Risk Assessment (Loading & Unloading area)

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

00.00 Risk Assessment based on Fine and Kinney.

• Site / Loading - Unloading area:

• Overall situation;

  Media

• General Unloading Information:

00.00 Certification

• Certificates based on Safety:

• Certificates (other):

01.00.00 RA - Van den Bosch Transporten BV

02.00.00 RA - Van den Bosch Transporten BV

03.00.00 RA - Van den Bosch Transporten BV

04.01.01 Emergency Response.

• 04.01.01 Loading - Unloading area: <br><br>- Evacuation plan<br>- Fire extinguisher<br>- First aid<br>- Instructions<br>- Escape routes<br>- Communication<br>- Emergency stop, Emergency response plan, Sops, Pictograms<br>- Emergency team included practical training results<br>- Spillage (water / absorption / waste containers)

  Safe

  At Risk

  N/A

• Effect off possible injury?

  100 - Catastrofic / many deaths

  040 - Disaster, several deaths

  015 - Very serious, one death

  007 - Significant serious incident

  003 - Importantly, adsenteeims

• Exposure to the latent danger?

  010 - Continuously

  006 - Daily during working hours

  003 - Weekly or incidental

  002 - Monthly

  001 - Several times a year

• Likelihood of the risk?

  010 - Can be aspectes, almost certainly

  006 - Possible

  003 - Unsual nut possible

  002 - Only on long term

  001 - Very unlikely

• Risk (Result without any action)

  > 320 - Very high (consider stopping activity)

  320-160 - high (imediate action requierd)

  160-070 - Substantialy (correction is needed

  070-020 - Possible (requires attention)

  020-000 - Light (perhaps acceptable)

• Recommendation to reduce the risk?<br><br>- Design<br>- Collective action<br>- Individual action<br>- PPE<br>- Caution (manual / picto's / education)

  Yes

  No

  N/A

• Result after recommendet action;

  > 320 - Very high (consider stopping activity)

  320-160 - high (imediate action requierd)

  160-070 - Substantialy (correction is needed

  070-020 - Possible (requires attention)

  020-000 - Light (perhaps acceptable)

• Responsible?

  Select Loading / Unloading site Customer Van den Bosch Subcontractor Other

  • Loading / Unloading site
  • Customer
  • Van den Bosch
  • Subcontractor
  • Other

• Action processed before:

  Date

• Status

  Select Open Started Processed Rejected

  • Open
  • Started
  • Processed
  • Rejected

04.01.02 Design of workplaces.

• 04.01.02 Loading - Unloading area:<br><br>- Characterisctics work place<br>- Size movement place<br>- Trip and slip hazard / floor<br>- Fall from height hazard<br>- Electrotechnical operations / ground connection<br>- Marking high risk situations<br>- Toilets / changingsrooms<br>- Douche / shower / eye shower<br>- Separate room for eating / drinking / smoking

  Safe

  At Risk

  N/A

• Effect off possible injury?

  100 - Catastrofic / many deaths

  040 - Disaster, several deaths

  015 - Very serious, one death

  007 - Significant serious incident

  003 - Importantly, adsenteeims

• Exposure to the latent danger?

  010 - Continuously

  006 - Daily during working hours

  003 - Weekly or incidental

  002 - Monthly

  001 - Several times a year

• Likelihood of the risk?

  010 - Can be aspectes, almost certainly

  006 - Possible

  003 - Unsual nut possible

  002 - Only on long term

  001 - Very unlikely

• Risk (Result without any action)

  > 320 - Very high (consider stopping activity)

  320-160 - high (imediate action requierd)

  160-070 - Substantialy (correction is needed

  070-020 - Possible (requires attention)

  020-000 - Light (perhaps acceptable)

• Recommendation to reduce the risk?<br><br>- Design<br>- Collective action<br>- Individual action<br>- PPE<br>- Caution (manual / picto's / education)

  Yes

  No

  N/A

• Result after recommendet action;

  > 320 - Very high (consider stopping activity)

  320-160 - high (imediate action requierd)

  160-070 - Substantialy (correction is needed

  070-020 - Possible (requires attention)

  020-000 - Light (perhaps acceptable)

• Responsible?

