GENERAL RISK ASSESSMENT

• SATO UK LTD

• GENERAL RISK ASSESSMENT

• Audit Title

Risk Assessment Details

• Department:

• Location:

• Department Manager:

• Select date

  Date

• Work activity being assessed:

Hazard Identification Checklist

• 1. Fall of person from height

• 2. Fall of object or material from height

• 3. Fall of person on same level (slip or trip)

• 4. Manual Handling (includes: pushing/pulling as well as lifting and carrying and repetitive actions)

• 5. Use of machinery

• 6. Operation of vehicles

• 7. Electricity or electrical equipment

• 8. Fire

• 9. Stored energy (e.g. elastic cords, hydraulic and air pressure systems)

• 10. Explosions (e.g. from chemicals or dust)

• 11. Contact with excessively hot or cold surfaces

• 12. Compressed air or gases

• 13. Mechanical lifting operations

• 14. Noise

• 15. Biological Agents

• 16. Hot Work

• 17. Asbestos

• 18. Excessive vibration

• 19. Use of hand tools

• 20. Outdoor work - weather

• 21. Chemicals or substances

• 22. Storage, stacking or shelving

• 23. Stress

• 24. Lighting levels ( too high or too low, glare, rapid changes)

• 25. Confined spaces

• 26. Temporary workplace

• 27. Use of display screen equipment (as part of the task)

• 28. Lone or unaccompanied working

• 29. Other (please state)

• Details:

KEY TO ASSESSMENT

• LOW RISK - Minor impact on health/damage (quickly repaired). Ensure controls are maintained.

• MEDIUM RISK - Moderate impact to health/ partial loss of operations. Look to improve control measures.

• HIGH RISK - Disaster/very serious consequences. Stop activity and implement immediate controls to reduce risk.

ASSESSMENT

• Hazard Identification

Hazard

• Hazard

• Who is at Risk and How? (i.e. What are the potential consequences)

• Precautions/Existing control measures in place.

• Add media

  Media

• What is the Risk Level?

  LOW RISK

  MEDIUM RISK

  HIGH RISK

• Are additional control measures required to reduce the level of risk to the lowest practicable level?

  YES

  NO

• Control Details:

Control

• Control Details

• Add media

  Media

• Person Responsible for implementation

• Target date for control implementation

  Date

• Date of completion

  Date

• Assessor Name

  Sign

• Assessor Name

  Sign

• Assessment Review Due Date

  Date

ASSESSMENT REVIEW

• Assessment Review Date:

  Date

• Review completed by:

  Sign

• Review Outcome ( where substantial changes have occurred a new record sheet should be used)

• Next Risk Assessment Review Date:

  Date