Linfox Traffic Management Risk Assessment

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Pedestrian walkways and barriers.

• Risk matrix.

  

• The site has an induction process that clearly conveys to all employees, visitors and contractors, the requirements of the sites traffic management arrangements and locations of specific items such as walkways etc?

  Yes

  No

  N/A

• Risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• The site has clearly defined pedestrian walkways the provide for the safe passage of people travelling on foot throughout the location?

  Yes

  No

  N/A

• Risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• Pedestrian walkways are physically separated from other traffic areas by barriers?

  Yes

  No

  N/A

• Risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• Where pedestrian walkways intersect with other shared traffic areas, there are provisions such as self closing gates installed to ensure that the pedestrian must stop prior to crossing these areas?

  Yes

  No

  N/A

• Risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• The site employs devices such as mirrors, flashing lights or sirens to further increase awareness of other traffic in pedestrian areas?

  Yes

  No

  N/A

• Risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• Where present, block stack areas have specific risk controls and inspection regimes in place to ensure product integrity and stability?

  Yes

  No

  N/A

• Risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• Where present, staging areas and lanes are configured so as to provide the best possible visibility for preventing MHE-MHE and MHE-pedestrian collisions ( I.e pallets one high at the end of staging lanes etc)?

  Yes

  No

  N/A

• Risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• Site management are conducting regular audits and inspections to ensure that all procedures are being followed?

  Yes

  No

  N/A

• Risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

Heavy vehicle traffic.

• Risk matrix.

  

• Where present, heavy vehicle access to the site is controlled to ensure that any driver of a heavy vehicle accessing the site has been inducted and understands the requirements laid out in the sites traffic management strategy?

  Yes

  No

  N/A

• Risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• Where present, heavy vehicle access to the site is controlled so as to avoid the congestion that can be created by too many vehicles being present at any one time?

  Yes

  No

  N/A

• Risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• The site has a method in place for ensuring that any heavy vehicle driver that accesses the site is and will be compliant with COR (chain of responsibility) requirements?

  Yes

  No

  N/A

• Risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• Records of any training provided as well as any declarations made in relation to COR are retained by the site?

  Yes

  No

  N/A

• Risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• Site management are conducting regular audits and inspections to ensure that all procedures are being followed?

  Yes

  No

  N/A

• Risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

Loading docks.

• Risk matrix.

  

• Where present, loading dock areas have a clearly defined traffic management plan in place and all employees involved in activities in the area have been trained in the content?

  Yes

  No

  N/A

• Risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• Loading dock areas have mechanisms and devices in place that ensure physical separation of vehicular and pedestrian traffic?

  Yes

  No

  N/A

• Risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• The site has systems in place to control movement of vehicles on loading docks and to ensure that these vehicles are not moved during loading or prior to loading being started/finished? These system may include: Key control procedures, Wheel chocks, Trailer stands, Air line locks (where SKELS are in use or trailers are decoupled), Dock traffic light systems.

  Yes

  No

  N/A

• Risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• Designated safety zones have been provided for drivers/pedestrians who are required to interact with the loading process?

  Yes

  No

  N/A

• Risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• Safe working procedures have been developed for any activities associated with loading docks such as the use of dock levelling devices?

  Yes

  No

  N/A

• Risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• All equipment associated with loading dock areas has been subjected to a risk assessment process?

  Yes

  No

  N/A

• Risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• Site management are conducting regular audits and inspections to ensure that all procedures are being followed?

  Yes

  No

  N/A

• Risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

Container handling.

• Risk matrix.

  

• Any area where container handling is occurring is clearly defined with line markings that convey traffic management requirements, safe zones, staging areas etc?

  Yes

  No

  N/A

• Risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• Where container handling is occurring, dedicated safe working procedures have been developed to convey all safety requirements if the task?

  Yes

  No

  N/A

• Risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• All personnel engaged in container handling activities have been trained in the safe working procedures?

  Yes

  No

  N/A

• Risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• Designated safety zones are in place and being used by all personnel who are required to interact with vehicular traffic during container loading/unloading?

  Yes

  No

  N/A

• Risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• Where MHE is required to enter containers for the purposes of loading/unloading, procedures are in place to ensure that no pedestrian remains inside the container whole MHE is also present?

  Yes

  No

  N/A

• Risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• The site has a system in place for clearly identifying which containers are currently in progress ( being either loaded or unloaded) and this system has been communicated to all personnel involved with containers (including drivers of heavy vehicles and container handling MHE)?

  Yes

  No

  N/A

• Risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• The site has implemented the use of container door straps in order to prevent operator injuries caused by doors being under pressure from loads that have moved in transit?

  Yes

  No

  N/A

• Risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• Where present, specialised container handling equipment such as container forklifts, have specific detailed procedures that have been developed and communicated to all operators?

  Yes

  No

  N/A

• Risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• Where present, specialised container handling equipment such as container forklifts, have been subjected to a risk assessment process prior to being used in an operational capacity?

  Yes

  No

  N/A

• Risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• Site management are conducting regular audits and inspections to ensure that all procedures are being followed?

  Yes

  No

  N/A

• Risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

MHE (material handling equipment) procedures?

• Risk matrix.

  

• All personnel engaged in the operation of MHE hold appropriate, current qualifications and records of these qualifications are retained by the site?

  Yes

  No

  N/A

• Risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• All MHE that is present at the site has been subjected to a risk assessment process prior to being utilised in an operational capacity?

  Yes

  No

  N/A

• Risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• A pre start process is in place for all items of MHE at the location and records of pre starts are retained?

  Yes

  No

  N/A

• Risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• Dedicated safe working procedures have been developed for the operation of each type of MHE used at the site?

  Yes

  No

  N/A

• Risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• Operators of MHE have been trained in the sites local operating procedures?

  Yes

  No

  N/A

• Risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• A detailed traffic management plan the covers MHE movement of the site has been developed and implemented?

  Yes

  No

  N/A

• Risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• An isolation process such as LOTO (lock out tag out) is in place for ensuring that defective equipment is not operated?

  Yes

  No

  N/A

• Risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• Site management are conducting regular audits and inspections to ensure that all procedures are being followed?

  Yes

  No

  N/A

• Risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

Hard stand areas.

• Risk matrix.

  

• All hard stand areas have clearly defined traffic management controls such as line marking, directional arrows, signage and demarcation zones?

  Yes

  No

  N/A

• Risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• A detailed traffic management plan has been developed and implemented and covers traffic and activities conducted in hard stand areas?

  Yes

  No

  N/A

• Risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• The site has an access process in place that determines what traffic is permitted to use hard stand areas?

  Yes

  No

  N/A

• Risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• The site has systems in place to control movement of vehicles on hard stand areas and to ensure that these vehicles are not moved during loading or prior to loading being started/finished? These system may include Key control procedures, Wheel chocks, Trailer stands, Air line locks (where SKELS are in use or trailers are decoupled), traffic light systems.

  Yes

  No

  N/A

• Risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• There are specific safe working procedures in place that cover activities performed in hard stand areas?

  Yes

  No

  N/A

• Risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• All personnel required to operate in hard stand areas have been trained in the specific safe working procedures?

  Yes

  No

  N/A

• Risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

• Site management are conducting regular audits and inspections to ensure that all procedures are being followed?

  Yes

  No

  N/A

• Risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions?

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Select 1High 2 High 3 Medium 4 Medium 5 Low 6 Low Not Applicable

  • 1High
  • 2 High
  • 3 Medium
  • 4 Medium
  • 5 Low
  • 6 Low
  • Not Applicable

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable