Risk Assessment

• Assessment Number

• Description of area/task/process being assessed

• Site/Department

• Conducted by:

• Conducted on

  Date

• Review Period

  1 Year

  2 Years

  3 Years

  4 Years

  5 Years

• Review period guidance:
  
  Lower frequencies (generally 1 year) should be set for new processes which are subject to change or where there is limited experience
  
  Risk assessment should be reviewed where there is a change in equipment, people or process. If equipment is used for a different purpose, or is moved, the process should be re-assessed.
  

• Risk priority matrix:
  
  If the hazard is present, answer "Yes" and if not present, answer "No"
  
  Then rate the hazard once scored by considering the remaining risk exposure after the mitigating and controlling factors of the existing control measures are taken into account (residual risk).
  
  If residual risk is less than 5 then you can select "safe" in the "rate the hazard" section (If the hazard is present, then you must select "Safe" or "At Risk" for each hazard category)
  
  Take photographs or sketch to help clarify the hazard (or indeed the lack of hazard) as required in each section.

  

• Ensure that the hierarchy of risk control is applied to actions:
  
  The lower the number the more effective the action!

  

Team Information

• As a minimum the Team Leader must have competency in Risk Assessment

• Team Leader

• Job Role / Experience

• HSE Representative

• Job Role / Experience

• Team Member

Assessment Detail

• What is the reason for assessment?

  New

  Existing

  Change

  Disposal/transfer of plant

  Incident

• Other

• Explanation

Work Area & Environment

• Guidance: including a floor plan and any plant or structure being constructed, demolished, inspected, tested, maintained, repaired, loaded/unloaded, cleaned

• Describe work area

• Photo of work area

  Media

Process/activity

• Include
  • number of people performing the task;
  • frequency, duration of task , time constraints
  
  Consider and document if you are including,
  Normal Operations : use, cleaning, set up, inspection, testing, preventative maintenance
  Abnormal Operations: jam or blockage clearance, breakdown maintenance

• Descibe activity or process

• Photo of process

  Media

1. Hazards relating to rotating parts of machinery (entanglement, friction burns, or being dragged into rotating parts of machinery)

• Guidance: Look for the possibility of being dragged into rotating parts of machinery by entanglement with loose clothing, long hair etc; for example conveyers, rotating chucks, or spindles. Also look at grinders or sanders which could cause friction burns if contact is made. Check also for exposed gears, such as rack and pinions, which could drag the operator into the area where the gears mesh.

• Pictorial Guidance:

  

• Are there hazards related to being drawn into the machine by moving or rotating parts?

  Yes

  No

• Who might be harmed?

  Select Operator Technician Maintenance Visitor Driver Warehouse Operative Other

  • Operator
  • Technician
  • Maintenance
  • Visitor
  • Driver
  • Warehouse Operative
  • Other

• You selected other, please specify:

• How might they be harmed?

• What controls already exist?

• What is the likelihood of harm?

  1 - Rare (no real risk, only under freak conditions of this event possibly occur)

  2 - Unlikely (if other factors were present, then the incident may occur, but probably would not)

  3 - Possible (the incident may occur if additional actions or events trigger it)

  4 - Likely (the incident will occur additional factors are present)

  5 - Almost Certain(there is almost certainty that the incident will occur given current working practices)

• What is the consequence?

  1 - Minor (First aid type injury, cuts, bruises, bumps)

  2 - Important (minor injury requiring first aid at the individual can continue working)

  3 - Serious (Lost time injury or disease with the potential to prevent a person from working for more than 1 day)

  4 - Very Serious (major injury or death to individual)

  5 - Catastrophic (multiple death and widespread destruction))

• Total Score of likelihood x consequence

  Low - No Action is required

  Medium - Action to improve should be considered

  High - Action required if reasonably practicable

  Extreme - STOP PROCESS - Action required

• Rate the Hazard (Action mandatory for extreme or high risk rating)

  Safe

  At Risk

• Action(s) required:
  you must also identify who is responsible for the action(s)

Action(s)

• Action

• Responsibility:

2. Hazards relating to any hot parts of machinery (or hot parts made by the machine)

• Guidance:
  
  Is there a possibility of being burned from hot parts on the machine or hot parts made by the machine (for example machine barrels, nozzles, bag sealers, molten material etc)?
  
  Include in this things like swarf from machining, purge from moulding machines etc

• Are there hazards related to being burnt by hot parts of the machine or what it produces?

  Yes

  No

• Who might be harmed?

  Select Operator Technician Maintenance Visitor Driver Warehouse Operative Other

  • Operator
  • Technician
  • Maintenance
  • Visitor
  • Driver
  • Warehouse Operative
  • Other

• You selected other, please specify:

• How might they be harmed?

• What controls already exist?

• What is the likelihood of harm?

  1 - Rare (no real risk, only under freak conditions of this event possibly occur)

  2 - Unlikely (if other factors were present, then the incident may occur, but probably would not)

  3 - Possible (the incident may occur if additional actions or events trigger it)

  4 - Likely (the incident will occur additional factors are present)

  5 - Almost Certain(there is almost certainty that the incident will occur given current working practices)

• What is the consequence ?

  1 - Minor (First aid type injury, cuts, bruises, bumps)

  2 - Important (minor injury requiring first aid at the individual can continue working)

  3 - Serious (Lost time injury or disease with the potential to prevent a person from working for more than 1 day)

  4 - Very Serious (major injury or death to individual)

  5 - Catastrophic (multiple death and widespread destruction))

• Total Score of likelihood x consequence

  Low - No Action is required

  Medium - Action to improve should be considered

  High - Action required if reasonably practicable

  Extreme - STOP PROCESS - Action required

• Rate the Hazard (Action mandatory for extreme or high risk rating)

  Safe

  At Risk

• Action(s) required:
  you must also identify who is responsible for the action(s)

Action(s)

• Action

• Responsibility:

3. Hazards relating to pinch points, shear points, crush between moving and/or fixed parts, points of impact or stab potential from sharp points

• Guidance: Is there a possibility of being crushed by moving parts of the machine or being pinched/nipped, sheared by opposing moving parts, or being crushed against the wall by moving part.
  
  Could anyone be impacted by moving parts or stabbed by them?
  
  Look for the potential for injury from unguarded edges or corners on equipment

• 
  Pictorial Guidance:

  

• Are there hazards related to being stabbed, crushed, sheared or impacted by any moving part of the machine?

  Yes

  No

• Who might be harmed?

  Select Operator Technician Maintenance Visitor Driver Warehouse Operative Other

  • Operator
  • Technician
  • Maintenance
  • Visitor
  • Driver
  • Warehouse Operative
  • Other

• You selected other, please specify:

• How might they be harmed?

• What controls already exist?

• What is the likelihood of harm?

  1 - Rare (no real risk, only under freak conditions of this event possibly occur)

  2 - Unlikely (if other factors were present, then the incident may occur, but probably would not)

  3 - Possible (the incident may occur if additional actions or events trigger it)

  4 - Likely (the incident will occur additional factors are present)

  5 - Almost Certain(there is almost certainty that the incident will occur given current working practices)

• What is the consequence ?

  1 - Minor (First aid type injury, cuts, bruises, bumps)

  2 - Important (minor injury requiring first aid at the individual can continue working)

  3 - Serious (Lost time injury or disease with the potential to prevent a person from working for more than 1 day)

  4 - Very Serious (major injury or death to individual)

  5 - Catastrophic (multiple death and widespread destruction))

• Total score of likelihood x consequence

  Low - No Action is required

  Medium - Action to improve should be considered

  High - Action required if reasonably practicable

  Extreme - STOP PROCESS - Action required

• Rate the Hazard (Action mandatory for extreme or high risk rating)

  Safe

  At Risk

• Action(s) required:
  you must also identify who is responsible for the action(s)

Action(s)

• Action

• Responsibility:

4. Hazards related to equipment stability

• Guidance:
  
  All the equipment and parts of work equipment should be stabilised by clamping or otherwise secured for the purposes of of health and safety. Most machines used in a fixed position should be bolted or otherwise fastened down so that they do not move or rock during use. Mobile work equipment should be used within the limits of its stability (including the use of stabilisers as needed)
  
  Check to see if equipment is top heavy, and could topple over.

• Are there hazards related to equipment stability? (risk of the equipment becoming unstable or toppling over)

  Yes

  No

• Who might be harmed?

