HAZARD
CONSEQUENCE
1-Insignificant
2-Minor
3-Moderate
4-Major
5-Extreme
PROABILITY
E-Unlikely
D-Possible
C-Likely
B-Very Likely
A-Almost Certain
RESIDUAL SCORE
Select
Low 1
Low 2
Low 3
Low 4
Low 5
Low 6
Low 7
Low 8
Low 9
Low 10
Med 11
Med 12
Med 13
Med 14
Med 15
Med 16
Med 17
Med 18
Med 19
High 20
High 21
High 22
High 23
High 24
High 25
Low 1 Low 2 Low 3 Low 4 Low 5 Low 6 Low 7 Low 8 Low 9 Low 10 Med 11 Med 12 Med 13 Med 14 Med 15 Med 16 Med 17 Med 18 Med 19 High 20 High 21 High 22 High 23 High 24 High 25
CONTROL MEASURE
Select
EWP, Man cage of forklift, ladder
Crane, excavator or other appropriate lifting device
Wear appropriate PPE.
Harness
Correct lifting equipment that is inspected and tagged
Dogman
Use correct tools for the job
Isolate machine and Lock out.
Ensure work area is clean and free of obstructions
Use a drip tray to catch oils
tag line
EWP, Man cage of forklift, ladder Crane, excavator or other appropriate lifting device Wear appropriate PPE. Harness Correct lifting equipment that is inspected and tagged Dogman Use correct tools for the job Isolate machine and Lock out. Ensure work area is clean and free of obstructions Use a drip tray to catch oils tag line
Add another control measure
CONSEQUENCE
1-Insignificant
2-Minor
3-Moderate
4-Major
5-Extreme
PROABILITY
E-Unlikely
D-Possible
C-Likely
B-Very Likely
A-Almost Certain
RESIDUAL SCORE
Select
Low 1
Low 2
Low 3
Low 4
Low 5
Low 6
Low 7
Low 8
Low 9
Low 10
Med 11
Med 12
Med 13
Med 14
Med 15
Med 16
Med 17
Med 18
Med 19
High 20
High 21
High 22
High 23
High 24
High 25
Low 1 Low 2 Low 3 Low 4 Low 5 Low 6 Low 7 Low 8 Low 9 Low 10 Med 11 Med 12 Med 13 Med 14 Med 15 Med 16 Med 17 Med 18 Med 19 High 20 High 21 High 22 High 23 High 24 High 25
PERSONS RESPONSIBLE
Employee
Employer
Customer
Contractor
Add another Hazard
HAZARD
CONSEQUENCE
1-Insignificant
2-Minor
3-Moderate
4-Major
5-Extreme
PROABILITY
E-Unlikely
D-Possible
C-Likely
B-Very Likely
A-Almost Certain
RESIDUAL SCORE
Select
Low 1
Low 2
Low 3
Low 4
Low 5
Low 6
Low 7
Low 8
Low 9
Low 10
Med 11
Med 12
Med 13
Med 14
Med 15
Med 16
Med 17
Med 18
Med 19
High 20
High 21
High 22
High 23
High 24
High 25
Low 1 Low 2 Low 3 Low 4 Low 5 Low 6 Low 7 Low 8 Low 9 Low 10 Med 11 Med 12 Med 13 Med 14 Med 15 Med 16 Med 17 Med 18 Med 19 High 20 High 21 High 22 High 23 High 24 High 25
CONTROL MEASURE
Select
EWP, Man cage of forklift, ladder
Crane, excavator or other appropriate lifting device
Wear appropriate PPE.
Harness
Correct lifting equipment that is inspected and tagged
Dogman
Use correct tools for the job
Isolate machine and Lock out.
