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Location where RI&E is performed
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Prepared and performed by:
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Performed on:
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Select date
Risk Inventory and Evaluation
1. Workers care and organisation of work
1.1 Workers Health and Safety policy
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Health and Safety policy (Arbobeleid)
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Is there a Damen Health and Safety responsible at the location?
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Is there a working conditions service provider? (a party to contact for support on OHS matter)
1.2 Absence Policy
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Absence policy and procedure present?
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Absence agreements known by management and employees?
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Absence registration available?
1.3 Risk Inventory and Evaluation/Plan of approach
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Is there an anual RI&E report to head office? (Report on execution of plan of approach on OHS matters)
1.4 Are roles, responsibilities and authority clearly defined?
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Role, responsibility and authority of employees defined?
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Role, responsibility and authority of management defined?
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Role, responsibility and authority of Emergency response officers defined?
1.5 Cooperation and Consultation
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Is there a Workers council present? (please elaborate your answer)
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Consultation/meeting per department?
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Consultation with all personnel twice per year?
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Agenda, notes and decisions list available?
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Mandatory participation of yearly consultations?
1.6 Emergency Response Planning
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Emergency Response plan available?
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Yearly drill of emergency response plan
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Are floor plans with escape routes and fire extinguishers present?
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Are there multiple escape routes? (minimum of two or more different routes)
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What is the risk if there are not sufficient escape routes? (Risk = Likelyhook (1-5) * Consequence (1-5))
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Sufficient number of trained Emergency Response officers? (minimum 1 available at all times at the office)
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Are Emergency Response Officers trained regularly? (minimum once a year)
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Is there a emergency assembly station assigned?
1.7 Informing and Instruction
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Are employees structurally informed on OHS in work activities?
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Are employees informed about risks involved in work activities?
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Are new and special employees informed about OHS and risks in work activities?
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Are given instructions inforced?
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Are specific training courses made available? (like: Forklift)
1.8 Behavior employees
Are employees working by procedures?
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Safety policy?
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Health policy?
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Security policy?
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Quality policy?
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Do employees adhere to the drug and alcohol policy?
(Correct) Use and maintenance of PPE's?
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Are PPE's freely available for all employees and subcontractors?
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Are there PPE instructions given?
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Enforcing given instruction on PPE?
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Is there a policy for distribution and replacement of PPE?
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What is the risk if the PPE's are not distributed or replaced? (Risk = Likelyhook (1-5) * Consequence (1-5))
1.9 Accidents
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Procedure registration of accidents recorded and known? (Rdrive)
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Registration of accidents causing absence? (Rdrive - LTI)
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Analysis of accidents causing absence? (Accident investigation)
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Notification of Severe accidents (LA?) (GRIP)
1.10 Occupational diseases
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Procedure registration occupational diseases recorded and known? (Rdrive)
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Possibility to notify the company doctor?
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Employees aware of consulting hours?
1.11 PAGO/PMO
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Does Damen provide periodical medical examination to all employees?
1.12 Special Employees/Groups (e.g. pregnancy, disability, youngsters, trainees)
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Is there a policy special employees/groups
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Is there a mentor assigned to youth and trainees?
- Yes
- Needs improvement
- No
- Not applicable
1.13 Executing Projects
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Informing on risks of work activities
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Are project risk assessments performed and documented?
2. Setup of work environment on work location
2.1 General Requirements
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Do employees adhere to the JSA Handbook
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Is the worklocation tidy and clean? (good housekeeping)
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Are on regular bases safety inspections performed by the management
2.2 Danger
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Do employees adhere to the procedure 'working at heights'?
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What is the risk of not adhere to the procedure 'working at heights'? (Risk = Likelyhood(1-5) * Consequence(1-5))
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Are handrails in place?
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What is the risk if there is no handrails in place? (Risk = Likelyhood(1-5) * Consequence(1-5))
2.3 Electrical installations
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Do employees adhere to the procedure lock out tag out?
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What is the risk if the employee does not adhere to the procedure lock out tag out? (Risk = Likelyhood(1-5) * Consequence(1-5))
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Fuse box closed and marked
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No loose wiring
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Safe power sockets
2.4 Escape routes and emergency exits
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Emergency lighting present?
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Are there sufficient escape routes and emergency exits? (minimum of 2 or more different routes)
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What is the risk if there are not enough escape routes present? (Risk = Likelyhood(1-5) * Consequence(1-5))
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Are escape routes and emergency exits marked?
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Are escape routes and emergency exits free of obstacles?
