Office Holdings - Initial Occupational Health Risk Assessment

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel Affected or Assisting with the Risk Assessment

• Staff members Name

• Date of Birth

• Location where staff member works and believes the issues / concerns originate

  Select Moorfield Ayr Greenford Store Head Office

  • Moorfield
  • Ayr
  • Greenford
  • Store
  • Head Office

• Store Name and or Department

Introduction & History

• List the Potential Hazards or concerns raised and a brief history of subject and events.

• Prescribed medication to the subject

• Are suffering from an injury or condition that restricts your mobility

  Yes

  No

  Partially

  NA

• What is the nature of your injury / Condition. Explain in detail How it occurred, when and how it will affect your ability to work safely.

• Will your injury / Condition restrict, slow or prevent you from leaving the premises in the event of an emergency or evacuation

  Yes

  No

  Partially

  NA

• In the last 5 years how many incidents have occurred where the subject has suffered an asthma attack or difficulty breathing, seizures or any other related issues whilst at work

  5 +

  1-5

  0

• In the last 5 years how many work related incidents have triggered or caused the subject to suffer an asthma attack or difficulty breathing, seizures or any other related issues outside of work

  5 +

  1-5

  0

• Ongoing concerns

Manual Handling

• Have you received your Manual Handling Training

  Yes

  No

  N/A

• Is the task / staff member free of any manual handling issues

  Yes

  No

  N/A

• Has a Dr or OH advised light work or any other advice

  No

  Yes

• Current control measures in place

• Are current control measures suitable and sufficient

  Yes

  No

  N/A

Work at Heights (Use of stepladders, access platforms, kick stools when accessing stock on fixtures)

• Have you received work at Height Training

  Yes

  No

  N/A

• Has Dr or OH advised not to work at height

  No

  Yes

• Current control measures in place

• Are current control measures suitable and sufficient

  Yes

  No

  N/A

General Lighting

• Is lighting suitable & sufficient

  Yes

  No

  N/A

• Is there natural source lighting

  Yes

  No

  N/A

Ventilation

• Is ventilation suitable and sufficient

  Yes

  No

  N/A

Flooring

• Is the flooring free from slip, trip and fall hazards

  Yes

  No

  N/A

• Is the flooring clear of obvious debris & dust

  Yes

  No

  N/A

Environment & General Conditions

• Does the staff member have to work in excessive heat or cold Working Temperatures

  No

  Yes

• Is the current working temperatures detrimental to staff members health

  No

  Yes

• Is the environment clear of obvious dust

  Yes

  No

  N/A

• Are boxes in the area clear of dust and dirt

  Yes

  No

  N/A

• From observations conducted in the areas the subject has access to, is they clear from having to handle any dust laden items

  Yes

  No

  N/A

Current Control Measures

• List the current control measures in place

• Are the current control measures for handling the stock in this area suitable and sufficient

  Yes

  No

  N/A

• Is PPE a necessary and appropriate control measure in this incident

  No

  Yes

• If there are any foreseeable changes that might take place in the place of work, which could increase the risk to staff member

Recommended Control Measures

• List any additional control measures required or recommendations.

• Date and Time Completed

  Date

• Review Period

  Select Weekly Monthly Quarterly 6 Monthly Annually Review Not Required

  • Weekly
  • Monthly
  • Quarterly
  • 6 Monthly
  • Annually
  • Review Not Required

I confirm that I have conducted this risk assessment, based on visual observation and inspection of the area in question and information provided to me by all persons called upon to assist, which includes the subject personnel.

• Signature of Person Conducting the Risk Assessment

  Sign

I confirm that I was actively engaged in this risk assessment and provided information to the assessor to assist. I also agree that I am satisfied that the recommended control measures are suitable and sufficient and should there be any change in circumstances I will bring this to the attention of Management immediately. I can confirm that I have read or had the opportunity to read this completed document.

• Signature of Person(s) subject of the Risk Assessment

  Sign