Form

Management of health and safety in defence: safety forms (JSP 375)

Health and safety forms relating to the leaflets published in Joint Service Publication (JSP) 375.

Documents

MOD form 5010: MOD risk assessment form

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MOD form 5010: MOD risk assessment form

MOD form 5010A: dynamic risk assessment

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MOD form 5010A: dynamic risk assessment

MOD risk assessment MF5010 and MF5010A: guidance notes

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MOD form 5011: COSHH assessment form

MOD form 5011a: COSHH master register

MOD form 5012: manual handling assessment

MOD Form 5014: DSEAR risk assessment

MOD form 5017: noise assessment record

MOD Form 5030: PPE serviceability inspection/audit

MOD Form 5031: PPE user inspection instruction

MOD form 5050: excavation statement known hazards

MOD Form 5053 - annex A

MOD Form 5053 - annex B

MOD Form 5053 - annex C

MOD form 5070: permit to dig

MOD form 5071: permit to work

MOD form 5072: register of permits to work

First aid notice template

Workplace inspection template

Details

The Ministry of Defence (MOD) health and safety forms are referenced in MOD Joint Service Publication (JSP 375) Management of health and safety in defence and are used by MOD staff to undertake assessment of the risks/hazards of their activites to ensure that their health and safety and the health safety of colleagues are not put at risk.

Published 21 May 2009
Last updated 25 March 2024 + show all updates
  1. Updated 'MOD form 5051: personal health record (Health Surveillance (HS) or Health Monitoring (HM))', added 'MOD Form 5053 - Self-Assessment (Health Surveillance (HS) or Health Monitoring (HM))' and annexes A-C. Removed 'MOD Form 5054: Hand arm Vibration (HAV) annual health surveillance self assessment' as this has been incorporated into MOD Form 5053.

  2. Updated 'MOD form 5010: MOD risk assessment form' and added 'MOD form 5010A: dynamic risk assessment' and 'MOD Risk Assessment MF50101 and MF5010A: guidance notes'.

  3. Replaced form 5016.

  4. Updated: MOD form 5051 personal exposure record form.

  5. Updated all JSP 375 forms updated to open document text versions.

  6. Added revised MOD form 5011 (revised August 2017), MOD form 5011b: routine COSHH exposure monitoring record (replaces MOD form 993E), and MOD form 5016.

  7. Updated MOD Form 5010 to version 1.3.

  8. Added revised MOD form 5011a: COSHH master register.

  9. Added revised MOD Form 5014.

  10. Added updated MOD 5056 form.

  11. Added updated DSE MOD form 1003.

  12. Updated current and added new forms.

  13. Added updated version of MOD Form 5011.

  14. Published revised MOD form 5014: DSEAR risk assessment

  15. Updated summary and detail sections.

  16. Replaced MOD form 5014: DSEAR risk assessment to latest version

  17. First published.