  Select Loading / Unloading site Customer Van den Bosch Subcontractor Other

  • Loading / Unloading site
  • Customer
  • Van den Bosch
  • Subcontractor
  • Other

• Action processed before:

  Date

• Status

  Select Open Started Processed Rejected

  • Open
  • Started
  • Processed
  • Rejected

04.01.03 Hazardous and a toxic substances.

• 04.01.03 Loading - Unloading area:<br><br>- Carefulness<br>- Information Biological, biohazard, radioactive, infection, virus. (ADR 6-7)<br>- Chemical, gas, toxics, carcinogen. (ADR 2-3-4-5-8-9)<br>- Explosion risk. ADR (1)<br>- Dust<br>- Legionella.

  Safe

  At Risk

  N/A

• Effect off possible injury?

  100 - Catastrofic / many deaths

  040 - Disaster, several deaths

  015 - Very serious, one death

  007 - Significant serious incident

  003 - Importantly, adsenteeims

• Exposure to the latent danger?

  010 - Continuously

  006 - Daily during working hours

  003 - Weekly or incidental

  002 - Monthly

  001 - Several times a year

• Likelihood of the risk?

  010 - Can be aspectes, almost certainly

  006 - Possible

  003 - Unsual nut possible

  002 - Only on long term

  001 - Very unlikely

• Risk (Result without any action)

  > 320 - Very high (consider stopping activity)

  320-160 - high (imediate action requierd)

  160-070 - Substantialy (correction is needed

  070-020 - Possible (requires attention)

  020-000 - Light (perhaps acceptable)

• Recommendation to reduce the risk?<br><br>- Design<br>- Collective action<br>- Individual action<br>- PPE<br>- Caution (manual / picto's / education)

  Yes

  No

  N/A

• Result after recommendet action;

  > 320 - Very high (consider stopping activity)

  320-160 - high (imediate action requierd)

  160-070 - Substantialy (correction is needed

  070-020 - Possible (requires attention)

  020-000 - Light (perhaps acceptable)

• Responsible?

  Select Loading / Unloading site Customer Van den Bosch Subcontractor Other

  • Loading / Unloading site
  • Customer
  • Van den Bosch
  • Subcontractor
  • Other

• Action processed before:

  Date

• Status

  Select Open Started Processed Rejected

  • Open
  • Started
  • Processed
  • Rejected

04.01.04 Physical stress.

• 04.01.04 Loading - Unloading area:<br><br>- Avoiding and restrictions<br>- Information<br>- Regular medical investigation<br>- Drugs / Alcohol<br>- Monitor screen operators<br>

  Safe

  At Risk

  N/A

• Effect off possible injury?

  100 - Catastrofic / many deaths

  040 - Disaster, several deaths

  015 - Very serious, one death

  007 - Significant serious incident

  003 - Importantly, adsenteeims

• Exposure to the latent danger?

  010 - Continuously

  006 - Daily during working hours

  003 - Weekly or incidental

  002 - Monthly

  001 - Several times a year

• Likelihood of the risk?

  010 - Can be aspectes, almost certainly

  006 - Possible

  003 - Unsual nut possible

  002 - Only on long term

  001 - Very unlikely

• Risk (Result without any action)

  > 320 - Very high (consider stopping activity)

  320-160 - high (imediate action requierd)

  160-070 - Substantialy (correction is needed

  070-020 - Possible (requires attention)

  020-000 - Light (perhaps acceptable)

• Recommendation to reduce the risk?<br><br>- Design<br>- Collective action<br>- Individual action<br>- PPE<br>- Caution (manual / picto's / education)

  Yes

  No

  N/A

• Result after recommendet action;

  > 320 - Very high (consider stopping activity)

  320-160 - high (imediate action requierd)

  160-070 - Substantialy (correction is needed

  070-020 - Possible (requires attention)

  020-000 - Light (perhaps acceptable)

• Responsible?

  Select Loading / Unloading site Customer Van den Bosch Subcontractor Other

  • Loading / Unloading site
  • Customer
  • Van den Bosch
  • Subcontractor
  • Other

• Action processed before:

  Date

• Status

  Select Open Started Processed Rejected

  • Open
  • Started
  • Processed
  • Rejected

04.01.05 Physical factors.

• 04.01.05 Loading - Unloading area:<br><br>- Climate <br>- Noise <br>- Lightning

  Safe

  At Risk

  N/A

• Effect off possible injury?

