Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Date
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Number of audits
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Sector
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Line
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Auditors
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Factors
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Calculation of risk C=A+B-1
A=Probability 1 - yearly
2 - monthly
3 - daily or weekly
B=Severity 1- scratch, bruise, ambrasion, etc..
2 - laceration, cuts, burns, concussion, brokens, etc..
3 - amputations, serious brokens, fatal injuries, etc... -
Illumination
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Noise
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Vibrations
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Temperature
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Chemical substance
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Dust, vapours
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Machines and equipments
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Lift and Crane
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Manual loading
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Organisation of bench
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Bench with monitor
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Layout
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Fire and explosion
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Electrical risk
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Electromagnetic radiation
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Commuting risk
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Walking risk in the plan
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Walking in the Line
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Fall down
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Psychosocial loading
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Working in the height
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Isolate of working
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Others risks
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Signature
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Signature
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Signature
