DATJ 191 Risk Assessment form

• Site conducted

  Select

• Business unit

  Select

• Area

  Select Air Ocean CL CL- Customer dedicated site. Land F&E Central Head Office/IT Functions

  • Air
  • Ocean
  • CL
  • CL- Customer dedicated site.
  • Land
  • F&E
  • Central Head Office/IT Functions

• Detail specific location within the facility.

• Activity Assessed

  Select RA 001 Loading/Unloading a Trailer. RA 002 Unloading a Trailer RA 003 Cleaning (General) RA 004 Chemical/Hazardous Material Clean Up. RA 005 Picking Small Goods RA 006 Picking Goods At Height RA 007 MHE Charging RA 008 Changing/Storing FLT Gas Bottles RA 009 Re-Charging FLT Gas Bottles RA 010 Refueling Diesel Site Vehicles And Equipment. RA 011 Pedestrian Access To The Warehouse RA 012 Using Vehicles On Public Highways/Roads RA 013 Preparing/Wrapping Palletised Goods For Storage/Despatch RA 014 Waste Management On Site RA 015 Managing Vehicles/3rd Party Drivers in Yard Areas. RA 016 Handling/Storing Packaged/Palletised Goods, Dangerous Goods/Hazardous Materials Incl Batteries/Explosives. RA 017 Working At Height RA 018 Working On Mezzanines RA 019 Working Under Mezzanines RA 020 Working In Hot Conditions RA 021 Using Blades/Knives RA 022 Using Hand Held Tools (Incl. Power Tools) RA 023 Lone Working/Night Working RA 024 Driving Yard Shunters RA 025 Operating Ride On Floor Cleaners. RA 026 Using Kitchen Equipment RA 027 Using Office Equipment. RA 028 Occupational Stress RA 029 Operating Machines RA 030 IT Functions RA 031 Central Head Office Functions RA 032 Securing And Moving Loads During Transportation RA 033 Other RA 034 Operation of Manual Handling Equipment (MHE) RA 035 Car Park (Employees and Visitors) RA 036 Delivery Yard (General) RA 037 Offices (Including Welfare Facilities) RA 038 Warehouse (General) RA 039 Plant Rooms

  • RA 001 Loading/Unloading a Trailer.
  • RA 002 Unloading a Trailer
  • RA 003 Cleaning (General)
  • RA 004 Chemical/Hazardous Material Clean Up.
  • RA 005 Picking Small Goods
  • RA 006 Picking Goods At Height
  • RA 007 MHE Charging
  • RA 008 Changing/Storing FLT Gas Bottles
  • RA 009 Re-Charging FLT Gas Bottles
  • RA 010 Refueling Diesel Site Vehicles And Equipment.
  • RA 011 Pedestrian Access To The Warehouse
  • RA 012 Using Vehicles On Public Highways/Roads
  • RA 013 Preparing/Wrapping Palletised Goods For Storage/Despatch
  • RA 014 Waste Management On Site
  • RA 015 Managing Vehicles/3rd Party Drivers in Yard Areas.
  • RA 016 Handling/Storing Packaged/Palletised Goods, Dangerous Goods/Hazardous Materials Incl Batteries/Explosives.
  • RA 017 Working At Height
  • RA 018 Working On Mezzanines
  • RA 019 Working Under Mezzanines
  • RA 020 Working In Hot Conditions
  • RA 021 Using Blades/Knives
  • RA 022 Using Hand Held Tools (Incl. Power Tools)
  • RA 023 Lone Working/Night Working
  • RA 024 Driving Yard Shunters
  • RA 025 Operating Ride On Floor Cleaners.
  • RA 026 Using Kitchen Equipment
  • RA 027 Using Office Equipment.
  • RA 028 Occupational Stress
  • RA 029 Operating Machines
  • RA 030 IT Functions
  • RA 031 Central Head Office Functions
  • RA 032 Securing And Moving Loads During Transportation
  • RA 033 Other
  • RA 034 Operation of Manual Handling Equipment (MHE)
  • RA 035 Car Park (Employees and Visitors)
  • RA 036 Delivery Yard (General)
  • RA 037 Offices (Including Welfare Facilities)
  • RA 038 Warehouse (General)
  • RA 039 Plant Rooms

