GDC Product Safety - General Risk Assessment

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Personnel

• Location
  Address

• Mechanical Hazards Relevant?

  Relevant

  Does Not Apply

Crushing

• Yes/ No

  Yes

  No

• Hazard Assessment

  Unacceptable

  Controls Required

  Adequate Controls

• Further details about this hazard

• Who is affected and how could they be exposed

• Details of existing control measures

Improvements/ Actions

• Action Details

• Action Complete?

  Yes

  No

Cutting or Shearing

• Yes/ No

  Yes

  No

• Hazard Assessment

  Unacceptable

  Controls Required

  Adequate Controls

• Further details about this hazard

• Who is affected and how could they be exposed

• Details of existing control measures

Improvements/ Actions

• Action Details

• Action Complete

  Yes

  No

Entanglement

• Yes/ No

  Yes

  No

• Hazard Assessment

  Unacceptable

  Controls Required

  Adequate Controls

• Further details about this hazard

• Who is affected and how could they be exposed

• Details of existing control measures

Improvements/ Actions

• Action Details

• Action Complete

  Yes

  No

Drawing-in or Trapping

• Yes/ No

  Yes

  No

• Hazard Assessment

  Unacceptable

  Controls Required

  Adequate Controls

• Further details about this hazard

• Who is affected and how could they be exposed

• Details of existing control measures

Improvements/ Actions

• Action Details

• Action Complete

  Yes

  No

Stabbing or Impact

• Yes/ No

  Yes

  No

• Hazard Assessment

  Unacceptable

  Controls Required

  Adequate Controls

• Further details about this hazard

• Who is affected and how could they be exposed

• Details of existing control measures

Improvements/ Actions

• Action Details

• Action Complete

  Yes

  No

Abrasion or Burns

• Yes/ No

  Yes

  No

• Hazard Assessment

  Unacceptable

  Controls Required

  Adequate Controls

• Further details about this hazard

• Who is affected and how could they be exposed

• Details of existing control measures

Improvements/ Actions

• Action Details

• Action Complete

  Yes

  No

Hanging / Strangulation

• Yes/ No

  Yes

  No

• Hazard Assessment

  Unacceptable

  Controls Required

  Adequate Controls

• Further details about this hazard

• Who is affected and how could they be exposed

• Details of existing control measures

Improvements/ Actions

• Action Details

• Action Complete

  Yes

  No

Choking / Asphyxiation

• Yes/ No

  Yes

  No

• Hazard Assessment

  Unacceptable

  Controls Required

  Adequate Controls

• Further details about this hazard

• Who is affected and how could they be exposed

• Details of existing control measures

Improvements/ Actions

• Action Details

• Action Complete

  Yes

  No

High Pressure / Explosion

• Yes/ No

  Yes

  No

• Hazard Assessment

  Unacceptable

  Controls Required

  Adequate Controls

• Further details about this hazard

• Who is affected and how could they be exposed

• Details of existing control measures

Improvements/ Actions

• Action Details

• Action Complete

  Yes

  No

Tripping Hazard(s)

• Yes/ No

  Yes

  No

• Hazard Assessment

  Unacceptable

  Controls Required

  Adequate Controls

• Further details about this hazard

• Who is affected and how could they be exposed

• Details of existing control measures

Improvements/ Actions

• Action Details

• Action Complete

  Yes

  No

Other Mechanical Hazard(s)

Add Hazard

• Hazard Description

• Hazard Assessment

  Unacceptable

  Controls Required

  Adequate Controls

• Further details about this hazard

• Who is affected and how could they be exposed

• Details of existing control measures

Improvements/ Actions

• Action Details

• Action Complete

  Yes

  No

• Electrical Hazards Relevant?

  Relevant

  Does Not Apply

Direct Contact with Power Source

• Yes/ No

  Yes

  No

• Hazard Assessment

  Unacceptable

  Controls Required

  Adequate Controls

• Further details about this hazard

• Who is affected and how could they be exposed

• Details of existing control measures

Improvements/ Actions

• Action Details

• Action Complete

  Yes

  No

In-direct Contact with Power Source

• Yes/ No

  Yes

  No

• Hazard Assessment

  Unacceptable

  Controls Required

  Adequate Controls

• Further details about this hazard

• Who is affected and how could they be exposed

• Details of existing control measures

Improvements/ Actions

• Action Details

• Action Complete?