2.5 Fire alarm and firefighting
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Are there a sufficient amount of firefighting equipment available?
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What is the risk if there are no sufficient amount of firefighting equipment available? (Risk = Likelyhood * Consequence)
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Periodic inspection of firefighting equipment?
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Are the fire fighting extiguishers according the risks which can occur at the work location?
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Firefighting equipment visible/ marked?
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Does the firefighting equipment and first aid equipment hang in fixed locations?
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Fire alarm system in place?
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Evacuation system in place?
2.6 Floors
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Are the floors free from tripping hazards or slippery?
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What is the risk if there is a tripping hazard or slippery floor? (Risk = Likelyhood * Consequence)
2.7 Windows
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Are the windows safe to open?
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Can the windows be cleaned without danger?
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Are the windows providing enough fresh air when opened?
2.8 Doors
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Are walking and transport routes marked?
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What is the risk if the transport routes are not marked? (Risk = Likelyhood * Consequence)
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Are there traffic regulations in place?
2.9 Marking dangerous locations
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Are hazardous locations marked? (e.g. storage hazadous materials, potholes, falling hazards)
2.10 Dimensions of the offices
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Are the workspaces sufficiently tailored to users?
2.11 Sanitary and other Facilities
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(Separated) bathrooms?
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Canteen available?
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Dressing room?
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Lockerrooms?
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Laundry facilities?
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Shower available?
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Adequate hygiene?
2.12 First Aid (EHBO)
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Is a sufficient number of First aid equipment available?
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What is the Risk if there is not enough first aid equipment available? (Risk = Likelyhood * Consequence)
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Is the location of First aid equipment clearly indicated and/or known?
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Is the First aid equipment inspected regularly?
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Is a emergency shower available?
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What is the risk if there is no emergency shower available? (Risk = Likelyhood * Consequence)
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Is a fire blanket available? (e.g. microwave, stove)
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What is the risk if there is no fire blanket available? (Risk = Likelyhood * Consequence)
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Are eyewash stations and/or eyewash bottles available?
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What is the risk if there is no eyewash station or bottle available? (Risk = Likelyhood * Consequence)
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Is a separate First aid room available?
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Is a stretcher available?
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What is the risk of not having a stretcher available? (Risk = Likelyhood * Consequence)
2.13 Scaffolding
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Are scaffolding build according to procedure?
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What is the risk if the scaffolding is not build according to procedure? (Risk = Likelyhood * Consequence)
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Are scaffolding build by trained personel?
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Is scaffolding labeled and periodically inspected?
3. Hazardous substances and biological agents
3.1 Exposure
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Is an overview of exposure available? (e.g. fumes, VOC, paints, oils, hazardeous substances, solvents)
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Has exposure been assessed?
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Are there sufficient measures to prevent and limit exposure?
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What is the risk if there are not sufficient measure to prevent and limit exposure? (Risk = Likelyhood(1-5) * Consequence(1-5))
3.2 Registration
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Is a Safety Data Sheet available?
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Is a register available and assessed?
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Register and SDS available in the workplace?
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Overview of biological agents?
3.3 Storage of hazardous materials
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What is the quantity of hazardous materials?
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Are the hazardous materials stored according to the procedure?
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Correct extinguishing equipment available in a close vicinity of hazardous materials storage?
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What is the risk of not having the correct extinguishing equpment available in a close vicinity of hazardous materials storage? (Risk = Likelyhood(1-5) * Consequence(1-5))
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Eyewash station available in a close vicinity of hazardous materials storage?
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What is the risk of not having an eyewash station available in a close vicinity of hazardous materials storage? (Risk = Likelyhood(1-5) * Consequence(1-5))
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Are the hazardous materials properly marked?
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Are the hazardous materials properly packaged?
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What is the risk if the hazardous materials are not properly packed? (Risk = Likelyhood(1-5) * Consequence(1-5))
3.4 Storage of hazardous gasses
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Is storage of dangerous gasses separated?
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Is ventilation in place and working?
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Is the hazardous gas storage space secured/locked? (fences)
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Is the hazardous gas storage space protected against the weather?
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Correct extinguishing equipment available in a close vicinity of hazardous gasses storage?
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Are the hazardous gasses properly marked?
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Are the gas bottles secured from falling?
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Are the bottles periodically checked?
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If one or more of the question of section 3.4 is answered with no, decide the risk for. (Risk = Likelyhood(1-5) * Consequence(1-5))
3.5 Danger of suffocation and intoxication
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Never working alone?