  100 - Catastrofic / many deaths

  040 - Disaster, several deaths

  015 - Very serious, one death

  007 - Significant serious incident

  003 - Importantly, adsenteeims

• Exposure to the latent danger?

  010 - Continuously

  006 - Daily during working hours

  003 - Weekly or incidental

  002 - Monthly

  001 - Several times a year

• Likelihood of the risk?

  010 - Can be aspectes, almost certainly

  006 - Possible

  003 - Unsual nut possible

  002 - Only on long term

  001 - Very unlikely

• Risk (Result without any action)

  >320 - Very high (consider stopping activity)

  320-160 - high (imediate action requierd)

  160-070 - Substantialy (correction is needed

  070-020 - Possible (requires attention)

  020-000 - Light (perhaps acceptable)

• Recommendation to reduce the risk?<br><br>- Design<br>- Collective action<br>- Individual action<br>- PPE<br>- Caution (manual / picto's / education)

  Yes

  No

  N/A

• Result after recommendet action;

  > 320 - Very high (consider stopping activity)

  320-160 - high (imediate action requierd)

  160-070 - Substantialy (correction is needed

  070-020 - Possible (requires attention)

  020-000 - Light (perhaps acceptable)

• Responsible?

  Select Loading / Unloading site Customer Van den Bosch Subcontractor Other

  • Loading / Unloading site
  • Customer
  • Van den Bosch
  • Subcontractor
  • Other

• Action processed before:

  Date

• Status

  Select Open Started Processed Rejected

  • Open
  • Started
  • Processed
  • Rejected

04.01.06 Work equipment.

• 04.01.06 Loading - Unloading area:<br><br>- Maintenance<br>- CE<br>- Moving parts<br>- Lifting<br>- Welding

  Safe

  At Risk

  N/A

• Effect off possible injury?

  100 - Catastrofic / many deaths

  040 - Disaster, several deaths

  015 - Very serious, one death

  007 - Significant serious incident

  003 - Importantly, adsenteeims

• Exposure to the latent danger?

  010 - Continuously

  006 - Daily during working hours

  003 - Weekly or incidental

  002 - Monthly

  001 - Several times a year

• Likelihood of the risk?

  010 - Can be aspectes, almost certainly

  006 - Possible

  003 - Unsual nut possible

  002 - Only on long term

  001 - Very unlikely

• Risk (Result without any action)

  > 320 - Very high (consider stopping activity)

  320-160 - high (imediate action requierd)

  160-070 - Substantialy (correction is needed

  070-020 - Possible (requires attention)

  020-000 - Light (perhaps acceptable)

• Recommendation to reduce the risk?<br><br>- Design<br>- Collective action<br>- Individual action<br>- PPE<br>- Caution (manual / picto's / education)

  Yes

  No

  N/A

• Result after recommendet action;

  > 320 - Very high (consider stopping activity)

  320-160 - high (imediate action requierd)

  160-070 - Substantialy (correction is needed

  070-020 - Possible (requires attention)

  020-000 - Light (perhaps acceptable)

• Responsible?

  Select Loading / Unloading site Customer Van den Bosch Subcontractor Other

  • Loading / Unloading site
  • Customer
  • Van den Bosch
  • Subcontractor
  • Other

• Action processed before:

  Date

• Status

  Select Open Started Processed Rejected

  • Open
  • Started
  • Processed
  • Rejected

04.01.07 PPE.

• 04.01.07 Loading - Unloading area:<br><br>- Availability<br>- Use<br>- Supervision<br>- Maintenance

  Safe

  At Risk

  N/A

• Safety boots

  Yes

  No

  N/A

• Goggles

  Yes

  No

  N/A

• Helmet

  Yes

  No

  N/A

• Face protection (Full Face Mask with filter, safety glass (closen - open))

  Yes

  No

  N/A

• Ear protection

  Yes

  No

  N/A

• Fall protection / harnas

  Yes

  No

  N/A

• Hyvis

  Yes

  No

  N/A

• Clothes (ATEX) / Chemical suit / Covering

  Yes

  No

  N/A

• Effect off possible injury?