  Yes

  No

Short Circuit or Overloading of Power Source

• Yes/ No

  Yes

  No

• Hazard Assessment

  Unacceptable

  Controls Required

  Adequate Controls

• Further details about this hazard

• Who is affected and how could they be exposed

• Details of existing control measures

Improvements/ Actions

• Action Details

• Action Complete

  Yes

  No

Source of Ignition

• Yes/ No

  Yes

  No

• Hazard Assessment

  Unacceptable

  Controls Required

  Adequate Controls

• Further details about this hazard

• Who is affected and how could they be exposed

• Details of existing control measures

Improvements/ Actions

• Action Details

• Action Complete

  Yes

  No

Other Electrical Hazard(s)

Add Hazard

• Hazard Description

• Hazard Assessment

  Unacceptable

  Controls Required

  Adequate Controls

• Further details about this hazard

• Who is affected and how could they be exposed

• Details of existing control measures

Improvements/ Actions

• Action Details

• Action Complete

  Yes

  No

• Radiation Hazards Relevant?

  Relevant

  Does Not Apply

Non-Ionising Radiation

• Yes/ No

  Yes

  No

• Hazard Assessment

  Unacceptable

  Controls Required

  Adequate Controls

• Further details about this hazard

• Who is affected and how could they be exposed

• Details of existing control measures

Improvements/ Actions

• Actions Details

• Action Complete?

  Yes

  No

Ionising Radiation

• Yes/ No

  Yes

  No

• Hazard Assessment

  Unacceptable

  Controls Required

  Adequate Controls

• Further details about this hazard

• Who is affected and how could they be exposed

• Details of existing control measures

Improvements/ Actions

• Actions Details

• Action Complete?

  Yes

  No

Other Radiation Hazard(s)

Add Hazard

• Hazard Description

• Hazard Assessment

  Unacceptable

  Controls Required

  Adequate Controls

• Further details about this hazard

• Who is affected and how could they be exposed

• Details of existing control measures

Improvements/ Actions

• Action Details

• Action Complete?

  Yes

  No

• Hazardous Substances Relevant?

  Relevant

  Does Not Apply

Hazardous Liquids / Solids / Powders

• Yes/ No

  Yes

  No

• Hazard Assessment

  Unacceptable

  Controls Required

  Adequate Controls

• Further details about this hazard

• Who is affected and how could they be exposed

• Details of existing control measures

Improvements/ Actions

• Action Details

• Action Complete?

  Yes

  No

Hazardous Gases / Fumes / Mists / Vapours

• Yes/ No

  Yes

  No

• Hazard Assessment

  Unacceptable

  Controls Required

  Adequate Controls

• Further details about this hazard

• Who is affected and how could they be exposed

• Details of existing control measures

Improvements/ Actions

• Action Details

• Action Complete?

  Yes

  No

Hazardous Dusts / Fibres

• Yes/ No

  Yes

  No

• Hazard Assessment

  Unacceptable

  Controls Required

  Adequate Controls

• Further details about this hazard

• Who is affected and how could they be exposed

• Details of existing control measures

Improvements/ Actions

• Action Details

• Action Complete?

  Yes

  No

Hazardous Biological Substances

• Yes/ No

  Yes

  No

• Hazard Assessment

  Unacceptable

  Controls Required

  Adequate Controls

• Further details about this hazard

• Who is affected and how could they be exposed

• Details of existing control measures

Improvements/ Actions

• Action Details

• Action Complete?

  Yes

  No

Flammable Substances / Fire Hazards

• Yes/ No

  Yes

  No

• Hazard Assessment

  Unacceptable

  Controls Required

  Adequate Controls

• Further details about this hazard

• Who is affected and how could they be exposed

• Details of existing control measures

Improvements/ Actions

• Action Details

• Action Complete?

  Yes

  No

Other Hazardous Substances Hazard

Add Hazard

• Hazard Description

• Hazard Assessment

  Unacceptable

  Controls Required

  Adequate Controls

• Further details about this hazard

• Who is affected and how could they be exposed

• Details of existing control measures

Improvements/ Actions

• Action Details

• Action Complete?

  Yes

  No

• Product Use Hazards Relevant?

  Relevant

  Does Not Apply

Repetitive Actions

• Yes/ No

  Yes

  No

• Hazard Assessment

  Unacceptable

  Controls Required

  Adequate Controls

• Further details about this hazard

• Who is affected and how could they be exposed

• Details of existing control measures

Improvements/ Actions

• Action Details

• Action Complete?

  Yes

  No

Stressful Postures

• Yes/ No

  Yes

  No

• Hazard Assessment

  Unacceptable

  Controls Required

  Adequate Controls

• Further details about this hazard

• Who is affected and how could they be exposed

• Details of existing control measures

Improvements/ Actions

• Action Details

• Action Complete?

  Yes

  No

Lifting, Handling or Carrying

• Yes/ No

  Yes

  No

• Hazard Assessment

  Unacceptable

  Controls Required

  Adequate Controls

• Further details about this hazard

• Who is affected and how could they be exposed

• Details of existing control measures

Improvements/ Actions

• Action Details

• Action Complete?

