General Risk Assessment

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Task Description

• What activity will you be performing?

General

• Are you fit to perform the required task?

  Yes

  No

  N/A

• Do you understand the job - has it been explained sufficiently?

  Yes

  No

  N/A

• Are you competent to do the work and familiar with the equipment?

  Yes

  No

  N/A

• Are the tools and equipment in a safe condition?

  Yes

  No

  N/A

• Have you informed others who may be affected by your work?

  Yes

  No

  N/A

Risks - Assess if any of the following are risks to your task

• List the risks & what controls you will use to reduce the risks in the text box if different to the defaults provided

• GRAVITY - falling objects, working at height, slips, trips

  Safe

  At Risk

  N/A

• *Dropping equipment: Wear safety boots, perform lift with at least 2 people.

• MASS - pulling, pushing, sliding, being hit by vehicles/objects

  Safe

  At Risk

  N/A

• *Moving equipment: Use a trolley, plan route; *Sliding equipment pinch points: take care when folding handles down, wear suitable gloves to protect fingers

• HUMAN MOVEMENT - bending, lifting, carrying

  Safe

  At Risk

  N/A

• *Back Injury: Stretch before starting lift, plan the lift, perform lift with at least 2 people.

• ELECTRICAL - electrocution, damaged cables

  Safe

  At Risk

  N/A

• *Low voltage cable risk: Inspect all cables before use; seek permission to power on equipment.

• MECHANICAL - cutting, crushing, entanglement

  Safe

  At Risk

  N/A

• *Sharp rail/cardboard box edges: Wear suitable gloves.

• NOISE/VIBRATION - A/Cs, computer equipment, other machinery

  Safe

  At Risk

  N/A

• *Data Centre Background Noise: Wear suitable ear protection if working in DC for extended period, perform work remotely outside room where possible.

• ISOLATED WORKER - Working unaccompanied

  Safe

  At Risk

  N/A

• *Check in with Supervisor every 1 hr via agreed method

• THERMAL - hot, cold

  Safe

  At Risk

  N/A

• PRESSURE/VACUUM - lifting floor tiles

  Safe

  At Risk

  N/A

• STORED ENERGY - spings, flywheels, counterweights

  Safe

  At Risk

  N/A

• RADIATION - UV sunlight

  Safe

  At Risk

  N/A

• FIRE/EXPLOSION - ignition sources, flammable waste, packaging

  Safe

  At Risk

  N/A

• ASPHYXIATION - lack of oxygen, fire suppresents

  Safe

  At Risk

  N/A

• ENVIRONMENTAL - earth/air/water impacts, heat, cold, exposure

  Safe

  At Risk

  N/A

• DESIGN - Hazards/impacts associated with design of products

  Safe

  At Risk

  N/A

• VEHICLES - vehicle > vehicle / vehicle > person collisions

  Safe

  At Risk

  N/A

• Other

Equipment - Will you need any of the following

• Ladders

  Yes

  No

  N/A

• General Tools - Screw Drivers, hammers, extensions?

  Yes

  No

  N/A

• Other

Personal Protective Equipment

• Which of the following PPE will be required?

• Safety Boots

  Yes

  No

  N/A

• Gloves

  Yes

  No

  N/A

• Glasses

  Yes

  No

  N/A

• Ear plugs

  Yes

  No

  N/A

• Correct PPE Clothing

  Yes

  No

  N/A

• Harnesses

  Yes

  No

  N/A

• Hard Hats

  Yes

  No

  N/A

• Respirator

  Yes

  No

  N/A

Sign Off

• I have considered all elements of this Work that needs to be done!

  Sign

• Cleaning Manager

  Sign

• Operator/Cleaner

  Sign

• Operator/Cleaner

  Sign

• Safety Officer of site

  Sign

• Select date

  Date

• Please send this assessment to reception@rtbclean.co.za and to the Safety Officer of the site you are working at!for filing