Information

  • Site ID

  • Conducted on

  • Risk Assessment Lead

  • Team Members (limit of 4 additional employees)

    Hazard Analysis
  • Department

  • Process

  • Task

(1). Crushing/Pinching

  • Is there risk of the load (e.g., material/equipment/vehicle, etc.) falling, rolling, shifting or collapsing?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Is there the potential for lack of capacity/control for the load to be slowed, stopped or immobilized?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Is there the potential for the load come into uncontrolled contact with moving parts of the facility operations during testing, inspection, use, maintenance, cleaning or repair?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Is there potential for material/equipment or a individual to fall/be thrown off or under the load?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Is there a potential for an individual to be trapped between the load and materials or fixed structures?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Other factors?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

(2). Entanglement

  • Is there a risk of body parts, clothing, equipment, or other materials coming into contact with moving parts of the plant causing entanglement?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Other factors?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

(3). Cutting, Stabbing and Puncturing

  • Is there a risk of an individual coming into contact with sharp or flying objects?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Is there a risk of an individual coming into contact with moving parts of the load or other equipment/structures during testing, inspection, operation, maintenance, cleaning or repair during the task?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Is there risk of the load (e.g., material/equipment/vehicle, etc.) falling, rolling, shifting or collapsing?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Other factors?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

(4). Shearing / Burning / Friction

  • Is there the risk of an individual's body or clothing to be abraded or burned while performing the task?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Is there risk of an individual's body or clothing to be cut or sheared in performing the task?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Other factors?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

(5). Striking

  • Is there a risk of an individual being struck by uncontrolled or unexpected movement of the load or structure during performance of the task?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Other factors?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

(6). High Pressure Fluids/Gases

  • Is an individual at risk of coming into contact with high pressure fluids or gasses while performing the task?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Other factors?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

(7). Electrical

  • Does the risk exist that the load could contact live electrical conductors during performance of the task?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Is there risk that an individual or the load will encounter electrical leads on the ground?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Is there risk of water to contact electrical equipment during performance of the task?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Is there the risk of overloading of electrical circuits during performance of the task? <br>

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Other factors?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

(8). Chemical

  • Is there a risk of an individual being exposed to hazardous gasses, vapors, liquids, solids, powders/dusts during performance of the task?

  • Describe the hazard specific to the task

  • Who is at risk?

  • Is/are product Safety Data Sheet(s) available and immediately accessible?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Other factors?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

(9). Slips, Trips or Falls

  • Is there a risk of an individual encountering uneven, cluttered, or slippery work surfaces during performance of the task?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Is there a risk of obstacles being placed in the proximity an individual driving a vehicle or managing a moving load as associated with this task?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Is there a risk of an individual performing this task working at height in an uncontrolled manner (e.g., no individual or systemic fall prevention/control devices or procedures in place)?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 10

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

  • Other factors?

  • Describe the hazard specific to the task

  • Who is at risk?

RISK WEIGHTING/CONTROLS/CORRECTIVE MEASURES

CONSEQUENCE ANALYSIS

  • What is the most probable result of an incident involving this task hazard?

  • How frequently are employees exposed to the hazard?

  • Likelihood of occurrence

  • Risk Score

CONSEQUENCE X EXPOSURE X PROBABILITY = RISK SCORE

RISK SCORE DEFINITION ACTION

  • 500 Very high risk Immediate action required. HIGH PRIORITY.

  • 300- 499 High risk Management attention needed. Hazards NOT adequately controlled.

  • 150- 299 Substantial risk Management attention needed. Hazards NOT adequately controlled.

  • 60- 149 Moderate risk Hazard must be examined against current standards

  • 0- 59 Low risk Manage by routine procedures.

RISK CONTROLS EVALUATION

Elimination

  • Is it possible to eliminate the risk?

  • Describe means to entirely eliminate the risk

Reduction

  • Is it possible to reduce the level of risk posed by the hazard using substitution?

  • Describe the means of risk reduction by substitution

  • Is it possible to reduce the level of risk posed by isolation?

  • Describe the means of risk reduction using isolation

  • Is it possible to reduce the level of risk posed by using engineering controls?

  • Describe the means of risk reduction using engineering controls

Administrative Controls

  • Is it possible to reduce the level of risk posed by the hazard by changing operating procedures, requiring additional training, additional oversight/supervision, or providing information?

  • Describe the means of risk reduction using administrative controls

4. Personal Protection

  • Is it possible to reduce the level or risk posed by the hazard by wearing personal protective equipment/clothing?

  • Describe the means of risk reduction using personal protective equipment

CORRECTIVE MEASURES

Risk Control Action Plan Risk 1

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 2

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 3

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 4

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 5

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 6

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 7

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 8

  • Completed by date/time

  • Responsibility

  • Issue identified. Comment on progress/update for actions

Risk Control Action Plan Risk 9

  • Completed by date/time

  • Responsibility