Ensure work area is clean and free of obstructions
Use a drip tray to catch oils
tag line
EWP, Man cage of forklift, ladder Crane, excavator or other appropriate lifting device Wear appropriate PPE. Harness Correct lifting equipment that is inspected and tagged Dogman Use correct tools for the job Isolate machine and Lock out. Ensure work area is clean and free of obstructions Use a drip tray to catch oils tag line
Add another control measure
CONSEQUENCE
1-Insignificant
2-Minor
3-Moderate
4-Major
5-Extreme
PROABILITY
E-Unlikely
D-Possible
C-Likely
B-Very Likely
A-Almost Certain
RESIDUAL SCORE
Select
Low 1
Low 2
Low 3
Low 4
Low 5
Low 6
Low 7
Low 8
Low 9
Low 10
Med 11
Med 12
Med 13
Med 14
Med 15
Med 16
Med 17
Med 18
Med 19
High 20
High 21
High 22
High 23
High 24
High 25
Low 1 Low 2 Low 3 Low 4 Low 5 Low 6 Low 7 Low 8 Low 9 Low 10 Med 11 Med 12 Med 13 Med 14 Med 15 Med 16 Med 17 Med 18 Med 19 High 20 High 21 High 22 High 23 High 24 High 25
PERSONS RESPONSIBLE
Employee
Employer
Customer
Contractor
Add another Hazard
HAZARD
CONSEQUENCE
1-Insignificant
2-Minor
3-Moderate
4-Major
5-Extreme
PROABILITY
E-Unlikely
D-Possible
C-Likely
B-Very Likely
A-Almost Certain
RESIDUAL SCORE
Select
Low 1
Low 2
Low 3
Low 4
Low 5
Low 6
Low 7
Low 8
Low 9
Low 10
Med 11
Med 12
Med 13
Med 14
Med 15
Med 16
Med 17
Med 18
Med 19
High 20
High 21
High 22
High 23
High 24
High 25
Low 1 Low 2 Low 3 Low 4 Low 5 Low 6 Low 7 Low 8 Low 9 Low 10 Med 11 Med 12 Med 13 Med 14 Med 15 Med 16 Med 17 Med 18 Med 19 High 20 High 21 High 22 High 23 High 24 High 25
CONTROL MEASURE
Select
EWP, Man cage of forklift, ladder
Crane, excavator or other appropriate lifting device
Wear appropriate PPE.
Harness
Correct lifting equipment that is inspected and tagged
Dogman
Use correct tools for the job
Isolate machine and Lock out.
Ensure work area is clean and free of obstructions
Use a drip tray to catch oils
tag line
EWP, Man cage of forklift, ladder Crane, excavator or other appropriate lifting device Wear appropriate PPE. Harness Correct lifting equipment that is inspected and tagged Dogman Use correct tools for the job Isolate machine and Lock out. Ensure work area is clean and free of obstructions Use a drip tray to catch oils tag line
Add another control measure
CONSEQUENCE
1-Insignificant
2-Minor
3-Moderate
4-Major
5-Extreme
PROABILITY
E-Unlikely
D-Possible
C-Likely
B-Very Likely
A-Almost Certain
RESIDUAL SCORE
Select
Low 1
Low 2
Low 3
Low 4
Low 5
Low 6
Low 7
Low 8
Low 9
Low 10
Med 11
Med 12
Med 13
Med 14
Med 15
Med 16
Med 17
Med 18
Med 19
High 20
High 21
High 22
High 23
High 24
High 25
Low 1 Low 2 Low 3 Low 4 Low 5 Low 6 Low 7 Low 8 Low 9 Low 10 Med 11 Med 12 Med 13 Med 14 Med 15 Med 16 Med 17 Med 18 Med 19 High 20 High 21 High 22 High 23 High 24 High 25
PERSONS RESPONSIBLE
Employee
Employer
Customer
Contractor
Add another Hazard
HAZARD
CONSEQUENCE
1-Insignificant
2-Minor
3-Moderate
4-Major
5-Extreme
PROABILITY
E-Unlikely
D-Possible
C-Likely
B-Very Likely
A-Almost Certain
RESIDUAL SCORE
Select
Low 1
Low 2
Low 3
Low 4
Low 5
Low 6
Low 7
Low 8
Low 9
Low 10
Med 11
Med 12
Med 13
Med 14
Med 15
Med 16
Med 17
Med 18
Med 19
High 20
High 21
High 22
High 23
High 24
High 25
Low 1 Low 2 Low 3 Low 4 Low 5 Low 6 Low 7 Low 8 Low 9 Low 10 Med 11 Med 12 Med 13 Med 14 Med 15 Med 16 Med 17 Med 18 Med 19 High 20 High 21 High 22 High 23 High 24 High 25
CONTROL MEASURE
Select
EWP, Man cage of forklift, ladder
Crane, excavator or other appropriate lifting device
Wear appropriate PPE.