• Area of the facility

  Offices

  Offsite

  Warehouse

  Yard

• Where offsite

  Select Customer's (Dedicated Premises/Facility) Customer's (Property/Kerbside) Other

  • Customer's (Dedicated Premises/Facility)
  • Customer's (Property/Kerbside)
  • Other

• Provide details.

• Area being cleaned.

  Offices

  Offsite

  Warehouse

  Yard

• Does the battery require removal

  Yes

  No

• Equipment being used.

  Picking Trolley

  Powered Pallet Truck

  Pump Truck

• How Loaded

  Select A. Through the back doors B. Through the side curtain C. Through the back doors of a double decker trailer D. Through the side curtain of a double decker trailer

  • A. Through the back doors
  • B. Through the side curtain
  • C. Through the back doors of a double decker trailer
  • D. Through the side curtain of a double decker trailer

• Method of loading

  Select Dedicated loading system (E.g Roller bed) "Hand Ball" Manually Handled loading Using a Fork Lift Truck Using a Powered Pallet Truck Other

  • Dedicated loading system (E.g Roller bed)
  • "Hand Ball" Manually Handled loading
  • Using a Fork Lift Truck
  • Using a Powered Pallet Truck
  • Other

• Please describe

• Equipment Used

  Man Up Truck

  Pick Wave

• How is the Pallet Prepared.

  Select Banded Netted (Air Cargo Shipments) Shrink Wrapped (Manually) Shrink Wrapped (Using Wrapping Machine)

  • Banded
  • Netted (Air Cargo Shipments)
  • Shrink Wrapped (Manually)
  • Shrink Wrapped (Using Wrapping Machine)

• How is waste managed?

  Select Using Balers Using Compactors Using Skips/EuroBins (Manually placed) Using Skips (Loading using an FLT)

  • Using Balers
  • Using Compactors
  • Using Skips/EuroBins (Manually placed)
  • Using Skips (Loading using an FLT)

• Equipment used for work at height

  Man Up Truck

  Scissor Lift

  Cherry Picker/Genie Boom

  Ladder

• The pedestrian is?

  Select Schenker Employee (Non Warehouse Based) Non Employee (Administrative Type Duties) Non Employee (Installation/Maintenance Contractors)

  • Schenker Employee (Non Warehouse Based)
  • Non Employee (Administrative Type Duties)
  • Non Employee (Installation/Maintenance Contractors)

• Type of Machine/Equipment

  Cardboard Baler

  Plastic Baler

  Conveyors

  Shredding Machine

  Paper Packaging Machine

• Where are you moving and securing the load?

  Select Securing Load at Schenker Premises Moving and Securing Load At Non Schenker Premises Moving and Securing Load Not on any premises (E.g. Layby/kerbside)

  • Securing Load at Schenker Premises
  • Moving and Securing Load At Non Schenker Premises
  • Moving and Securing Load Not on any premises (E.g. Layby/kerbside)

• Detail of "Other" Activity

• Issue number

  Issue 1

  Issue 2

  Issue 3

  Issue 4

  Issue 5

• Purpose of new issue

  Select general review (2 years since last review) Due to an accident Due to change in process Risk assessment no longer suitable

  • general review (2 years since last review)
  • Due to an accident
  • Due to change in process
  • Risk assessment no longer suitable

• Add detailed description of review

• Location
  Address

• Assessment Date

  Date

• Review Date

  Date

• Assessor (name)

• Assisted by (names)

Add a Hazard

• Select your hazard(s)