  Select Operator Technician Maintenance Visitor Driver Warehouse Operative Other

  • Operator
  • Technician
  • Maintenance
  • Visitor
  • Driver
  • Warehouse Operative
  • Other

• You selected other, please specify:

• How might they be harmed?

• What controls already exist?

• What is the likelihood of harm?

  1 - Rare (no real risk, only under freak conditions of this event possibly occur)

  2 - Unlikely (if other factors were present, then the incident may occur, but probably would not)

  3 - Possible (the incident may occur if additional actions or events trigger it)

  4 - Likely (the incident will occur additional factors are present)

  5 - Almost Certain(there is almost certainty that the incident will occur given current working practices)

• What is the consequence ?

  1 - Minor (First aid type injury, cuts, bruises, bumps)

  2 - Important (minor injury requiring first aid at the individual can continue working)

  3 - Serious (Lost time injury or disease with the potential to prevent a person from working for more than 1 day)

  4 - Very Serious (major injury or death to individual)

  5 - Catastrophic (multiple death and widespread destruction))

• Total Score of likelihood x consequence

  Low - No Action is required

  Medium - Action to improve should be considered

  High - Action required if reasonably practicable

  Extreme - STOP PROCESS - Action required

• Rate the Hazard (Action mandatory for extreme or high risk rating)

  Safe

  At Risk

• Action(s) required:
  you must also identify who is responsible for the action(s)

Action(s)

• Action

• Responsibility:

5. Hazards relating to exposure to high-pressure fluids or compressed air or other high-pressure gases

• Guidance:
  
  Look for the possibility of skin or eye contact with high-pressure fluids or compressed air (skin or eye contact or debris from using an airline in the eye).
  
  Compressed air, if applied to the skin, can cause air bubbles in the blood, which can be very dangerous, whereas oil or other fluid contact can cause problems with skin sensitisation and eye problems

• Are there hazards related to exposure to high-pressure fluids, or compressed air ?

  Yes

  No

• Who might be harmed?

  Select Operator Technician Maintenance Visitor Driver Warehouse Operative Other

  • Operator
  • Technician
  • Maintenance
  • Visitor
  • Driver
  • Warehouse Operative
  • Other

• You selected other, please specify:

• How might they be harmed?

• What controls already exist?

• What is the likelihood of harm?

  1 - Rare (no real risk, only under freak conditions of this event possibly occur)

  2 - Unlikely (if other factors were present, then the incident may occur, but probably would not)

  3 - Possible (the incident may occur if additional actions or events trigger it)

  4 - Likely (the incident will occur additional factors are present)

  5 - Almost Certain(there is almost certainty that the incident will occur given current working practices)

• What is the consequence ?

  1 - Minor (First aid type injury, cuts, bruises, bumps)

  2 - Important (minor injury requiring first aid at the individual can continue working)

  3 - Serious (Lost time injury or disease with the potential to prevent a person from working for more than 1 day)

  4 - Very Serious (major injury or death to individual)

  5 - Catastrophic (multiple death and widespread destruction))

• Total Score of likelihood x consequence

  Low - No Action is required

  Medium - Action to improve should be considered

  High - Action required if reasonably practicable

  Extreme - STOP PROCESS - Action required

• Rate the Hazard (Action mandatory for extreme or high risk rating)

  Safe

  At Risk

• Action(s) required:
  you must also identify who is responsible for the action(s)

Action(s)

• Action

• Responsibility:

6. Hazards relating to the potential for ejection of parts from the machine?

• Guidance:
  
  Is there potential for parts to be thrown out of the machine and hit the operator? For example, a lathe could throw the part out of the machine if not properly located in the chuck, or cutting equipment could eject parts when cut, or swarf, debris etc could be ejected from machine when in operation. Ejection of any substances should be noted in the assssment
  
  Look also for the potential for parts or parts of the equipment rupturing or disintegrating during processing (for example grinding wheels can disintegrate if unbalanced or damaged)

• Are there hazards related to ejection of parts or debris from the machine?

  Yes

  No

• Who might be harmed?

  Select Operator Technician Maintenance Visitor Driver Warehouse Operative Other

  • Operator
  • Technician
  • Maintenance
  • Visitor
  • Driver
  • Warehouse Operative
  • Other

• You selected other, please specify:

• How might they be harmed?

• What controls already exist?

• What is the likelihood of harm?

  1 - Rare (no real risk, only under freak conditions of this event possibly occur)

  2 - Unlikely (if other factors were present, then the incident may occur, but probably would not)

  3 - Possible (the incident may occur if additional actions or events trigger it)

  4 - Likely (the incident will occur additional factors are present)

  5 - Almost Certain(there is almost certainty that the incident will occur given current working practices)

• What is the consequence ?

  1 - Minor (First aid type injury, cuts, bruises, bumps)

  2 - Important (minor injury requiring first aid at the individual can continue working)

  3 - Serious (Lost time injury or disease with the potential to prevent a person from working for more than 1 day)

  4 - Very Serious (major injury or death to individual)

  5 - Catastrophic (multiple death and widespread destruction))

• Total Score of likelihood x consequence

  Low - No Action is required

  Medium - Action to improve should be considered

  High - Action required if reasonably practicable

  Extreme - STOP PROCESS - Action required

• Rate the Hazard (Action mandatory for extreme or high risk rating)

  Safe

  At Risk

• Action(s) required:
  you must also identify who is responsible for the action(s)

Action(s)

• Action

• Responsibility:

7. Hazards relating to use of display screen equipment

• Guidance:
  
  Is display screen equipment, (e.g. a computer, terminal etc), in use for a significant part of the normal work by the operator? If yes, then identify the requirement to conduct a VDU assessment in the "additional assessments" section

• Are there hazards related to prolonged VDU use?

  Yes

  No

• Who might be harmed?

  Select Operator Technician Maintenance Visitor Driver Warehouse Operative Other

  • Operator
  • Technician
  • Maintenance
  • Visitor
  • Driver
  • Warehouse Operative
  • Other

• You selected other, please specify:

• How might they be harmed?

• What controls already exist?

• What is the likelihood of harm?

  1 - Rare (no real risk, only under freak conditions of this event possibly occur)

  2 - Unlikely (if other factors were present, then the incident may occur, but probably would not)

  3 - Possible (the incident may occur if additional actions or events trigger it)

  4 - Likely (the incident will occur additional factors are present)

  5 - Almost Certain(there is almost certainty that the incident will occur given current working practices)

• What is the consequence ?

  1 - Minor (First aid type injury, cuts, bruises, bumps)

  2 - Important (minor injury requiring first aid at the individual can continue working)

  3 - Serious (Lost time injury or disease with the potential to prevent a person from working for more than 1 day)

  4 - Very Serious (major injury or death to individual)

  5 - Catastrophic (multiple death and widespread destruction))

• Total Score of likelihood x consequence

  Low - No Action is required

  Medium - Action to improve should be considered

  High - Action required if reasonably practicable

  Extreme - STOP PROCESS - Action required

• Rate the Hazard (Action mandatory for extreme or high risk rating)

  Safe

  At Risk

• Action(s) required:
  you must also identify who is responsible for the action(s)

Action(s)

• Action

• Responsibility:

8. Hazards relating to use of hand tools

• Guidance:
  
  Hand tools (including battery-powered tools) used by the operator, must be in good condition, suitable for the task being carried out and used correctly.
  
  Look for things like damaged handles (breaks in hammer handles, and, rounding of chisels ends for example), blunt cutting edges, and rounded spanners, sockets or Allen keys.
  
  Pictorial Guidance:
  

  

• Are there hazards relating to use of hand tools (in good condition and suitable for the task)

  Yes

  No

• Who might be harmed?

  Select Operator Technician Maintenance Visitor Driver Warehouse Operative Other

  • Operator
  • Technician
  • Maintenance
  • Visitor
  • Driver
  • Warehouse Operative
  • Other

• You selected other, please specify:

• How might they be harmed?

• What controls already exist?

• What is the likelihood of harm?

  1 - Rare (no real risk, only under freak conditions of this event possibly occur)

  2 - Unlikely (if other factors were present, then the incident may occur, but probably would not)

  3 - Possible (the incident may occur if additional actions or events trigger it)

  4 - Likely (the incident will occur additional factors are present)

  5 - Almost Certain(there is almost certainty that the incident will occur given current working practices)

• What is the consequence?

