## D Stone. Groundwork Contractor Risk Assessment Sheet No 1

Assessor
K Greenhalgh
date 
3rd June 2019
Site
Lathkill Lodge 
Picory Corner 
Bakeweil 
Derbyshire 
DE451LB
Activity
Potential Hazard
Probability
Severity
Risk 
Priority
Personal Safety
Be seen be safe 
from works 
operations
Ml
H
Ml/H
Wear High visibility Jackets or
Vests Safety Boots , hard hats in 
trench work
Excavations
Striking 
underground 
services
Mi
H
H/H
Call dial before you dig prior to 
start.
Position of services to be 
determined by examining utility 
drawings. Carry out on site CAT 
scan survey. Mark out on roadway 
Hand dig trial holes if required.
Collapse of sides 
of excavation
Ml
H
M/H
Provide adequate shoring to suit 
ground conditions. Plant, excavated 
spoil and imported materia! to be 
sited a safe distance from edge of 
trench to prevent loading on trench 
walls.
Ground Conditions
Ml
Ml
M/M
Dewatering when necessary to 
protect operatives and the works 
Excess spoil to licenced tip. 
Environmental Agency Carriers 
Licence held by D Stone
Ml
Ml
M/M
Work Area to be fenced / barriered 
off, for safety of stock or persons 
visiting site. Also restricts 
movement of machinery.
All excavation 
work is m private 
land owned by 
Stanton Estates
Ml
Ml
M/M
By Rock breaker on Mini digger and 
cushioned hand held breakers. On 
hand held, change operatives on 
hand held tools on a regular basis do not work prolonged periods
Excavation of hard 
materials/ rock if 
any in trench line 
by vibrating hand 
held tools
Ml
Ml
MI/Ml
Wear good quality ear defenders 
Hand held tools have regular 
breaks , change operative
Damage to 
hearing by using 
breaker or hand 
held vibrating tools
Probability :
Severity:
H - Fatality, major injury or illness causing long term disability
M - Injury or illness causing short term disability
L - Other injury or illness
H - Certain or near certain to death
M - Reasonably likely to occur
L - Unlikely to occur
Risk Priority Rate = Probability x Severity
Job
Construct 100mm dia foul water 
only sewer 
connection to STVV Ltd 's 375mm 
dia combined sewer in private 
land.
Control Measures to Minimize 
Risk becomes level L / L

## D Stone Groundwork Contractor Risk Assessment Sheet No 2

Assessor
K Greenhalgh
date
3rd June 2019
Site
Lathkill Lodge 
Picory Corner 
Bakeweli 
Derbyshire 
DE451LB
Job
Construct 100mm dia foul water 
only sewer 
connection to STW Ltd 's 375mm dia combined sewer in private 
land.
Plant and Machinery
Slewing or reversing 
without warning 
Striking persons or 
property
M
H
M/H
Only certified and trained personnel to 
operate plant/machinery. Provide 
competent banks man where required 
To operate within confines of the site 
Plant and machinery to be positioned 
a safe distance from the edge of 
excavations. Plant and Machinery are 
to be maintained in good order.
zero
zero
zero
No overhead cables in location
Striking o/head power 
line or telephone
Leaving plant 
unattended
M
M
M/M
Never to be left unattended in tick 
over in communal area. Never left 
overnight with keys in or in a location 
where handbrake can be knocked off 
and plant run away
M
H
M/H
Banks man watching this operation
Striking traffic / 
persons
Loading / unloading 
materials
Trip Hazard
L
M
L/M
Ensure materials are stored neatly 
and fenced of if required Good house 
keeping keep site tidy and brushed 
up-
M
H
M/H
No materials over 25kg to be lifted by 
one person.
Damage to lumber 
region of back and 
trapped fingers
Lifting manhole lids
Damage to lumber 
region of back
M
M
M/M
Always use long reach keys inserted 
in lifting eyes and use two men to 
balance the weight.
Cutting pipes / hard 
aterial
Ml
H
M/H
When using Stilh Saw ensure that 
water spray is used to eliminate dust. 
Wear goggles or safety glasses
Dust inhalation, and bits of material 
hitting eyes
Severity.
H - Fatality, major injury or illness causing long term disability
M - Injury or illness causing short term disability
L - Other injury or illness
Probability:
H - Certain or near certain to death M - Reasonably likely to occur
L - Unlikely to occur

