Information
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Project Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
HAZARDS
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Exposure to live electrical components
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Risk of electric shock
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Arc flash
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Short circuits
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Overheating equipment
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Combustible materials near electrical equipment
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Moving parts of equipment
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Sharp edges on equipment or panel
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Battery leakage
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Poor workspace design
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Manual handling of heavy equipment
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High noise levels from equipment
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Inadequate lighting
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Unsecured cables and wires
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Exposure to electromagnetic fields (EMF)
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Restricted access areas
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Poor ventilation
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Inadequate training for personnel
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Potential for human error
RISK SCORE
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High; Moderate; Low
P.P.E
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Head
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Eyes
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Ears
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Hands
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Mask
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Suit
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Harness
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Feet
ISOLATION CONTROL
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Accidental energization
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Human error
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Inadequate de-energization
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Failure of isolation devices
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Poor communication
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Unauthorized removal of locks
ACCESS CONTROL
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Barricade / Fence
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Signage
ENVIRONMENT
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Silt & Sediment
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Noise Pollution
Waste Management
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Collection
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Disposal
RISK ASSESSMENT CARRIED OUT BY
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Name
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Name
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Name
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Name
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Name
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Name