  1 - Minor (First aid type injury, cuts, bruises, bumps)

  2 - Important (minor injury requiring first aid at the individual can continue working)

  3 - Serious (Lost time injury or disease with the potential to prevent a person from working for more than 1 day)

  4 - Very Serious (major injury or death to individual)

  5 - Catastrophic (multiple death and widespread destruction))

• Total Score of likelihood x consequence

  Low - No Action is required

  Medium - Action to improve should be considered

  High - Action required if reasonably practicable

  Extreme - STOP PROCESS - Action required

• Rate the Hazard (Action mandatory for extreme or high risk rating)

  Safe

  At Risk

• Action(s) required:
  you must also identify who is responsible for the action(s)

Action(s)

• Action

• Responsibility:

9. Hazards relating to significant vibration when using machinery

• Guidance:
  
  Is there a risk of vibration (when using machinery or equipment) being transmitted to the operator?
  
  For example, use of hammer drills, grinders etc for significant periods could cause the operator problems with limbs (e.g. work related disorders of the white finger)
  
  Pictorial Guidance:
  

  

• Are there hazards relating to significant vibration being transmitted to the operator when equipment is in use?

  Yes

  No

• Who might be harmed?

  Select Operator Technician Maintenance Visitor Driver Warehouse Operative Other

  • Operator
  • Technician
  • Maintenance
  • Visitor
  • Driver
  • Warehouse Operative
  • Other

• You selected other, please specify:

• How might they be harmed?

• What controls already exist?

• What is the likelihood of harm?

  1 - Rare (no real risk, only under freak conditions of this event possibly occur)

  2 - Unlikely (if other factors were present, then the incident may occur, but probably would not)

  3 - Possible (the incident may occur if additional actions or events trigger it)

  4 - Likely (the incident will occur additional factors are present)

  5 - Almost Certain(there is almost certainty that the incident will occur given current working practices)

• What is the consequence?

  1 - Minor (First aid type injury, cuts, bruises, bumps)

  2 - Important (minor injury requiring first aid at the individual can continue working)

  3 - Serious (Lost time injury or disease with the potential to prevent a person from working for more than 1 day)

  4 - Very Serious (major injury or death to individual)

  5 - Catastrophic (multiple death and widespread destruction))

• Total Score of likelihood x consequence

  Low - No Action is required

  Medium - Action to improve should be considered

  High - Action required if reasonably practicable

  Extreme - STOP PROCESS - Action required

• Rate the Hazard (Action mandatory for extreme or high risk rating)

  Safe

  At Risk

• Action(s) required:
  you must also identify who is responsible for the action(s)

Action(s)

• Action

• Responsibility:

10. Hazards relating to the use of lifting equipment

• Guidance:
  
  Check the lifting equipment in use is properly checked and certified, check that persons carrying out lifting are properly trained to do so, and check for any damage or issues with the lifting equipment being used.
  
  Check that the lifting equipment being used is suitable for the task (proper lifting slings, or eyebolts, cranes being used within load capacity etc). Check handling equipment such as pallet trucks, manual handling aids etc also.
  
  Check if Persons are working under suspended loads, structures or equipment

• Are there hazards relating to use of lifting equipment? (trained, equipment certified and in good condition)

  Yes

  No

• Who might be harmed?

  Select Operator Technician Maintenance Visitor Driver Warehouse Operative Other

  • Operator
  • Technician
  • Maintenance
  • Visitor
  • Driver
  • Warehouse Operative
  • Other

• You selected other, please specify:

• How might they be harmed?

• What controls already exist?

• What is the likelihood of harm?

  1 - Rare (no real risk, only under freak conditions of this event possibly occur)

  2 - Unlikely (if other factors were present, then the incident may occur, but probably would not)

  3 - Possible (the incident may occur if additional actions or events trigger it)

  4 - Likely (the incident will occur additional factors are present)

  5 - Almost Certain(there is almost certainty that the incident will occur given current working practices)

• What is the consequence ?

  1 - Minor (First aid type injury, cuts, bruises, bumps)

  2 - Important (minor injury requiring first aid at the individual can continue working)

  3 - Serious (Lost time injury or disease with the potential to prevent a person from working for more than 1 day)

  4 - Very Serious (major injury or death to individual)

  5 - Catastrophic (multiple death and widespread destruction))

• Total Score of likelihood x consequence

  Low - No Action is required

  Medium - Action to improve should be considered

  High - Action required if reasonably practicable

  Extreme - STOP PROCESS - Action required

• Rate the Hazard (Action mandatory for extreme or high risk rating)

  Safe

  At Risk

• Action(s) required:
  you must also identify who is responsible for the action(s)

Action(s)

• Action

• Responsibility:

11. Hazards relating to the use of access equipment

• Guidance:
  
  Check if any access equipment is certified appropriately and is in good condition (for example ladders, scissor lifts, scaffolding, platforms, mobile elevated work platforms etc) check for damage to ladder rungs, guards or supports. Is the equipment used suitable for the task being undertaken?
  
  Pictorial Guidance:

  

• Are there hazards relating to use of access equipment? (good condition, suitably certified and properly used)

  Yes

  No

• Who might be harmed?

  Select Operator Technician Maintenance Visitor Driver Warehouse Operative Other

  • Operator
  • Technician
  • Maintenance
  • Visitor
  • Driver
  • Warehouse Operative
  • Other

• You selected other, please specify:

• How might they be harmed?

• What controls already exist?

• What is the likelihood of harm?

  1 - Rare (no real risk, only under freak conditions of this event possibly occur)

  2 - Unlikely (if other factors were present, then the incident may occur, but probably would not)

  3 - Possible (the incident may occur if additional actions or events trigger it)

  4 - Likely (the incident will occur additional factors are present)

  5 - Almost Certain(there is almost certainty that the incident will occur given current working practices)

• What is the consequence ?

  1 - Minor (First aid type injury, cuts, bruises, bumps)

  2 - Important (minor injury requiring first aid at the individual can continue working)

  3 - Serious (Lost time injury or disease with the potential to prevent a person from working for more than 1 day)

  4 - Very Serious (major injury or death to individual)

  5 - Catastrophic (multiple death and widespread destruction))

• Total Score of likelihood x consequence

  Low - No Action is required

  Medium - Action to improve should be considered

  High - Action required if reasonably practicable

  Extreme - STOP PROCESS - Action required

• Rate the Hazard (Action mandatory for extreme or high risk rating)

  Safe

  At Risk

• Action(s) required:
  you must also identify who is responsible for the action(s)

Action(s)

• Action

• Responsibility:

12. Hazards relating to emissions from the process or parts being produced or used

• Guidance:
  
  Check for fumes, dusts or other emissions from the process, including sharp byproducts, (for example pieces of wire cut-off), hot purge from purge backs during purging operations, parts being dropped causing slip or trip hazards (for example terminals being dropped or grease or oil being spilt on the floor)
  
  Pictorial Guidance:
  

  

• For example swarf from a turning or machining operation

  

• Are there hazards relating to emissions or by-products from the process?

  Yes

  No

• Who might be harmed?

  Select Operator Technician Maintenance Visitor Driver Warehouse Operative Other

  • Operator
  • Technician
  • Maintenance
  • Visitor
  • Driver
  • Warehouse Operative
  • Other

• You selected other, please specify:

• How might they be harmed?

• What controls already exist?

• What is the likelihood of harm?

  1 - Rare (no real risk, only under freak conditions of this event possibly occur)

  2 - Unlikely (if other factors were present, then the incident may occur, but probably would not)

  3 - Possible (the incident may occur if additional actions or events trigger it)

  4 - Likely (the incident will occur additional factors are present)

  5 - Almost Certain(there is almost certainty that the incident will occur given current working practices)

• What is the consequence ?

  1 - Minor (First aid type injury, cuts, bruises, bumps)

  2 - Important (minor injury requiring first aid at the individual can continue working)

  3 - Serious (Lost time injury or disease with the potential to prevent a person from working for more than 1 day)

  4 - Very Serious (major injury or death to individual)

  5 - Catastrophic (multiple death and widespread destruction))

• Total Score of likelihood x consequence

  Low - No Action is required

  Medium - Action to improve should be considered

  High - Action required if reasonably practicable

  Extreme - STOP PROCESS - Action required

• Rate the Hazard (Action mandatory for extreme or high risk rating)

  Safe

  At Risk

• Action(s) required:
  you must also identify who is responsible for the action(s)

Action(s)

• Action

• Responsibility:

13. Hazards related to inadequate markings

• Guidance:
  
  Check for warning signs which should be present to warn of particular hazards, for example hot surfaces, labelling of controls, labelling of pipework as to the contents etc
  
  Pictorial Guidance:
  

  

• Are there hazards relating to inadequate marking?