Harness
Correct lifting equipment that is inspected and tagged
Dogman
Use correct tools for the job
Isolate machine and Lock out.
Ensure work area is clean and free of obstructions
Use a drip tray to catch oils
tag line
EWP, Man cage of forklift, ladder Crane, excavator or other appropriate lifting device Wear appropriate PPE. Harness Correct lifting equipment that is inspected and tagged Dogman Use correct tools for the job Isolate machine and Lock out. Ensure work area is clean and free of obstructions Use a drip tray to catch oils tag line
Add another control measure
CONSEQUENCE
1-Insignificant
2-Minor
3-Moderate
4-Major
5-Extreme
PROABILITY
E-Unlikely
D-Possible
C-Likely
B-Very Likely
A-Almost Certain
RESIDUAL SCORE
Select
Low 1
Low 2
Low 3
Low 4
Low 5
Low 6
Low 7
Low 8
Low 9
Low 10
Med 11
Med 12
Med 13
Med 14
Med 15
Med 16
Med 17
Med 18
Med 19
High 20
High 21
High 22
High 23
High 24
High 25
Low 1 Low 2 Low 3 Low 4 Low 5 Low 6 Low 7 Low 8 Low 9 Low 10 Med 11 Med 12 Med 13 Med 14 Med 15 Med 16 Med 17 Med 18 Med 19 High 20 High 21 High 22 High 23 High 24 High 25
PERSONS RESPONSIBLE
Employee
Employer
Customer
Contractor
Add another Hazard
HAZARD
CONSEQUENCE
1-Insignificant
2-Minor
3-Moderate
4-Major
5-Extreme
PROABILITY
E-Unlikely
D-Possible
C-Likely
B-Very Likely
A-Almost Certain
RESIDUAL SCORE
Select
Low 1
Low 2
Low 3
Low 4
Low 5
Low 6
Low 7
Low 8
Low 9
Low 10
Med 11
Med 12
Med 13
Med 14
Med 15
Med 16
Med 17
Med 18
Med 19
High 20
High 21
High 22
High 23
High 24
High 25
Low 1 Low 2 Low 3 Low 4 Low 5 Low 6 Low 7 Low 8 Low 9 Low 10 Med 11 Med 12 Med 13 Med 14 Med 15 Med 16 Med 17 Med 18 Med 19 High 20 High 21 High 22 High 23 High 24 High 25
CONTROL MEASURE
Select
EWP, Man cage of forklift, ladder
Crane, excavator or other appropriate lifting device
Wear appropriate PPE.
Harness
Correct lifting equipment that is inspected and tagged
Dogman
Use correct tools for the job
Isolate machine and Lock out.