  Yes

  No

Mental Over-Load or Under-Load (Stress Related Problems)

• Yes/ No

  Yes

  No

• Hazard Assessment

  Unacceptable

  Controls Required

  Adequate Controls

• Further details about this hazard

• Who is affected and how could they be exposed

• Details of existing control measures

Improvements/ Actions

• Action Details

• Action Complete?

  Yes

  No

Visual Fatigue

• Yes/ No

  Yes

  No

• Hazard Assessment

  Unacceptable

  Controls Required

  Adequate Controls

• Further details about this hazard

• Who is affected and how could they be exposed

• Details of existing control measures

Improvements/ Actions

• Action Details

• Action Complete?

  Yes

  No

Failure to Maintain Safe Control / Use of the Product

• Yes/ No

  Yes

  No

• Hazard Assessment

  Unacceptable

  Controls Required

  Adequate Controls

• Further details about this hazard

• Who is affected and how could they be exposed

• Details of existing control measures

Improvements/ Actions

• Action Details

• Action Complete?

  Yes

  No

Other Product Use Hazards

Add Hazard

• Hazard Description

• Hazard Assessment

  Unacceptable

  Controls Required

  Adequate Controls

• Further details about this hazard

• Who is affected and how could they be exposed

• Details of existing control measures

Improvements/ Actions

• Action Details

• Action Complete?

  Yes

  No

• Physical / Environmental Hazards Relevant?

  Relevant

  Does Not Apply

Localised Hot Surfaces / Substances

• Yes/ No

  Yes

  No

• Hazard Assessment

  Unacceptable

  Controls Required

  Adequate Controls

• Further details about this hazard

• Who is affected and how could they be exposed

• Details of existing control measures

Improvements/ Actions

• Action Details

• Action Complete?

  Yes

  No

Localised Cold Surfaces / Substances

• Yes/ No

  Yes

  No

• Hazard Assessment

  Unacceptable

  Controls Required

  Adequate Controls

• Further details about this hazard

• Who is affected and how could they be exposed

• Details of existing control measures

Improvements/ Actions

• Action Details

• Action Complete?

  Yes

  No

Sparks / Sources of Ignition

• Yes/ No

  Yes

  No

• Hazard Assessment

  Unacceptable

  Controls Required

  Adequate Controls

• Further details about this hazard

• Who is affected and how could they be exposed

• Details of existing control measures

Improvements/ Actions

• Action Details

• Action Complete?

  Yes

  No

Hot or Cold Ambient Temperature

• Yes/ No

  Yes

  No

• Hazard Assessment

  Unacceptable

  Controls Required

  Adequate Controls

• Further details about this hazard

• Who is affected and how could they be exposed

• Details of existing control measures

Improvements/ Actions

• Action Details

• Action Complete?

  Yes

  No

Noise

• Yes/ No

  Yes

  No

• Hazard Assessment

  Unacceptable

  Controls Required

  Adequate Controls

• Further details about this hazard

• Who is affected and how could they be exposed

• Details of existing control measures

Improvements/ Actions

• Action Details

• Action Complete?

  Yes

  No

Vibration

• Yes/ No

  Yes

  No

• Hazard Assessment

  Unacceptable

  Controls Required

  Adequate Controls

• Further details about this hazard

• Who is affected and how could they be exposed

• Details of existing control measures

Improvements/ Actions

• Action Details

• Action Complete?

  Yes

  No

Poor Lighting

• Yes/ No

  Yes

  No

• Hazard Assessment

  Unacceptable

  Controls Required

  Adequate Controls

• Further details about this hazard

• Who is affected and how could they be exposed

• Details of existing control measures

Improvements/ Actions

• Action Details

• Action Complete?

  Yes

  No

Drowning

• Yes/ No

  Yes

  No

• Hazard Assessment

  Unacceptable

  Controls Required

  Adequate Controls

• Further details about this hazard

• Who is affected and how could they be exposed

• Details of existing control measures

Improvements/ Actions

• Action Details

• Action Complete?

  Yes

  No

Other Physical/ Environmental Hazards

Add Hazard

• Hazard Description

• Hazard Assessment

  Unacceptable

  Controls Required

  Adequate Controls

• Further details about this hazard

• Who is affected and how could they be exposed

• Details of existing control measures

Improvements/ Actions

• Action Details

• Action Complete?

  Yes

  No

• Use this Section to add any other identified hazards that may not fit within the confines of the previous Sections

Add Hazard

• Hazard Description

• Hazard Assessment

  Unacceptable

  Controls Required

  Adequate Controls

• Further details about this hazard

• Who is affected and how could they be exposed

• Details of existing control measures

Improvements/ Actions

• Action Details

• Action Complete?

  Yes

  No

Assessor Sign Off

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• Assessor Signature

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Technical Director GD Heating R&D

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Customer & Technical Director GDHV

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• Director Signature

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