  Yes

  No

• Who might be harmed?

  Select Operator Technician Maintenance Visitor Driver Warehouse Operative Other

  • Operator
  • Technician
  • Maintenance
  • Visitor
  • Driver
  • Warehouse Operative
  • Other

• You selected other, please specify:

• How might they be harmed?

• What controls already exist?

• What is the likelihood of harm?

  1 - Rare (no real risk, only under freak conditions of this event possibly occur)

  2 - Unlikely (if other factors were present, then the incident may occur, but probably would not)

  3 - Possible (the incident may occur if additional actions or events trigger it)

  4 - Likely (the incident will occur additional factors are present)

  5 - Almost Certain(there is almost certainty that the incident will occur given current working practices)

• What is the consequence ?

  1 - Minor (First aid type injury, cuts, bruises, bumps)

  2 - Important (minor injury requiring first aid at the individual can continue working)

  3 - Serious (Lost time injury or disease with the potential to prevent a person from working for more than 1 day)

  4 - Very Serious (major injury or death to individual)

  5 - Catastrophic (multiple death and widespread destruction))

• Total Score of likelihood x consequence

  Low - No Action is required

  Medium - Action to improve should be considered

  High - Action required if reasonably practicable

  Extreme - STOP PROCESS - Action required

• Rate the Hazard (Action mandatory for extreme or high risk rating)

  Safe

  At Risk

• Action(s) required:
  you must also identify who is responsible for the action(s)

Action(s)

• Action

• Responsibility:

1. Hazards related to the individuals suitability to the work carried out

• Guidance:
  
  Look for possible issues with the need for excessive strength or height issues (e.g. cannot reach to operate machine properly).
  
  Check for issues with young persons (younger than 18 years old), pregnancy (or nursing mothers) or issues with disability.
  
  if either of these are applicable ensure that you identify this requirement in the additional assessment section

• Are there hazards relating to the capability of individuals working in the area? (Height, strength, dexterity etc)

  Yes

  No

• Who might be harmed?

  Select Operator Technician Maintenance Visitor Driver Warehouse Operative Other

  • Operator
  • Technician
  • Maintenance
  • Visitor
  • Driver
  • Warehouse Operative
  • Other

• You selected other, please specify:

• What controls already exist?

• How might they be harmed?

• What is the likelihood of harm?

  1 - Rare (no real risk, only under freak conditions of this event possibly occur)

  2 - Unlikely (if other factors were present, then the incident may occur, but probably would not)

  3 - Possible (the incident may occur if additional actions or events trigger it)

  4 - Likely (the incident will occur additional factors are present)

  5 - Almost Certain(there is almost certainty that the incident will occur given current working practices)

• What is the consequence ?

  1 - Minor (First aid type injury, cuts, bruises, bumps)

  2 - Important (minor injury requiring first aid at the individual can continue working)

  3 - Serious (Lost time injury or disease with the potential to prevent a person from working for more than 1 day)

  4 - Very Serious (major injury or death to individual)

  5 - Catastrophic (multiple death and widespread destruction))

• Total Score of likelihood x consequence

  Low - No Action is required

  Medium - Action to improve should be considered

  High - Action required if reasonably practicable

  Extreme - STOP PROCESS - Action required

• Rate the Hazard (Action mandatory for extreme or high risk rating)

  Safe

  At Risk

• Action(s) required:
  you must also identify who is responsible for the action(s)

Action(s)

• Action

• Responsibility:

2. Hazards related to the hours of work, or work rate

• Guidance:
  
  Does the operator work excessive hours, and do they have to keep up with a speedy process? (Is the process machine or operator led?). Do the operators have sufficient rest and recovery time between cycle? Do they have sufficient breaks? Normal shifts will normally be okay, but if the operators are working additional hours, then this should be considered.

• Are there hazards relating to long hours of work and/or rate of work involved?

  Yes

  No

• Who might be harmed?

  Select Operator Technician Maintenance Visitor Driver Warehouse Operative Other

  • Operator
  • Technician
  • Maintenance
  • Visitor
  • Driver
  • Warehouse Operative
  • Other

• You selected other, please specify:

• How might they be harmed?

• What controls already exist?

• What is the likelihood of harm?

  1 - Rare (no real risk, only under freak conditions of this event possibly occur)

  2 - Unlikely (if other factors were present, then the incident may occur, but probably would not)

  3 - Possible (the incident may occur if additional actions or events trigger it)

  4 - Likely (the incident will occur additional factors are present)

  5 - Almost Certain(there is almost certainty that the incident will occur given current working practices)

• What is the consequence ?

  1 - Minor (First aid type injury, cuts, bruises, bumps)

  2 - Important (minor injury requiring first aid at the individual can continue working)

  3 - Serious (Lost time injury or disease with the potential to prevent a person from working for more than 1 day)

  4 - Very Serious (major injury or death to individual)

  5 - Catastrophic (multiple death and widespread destruction))

• Total Score of likelihood x consequence

  Low - No Action is required

  Medium - Action to improve should be considered

  High - Action required if reasonably practicable

  Extreme - STOP PROCESS - Action required

• Rate the Hazard (Action mandatory for extreme or high risk rating)

  Safe

  At Risk

• Action(s) required:
  you must also identify who is responsible for the action(s)

Action(s)

• Action

• Responsibility:

3. Hazards related to the potential for violence from others

• Guidance:
  
  People such as customer facing employees, or employees dealing with members of the public, or possibly drivers, could be subject of violence from others. Employees manning the gate house or reception for example could possibly be subject to violence from visitors

• Are there hazards relating to the potential for violence from others?

  Yes

  No

• Who might be harmed?

  Select Operator Technician Maintenance Visitor Driver Warehouse Operative Other

  • Operator
  • Technician
  • Maintenance
  • Visitor
  • Driver
  • Warehouse Operative
  • Other

• You selected other, please specify:

• How might they be harmed?

• What controls already exist?

• What is the likelihood of harm?

  1 - Rare (no real risk, only under freak conditions of this event possibly occur)

  2 - Unlikely (if other factors were present, then the incident may occur, but probably would not)

  3 - Possible (the incident may occur if additional actions or events trigger it)

  4 - Likely (the incident will occur additional factors are present)

  5 - Almost Certain(there is almost certainty that the incident will occur given current working practices)

• What is the consequence ?

  1 - Minor (First aid type injury, cuts, bruises, bumps)

  2 - Important (minor injury requiring first aid at the individual can continue working)

  3 - Serious (Lost time injury or disease with the potential to prevent a person from working for more than 1 day)

  4 - Very Serious (major injury or death to individual)

  5 - Catastrophic (multiple death and widespread destruction))

• Total Score of likelihood x consequence

  Low - No Action is required

  Medium - Action to improve should be considered

  High - Action required if reasonably practicable

  Extreme - STOP PROCESS - Action required

• Rate the Hazard (Action mandatory for extreme or high risk rating)

  Safe

  At Risk

• Action(s) required:
  you must also identify who is responsible for the action(s)

Action(s)

• Action

• Responsibility:

4. Hazards related to behaviour

• Guidance:
  
  Look for evidence of not wearing PPE, bypassing guards, poor practice such as cutting towards themselves, working at height without using correct equipment, using the incorrect tool for the job etc

• Are there hazards relating to unsafe behaviour?

  Yes

  No

• Who might be harmed?

  Select Operator Technician Maintenance Visitor Driver Warehouse Operative Other

  • Operator
  • Technician
  • Maintenance
  • Visitor
  • Driver
  • Warehouse Operative
  • Other

• You selected other, please specify:

• How might they be harmed?

• What controls already exist?

• What is the likelihood of harm?

  1 - Rare (no real risk, only under freak conditions of this event possibly occur)

  2 - Unlikely (if other factors were present, then the incident may occur, but probably would not)

  3 - Possible (the incident may occur if additional actions or events trigger it)

  4 - Likely (the incident will occur additional factors are present)

  5 - Almost Certain(there is almost certainty that the incident will occur given current working practices)

• What is the consequence ?