Risk Priority Rate = Probability x Severity

## Risk Assessment Sheet No 3

Assessor
K Greenhalgh
date
3rd June 2019
Site
LathkiK Lodge 
Picory Corner 
Bakewell 
Derbyshire
DE451LB
Activity
Potential Hazard
Probability
Severity
Risk
Priority
Entering foul water 
Trench
Possible presence of 
toxic or explosive 
gases illegally 
discharged into 
system
M
H
M/H
Only confined space trained persons 
to enter or trench following confined 
space procedure. Depth of work aprox 
2.0m Where poss. manholes to be 
vented, on system. Fixed ladder 
access to trench. Operatives to wear 
PPE. No smoking near open trench.
Heavy rain causing 
flow in system to 
increase
H
M
L/M
Monitor weather conditions. Stop 
work in flood conditions and no entry in 
to trench
Infections and 
diseases from debris 
in system
M
M
Mi/ Ml
Operatives have all had tetinis and 
hepititus jabs.. All to wear PPE at all 
times. Personal hygiene to be 
observed. No eating , drinking or 
smoking before removing PPE and 
washing hands.
Open wounds to be protected with 
waterproof plasters.
Welfare van with wash facilities on site
carbon dioxide fumes 
from stilh saw, bits 
hitting into eyes.
Cutting saddle to 
375mm dia clayware 
main sewer to make 
connction.
H
H
H/H
Only use stilh saw in short duration 
use.
Dampen dust by water spray during 
cutting. Let dust and fumes disperse 
between cutting operation Use face 
mask and googles and gloves.
damage to hearing
M
M
M/MI
Wear good quality ear defenders
Excess volume of 
flow in sewer causing 
spray inhalation
M
M
MI/MI
Monitor volume of flow , no work in storm condition.,
Work only in dry weather flow.
Welfare van with wash facilities on site 
to clean up afterwards
Severity:
H - Fatality, major injury or illness causing long term disability 
M - Injury or illness causing short term disability
L - Other injury or illness
Probability :
H - Certain or near certain to death
M - Reasonably likely to occur
L - Unlikely to occur
Job
Construct 100mm dia foul water 
only sewer 
connection to STW Ltd 's 375mm dia combined sewer in private 
land.
Control Measures to Minimize 
Risk becomes level L / L

## Health And Safety Policy Statement Introduction

As Owner and Manager of D Stone the responsibility for the Health and Safety of my employees and anyone else who may be affected by our works rests with me.

Compliance with the Health and Safety at Work Act 1974 underlines this policy statement.

My aim is to minimize risks that arise from the work we undertake and the service we provide.

Employees are aware of this policy. All employees must ensure that we work in a safe manner and where a safe system of work has been adopted that we work to that system.

## Basis Of Policy

Our policy is to manage our business in such a manner that we provide and maintain an environment which is safe and healthy for all those whom we have contact.

A) 
We will provide and maintain safe systems of work supported by safe 
working practices.
B) 
We will ensure that our employees are encouraged to openly express 
any concerns they have about health and safety issues.
C) 
We will support employees in carrying out their responsibilities by 
ensuring they have the information, instruction, training and 
supervision they need.
D) 
We will make sure employees are aware off the hazards they face.
E) 
We will encourage employees to report incidents and accidents.
F) 
We will endeavour to reduce risks to the level that the law requires.
G) 
We will protect by all reasonable means anyone who will be affected
by our work and in particular those to whom we have duties underihe.™..____
Health and Safety at Work Act and relevant legislation.
ALLOCATED. GROUP
- -R
r eq o - 9 SEP 2019
ACKNOWLEDGEMENT:
REPLY:
-ILE ALLOCATION:
">R:SO TO:

## Implementation

Risk Assessment plays a key part of in the undertaking of our works.

We have the competence within the Company to undertake risk assessments and to write safe systems of work to minimize risks.

Our employees are selected that they are mentally and physically capable of undertaking the work they do. Ail employees are trained and certificated in the use of the machinery and tools they use and for the environment in which they work, eg Street Works accredited for working in the public highway.

This will apply when someone joins the Company or when the roles are changed within the Company.

We will ensure that any vehicles; plant, and equipment that we use comply with any legal requirements and appropriate technical standards.

Any materials or substances that we use will also apply to any legal requirement and technical standard.

A good Health and safety performance is an essential part of our business. 

Our clients/customers are entitled to ourselves performing works with minimum risk.

I will ensure that this policy is reviewed at least once per year so that it remains up to date, relevant and any current legislation incorporated in the policy and acted upon. Any risk arising which occurs during the construction of the works and not covered under the site risk assessment will be immediately reported to me by the operatives and I will decide and inform them what actions are required to mitigate the risk.

