670-FRM-0078 - Take 5 - Field Level Risk Assessment

• 

• Date of the Assessment

  Date

• Prepared by

• Line

• Department

• Equipment

HAZARD CHECKLIST Look Close, Look Wide, Look Above, Look Below Have I considered / Am I at risk from:

People / Ergonomic Hazards

• Awkward posture

• Repetitive movements

• Manual Handling

• Heavy lifting, pushing, pulling

• Difficult access to workspace

• Others working around me (above and below)

• Other

Environmental Hazards

• Poor housekeeping

• Poor visibility

• Wet, slippery and unstable surfaces

• Noise and vibrations

• Flying particles

• Heat and extreme temperatures

• Exhaust fumes and gases

• Working in a confined space

• Poor weather

• Other

Mechanical Hazards

• Mobile equipment

• Rolling machinery

• Rotating components

• Pinch points

• Sharp or pointed parts

• Insufficient strength

• Other

Gravitational Hazards

• Working at height

• Potential falling objects

• Heavy equipment or tools

• Suspended loads

• Other

Other Hazards

• Stored energy

• Chemical

• Electrical

• Biological

• Radiation

• Dust

• Fire

• Pressure release

• Other

1: Stop and Think

• Do I have the required skills and knowledge?

  YES

  NO

• Does a procedure exist

  YES

  NO

• Do I understand the steps required to do the job?

  YES

  NO

• Are the tools and equipment available and in good order?

  YES

  NO

• Do I have the correct PPE?

  YES

  NO

• Do I have the required permit or authority to do this work?

  YES

  NO

• Have I got a plan in mind?

  YES

  NO

2: Look for the Hazards

• Will I be operating equipment with guards removed?

  YES

  NO

• Am I or others at risk from the operation of mobile equipment or machinery?

  YES

  NO

• Is there a manual handling risk?

  YES

  NO

• Will I be working at height or in a confined space?

  YES

  NO

3: Assess the Risk

• 

• What is Severity Potential?

  Minor

  Major

  Critical

4: Make the Changes

• Have I controlled all hazards so I will be safe? **Include a picture**

  YES

  NO

5: Do the Job Safely

• I can do the job Safely.

  YES

  NO

• Supervisor Sign Off

  Sign