  1 - Minor (First aid type injury, cuts, bruises, bumps)

  2 - Important (minor injury requiring first aid at the individual can continue working)

  3 - Serious (Lost time injury or disease with the potential to prevent a person from working for more than 1 day)

  4 - Very Serious (major injury or death to individual)

  5 - Catastrophic (multiple death and widespread destruction))

• Total Score of likelihood x consequence

  Low - No Action is required

  Medium - Action to improve should be considered

  High - Action required if reasonably practicable

  Extreme - STOP PROCESS - Action required

• Rate the Hazard (Action mandatory for extreme or high risk rating)

  Safe

  At Risk

• Action(s) required:
  you must also identify who is responsible for the action(s)

Action(s)

• Action

• Responsibility:

5. Hazards related to stress

• Guidance:
  
  Is the worker subject to stressful situations? Such as dealing with bereavement, angry customers, very high workload, pressure to perform etc. This will normally be applicable to sales or management/supervisory roles, although since people have different tolerances, it could apply anywhere. If in any doubt refer this to the HR Department

  

• Are there hazards relating to the likelihood of stress?

  Yes

  No

• Who might be harmed?

  Select Operator Technician Maintenance Visitor Driver Warehouse Operative Other

  • Operator
  • Technician
  • Maintenance
  • Visitor
  • Driver
  • Warehouse Operative
  • Other

• You selected other, please specify:

• How might they be harmed?

• What controls already exist?

• What is the likelihood of harm?

  1 - Rare (no real risk, only under freak conditions of this event possibly occur)

  2 - Unlikely (if other factors were present, then the incident may occur, but probably would not)

  3 - Possible (the incident may occur if additional actions or events trigger it)

  4 - Likely (the incident will occur additional factors are present)

  5 - Almost Certain(there is almost certainty that the incident will occur given current working practices)

• What is the consequence ?

  1 - Minor (First aid type injury, cuts, bruises, bumps)

  2 - Important (minor injury requiring first aid at the individual can continue working)

  3 - Serious (Lost time injury or disease with the potential to prevent a person from working for more than 1 day)

  4 - Very Serious (major injury or death to individual)

  5 - Catastrophic (multiple death and widespread destruction))

• Total Score of likelihood x consequence

  Low - No Action is required

  Medium - Action to improve should be considered

  High - Action required if reasonably practicable

  Extreme - STOP PROCESS - Action required

• Rate the Hazard (Action mandatory for extreme or high risk rating)

  Safe

  At Risk

• Action(s) required:
  you must also identify who is responsible for the action(s)

Action(s)

• Action

• Responsibility:

6. Hazards related to working alone

• Guidance:
  
  Look for evidence of workers needing to work without anyone else in the near vicinity. For example if someone is working alone and had an accident, could they summon help? For example working from home, outside normal hours, in kiosks/gatehouses or in shops etc. This could also apply to employees working on machines which are not on normal pedestrian traffic routes.

• Are there hazards relating to lone working?

  Yes

  No

• Who might be harmed?

  Select Operator Technician Maintenance Visitor Driver Warehouse Operative Other

  • Operator
  • Technician
  • Maintenance
  • Visitor
  • Driver
  • Warehouse Operative
  • Other

• You selected other, please specify:

• How might they be harmed?

• What controls already exist?

• What is the likelihood of harm?

  1 - Rare (no real risk, only under freak conditions of this event possibly occur)

  2 - Unlikely (if other factors were present, then the incident may occur, but probably would not)

  3 - Possible (the incident may occur if additional actions or events trigger it)

  4 - Likely (the incident will occur additional factors are present)

  5 - Almost Certain(there is almost certainty that the incident will occur given current working practices)

• What is the consequence ?

  1 - Minor (First aid type injury, cuts, bruises, bumps)

  2 - Important (minor injury requiring first aid at the individual can continue working)

  3 - Serious (Lost time injury or disease with the potential to prevent a person from working for more than 1 day)

  4 - Very Serious (major injury or death to individual)

  5 - Catastrophic (multiple death and widespread destruction))

• Total Score of likelihood x consequence

  Low - No Action is required

  Medium - Action to improve should be considered

  High - Action required if reasonably practicable

  Extreme - STOP PROCESS - Action required

• Rate the Hazard (Action mandatory for extreme or high risk rating)

  Safe

  At Risk

• Action(s) required:
  you must also identify who is responsible for the action(s)

Action(s)

• Action

• Responsibility:

7. Hazards related to insufficient information, instruction, training and supervision

• Guidance:
  
  Look for evidence of training with respect to health and safety, informational/instruction documentation (such as signs, safe systems of work etc)
  Also look for evidence that safety signs and instructions are generally complied with. Is there evidence that health and safety requirements are enforced by supervisory staff?

  

• Are there hazards relating to the lack of suitable information, instruction, training, and supervision?

  Yes

  No

• Who might be harmed?

  Select Operator Technician Maintenance Visitor Driver Warehouse Operative Other

  • Operator
  • Technician
  • Maintenance
  • Visitor
  • Driver
  • Warehouse Operative
  • Other

• You selected other, please specify:

• How might they be harmed?

• What controls already exist?

• What is the likelihood of harm?

  1 - Rare (no real risk, only under freak conditions of this event possibly occur)

  2 - Unlikely (if other factors were present, then the incident may occur, but probably would not)

  3 - Possible (the incident may occur if additional actions or events trigger it)

  4 - Likely (the incident will occur additional factors are present)

  5 - Almost Certain(there is almost certainty that the incident will occur given current working practices)

• What is the consequence ?

  1 - Minor (First aid type injury, cuts, bruises, bumps)

  2 - Important (minor injury requiring first aid at the individual can continue working)

  3 - Serious (Lost time injury or disease with the potential to prevent a person from working for more than 1 day)

  4 - Very Serious (major injury or death to individual)

  5 - Catastrophic (multiple death and widespread destruction))

• Total Score of likelihood x consequence

  Low - No Action is required

  Medium - Action to improve should be considered

  High - Action required if reasonably practicable

  Extreme - STOP PROCESS - Action required

• Rate the Hazard (Action mandatory for extreme or high risk rating)

  Safe

  At Risk

• Action(s) required:
  you must also identify who is responsible for the action(s)

Action(s)

• Action

• Responsibility:

1. Availability of a fire risk assessment

• Guidance:
  
  Check the risk assessment index for the zone which you are assessing to ensure the fire risk assessment is available and up to date

• Is there a current fire risk assessment for the zone and is it up to date?

  Assessment Required

  Assessment Available

  N/A

• Your answer is "assessment required" (also select this option if the current risk assessment is out of date) - so make sure you identify the requirement to conduct a fire risk assessment in the additional assessment required section at the end of this risk assessment

2. Are there Flammable materials, dusts, gases, liquids in the area or used in the process?

• Guidance:
  
  Look for evidence of flammable materials, such a LPG, cardboard, paper, oils, solvents, sprays etc stored and use in the area. Also look for excessive dust in the atmosphere which can be an explosion risk. Look for lead/acid battery charging taking place in the area. This can cause explosion risk due to gases produced.
  
  If explosive atmospheres are noted, then identify the requirement for a carrying out a DSEAR assessment In the additional assessment section.
  
  Look for the potential for generation of static electricity which could ignite such explosive atmospheres.
  

• Are there hazards relating to flammable gases, materials, liquids or dusts in the area or atmosphere?

  Yes

  No

• Who might be harmed?

  Select Operator Technician Maintenance Visitor Driver Warehouse Operative Other

  • Operator
  • Technician
  • Maintenance
  • Visitor
  • Driver
  • Warehouse Operative
  • Other

• You selected other, please specify:

• How might they be harmed?

• What controls already exist?

• What is the likelihood of harm?

  1 - Rare (no real risk, only under freak conditions of this event possibly occur)

  2 - Unlikely (if other factors were present, then the incident may occur, but probably would not)

  3 - Possible (the incident may occur if additional actions or events trigger it)

  4 - Likely (the incident will occur additional factors are present)

  5 - Almost Certain(there is almost certainty that the incident will occur given current working practices)

• What is the severity?

  1 - Minor (First aid type injury, cuts, bruises, bumps)

  2 - Important (minor injury requiring first aid at the individual can continue working)

  3 - Serious (Lost time injury or disease with the potential to prevent a person from working for more than 1 day)

  4 - Very Serious (major injury or death to individual)

  5 - Catastrophic (multiple death and widespread destruction))

• Total Score of likelihood x severity

  Low - No Action is required

  Medium - Action to improve should be considered

  High - Action required if reasonably practicable

  Extreme - STOP PROCESS - Action required

• Rate the Hazard (Action mandatory for extreme or high risk rating)

  Safe

  At Risk

• Action(s) required:
  you must also identify who is responsible for the action(s)

Action(s)

• Action

• Responsibility:

3. Fire hazards related to electrical equipment

• Guidance:
  
  Look for signs of electrical arcing on cables, plugs and contactors, blocked cooling systems/vents, badly positioned heaters, overloaded electrical outlets etc. Check also for damage to heater band cables and other supply cables which could catch fire if shorted out.
  
