow speed or under hold-to-run control Work areas are cordoned off to exclude unauthorised access where necessary Workshop or storage areas used by maintenance employees are adequately lit, free from trip hazards and items are stored properly Hazardous areas are locked when not in use e.g. high voltage switch room Appropriate Personal Protective Equipment is worn by maintenance employees and they have received

training in its use External maintenance workers report to designated person Tools used for maintenance are in good working order and properly guarded where necessary Manual Handling Manual Handling means the lifting, putting down, pushing, pulling, carrying or moving of a load which involves risk of injury due to risk factors such as: Load is too heavy, large, awkward or is carried away from the body. Load is lifted too high or carried too far/too often or involves bending and/or twisting. Inadequate space, uneven floor or steps/ramps Task is organised to allow the use of mechanical aids to avoid/reduce the need for manual handling Task is organised to ensure handling is carried out between waist and shoulder height Heavy or large/unwieldy loads are broken down into more manageable weights or are lifted by 2 people Work is planned to prevent handling over long distances or frequent repetitions Workplace is organised to ensure adequate room to prevent bending, twisting, and/or unstable posture Each manual handling task has been assessed using the risk factors and where necessary, control(s) put in place. Employees receive relevant manual handling training where necessary Slips, Trips and Falls Slips, Trips and Falls due to spills, inadequate materials storage, inadequate lighting Adequate lighting is provided Spill kit and warning signage are available

can cause injuries to you, your employees and/or visitors

Spills are cleaned up immediately Mats are properly fitted and secured Trailing cables and leads are re-routed, removed or secured Good house-keeping practices are in place and are maintained Changes in levels are highlighted e.g. steps, slopes Slip resistant footwear is provided and worn

Work at Height Work at height and falling objects can cause fractures, head injuries, death and other serious injuries to employees and/or visitors

Work at height is avoided where possible Appropriate work equipment e.g. scaffolding, mobile working platforms, scissors lifts, are used to prevent falls where work at height cannot be avoided Where falls cannot be prevented, work equipment e.g. safety nets, bean bags, airbags are used Equipment that protects all employees who work at height is used instead of equipment that only protects one employee at a time e.g. safety nets instead of safety harnessess Work at height activities are planned and supervised Training is provided for employees who work at height Safe access to work at height

area is provided Work equipment is inspected regularly and any defects found are repaired Work areas at height are stable, strong and have a 1m high parapet or double handrails The use of ladders is avoided or they are used only for light work of short duration Personal Protective Equipment e.g. safety harness is provided and employees are trained in its use Heavy objects are stored on lower racks/shelves Materials stored at height are secured Work areas at height are kept clear of loose materials and material fall prevention systems are in place e.g. toeboards Racks/shelves are inspected regularly and any defects are dealt with promptly Racks/shelves are not overloaded with maximum safe working load displayed and supports are protected from impact Chemicals Exposure to chemicals can cause fires, explosions, skin and eye irritation, cancer, ill health and other serious injuries to employees and/or A list (inventory) of all chemicals used in the workplace has been prepared Chemical labels and Safety Data Sheets are available for each chemical and the

visitors.

associated hazards of each chemical has been identified Employees are trained in the safe use of chemicals The number of employees and the exposure to chemicals is assessed and minimised Less hazardous chemicals are used where possible Adequate ventilation is provided A wash hand basin, soap and disposable towels/hand dryer are available All chemicals are used, stored and disposed of in accordance with the Safety Data Sheet or supplier recommendations Eye, skin and respiratory protection is provided and worn where appropriate and in accordance with the safety data sheet

Workplace Transport Contact between people/property and moving vehicles, vehicles overturning/collapsing, people falling from vehicles or collisions can cause damage, crush injuries and other serious injuries to employees and/or visitors

Entry to the workplace is directed and controlled All pedestrian and vehicle routes, crossing points, parking, loading and vehicle only areas are clearly marked and signposted All routes are kept free of obstructions. Permanent obstructions are marked and protected as necessary People and vehicles are kept apart

Vehicle reversing is eliminated, where possible and All work areas are well lit All work areas are well lit Loading and unloading is carried out in a designated area away from overhead obstructions High visibility vests/jackets are provided and worn by people who work near vehicles Visitors are accompanied and a safe area is provided for visiting drivers during loading and unloading Speed limits and speed ramps/rumble strips etc. are used to control speed, as needed A person is appointed to supervise vehicle activities on site Vehicles are maintained in good condition by a competent person as per the manufacturers instructions All works vehicles have working amber beacons/hazard lights and reversing alarms Dangerous parts of vehicles e.g. exhaust pipes, PTOs are guarded Raised vehicle bodies are adequately and securely propped using a prop designed to carry the vehicle weight Vehicles are suitable for the

work and the load. Vehicles are not overloaded and all loads are secured Forklifts and tailboard goods lifts are tested every 12 months A defect reporting system is in place and defects are dealt with promptly Drivers check vehicles daily before use and report any problems Keys are not left in unattended vehicles Working at height on vehicles is avoided where possible, proper access equipment (for vehicles & work at height) is provided and maintained where required Stop blocks or chocks are used when tipping materials Drivers are carefully selected and supervised by a nominated person All drivers are instructed, trained and authorised to drive workplace vehicles Driver's handbook is provided Driver operates vehicle at appropriate speed Seatbelts (where provided) are worn at all times Forklift truck drivers are trained Display Screen Equipment An assessment of individual workstations is carried out