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Are employees working according to hazardous materials procedures?
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Correct tools and equipment available for working with hazardous materials?
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Correct PPE's available for working with hazardous materials?
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Extinguishing/First aid equipment available at workplace?
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Working in enclosed space properly marked? (section 2)
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If one or more of the question of section 3.5 is answered with no, decide the risk for. (Risk = Likelyhood(1-5) * Consequence(1-5))
3.6 Ventilation
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Is the ventilation maintained?
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Is the ventilation sufficient for the location?
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Are hazardous materials disposed according procedure? (Belong to different section)
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If one or more of the question of section 3.6 is answered with no, decide the risk for. (Risk = Likelyhood(1-5) * Consequence(1-5))
4. Physical work
4.1 Handling heavy loads
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What is the maximum amount of weight lifted by the employees?
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Are there lifting tools available?
4.2 Frequent unfavorable body posture (Check the box of the posture which is frequently performed)
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Kneeling?
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Crouching/Squatting?
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Regular bending over?
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Above shoulder height?
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Working with arched neck?
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Working on one leg?
4.3 Frequent static working (Check the box of the posture which is frequently performed)
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Standing work?
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Sitting work?
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Possibility to sit?
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Possibility to switch between standing and sitting?
4.4 Repetitive movement (Check the box of the posture which is frequently performed)
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Hand - Arm > 5x per minute?
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Possibility for variety and breaks?
4.5 Physical activity (Check the box of action is frequently performed)
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Too heavy? (over 25 kg)
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Unstable positioning?
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Walked long distances?
4.6 Possibility to sit in production
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Heightened chair?
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Standing support?
4.8 Working on a screen in production
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Amount of hours working on a screen in production?
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Informing and Instruction?
5. Natural factors
5.1 Inside and Outside climate (control)
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Inside climate control?
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Is the temperature sufficient?
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Is the temperature to high or to low?
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Is the air humidity sufficient?
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Is the air humidity to moist or to dry?
5.2 Smoking policy
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Agreements in place?
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Agreements defined and recorded?
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Agreements implemented?
5.3 Daylight and Artificial light
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Daylight present?
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Artificial light?
5.4 Harmful and annoying noise and vibration
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Intrusive or harmfull noise? (above 80dB)
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PPE's available?
6. Personal Protective Equipment and Safety and health signs
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Personal Protective Equipment made available for free?
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An overview of necessary PPE per job is available? (JSA Handbook)
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Mandatory PPE for each work activity has been recorded?
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PPE's are used, maintained and replaced in the correct way?
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Supervision of (correct) use of PPE's takes place?
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Periodic education on PPE's is provided?
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Inspection of PPE's takes place? (expiration)
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If one or more of the question of section 6 is answered with no, calculate the risk. (Risk = Likelyhood(1-5) * Consequence(1-5))
6.1 Safety and health signs
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(Emergency) Exit signs?
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Emergency lighting marked?
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Extinguishing equipment signs?
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First Aid equipment signs?
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Paths and roads marked?
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Dangerous/Enclosed spaces marked?
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Hazardous situations/activities marked?
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Assembly stations clearly marked?
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If one or more of the question of section 6.1 is answered with no, calculate the risk. (Risk = Likelyhood(1-5) * Consequence(1-5))
7. Overview of periodic inspections and maintenance
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Fire alarm systems?
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Electrical installations?
- Yes
- Needs improvement
- No
- Not applicable
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Heating system?
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Air treatment equipment?
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Source exhausts?
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Rolling Doors?
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Warehouse shelving?
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Elevators?
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Cranes, hoists and Lifting equipment?
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Machines?
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High Pressure Equipment?
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Compressors?
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Forklifts?
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Ladders?
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Electrical tools?
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Gas hoses?
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If one or more of the question of section 7 is answered with no, Calculate the risk. (Risk = Likelyhood(1-5) * Consequence(1-5))
8. Assessment of screen workstations
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Are environmental factors such as Illumination/Lighting/Heating and Cooling taken into account?
- Yes
- Needs improvement
- No
- Not applicable
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Periodic occupational health examination?
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Suitable desk/table? (adjustable)
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Suitable chair? (adjustable)
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Proper arrangement of work table and office chair?
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Correct height and angle of screen?
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Correct distance to the screen?
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Correct screen settings?
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Correct use of keyboard?
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Correct use of the mouse?
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If one or more of the question of section 7 is answered with no, Calculate the risk. (Risk = Likelyhood(1-5) * Consequence(1-5))