  Beware of coiled extension leads and supply cables which, when drawing power will overheat and catch fire.

  

• Are there fire hazards relating to electrical equipment?

  Yes

  No

• Who might be harmed?

  Select Operator Technician Maintenance Visitor Driver Warehouse Operative Other

  • Operator
  • Technician
  • Maintenance
  • Visitor
  • Driver
  • Warehouse Operative
  • Other

• You selected other, please specify:

• How might they be harmed?

• What controls already exist?

• What is the likelihood of harm?

  1 - Rare (no real risk, only under freak conditions of this event possibly occur)

  2 - Unlikely (if other factors were present, then the incident may occur, but probably would not)

  3 - Possible (the incident may occur if additional actions or events trigger it)

  4 - Likely (the incident will occur additional factors are present)

  5 - Almost Certain(there is almost certainty that the incident will occur given current working practices)

• What is the consequence ?

  1 - Minor (First aid type injury, cuts, bruises, bumps)

  2 - Important (minor injury requiring first aid at the individual can continue working)

  3 - Serious (Lost time injury or disease with the potential to prevent a person from working for more than 1 day)

  4 - Very Serious (major injury or death to individual)

  5 - Catastrophic (multiple death and widespread destruction))

• Total Score of likelihood x consequence

  Low - No Action is required

  Medium - Action to improve should be considered

  High - Action required if reasonably practicable

  Extreme - STOP PROCESS - Action required

• Rate the Hazard (Action mandatory for extreme or high risk rating)

  Safe

  At Risk

• Action(s) required:
  you must also identify who is responsible for the action(s)

Action(s)

• Action

• Responsibility:

1. Hazards relating to transport and pedestrian interaction

• Guidance:
  
  Are vehicles (lorries, fork lift trucks, ride on pedestrian trucks etc) in use around the work area - are pedestrians suitably segregated from vehicle movements? Are there issues with visibility of pedestrians? Do vehicles reverse whilst there are pedestrians around?
  
  Check if there are blind corners for example where vehicles may not be able to see pedestrians or equipment/finished goods or consumables as they come round the corner
  
  If necessary (if there are significant vehicle movements around pedestrians) identify the requirement for a pedestrian/vehicle interaction risk assessment to be carried out.

  

• Are there hazards related to pedestrian/vehicle interaction?

  Yes

  No

• Who might be harmed?

  Select Operator Technician Maintenance Visitor Driver Warehouse Operative Other

  • Operator
  • Technician
  • Maintenance
  • Visitor
  • Driver
  • Warehouse Operative
  • Other

• You selected other, please specify:

• How might they be harmed?

• What controls already exist?

• What is the likelihood of harm?

  1 - Rare (no real risk, only under freak conditions of this event possibly occur)

  2 - Unlikely (if other factors were present, then the incident may occur, but probably would not)

  3 - Possible (the incident may occur if additional actions or events trigger it)

  4 - Likely (the incident will occur additional factors are present)

  5 - Almost Certain(there is almost certainty that the incident will occur given current working practices)

• What is the consequence ?

  1 - Minor (First aid type injury, cuts, bruises, bumps)

  2 - Important (minor injury requiring first aid at the individual can continue working)

  3 - Serious (Lost time injury or disease with the potential to prevent a person from working for more than 1 day)

  4 - Very Serious (major injury or death to individual)

  5 - Catastrophic (multiple death and widespread destruction))

• Total Score of likelihood x consequence

  Low - No Action is required

  Medium - Action to improve should be considered

  High - Action required if reasonably practicable

  Extreme - STOP PROCESS - Action required

• Rate the Hazard (Action mandatory for extreme or high risk rating)

  Safe

  At Risk

• Action(s) required:
  you must also identify who is responsible for the action(s)

Action(s)

• Action

• Responsibility:

1. Hazards related to the building infrastructure

• Guidance:
  
  Is there evidence of unsafe structural elements of the building (e.g. walls, doors, windows, floor etc)? For example, is the floor level and free from damage, obstruction, or slip/trip hazards.
  
  Are the walls/windows/doorframes, secure and free from elements which could fall off or fail to operate?
  
  Are there situations where glazing panels could not be seen by individuals and thus they walk into them whilst closed, or conversely, does the absence of a glazing panel constitute a risk? For example somebody opening a door into somebody coming through from the other side.
  
  If glazing panels are in steel frames is corrosion causing stress to the glass resulting in potential failure?

  

• Are there hazards related to building infrastructure? (Loose frames, bricks, floor plates etc)

  Yes

  No

• Who might be harmed?

  Select Operator Technician Maintenance Visitor Driver Warehouse Operative Other

  • Operator
  • Technician
  • Maintenance
  • Visitor
  • Driver
  • Warehouse Operative
  • Other

• You selected other, please specify:

• How might they be harmed?

• What controls already exist?

• What is the likelihood of harm?

  1 - Rare (no real risk, only under freak conditions of this event possibly occur)

  2 - Unlikely (if other factors were present, then the incident may occur, but probably would not)

  3 - Possible (the incident may occur if additional actions or events trigger it)

  4 - Likely (the incident will occur additional factors are present)

  5 - Almost Certain(there is almost certainty that the incident will occur given current working practices)

• What is the consequence ?

  1 - Minor (First aid type injury, cuts, bruises, bumps)

  2 - Important (minor injury requiring first aid at the individual can continue working)

  3 - Serious (Lost time injury or disease with the potential to prevent a person from working for more than 1 day)

  4 - Very Serious (major injury or death to individual)

  5 - Catastrophic (multiple death and widespread destruction))

• Total Score of likelihood x consequence

  Low - No Action is required

  Medium - Action to improve should be considered

  High - Action required if reasonably practicable

  Extreme - STOP PROCESS - Action required

• Rate the Hazard (Action mandatory for extreme or high risk rating)

  Safe

  At Risk

• Action(s) required:
  you must also identify who is responsible for the action(s)

Action(s)

• Action

• Responsibility:

2. Hazards related to potential asbestos damage

• Guidance:
  
  Look for areas which could potentially be asbestos, look at the condition. If in doubt, refer to the asbestos survey information. Typically asbestos can be used to lag pipework, or cover pipework but it can also be used for the fabric of the building.
  
  If you believe there is asbestos in the vicinity which potentially is damaged, you should immediately report this to the maintenance supervisor.

  

• Is there any sign of potential asbestos which might be damaged in the area under review

  Yes

  No

• You answered "yes" - you must Immediately inform the maintenance supervisor that you believe there is asbestos in the area you are assessing. He will advise whether this asbestos is currently on the management survey and being managed as part of the asbestos management process. He will also be able to confirm that this is indeed asbestos or not.

• Tick to confirm you have done this

3. Hazards related to storage and racking

• Guidance:
  
  Look for evidence of damaged (or unprotected) racking legs, also look for signs of bowing or distortion of the racking, look to ensure that the loading is even, and that the items are stored securely (not likely to topple), make sure that the racking is securely fastened to the wall/floor. Is the safe working load specified on the racking, and does it look as if it's overloaded?
  
  Arrange for a proper racking survey if you are in any doubt.
  
  Is there any risk of falling objects from storage racking or other high places such as on top of machines/cupboards etc
  
  

  

• Are there any hazards related to storage or racking?

  Yes

  No

• Who might be harmed?

  Select Operator Technician Maintenance Visitor Driver Warehouse Operative Other

  • Operator
  • Technician
  • Maintenance
  • Visitor
  • Driver
  • Warehouse Operative
  • Other

• You selected other, please specify:

• How might they be harmed?

• What controls already exist?

• What is the likelihood of harm?

  1 - Rare (no real risk, only under freak conditions of this event possibly occur)

  2 - Unlikely (if other factors were present, then the incident may occur, but probably would not)

  3 - Possible (the incident may occur if additional actions or events trigger it)

  4 - Likely (the incident will occur additional factors are present)

  5 - Almost Certain(there is almost certainty that the incident will occur given current working practices)

• What is the consequence ?

