Risk assessment

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Task being completed.

Mango 4 Office Technology Hazard Identification Record.

• Please follow the hazard prompts below and implement controls as you progress through the form.

• 1.Manual handling - Can I strain or over exert myself?

• Can I manage this hazard?

  yes

  no

• Stop and discuss this hazard with your supervisor, once advised proceed as discussed ,should the task proceed please fill in a brief explanation on the management of this hazard before proceeding

  Proceed with task

  Stop task

• How will you manage this hazard?

  Select Use correct lifting techniques Use two person lift where necessary Follow M4 safe work method procedure Use mechanical aid, if/when it's available Make use of PPE Other

  • Use correct lifting techniques
  • Use two person lift where necessary
  • Follow M4 safe work method procedure
  • Use mechanical aid, if/when it's available
  • Make use of PPE
  • Other

• If other is selected please give a brief explanation below on how you will manage this hazard.

• 2. Gravity - Can something fall on me or could I cause something to fall onto someone else? Are there any slips/Trips or Falls hazards present?

• Can I manage this hazard?

  yes

  no

• Stop and discuss this hazard with your supervisor, once advised proceed as discussed ,should the task proceed please fill in a brief explanation on the management of this hazard before proceeding

  Proceed with task

  Stop task

• How will you manage this hazard?

  Select Follow M4 SWMS Erect barricading Keep work area tidy Use fall arrest harness Other

  • Follow M4 SWMS
  • Erect barricading
  • Keep work area tidy
  • Use fall arrest harness
  • Other

• If other is selected please give a brief explanation below on how you will manage this hazard.

• 3.Electricity - Does anything need to be isolated and tested for dead?

• Can I manage this hazard?

  yes

  no

• Stop and discuss this hazard with your supervisor, once advised proceed as discussed ,should the task proceed please fill in a brief explanation on the management of this hazard before proceeding

  Proceed with task

  Stop task

• How will you manage this hazard?

  Select Isolate according to M4 SOP Isolate according to site specific procedure. Test for dead Other

  • Isolate according to M4 SOP
  • Isolate according to site specific procedure.
  • Test for dead
  • Other

• If other is selected please give a brief explanation below on how you will manage this hazard.

• 4. Machinery and Equipment - Can I come into contact with machinery or equipment that may harm me, through uncontrolled movement , sudden startups, exposed moving parts or working in close proximity to them?

• Can I manage this hazard?

  yes

  no

• Stop and discuss this hazard with your supervisor, once advised proceed as discussed ,should the task proceed please fill in a brief explanation on the management of this hazard before proceeding

  Proceed with task

  Stop task

• How will you manage this hazard?

  Select Confirm machinery isolation by testing for dead/operation Barricading work area Communication to client / team member Other

  • Confirm machinery isolation by testing for dead/operation
  • Barricading work area
  • Communication to client / team member
  • Other

• If other is selected please give a brief explanation below on how you will manage this hazard.

• 5. Hazardous Chemicals - Can I come into contact with or be exposed to any type of hazardous chemicals/materials such as hydrocarbons,acid or gas which may cause respiratory illness, cancers or dermatitis

• Can I manage this hazard?

  yes

  no

• Stop and discuss this hazard with your supervisor, once advised proceed as discussed ,should the task proceed please fill in a brief explanation on the management of this hazard before proceeding

  Proceed with task

  Stop task

• How will you manage this hazard?

  Select Use correct & approved PPE Follow M4 SOP Other

  • Use correct & approved PPE
  • Follow M4 SOP
  • Other

• If other is selected please give a brief explanation below on how you will manage this hazard.

• 6. Extreme Temperatures - Can I come into contact with or be exposed to any type of heat source some of which may lead to dehydration, heat exhaustion, fatigue or burns?

• Can I manage this hazard?

  yes

  no

• Stop and discuss this hazard with your supervisor, once advised proceed as discussed ,should the task proceed please fill in a brief explanation on the management of this hazard before proceeding

  Proceed with task

  Stop task

• How will you manage this hazard?

  Select Use correct PPE Familiarise yourself with your surroundings Follow M4 SOP Other

  • Use correct PPE
  • Familiarise yourself with your surroundings
  • Follow M4 SOP
  • Other

• If other is selected please give a brief explanation below on how you will manage this hazard.

• 7. Confined spaces - When working in a confined space do I need to communicate this to a team member / customer and or need a permit? During the task can I be exposed to lack of oxygen / toxic or corrosive gas's / chemicals, metal surfaces that conduct electricity and heat energy , awkward or cramped working conditions, is there a risk of snakes / spiders or the like being present ?

• Can I manage this hazard?

  yes

  no

• Stop and discuss this hazard with your supervisor, once advised proceed as discussed ,should the task proceed please fill in a brief explanation on the management of this hazard before proceeding

  Proceed with task

  Stop task

• How will you manage this hazard?

  Select Follow M4 SOP Limit time within confined space ventilation via mechanical or natural means Purging space with inert gas Cleaning space before entry Erect signs to notify work is being carried out Erect barricades Other

  • Follow M4 SOP
  • Limit time within confined space
  • ventilation via mechanical or natural means
  • Purging space with inert gas
  • Cleaning space before entry
  • Erect signs to notify work is being carried out
  • Erect barricades
  • Other

• If other is selected please give a brief explanation below on how you will manage this hazard.

• 8. Environmental - Can i be harmed or come into contact with something that may harm me within the environment I am working ?, risks to look for May include UV rays from the sun,dust including asbestos dust contamination, excessive noise from surrounding activities or activities you may be carrying out yourself (drilling concrete) eye injuries from bright light, flying objects from machinery use, gas or fumes, weather conditions - extreme heat or rain.

• Can I manage this hazard?

  yes

  no

• Stop and discuss this hazard with your supervisor, once advised proceed as discussed ,should the task proceed please fill in a brief explanation on the management of this hazard before proceeding

  Proceed with task

  Stop task

• How will you manage this hazard?

  Select Use correct PPE Follow M4 SOP Familiarise yourself with surroundings Other

  • Use correct PPE
  • Follow M4 SOP
  • Familiarise yourself with surroundings
  • Other

• If other is selected please give a brief explanation below on how you will manage this hazard.

• 9. Other hazards present - Are there any other hazards present during this task? If so please list them below and how you will control these hazards

• Can I manage this hazard?

  yes

  no

• Stop and discuss this hazard with your supervisor, once advised proceed as discussed ,should the task proceed please fill in a brief explanation on the management of this hazard before proceeding

  Proceed with task

  Stop task

• Please give a brief explanation on how the hazard will be managed.