Ensure work area is clean and free of obstructions
Use a drip tray to catch oils
tag line
EWP, Man cage of forklift, ladder Crane, excavator or other appropriate lifting device Wear appropriate PPE. Harness Correct lifting equipment that is inspected and tagged Dogman Use correct tools for the job Isolate machine and Lock out. Ensure work area is clean and free of obstructions Use a drip tray to catch oils tag line
Add another control measure
CONSEQUENCE
1-Insignificant
2-Minor
3-Moderate
4-Major
5-Extreme
PROABILITY
E-Unlikely
D-Possible
C-Likely
B-Very Likely
A-Almost Certain
RESIDUAL SCORE
Select
Low 1
Low 2
Low 3
Low 4
Low 5
Low 6
Low 7
Low 8
Low 9
Low 10
Med 11
Med 12
Med 13
Med 14
Med 15
Med 16
Med 17
Med 18
Med 19
High 20
High 21
High 22
High 23
High 24
High 25
Low 1 Low 2 Low 3 Low 4 Low 5 Low 6 Low 7 Low 8 Low 9 Low 10 Med 11 Med 12 Med 13 Med 14 Med 15 Med 16 Med 17 Med 18 Med 19 High 20 High 21 High 22 High 23 High 24 High 25
PERSONS RESPONSIBLE
Employee
Employer
Customer
Contractor
Add another Hazard
HAZARD
CONSEQUENCE
1-Insignificant
2-Minor
3-Moderate
4-Major
5-Extreme
PROABILITY
E-Unlikely
D-Possible
C-Likely
B-Very Likely
A-Almost Certain
RESIDUAL SCORE
Select
Low 1
Low 2
Low 3
Low 4
Low 5
Low 6
Low 7
Low 8
Low 9
Low 10
Med 11
Med 12
Med 13
Med 14
Med 15
Med 16
Med 17
Med 18
Med 19
High 20
High 21
High 22
High 23
High 24
High 25
Low 1 Low 2 Low 3 Low 4 Low 5 Low 6 Low 7 Low 8 Low 9 Low 10 Med 11 Med 12 Med 13 Med 14 Med 15 Med 16 Med 17 Med 18 Med 19 High 20 High 21 High 22 High 23 High 24 High 25
CONTROL MEASURE
Select
EWP, Man cage of forklift, ladder
Crane, excavator or other appropriate lifting device
Wear appropriate PPE.
Harness
Correct lifting equipment that is inspected and tagged
Dogman
Use correct tools for the job
Isolate machine and Lock out.
Ensure work area is clean and free of obstructions
Use a drip tray to catch oils
tag line
EWP, Man cage of forklift, ladder Crane, excavator or other appropriate lifting device Wear appropriate PPE. Harness Correct lifting equipment that is inspected and tagged Dogman Use correct tools for the job Isolate machine and Lock out. Ensure work area is clean and free of obstructions Use a drip tray to catch oils tag line
Add another control measure
CONSEQUENCE
1-Insignificant
2-Minor
3-Moderate
4-Major
5-Extreme
PROABILITY
E-Unlikely
D-Possible
C-Likely
B-Very Likely
A-Almost Certain
RESIDUAL SCORE
Select
Low 1
Low 2
Low 3
Low 4
Low 5
Low 6
Low 7
Low 8
Low 9
Low 10
Med 11
Med 12
Med 13
Med 14
Med 15
Med 16
Med 17
Med 18
Med 19
High 20
High 21
High 22
High 23
High 24
High 25
Low 1 Low 2 Low 3 Low 4 Low 5 Low 6 Low 7 Low 8 Low 9 Low 10 Med 11 Med 12 Med 13 Med 14 Med 15 Med 16 Med 17 Med 18 Med 19 High 20 High 21 High 22 High 23 High 24 High 25
PERSONS RESPONSIBLE
Employee
Employer
Customer
Contractor
Add another Hazard
HAZARD
CONSEQUENCE
1-Insignificant
2-Minor
3-Moderate
4-Major
5-Extreme
PROABILITY
E-Unlikely
D-Possible
C-Likely
B-Very Likely
A-Almost Certain
RESIDUAL SCORE
Select
Low 1
Low 2
Low 3
Low 4
Low 5
Low 6
Low 7
Low 8
Low 9
Low 10
Med 11
Med 12
Med 13
Med 14
Med 15
Med 16
Med 17
Med 18
Med 19
High 20
High 21
High 22
High 23
High 24
High 25
Low 1 Low 2 Low 3 Low 4 Low 5 Low 6 Low 7 Low 8 Low 9 Low 10 Med 11 Med 12 Med 13 Med 14 Med 15 Med 16 Med 17 Med 18 Med 19 High 20 High 21 High 22 High 23 High 24 High 25
CONTROL MEASURE
Select
EWP, Man cage of forklift, ladder
Crane, excavator or other appropriate lifting device
Wear appropriate PPE.
Harness
Correct lifting equipment that is inspected and tagged
Dogman
Use correct tools for the job
Isolate machine and Lock out.
