Lone Working Risk Assessment Form

Lone Working Risk Assessment Form to assess a specific worker, task, and location: communication, security, emergencies, and control measures before work start.

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Lone Working Risk Assessment Form



Assessment Scope

1. Description of the work activity being assessed


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2. Pattern and expected duration of lone working (nights, weekends, on-call, full shift)


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3. Degree of isolation (out of sight, out of earshot, off-site, no mobile signal)


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4. Job roles or positions covered by this assessment


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Worker Suitability

1. The worker is trained and competent to carry out the task without supervision


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2. The worker has completed the lone working induction for this role


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3. The worker has confirmed in writing that they are fit to work alone


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4. Declared medical conditions have been assessed against the risks of working alone


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5. The worker holds current first aid training appropriate to the task


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6. The worker has completed conflict avoidance training where contact with the public is expected


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7. Individual factors such as pregnancy, young age, disability or trainee status have been assessed


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Communication And Check-in

1. The worker has a working means of two-way communication for the whole period alone


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2. Mobile or radio signal has been tested at every location the worker will use


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3. A check-in schedule with set times has been agreed with the worker


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4. A named person receives the check-ins and is available for the full period


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5. An escalation procedure applies if a check-in is missed, stating who attends and when


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6. Emergency and next of kin contact details are held and current


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7. A lone worker alarm or monitoring app has been issued where the risk level requires it


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8. Any alarm or device has been tested and the worker knows how to use it


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Premises, Access And Security

1. Entry to the premises is restricted to authorised people while the worker is alone


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2. Lighting on approach routes, entrances and work areas is working


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3. A signing in and out system records who is on the premises


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4. The worker can exit the building unaided at any time, including at end of shift


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5. Parking is in a lit area within safe walking distance of the entrance


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6. Keys, fobs or access codes needed to enter and leave are issued to the worker


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7. Doors, windows and security alarms serving the work area are in working order


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Permitted And Prohibited Work

1. The task being assessed appears on the list of work permitted to be done alone


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2. Work at height, confined space entry and live electrical work are prohibited when alone


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3. Manual handling limits for one person are set for the loads involved


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4. No task requires equipment or furniture that one person cannot move safely


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5. Hazardous substances used during the period alone have been assessed for single-person use


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6. Machinery used alone has guards, isolation points and emergency stops in working order


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7. The worker knows which tasks must be deferred until a second person is present


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Violence, Aggression And Third Parties

1. Previous incidents of violence or aggression at this location have been reviewed


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2. Information about the client or premises is checked before each visit


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3. The worker can leave the work area quickly by an unobstructed route


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4. A second person accompanies the worker on visits flagged as higher risk


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5. Cash, valuables and equipment are carried so as not to attract attention


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6. The worker knows how to report threats, abuse and near misses


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Travel And Mobile Working

1. The worker's itinerary and expected return time are shared before travel


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2. Routes and parking are planned to avoid isolated or poorly lit stops


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3. The vehicle has been checked and holds enough fuel or charge for the route


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4. A breakdown and recovery procedure covers the areas being travelled


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5. The worker carries water, warm clothing and welfare items suited to the journey


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Emergency, First Aid And Welfare

1. The worker can raise an alarm from every part of the work area


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2. Fire evacuation from the work area is achievable by one person unaided


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3. A stocked first aid kit is accessible from the work area


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4. A procedure sets out what happens if the worker is injured or falls ill alone


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5. Drinking water, toilets and heating are available for the whole period alone


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6. Rest breaks are built into the shift and can be taken safely


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Assessment Outcome

1. Highest residual risk remaining once the controls above are applied


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2. Hazards that cannot be adequately controlled while the worker is alone


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3. Assessor's judgement on whether the activity is suitable for lone working, with reasons


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Checklist by GoAudits.com – Please note that this checklist is intended as an example. We do not guarantee compliance with the laws applicable to your territory or industry. You should seek professional advice to determine how this checklist should be adapted to your workplace or jurisdiction.

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