Millenium Interiors Hazard assessment

• MILLENIUM INTERIORS HAZARD ASSESSMENT

• Prepared by

• Conducted on

  Date
• Location
  Address

• Personnel

• Work to be preformed

Environmental Hazards

• Is work area clean?

  Yes

  No

  N/A

• Air quality

  Safe

  At Risk

  N/A

• Noise level

  Safe

  At Risk

  N/A

• Weather conditions

  Select Rain Wind Snow Heat Cold N/A

  • Rain
  • Wind
  • Snow
  • Heat
  • Cold
  • N/A

Work Environment Hazards

• Slips/Trips

  Safe

  At Risk

  N/A

• Cuts and scrapes

  Safe

  At Risk

  N/A

• Burns

  Safe

  At Risk

  N/A

• Electrical Hazards

  Safe

  At Risk

  N/A

• Lighting

  Safe

  At Risk

  N/A

• Ventilation

  Safe

  At Risk

  N/A

• Open pits, Holes on floor, excavations

  Safe

  At Risk

  N/A

• Power lines

  Safe

  At Risk

  N/A

• Other workers/vehicles in area

  Safe

  At Risk

  N/A

• Welding/cutting/grinding in area

  Safe

  At Risk

  N/A

Ergonomic Hazards

• Repetitive motion

  Safe

  At Risk

  N/A

• Heavy lifting

  Safe

  At Risk

  N/A

• Awkward body positioning

  Safe

  At Risk

  N/A

Equipment and Power Tools

• Cords in good condition

  Safe

  At Risk

  N/A

• Power tools in good working condition<br>Guards in place on saws and grinders

  Safe

  At Risk

  N/A

• Trained to operate explosive actuated tools

  Yes

  No

  N/A

• Using proper tools for the job

  Yes

  No

  N/A

Working at heights

• Fall pro required ( harness and lanyard )

  Yes

  No

  N/A

• Reviewed Fall protection plan

  Yes

  No

  N/A

• Other workers above or below

  Safe

  At Risk

  N/A

• Ladders set up at correct angle/ in good shape/ tied off

  Safe

  At Risk

  N/A

• Scaffold / Bakers / Benches set up correctly and inspected / tagged

  Yes

  No

  N/A

• Elevated work platform ground conditions

  Safe

  At Risk

  N/A

• Elevated work platform Hazards: power lines / curbs / protrusions from structure

  Safe

  At Risk

  N/A

• Training for the operation of elevated work platform

  Yes

  No

  N/A

• Training in fall protection

  Yes

  No

  N/A

Personal Protection Equipment

• Hard hat

  Yes

  No

  N/A

• Safety boots

  Yes

  No

  N/A

• Gloves

  Yes

  No

  N/A

• Safety glasses

  Yes

  No

  N/A

• Dust mask

  Yes

  No

  N/A

• Safety vest

  Yes

  No

  N/A

• Face shield

  Yes

  No

  N/A

• Hearing protection

  Yes

  No

  N/A

Emergency

• Muster point identified

  Yes

  No

  N/A

• Evacuation routs identified

  Yes

  No

  N/A

• First aid station / personnel identified

  Yes

  No

  N/A

• Emergency procedures reviewed

  Yes

  No

  N/A

• Closest Hospital identified

  Yes

  No

  N/A

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