  1 - Minor (First aid type injury, cuts, bruises, bumps)

  2 - Important (minor injury requiring first aid at the individual can continue working)

  3 - Serious (Lost time injury or disease with the potential to prevent a person from working for more than 1 day)

  4 - Very Serious (major injury or death to individual)

  5 - Catastrophic (multiple death and widespread destruction))

• Total Score of likelihood x consequence

  Low - No Action is required

  Medium - Action to improve should be considered

  High - Action required if reasonably practicable

  Extreme - STOP PROCESS - Action required

• Rate the Hazard (Action mandatory for extreme or high risk rating)

  Safe

  At Risk

• Action(s) required:
  you must also identify who is responsible for the action(s)

Action(s)

• Action

• Responsibility:

4. Hazards related to access and egress to the work area

• Guidance:
  
  Check that there are no obstructions or projections making unhindered access and egress possible.
  
  Check positions of cable runs, ramps, steps etc and check that the area is free from slip and trip hazards.
  
  Also check for signs of poor housekeeping and storage of consumables and finished goods in such a way that it causes a risk to health and safety

  

• Are there any hazards related to access and egress to the work area (unrestricted and unhindered, free from slip/trip hazards)

  Yes

  No

• Who might be harmed?

  Select Operator Technician Maintenance Visitor Driver Warehouse Operative Other

  • Operator
  • Technician
  • Maintenance
  • Visitor
  • Driver
  • Warehouse Operative
  • Other

• You selected other, please specify:

• How might they be harmed?

• What controls already exist?

• What is the likelihood of harm?

  1 - Rare (no real risk, only under freak conditions of this event possibly occur)

  2 - Unlikely (if other factors were present, then the incident may occur, but probably would not)

  3 - Possible (the incident may occur if additional actions or events trigger it)

  4 - Likely (the incident will occur additional factors are present)

  5 - Almost Certain(there is almost certainty that the incident will occur given current working practices)

• What is the consequence ?

  1 - Minor (First aid type injury, cuts, bruises, bumps)

  2 - Important (minor injury requiring first aid at the individual can continue working)

  3 - Serious (Lost time injury or disease with the potential to prevent a person from working for more than 1 day)

  4 - Very Serious (major injury or death to individual)

  5 - Catastrophic (multiple death and widespread destruction))

• Total Score of likelihood x consequence

  Low - No Action is required

  Medium - Action to improve should be considered

  High - Action required if reasonably practicable

  Extreme - STOP PROCESS - Action required

• Rate the Hazard (Action mandatory for extreme or high risk rating)

  Safe

  At Risk

• Action(s) required:
  you must also identify who is responsible for the action(s)

Action(s)

• Action

• Responsibility:

5. Hazards related to environmental considerations

• Guidance:
  
  Is the temperature, noise level, lighting, humidity, ventilation, vibration, space constraints etc such that operators health and safety is a adversely affected?
  
  Consider also hazards relating to inclement weather such as snow, heavy rain etc
  

  

• Are there any hazards related to environmental factors? (Temperature, humidity etc)

  Yes

  No

• Who might be harmed?

  Select Operator Technician Maintenance Visitor Driver Warehouse Operative Other

  • Operator
  • Technician
  • Maintenance
  • Visitor
  • Driver
  • Warehouse Operative
  • Other

• You selected other, please specify:

• How might they be harmed?

• What controls already exist?

• What is the likelihood of harm?

  1 - Rare (no real risk, only under freak conditions of this event possibly occur)

  2 - Unlikely (if other factors were present, then the incident may occur, but probably would not)

  3 - Possible (the incident may occur if additional actions or events trigger it)

  4 - Likely (the incident will occur additional factors are present)

  5 - Almost Certain(there is almost certainty that the incident will occur given current working practices)

• What is the consequence ?

  1 - Minor (First aid type injury, cuts, bruises, bumps)

  2 - Important (minor injury requiring first aid at the individual can continue working)

  3 - Serious (Lost time injury or disease with the potential to prevent a person from working for more than 1 day)

  4 - Very Serious (major injury or death to individual)

  5 - Catastrophic (multiple death and widespread destruction))

• Total Score of likelihood x consequence

  Low - No Action is required

  Medium - Action to improve should be considered

  High - Action required if reasonably practicable

  Extreme - STOP PROCESS - Action required

• Rate the Hazard (Action mandatory for extreme or high risk rating)

  Safe

  At Risk

• Action(s) required:
  you must also identify who is responsible for the action(s)

Action(s)

• Action

• Responsibility:

1. Hazards related to manual handling or repetitive work

• Guidance:
  
  Describe the manual handling activities in detail. Include working height, number of repetitions, twisting, worker positioning etc
  
  

• Are there significant manual handling processes involved?

  Yes

  No

• Who might be harmed?

  Select Operator Technician Maintenance Visitor Driver Warehouse Operative Other

  • Operator
  • Technician
  • Maintenance
  • Visitor
  • Driver
  • Warehouse Operative
  • Other

• You selected other, please specify:

• How might they be harmed?

• What controls already exist?

• What is the likelihood of harm?

  1 - Rare (no real risk, only under freak conditions of this event possibly occur)

  2 - Unlikely (if other factors were present, then the incident may occur, but probably would not)

  3 - Possible (the incident may occur if additional actions or events trigger it)

  4 - Likely (the incident will occur additional factors are present)

  5 - Almost Certain(there is almost certainty that the incident will occur given current working practices)

• What is the consequence?

  1 - Minor (First aid type injury, cuts, bruises, bumps)

  2 - Important (minor injury requiring first aid at the individual can continue working)

  3 - Serious (Lost time injury or disease with the potential to prevent a person from working for more than 1 day)

  4 - Very Serious (major injury or death to individual)

  5 - Catastrophic (multiple death and widespread destruction))

• Total score of likelihood x consequence

  Low - No Action is required

  Medium - Action to improve should be considered

  High - Action required if reasonably practicable

  Extreme - STOP PROCESS - Action required

• Rate the Hazard (Action mandatory for extreme or high risk rating)

  Safe

  At Risk

• Action(s) required: you must also identify who is responsible for the action(s)

Action

• Action

• Responsibility:

2. Hazards related to working in confined spaces

• Guidance:
  
  Confined spaces typically involve entering things such as trenches, silos or other containers which could, contain gases, or be a problem in the event of first aid requirements being required.
  
  If this is applicable, then identify the requirement to conduct a specific risk assessment on working in confined spaces in the additional assessment required section.

  

• Are there operations involving work in confined spaces?

  Yes

  No

• Action: Carry out assessment on work in confined spaces

• Who might be harmed?

  Select Operator Technician Maintenance Visitor Driver Warehouse Operative Other

  • Operator
  • Technician
  • Maintenance
  • Visitor
  • Driver
  • Warehouse Operative
  • Other

• You selected other, please specify:

• How might they be harmed?

• What controls already exist?

• What is the likelihood of harm?

  1 - Rare (no real risk, only under freak conditions of this event possibly occur)

  2 - Unlikely (if other factors were present, then the incident may occur, but probably would not)

  3 - Possible (the incident may occur if additional actions or events trigger it)

  4 - Likely (the incident will occur additional factors are present)

  5 - Almost Certain(there is almost certainty that the incident will occur given current working practices)

• What is the consequence?

  1 - Minor (First aid type injury, cuts, bruises, bumps)

  2 - Important (minor injury requiring first aid at the individual can continue working)

  3 - Serious (Lost time injury or disease with the potential to prevent a person from working for more than 1 day)

  4 - Very Serious (major injury or death to individual)

  5 - Catastrophic (multiple death and widespread destruction))

• Total score of likelihood x consequence

  Low - No Action is required

  Medium - Action to improve should be considered

  High - Action required if reasonably practicable

  Extreme - STOP PROCESS - Action required

• Rate the Hazard (Action mandatory for extreme or high risk rating)

  Safe

  At Risk

• Action(s) required: you must also identify who is responsible for the action(s)

Action

• Action

• Responsibility:

1. Hazards relating to working at height

• Guidance:
  
  Working at height can be standing on steps, on a moulding machine, above a hole in the ground etc.
  
  Check for the possibility of falls from unguarded edges; for example lack of handrails on staircases, unguarded edges of mezzanine floors and missing guardrails on working platforms. Note edge protection should also prevent the possibility of tools being kicked off platforms etc
  
  Describe the type of working height and assess the risks involved

• Are there hazards related to working at height?