David Stone, Last update April 2019
PARK.AyTriaR.iIY
ALLOCATED: GROUP 
O = -•'-R
r ec t d - 9 SEP 2019
ACKNOWLEDGEMENT:
REPLY:
FILE ALLOCATION:
COPIED TO. 

# D Stone Groundwork Gontractor Bradshaws Yard, Staden Lane, Buxton, Derbys, Sk179Rz Company Reg. No, 4888267 3Rd June 2019

## Method Statement And Step By Step Guide , Identified From The Risk Assessment For The Baying Of A 100Mm Dia Foul Sewer To Serve Lathkih Lodge, Picory Corner, Bakewell, Derbyshire, De45 1Lb.

The first part of the works is to construct a private sewage pumping station and a 90mm dia rising main to serve Lathkill Lodge. ( a private dwelling house). This will replace an existing outdated septic tank in the grounds of the Lodge. This rising main will remain in private ownership of Stanton Estates.

The second part of the works is to make a 100mm dia clayware gravity sewer connection from the demarcation manhole to the 375mm dia combined sewer owned by Severn Trent Water. This will be by a saddle junction positioned at 
2 O'clock on the 375mm dia pipe. All this work is in open field which is owned by Stanton Estates. The attached drawing shows the location and the cross section of the proposed connection.

The risk assessment and method statement refer to the gravity connection only as the rising main is works under private ownership.

Excavation work for the laying of a 100mm dia clay foul water sewer connection, 8.0 .long, from the demarcation chamber in the field at Picory Corner to STW Ltd's 375mm dia combined sewer also sited in the field is to be undertaken by D Stone. The field is in the ownership of Stanton Estates.

The connection is to be made approx 2.0m deep by a 100mm dia saddle connection at co-ordinates X 424046 & Y 365093
The works will be carried out in open cut excavation using a tracked 360- 
degree excavator, compressor and by hand. Delivery and removal of materials will be by dumper. Al! excess spoil is to be removed by D Stone ltd a Environmental Agency Waste Carriers Licence is held by ourselves. £ 5.0 
million public liability insurance is carried by D Stone.

The machine operatives and drivers and those persons working on site are trained and experienced operatives in the use of all this equipment and are machine ticketed, thus any potential danger from the equipment itself is a low risk. Operatives entering trench line and manhole are confined spaces trained.

trench I ALLOCATED, g r o u p Any person working or entering the site will have to wear personal protective equipment, high visibility vest, steel toe cap boots , safety helmet in when working near machines.

i - 9 SEP 2019
REQ'D **
ACKNOWLEDGEMENT:
REPLY:
FILE ALLOCATION: 
COPIED TO: 

# Company Reg. No, 4888267

We are aware that whilst carrying out excavation works on site it creates potential danger to the public .ourselves and other site personnel.

A site specific risk assessment has been carried out for this site (separate copy enclosed ie Risk 1 Risk 2 and Risk 3 ) and all my staff and site operatives have read and are aware of these risks and will follow the control measures put in place during our site works to minimize risk.

Any unforeseen risk situation arising on site will be reported to me immediately and action will be taken to mitigate that risk.

## Day 1. Action

Set up barriers / fencing to the excavation location to safeguard any public , live stock and site personnel at the sewer connection length in the field.

Identify and mark up, all utility services in this location and carry out CAT 
scan for electric and telecom to avoid cable strike. Will use Dial before you dig notification prior to start.

If services are sited at the location of the proposed sewer connection point or on the line then carefully excavate by hand to locate prior to any machine excavation.

Excavate to locate any services in lateral trench and support to excavation as required. Excavate to locate STW Ltd's 375mm dia combined sewer and make 100mm dia saddle connection This work only to be done in dry weather and low flow conditions in the main sewer.

Request inspection by STW ltd Inspector, 24 hour notice required

## Day 2.Action

Ensuring barriers and fencing are in position. Reposition or replace if any are damaged , missing or knocked over.

Construct the lateral 100mm dia clayware connection from the main sewer to the upvc demarcation manhole approx 1 0m deep. Gradient 1 in 40.

Class S bed and surround to be used to the lateral connection .

A heavy duty manhole is to be used on the demarcation manhole as tractors and farm machinery is used in the field.

## Day 3. Action

Ensuring barriers and fencing are in position. Reposition or replace if any are damaged , missing or knocked over. 

. ALP^ aut ho r ^
Once the connection has been inspected and approved by the STW
Inspector the trench to the lateral connection can be backfilled i al l o c at ed g r o u^
I d at e - q SEP
I REQ'D j
* ac k n o w l ed g emen t .

Bradshaws Yard Staden Lane Buxton Derbyshire SKI 7 9RZ

## Groundwork. Contractors