  Select Contact with sharp edges or protruding parts/splinters Electric shock risk (Mains/Statis) Excessive noise Exposure to allergens, asbestos, airborne dusts, pathogens or biological agents. Exposure to radiation (including x-rays) Fall of a person from height Falling objects Flammable or explosive substances. Impact with pedestrians. Impact with a fixed object Impact with moving vehicles (MHE, Goods Vehicles) or equipment. Handling Chemicals or Dangerous/Hazardous Goods Hot, cold, wet and windy weather, including prolonged exposure to the sun. Hot processes (Flame, Heat or Spark generation). Inadequate lighting/night work Lone Working Manual handling, (Lifting, pushing, pulling heavy objects/work involving twisting or repetitive actions) Material under tension/release of stored energy(Packaging/strapping) Night shift work Pressurised systems (compressed air/liquid) Slip, trip and fall on same level Unsafe access/egress Unauthorised access/visitors on site Use of blades, knives or other cutting tools Use of mechanical handling equipment (MHE) Vibration (including ultrasound) Working in a confined space Working with display screen equipment Other (Specify)

  • Contact with sharp edges or protruding parts/splinters
  • Electric shock risk (Mains/Statis)
  • Excessive noise
  • Exposure to allergens, asbestos, airborne dusts, pathogens or biological agents.
  • Exposure to radiation (including x-rays)
  • Fall of a person from height
  • Falling objects
  • Flammable or explosive substances.
  • Impact with pedestrians.
  • Impact with a fixed object
  • Impact with moving vehicles (MHE, Goods Vehicles) or equipment.
  • Handling Chemicals or Dangerous/Hazardous Goods
  • Hot, cold, wet and windy weather, including prolonged exposure to the sun.
  • Hot processes (Flame, Heat or Spark generation).
  • Inadequate lighting/night work
  • Lone Working
  • Manual handling, (Lifting, pushing, pulling heavy objects/work involving twisting or repetitive actions)
  • Material under tension/release of stored energy(Packaging/strapping)
  • Night shift work
  • Pressurised systems (compressed air/liquid)
  • Slip, trip and fall on same level
  • Unsafe access/egress
  • Unauthorised access/visitors on site
  • Use of blades, knives or other cutting tools
  • Use of mechanical handling equipment (MHE)
  • Vibration (including ultrasound)
  • Working in a confined space
  • Working with display screen equipment
  • Other (Specify)

• You are required to complete template QSHE 164 - Working with Hazardous Substances (COSHH) as part of the this assessment.

• Source of Hazard

• Type of Injury/Damage that could occur.

• Who is exposed

  Select Employees Third Party employee (Agency or contractor) Visitor Member of Public Young person New or expectant mother

  • Employees
  • Third Party employee (Agency or contractor)
  • Visitor
  • Member of Public
  • Young person
  • New or expectant mother

• Existing Controls

• How much is the likelihood of occurrence of hazard

  (5) Certain

  (4) Likely

  (3) Possible

  (2) Remote

  (1) Improbable

• What could be the severity of Injury/ Disease or equipment damage.

  Select (1) Very minor injury, insignificant damage (2) First Aid Injury, minor loss of process, slight damage (3) Lost time injury, loss of process, limited damage (4) Reporting Injury, critical loss of process/damage (5) Fatality, catastrophic loss of business

  • (1) Very minor injury, insignificant damage
  • (2) First Aid Injury, minor loss of process, slight damage
  • (3) Lost time injury, loss of process, limited damage
  • (4) Reporting Injury, critical loss of process/damage
  • (5) Fatality, catastrophic loss of business

• Use the Risk Matrix to determine the risk rating for this hazard

  

• What is the risk rating for this hazard?

  Trivial

  Tolerable

  Moderate

  Substantial

  Intolerable

• Use the Risk Matrix to determine the risk rating for this hazard

  

• What is the risk rating for this hazard?

  Trivial

  Tolerable

  Moderate

  Substantial

  Intolerable

• Use the Risk Matrix to determine the risk rating for this hazard

  

• What is the risk rating for this hazard?

