Risk Assessment

Will you encounter any sharp objects while performing this task?

What is the likelihood of an injury to occur from this hazard?

What is the severity of the risk if an injury would to occur from this hazard?

STOP! contact your supervisor

Do you have your cut proof gloves, and are you wearing them?

STOP! contact your supervisor

Are there any sharp edges in the area

What is the likelihood of an injury to occur from this hazard?

What is the severity of the risk if an injury would to occur from this hazard?

Cover all sharp areas if possible, and proceed carefully maintaining awareness for any other hazards in the area.

Is there an exposure to any fall hazards?

Make sure all open-sided floors or platforms that are 4 feet or more above adjacent ground are guarded by a standard railing, and that toe boards are in place where equipment or pedestrians can pass below. Proceed carefully with job and maintain awareness.

What is the likelihood of an injury to occur from this hazard?

What is the severity of the risk if an injury would to occur from this hazard?

When walking/working on a surface with unprotected sides or edges with exposure to falling, inspect and wear your fall protection continuously until the job is complete.

Is there an exposure to electrical hazards?<br>Make sure you LOOK ABOVE AND BELOW you!

What is the likelihood of an injury to occur from this hazard?

STOP! Contact qualified electrical personal and or supervisor

What is the severity of the risk if an injury would to occur from this hazard?

STOP! Contact qualified electrical personal and or supervisor

Make sure all sources are locked out properly. Look for overhead power lines when moving equipment. Proceed carefully maintaining awareness for any other hazards in the area.

Is there a possibility for stored energy to exist?

What is the likelihood of an injury to occur from this hazard?

What is the severity of the risk if an injury would to occur from this hazard?

Are all sources of stored energy controlled, released, or eliminated?

STOP! contact your supervisor

Is there an exposure to overhead hazards?

Proceed carefully maintaining awareness for any other hazards in the area.

What is the likelihood of an injury to occur from this hazard?

What is the severity of the risk if an injury would to occur from this hazard?

Remove the hazard if possible, if performing an overhead lift use a tagline and do not stand under the suspended load, and proceed carefully maintaining awareness for any other hazards in the area.

STOP! Contact your supervisor to help perform this job safely.

Is there an exposure to trip and fall hazards in the area?

Proceed carefully maintaining awareness for any other hazards in the area.

What is the likelihood of an injury to occur from this hazard?

What is the severity of the risk if an injury would to occur from this hazard?

Make sure all aisle ways, walkways, doorways, exits, and stairs are properly illuminated, maintained, kept free of obstructions, and clean and free from substances such as water, ice, oil. etc.

Will you be welding or using a cutting torch?

Use proper cutting/welding mask, gloves, hearing protection, and long sleeves.

Is there a fire hazard ?

What is the risk level ? If there is urethane products within the proximity this is considered a class 2 risk hazard

Make sure equipment is in good working order, availability of working fire suppressing equipment, area is free of combustible materials or is protected to prevent ignition.

Explosive atmosphere in area is eliminated. All wall and floor openings are covered.

STOP! Contact your supervisor before proceeding.

Combustibles on other side of walls are moved away. Enclosed equipment is cleaned of all combustibles. Containers are purged of flammable liquids/vapors.

STOP! Contact your supervisor before proceeding.

A fire watch is provided during and for 30 minutes after the job is completed. Fire watch is required for adjoining areas, above, and below the area.

STOP! Contact your supervisor before proceeding.

Signature of Fire Watch

The fire watcher is supplied with suitable extinguishers and is trained in the use of this equipment.

STOP! Contact your supervisor before proceeding.

Is there an exposure to pinch points?

What is the likelihood of an injury to occur from this hazard?

What is the severity of the risk if an injury would to occur from this hazard?

Use a no touch tool to keep your hand/fingers out of the area such as a pry bar or tagline.

Is the work area labeled as a Permit Required Confined Space

Proceed carefully maintaining awareness for any other hazards in the area.

Was a confined space entry permit completed

Remember to test the air prior to entry and periodically throughout the task, wear an air monitor if required, and have a rescue plan in place.

Complete the confined space permit, test the air prior to entry and periodically throughout the task, wear an air monitor if required, and have a rescue plan in place.

Is there an increased risk of an eye injury such as excessive dust or liquid chemicals