  100 - Catastrofic / many deaths

  040 - Disaster, several deaths

  015 - Very serious, one death

  007 - Significant serious incident

  003 - Importantly, adsenteeims

• Exposure to the latent danger?

  010 - Continuously

  006 - Daily during working hours

  003 - Weekly or incidental

  002 - Monthly

  001 - Several times a year

• Likelihood of the risk?

  010 - Can be aspectes, almost certainly

  006 - Possible

  003 - Unsual nut possible

  002 - Only on long term

  001 - Very unlikely

• Risk (Result without any action)

  > 320 - Very high (consider stopping activity)

  320-160 - high (imediate action requierd)

  160-070 - Substantialy (correction is needed

  070-020 - Possible (requires attention)

  020-000 - Light (perhaps acceptable)

• Recommendation to reduce the risk?<br><br>- Design<br>- Collective action<br>- Individual action<br>- PPE<br>- Caution (manual / picto's / education)

  Yes

  No

  N/A

• Result after recommendet action;

  > 320 - Very high (consider stopping activity)

  320-160 - high (imediate action requierd)

  160-070 - Substantialy (correction is needed

  070-020 - Possible (requires attention)

  020-000 - Light (perhaps acceptable)

• Responsible?

  Select Loading / Unloading site Customer Van den Bosch Subcontractor Other

  • Loading / Unloading site
  • Customer
  • Van den Bosch
  • Subcontractor
  • Other

• Action processed before:

  Date

• Status

  Select Open Started Processed Rejected

  • Open
  • Started
  • Processed
  • Rejected

04.01.08 General comment

• 04.01.08 General comment?<br><br>- Pressure<br>- Sampling<br>- Vapour Tank / Silo<br>- Vapour Return<br>- Vapour Hoses<br>- Product<br>- Nitrogen / CO2<br>- Area<br>- Handrail / Custom cover (douane)<br>- Entry chassis<br>- Spill<br>

  Yes

  No

  N/A

04.02.00 Summary

• 00: Final Result

• 01: Elimination of the hazard or preventing the risk.<br><br>Examples:<br>a) Repairing or replacing faulty equipment.<br>b) Eliminating dangerous work processes (e.g. by purchasing pre-cut materials or substances in quantities that do not require decanting).

  Yes

  No

  N/A

• 02: Substitution of the hazard with an other that has a lesser risk.<br><br>Examples;<br>a) Use a different, less dangerous piece of equipment.<br>b) Use safer materials or chemicals.

  Yes

  No

  N/A

• 03: Isolation of the hazard that is creating risk to employees and others.<br><br>Examples<br>a) Place noisy equipment into their own soundproof enclosure – e.g. compressors in a workshop.<br>b) The use of fume cupboards is a good way of isolating dangerous chemicals from workers using them.

  Yes

  No

  N/A

• 04: Engeneerings controle. Minimising the risk by engeneering.<br><br>Examples<br>a) Adding machine guards or lock-out devices.<br>b) Changing lighting to reduce glare<br>c) Installing exhaust fans, etc<br><br>

  Yes

  No

  N/A

• 05: Administrative measures (implementing safe workings practices).<br><br>Examples;<br>a) Establish written safe work procedures.<br>b) Change daily routines, e.g. so that keyboard operators get breaks from keyboarding to do other duties.

  Yes

  No

  N/A

• 06: Personal Protective Equipment (least effective way of controllingnhazard).<br><br>Note;<br>a) PPE is only useful when it is in good condition and always worn correctly.<br>b) People need to know when to wear their PPE and how to fit and look after it.<br>c) Employers must ensure that the equipment provided is appropriate for the person and controls the risk for the person.

  Yes

  No

  N/A

• 07: Permit to work requested?

  Yes

  No

  N/A

05.00.00 Closing

• Date inspection?

  Date

• Appointments?

• Review?

  Select Non Day Week Month Quarter Year

  • Non
  • Day
  • Week
  • Month
  • Quarter
  • Year

• Priority?

• Signature Auditee

  Sign

• Signature Auditor

  Sign