  Trivial

  Tolerable

  Moderate

  Substantial

  Intolerable

• Use the Risk Matrix to determine the risk rating for this hazard

  

• What is the risk rating for this hazard?

  Trivial

  Tolerable

  Moderate

  Substantial

  Intolerable

• Use the Risk Matrix to determine the risk rating for this hazard

  

• What is the risk rating for this hazard?

  Trivial

  Tolerable

  Moderate

  Substantial

  Intolerable

Method Statement

• How is the task performed.

• What Equipment is used in this process.

• People involved in this process (People involved in this process must read and understand this Risk Assessment and Method Statement (RAMS)

  Select Employees Third Party employee (Agency or contractor) Visitor Member of Public Young person New or expectant mother

  • Employees
  • Third Party employee (Agency or contractor)
  • Visitor
  • Member of Public
  • Young person
  • New or expectant mother

• Machinery protection devices (guards, interlocks)

  Yes

  No

• Specify Type/ Grade

• Task / Hazard Controlled

• Specific system of work (e.g. SSW, Work at Height Permit)

  Yes

  No

• Specify Type/ Grade

• Task / Hazard Controlled

• Hearing Protection

  Yes

  No

• Specify Type/ Grade

  Select EN352 Disposable ear plugs EN352 Reusable ear plugs EN352 Over ear defenders EN352 Communication Ear defenders

  • EN352 Disposable ear plugs
  • EN352 Reusable ear plugs
  • EN352 Over ear defenders
  • EN352 Communication Ear defenders

• Task / Hazard Controlled

• Eye Protection

  Yes

  No

• Specify Type/ Grade

  EN166 safety glasses - clear

  EN166 safety glasses - tinted

  EN166 safety goggles

  EN166/EN170 Face shield

• Task / Hazard Controlled

• Respiratory Protection

  Yes

  No

• Specify Type/ Grade

  Select EN136 - face/dust mask EN136 - respirator - face fit required self contained breathing apparatus - training required

  • EN136 - face/dust mask
  • EN136 - respirator - face fit required
  • self contained breathing apparatus - training required

• Task / Hazard Controlled

• Hand Protection

  Yes

  No

• Specify Type/ Grade

  Select EN388 Puncture resistant EN388 Cut resistant EN388 Impact resistant EN388 Abrasion resistant EN374 Chemical resistant EN407 Thermal (heat) resistant EN511 Thermal (cold) resistant EN388 Vibration resistant

  • EN388 Puncture resistant
  • EN388 Cut resistant
  • EN388 Impact resistant
  • EN388 Abrasion resistant
  • EN374 Chemical resistant
  • EN407 Thermal (heat) resistant
  • EN511 Thermal (cold) resistant
  • EN388 Vibration resistant

• Task / Hazard Controlled

• Protective coveralls/ clothing

  Yes

  No

• Specify Type/ Grade

  Overalls

  Apron

  Knee/ Elbow pads

  Other

• Task / Hazard Controlled

• Hi Vis Clothing

  Yes

  No

• Specify Type/Grade

  Select EN471,2 Hi Vis Vest front fastening EN471,2 Hi Vis Coats/Jackets front fastening

  • EN471,2 Hi Vis Vest front fastening
  • EN471,2 Hi Vis Coats/Jackets front fastening

• Task / Hazard Controlled

• Footwear

  Yes

  No

• Specify Type/ Grade

  Select EN ISO 20345 Safety boots EN ISO 20345 Safety shoes EN ISO 20345 Safety Wellingtons (S4/S5)

  • EN ISO 20345 Safety boots
  • EN ISO 20345 Safety shoes
  • EN ISO 20345 Safety Wellingtons (S4/S5)

• Task / Hazard Controlled

• Other

  Yes

  No

• Please specify

• Specify Type/ Grade

• Task / Hazard Controlled

• Manager's Name & Signature

  Sign