Poor workstation set up, prolonged Display Screen Equipment (DSE) use and prolonged poor seating posture at DSE workstation can cause neck, back, shoulder or arm strain, eye strain or fatigue to your employees

Work tasks are varied to ensure that staff are not working at their computers for long periods of time Employees are given information and training on the hazards associated with computer use and the steps they can take to minimise the effect of these hazards Employees who use computers are made aware of their right to eye tests

Bench Circular Saw Contact with a bench circular saw, or ejected materials can cause cuts, lacerations, amputation and other serious injuries to employees and/or visitors

Safety guards are provided used and maintained in accordance with the manufacturers manual and warning signs are in place Machine is fitted with an emergency stop and in the event of power supply interruption, automatic restart is prevented Where operation prevents the use of fixed guards then another type is used e.g. presence sensors Reported defects are dealt with promptly Machine adjustments are not made while moving parts are in motion Machine is mounted securely, safe operational areas are marked out and sufficient work space is provided Employees are trained and supervised in the use of machinery and operators manual is available

Loose clothing, dangling jewellery and unsecured long hair are avoided when using the bench circular saw Eye/face/hearing protection is provided and worn Sharp Objects Contact with sharp objects can cause cuts, lacerations and amputations to employees and/or visitors Use of sharp objects is minimised and they are stored safely after use Safe procedures for the use and cleaning of sharp objects are in place and employees are trained in these procedures A designated, clearly marked, flat area is used for loading and unloading vehicles and access is restricted Vehicles are braked, chocked and/or stabilised to prevent movement during loading/unloading Loads are spread evenly, vehicles are not overloaded and all loads are secured Lifting equipment used for loading/unloading is certified and the operator of lifting equipment is trained Pallets and cages are checked for defects and if damaged are taken out of use Loading bays are designed and located to ensure safe access A designated safe area is provided for drivers during loading/unloading

Loading/Unloading Loading or unloading vehicles can cause crush, head and other serious injuries to you, your employees and/or visitors

Refuse skips are located away from overhead electrical power lines Loading and unloading on a construction site is done under site supervision Roadside loading or unloading is carried out in a safe manner ensuring suitable precautions are taken with regard to pedestrians and road traffic movements Office Equipment Working with office equipment/furniture e.g. photocopiers, shredders, guillotines, filing cabinets may cause cuts, burns and other serious injuries to employees and/or visitors Office equipment is used in accordance with the manufacturers manual Power sockets are not overloaded Power supply is turned off when clearing shredder jams and emptying bags Loose clothing, dangling jewellery and unsecured long hair should be avoided when using shredders Guillotine is only used when the guard is in place Guard is engaged when guillotine is not in use Cabinet drawers and doors are kept closed when not in use Only one filing cabinet drawer can be opened at a time to prevent tipping Shelves are not overloaded Adequate lighting, ventilation and heating are provided

Power Hand Tools Contact with a powered electrical/hydraulic hand tool, ejected materials or possible impact from machine or work piece movement can cause burns, entanglement, fractures, lacerations, amputation and serious injuries to employees and/or visitors

Safety guards are provided, used and maintained in accordance with the manufacturers manual and warning signs are in place Machine is fitted with an emergency stop and in the event of power supply interruption, automatic restart is prevented Machine adjustments are not made while moving parts are in motion Machine is mounted securely and clamps are in place to ensure that work pieces are secured where necessary Employees are trained and supervised in the use of machinery and operators manual is available and sufficient work space is provided Care is taken with loose clothing, dangling jewellery and unsecured long hair when using hand tools Eye/face/hearing protection is provided and worn Powered hand tools or electrical equipment of greater voltage than 110 volts are not used in external or damp locations Before use a visual check is carried out Vibration dampening is provided on powered hand tools where appropriate

Angle Grinder Contact with a powered electrical/hydraulic hand tool, or ejected materials or possible impact from machine or work piece movement can cause burns, entanglement, fractures, lacerations, amputation and serious injuries to employees and/or visitors