  Yes

  No

• Who might be harmed?

  Select Operator Technician Maintenance Visitor Driver Warehouse Operative Other

  • Operator
  • Technician
  • Maintenance
  • Visitor
  • Driver
  • Warehouse Operative
  • Other

• You selected other, please specify:

• How might they be harmed?

• What controls already exist?

• What is the likelihood of harm?

  1 - Rare (no real risk, only under freak conditions of this event possibly occur)

  2 - Unlikely (if other factors were present, then the incident may occur, but probably would not)

  3 - Possible (the incident may occur if additional actions or events trigger it)

  4 - Likely (the incident will occur additional factors are present)

  5 - Almost Certain(there is almost certainty that the incident will occur given current working practices)

• What is the severity?

  1 - Minor (First aid type injury, cuts, bruises, bumps)

  2 - Important (minor injury requiring first aid at the individual can continue working)

  3 - Serious (Lost time injury or disease with the potential to prevent a person from working for more than 1 day)

  4 - Very Serious (major injury or death to individual)

  5 - Catastrophic (multiple death and widespread destruction))

• Total Score of likelihood x severity

  Low - No Action is required

  Medium - Action to improve should be considered

  High - Action required if reasonably practicable

  Extreme - STOP PROCESS - Action required

• Rate the Hazard (Action mandatory for extreme or high risk rating)

  Safe

  At Risk

• Action(s) required:
  you must also identify who is responsible for the action(s)

Action(s)

• Action

• Responsibility:

1. Hazards relating to electrical equipment

• Guidance:
  
  Check heater bands and cables, especially when these have been subject to a purge back.
  
  Check for signs of damage or deterioration of fixed electrical installations (cabinets etc).
  
  Are all panels locked to prevent unauthorised access? Are all portable appliances in good condition, with no exposed wires, damage casings etc. Check, if necessary, items have been PAT tested.
  
  Look or potential for generation of static electricity which could cause shock

• Are there hazards related to access to dangerous voltage on electrical equipment?

  Yes

  No

• Who might be harmed?

  Select Operator Technician Maintenance Visitor Driver Warehouse Operative Other

  • Operator
  • Technician
  • Maintenance
  • Visitor
  • Driver
  • Warehouse Operative
  • Other

• You selected other, please specify:

• How might they be harmed?

• What controls already exist?

• What is the likelihood of harm?

  1 - Rare (no real risk, only under freak conditions of this event possibly occur)

  2 - Unlikely (if other factors were present, then the incident may occur, but probably would not)

  3 - Possible (the incident may occur if additional actions or events trigger it)

  4 - Likely (the incident will occur additional factors are present)

  5 - Almost Certain(there is almost certainty that the incident will occur given current working practices)

• What is the consequence ?

  1 - Minor (First aid type injury, cuts, bruises, bumps)

  2 - Important (minor injury requiring first aid at the individual can continue working)

  3 - Serious (Lost time injury or disease with the potential to prevent a person from working for more than 1 day)

  4 - Very Serious (major injury or death to individual)

  5 - Catastrophic (multiple death and widespread destruction))

• Total Score of likelihood x consequence

  Low - No Action is required

  Medium - Action to improve should be considered

  High - Action required if reasonably practicable

  Extreme - STOP PROCESS - Action required

• Rate the Hazard (Action mandatory for extreme or high risk rating)

  Safe

  At Risk

• Action(s) required:
  you must also identify who is responsible for the action(s)

Action(s)

• Action

• Responsibility:

1. Hazards relating to chemicals

• Guidance:
  
  Check for excessive dust, fume or gas exposure, and check for the use of TOXIC, IRRITANT, SENSITISING, CORROSIVE or CARCINOGENIC chemicals in the area.
  
  Check there is no risk of inhalation, ingestion or skin/eye contact with any of these chemicals.
  
  Identify the requirement for a COSHH assessment if the chemical(s) are not already covered by the COSHH index in the additional assessments required section

  

• Are there hazards related to exposure to dust, fumes, gas or any chemicals?

  Yes

  No

• Who might be harmed?

  Select Operator Technician Maintenance Visitor Driver Warehouse Operative Other

  • Operator
  • Technician
  • Maintenance
  • Visitor
  • Driver
  • Warehouse Operative
  • Other

• You selected other, please specify:

• How might they be harmed?

• What controls already exist?

• What is the likelihood of harm?

  1 - Rare (no real risk, only under freak conditions of this event possibly occur)

  2 - Unlikely (if other factors were present, then the incident may occur, but probably would not)

  3 - Possible (the incident may occur if additional actions or events trigger it)

  4 - Likely (the incident will occur additional factors are present)

  5 - Almost Certain(there is almost certainty that the incident will occur given current working practices)

• What is the consequence ?

  1 - Minor (First aid type injury, cuts, bruises, bumps)

  2 - Important (minor injury requiring first aid at the individual can continue working)

  3 - Serious (Lost time injury or disease with the potential to prevent a person from working for more than 1 day)

  4 - Very Serious (major injury or death to individual)

  5 - Catastrophic (multiple death and widespread destruction))

• Total Score of likelihood x consequence

  Low - No Action is required

  Medium - Action to improve should be considered

  High - Action required if reasonably practicable

  Extreme - STOP PROCESS - Action required

• Rate the Hazard (Action mandatory for extreme or high risk rating)

  Safe

  At Risk

• Action(s) required:
  you must also identify who is responsible for the action(s)

Action(s)

• Action

• Responsibility:

Environmental issues

• Guidance:
  
  Identify any of the following environmental issues and ensure they are added to the environmental aspects database if not already present

• Is there gas, fuel, electricity or compressed air usage? (describe any issues and action(s) required)

  Yes

  No

• Is any waste generated? (Describe waste types and any action(s) required)

  Yes

  No

• Are there any air emissions? (describe potential for air emissions and any action(s) required)

  Yes

  No

• Is there potential for any liquid emissions? (describe potential for liquid discharges and any action(s) required)

  Yes

  No

• Are there any other environmental issues? (describe issue and any actions required)

  Yes

  No

Additional risk assessments required

• Pedestrian and vehicle interaction
  
  Select this when there is significant pedestrian and vehicle interaction (for example goods inwards personnel unloading lorries, vehicles reversing when pedestrians are in the vicinity, consumables or finished goods movement and loading)

• Pedestrian and vehicle interaction assessment?

  Assessment Required

  Assessment Available

  N/A

• Identify the area which requires assessment

• Add photographs as necessary

  Media

• Fire risk assessment
  
  Select this when no fire risk assessment has already been conducted in the zone, or the assessment is not current..

• Fire risk assessment?

  Assessment Required

  Assessment Available

  N/A

• Identify the area which requires assessment

• Add photographs as necessary

  Media

• Personal protective equipment assessment
  
  Select this where there is a need to assess the PPE requirements of employees in the area

• Personal protective equipment assessment?

  Assessment Required

  Assessment Available

  N/A

• Identify the area which requires assessment

• Add photographs as necessary

  Media

• Manual handling assessment
  
  Select this option if you have identified significant manual handling activities in the area (as defined by the HSE MAC tool – see library) which have not been assessed?

• Manual handling assessments required?

  Assessment Required

  Assessment Available

  N/A

• Identify the manual handling tasks which require assessment

• Add photographs as necessary

  Media

• Noise assessment
  
  Select this option if there are noise issues, not already covered by the latest noise survey, which require further assessment or investigation (for example a process change resulting in increased noise levels or a deterioration in a motor)

• Noise assessment or investigation?

  Assessment Required

  Assessment Available

  N/A

• Identify the specific noise related issues which require investigation or assessment

• Lifting operations and lifting equipment regulations assessment
  
  Select this option if there is lifting equipment which requires further investigation or assessment to ensure that it is covered under the appropriate statutory examination under LOLER

• Lifting equipment investigation or assessment?

  Assessment Required

  Assessment Available

  N/A

• Identify the specific lifting equipment issues which require further investigation or assessments

• Add photographs as necessary

  Media

• Task specific risk assessment
  
  Select this option if there are further assessments related to the process being examined which are required (for example maintenance activities, tool fitting and setting activities, breakdown situations, operator replenishment of consumables etc)

• Task specific risk assessment?

  Assessment Required

  Assessment Available

  N/A

• Additional task specific risk assessments required

Risk assessment on:

Signed:

• Name and sign:

  Sign