Ensure work area is clean and free of obstructions
Use a drip tray to catch oils
tag line
EWP, Man cage of forklift, ladder Crane, excavator or other appropriate lifting device Wear appropriate PPE. Harness Correct lifting equipment that is inspected and tagged Dogman Use correct tools for the job Isolate machine and Lock out. Ensure work area is clean and free of obstructions Use a drip tray to catch oils tag line
Add another control measure
CONSEQUENCE
1-Insignificant
2-Minor
3-Moderate
4-Major
5-Extreme
PROABILITY
E-Unlikely
D-Possible
C-Likely
B-Very Likely
A-Almost Certain
RESIDUAL SCORE
Select
Low 1
Low 2
Low 3
Low 4
Low 5
Low 6
Low 7
Low 8
Low 9
Low 10
Med 11
Med 12
Med 13
Med 14
Med 15
Med 16
Med 17
Med 18
Med 19
High 20
High 21
High 22
High 23
High 24
High 25
Low 1 Low 2 Low 3 Low 4 Low 5 Low 6 Low 7 Low 8 Low 9 Low 10 Med 11 Med 12 Med 13 Med 14 Med 15 Med 16 Med 17 Med 18 Med 19 High 20 High 21 High 22 High 23 High 24 High 25
PERSONS RESPONSIBLE
Employee
Employer
Customer
Contractor
Add another Hazard
HAZARD
CONSEQUENCE
1-Insignificant
2-Minor
3-Moderate
4-Major
5-Extreme
PROABILITY
E-Unlikely
D-Possible
C-Likely
B-Very Likely
A-Almost Certain
RESIDUAL SCORE
Select
Low 1
Low 2
Low 3
Low 4
Low 5
Low 6
Low 7
Low 8
Low 9
Low 10
Med 11
Med 12
Med 13
Med 14
Med 15
Med 16
Med 17
Med 18
Med 19
High 20
High 21
High 22
High 23
High 24
High 25
Low 1 Low 2 Low 3 Low 4 Low 5 Low 6 Low 7 Low 8 Low 9 Low 10 Med 11 Med 12 Med 13 Med 14 Med 15 Med 16 Med 17 Med 18 Med 19 High 20 High 21 High 22 High 23 High 24 High 25
CONTROL MEASURE
Select
EWP, Man cage of forklift, ladder
Crane, excavator or other appropriate lifting device
Wear appropriate PPE.
Harness
Correct lifting equipment that is inspected and tagged
Dogman
Use correct tools for the job
Isolate machine and Lock out.
Ensure work area is clean and free of obstructions
Use a drip tray to catch oils
tag line
EWP, Man cage of forklift, ladder Crane, excavator or other appropriate lifting device Wear appropriate PPE. Harness Correct lifting equipment that is inspected and tagged Dogman Use correct tools for the job Isolate machine and Lock out. Ensure work area is clean and free of obstructions Use a drip tray to catch oils tag line
Add another control measure
CONSEQUENCE
1-Insignificant
2-Minor
3-Moderate
4-Major
5-Extreme
PROABILITY
E-Unlikely
D-Possible
C-Likely
B-Very Likely
A-Almost Certain
RESIDUAL SCORE
Select
Low 1
Low 2
Low 3
Low 4
Low 5
Low 6
Low 7
Low 8
Low 9
Low 10
Med 11
Med 12
Med 13
Med 14
Med 15
Med 16
Med 17
Med 18
Med 19
High 20
High 21
High 22
High 23
High 24
High 25
Low 1 Low 2 Low 3 Low 4 Low 5 Low 6 Low 7 Low 8 Low 9 Low 10 Med 11 Med 12 Med 13 Med 14 Med 15 Med 16 Med 17 Med 18 Med 19 High 20 High 21 High 22 High 23 High 24 High 25
PERSONS RESPONSIBLE
Employee
Employer
Customer
Contractor
Employee
Sign
Add another employee
Employee
Sign
Add another employee
Employee
Sign
Add another employee
Employee
Sign
Add another employee
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Finlay Screening & Crushing
Finlay Screening and Crushing
The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions.
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You should independently determine whether the template is suitable for your circumstances.