Safety guards are provided, used and maintained in accordance with the manufacturers manual and warning signs are in place The abrasive/grinding wheel is mounted by a trained and competent person only Clamps are in place to ensure that work pieces are secured where necessary Machine adjustments are made only while moving parts are not in motion No angle grinder of greater voltage than 110 volts is used in an external or damp location Before use a visual check is carried out Vibration dampening is provided where appropriate Employees are trained and supervised in the use of machinery and operators manual is available and sufficient work space is provided Loose clothing, dangling jewellery and unsecured long hair should be avoided when using the angle grinder Eye/face/hearing protection is provided and worn

Manually Operated Hand Tools Contact with manually operated hand tools can

Bench vice is provided and used Good level of lighting is provided over workbenches

cause cuts, lacerations and other serious injuries to employees and/or visitors Wood Dust Contact with wood dust can cause a potentially explosive atmosphere in the workplace and can cause irritation to eyes and nose, dermatitis, asthma, bronchitis and other serious injuries to employees and/or visitors

Gloves are provided and worn Exposure to wood dust is reduced as far as possible e.g. by ventilation extraction The number of employees exposed to wood dust is reduced as far as possible Employees are informed of the risks associated with wood dust Weekly cleaning is carried out using industrial vacuum cleaners Health surveillance is provided for employees that may be exposed to wood dust Respiratory protection is provided and worn as required

Site Visits Visits to construction sites can result in accidents causing crushing, cuts and other serious injuries to employees

Contact is made with the site manager/site office on arrival Site rules and safety signs are always obeyed Suitable personal protective equipment is provided and worn as required Employees are made aware of the dangers encountered on sites

Our Action List Following the completion of the risk assessment this action list was generated. This list
is comprised of controls we indicated during the risk assessment process that are required to be implemented in order to reduce the risk of accident/ill-health in our workplace. Note: You can complete this action list by printing and filling it out by hand or you can return to Manage Action List and complete online.

Hazard Employee Consultation Default Actions that must be carried out on all Risk Assessments.

Additional Controls Required Bring the risk assessment and safety statement to the attention of your employees

Action by Whom

To be completed by

Completed No

Appendix I Responsibilities and other Arrangements

List any other arrangements of responsibilities that are specific to your workplace here Area of Responsibility Additional responsibility or arrangements if not already included

Employers

Employees

Contractors

Visitors

Consultation and Participation

Pregnant Employees

Work related Stress and Dignity at work

Appendix II
List the persons Identified as being responsible for Health & Safety tasks No. 1. 2. 3. 4. 5. Tasks (Non-Exhaustive) Ensuring our Safety Statement is accessible and available to all Person responsible for managing & coordinating work activities. Ensuring records are maintained such as training and provision of PPE. Ensuring forms & registers are collected and filled out as required. Ensuring Safety Data Sheets are filed and appropriate control measures implemented as required. Ensuring accidents are investigated, reported and remedial measures implemented to prevent re-occurrence. Ensuring risk assessments are carried out and updated as necessary. The upkeep and maintenance of our welfare facilities. The upkeep of our First Aid Box and ordering of our first aid supplies. Coordinating and managing our training requirements. Upkeep and maintenance of the premises. Coordinating contractors activities Management and coordination of emergency equipment and procedures including provision of fire extinguishers, fire drill, evacuation planning etc Responsible Person (Where Required) Signature

6.

7.

8.

9. 10. 11. 12.

Appendix III Sample registers and forms

a. Welfare Facilities Give detail as necessary

Welfare Facilities Adequate number of suitable toilet facilities Adequate washbasins with hot and cold running water Separate use of lavatories or washbasins for men and women, if so required Suitable washing facilities will include hot and cold running water, soap and clean towels or other suitable means of cleaning or drying. May depending on the nature of the work or for health reasons include separate showers for men and women. Suitable and adequate accommodation to take meals (canteen) including: ability to boil water; clean table surfaces; seats with back supports; adequate lighting and heating Provision of drinking water Suitable arrangements so that facilities are adequately maintained and kept clean Facilities to take shelter from the elements (relates to outdoor workstations), if required Provision of suitable means to dry clothing that have become damp due to the nature of the work

b.

PPE Register

Protective Personal Equipment Register

No. Name PPE Received Date Signature

c.

Location of First Aid Facilities

Give detail as appropriate

Location of First Aid Box(es) Location of Emergency Numbers on display Contents of our First Aid Box are appropriate for the size of our business and the hazards arising and will be regularly checked and replenished as necessary by Location of First Aid room (if required) Occupational First Aider (if required)

d. Emergency Arrangements Your Assembly Point is located at

Emergency Telephone Numbers

Occupational First Aider Nearest Hospital / A&E Local Doctor Emergency Services Ambulance Fire Brigade Garda Station ESB Networks Bord Gis Eircom Health & Safety Authority Other (specify) Other (specify)

112

1850 372 999 1850 205 050 1901 1890 289 389