Title Page
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Area inspected
- Warehouse -Receival
- Warehouse -B/C
- Warehouse -D/E
- Warehouse -F/G
- Warehouse -H/I
- Warehouse WC
- Old Maintenance corner
- Warm room & in front of it
- Vanilla Cutting & sieving
- Plastic & aisle A
- Warehouse -aisle J
- Ekato /Trommel& the area
- Banded area -warehouse
- Banded area mixing
- In front of change room
- In front of RTR room
- RTR room
- Wash Bay& behind the wall
- Fryma
- Tube 1
- Rainbow area
- L1
- L2
- L3
- Tube 2
- Tube Cartoner
- Office
- Carpark
- Front Yard
- Back Yard
- Absolute 8%
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Task
- Filling
- Capping
- Labelling
- Boxing
- Pallet stacking
- Forklift operation
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Task/Area-if not specified above or additional details:
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Conducted on
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Prepared by
INITIAL ACTIONS
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Eyes on the task
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Not rushing
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Balance, traction, grip
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Any other concerns?
LINE OF FIRE
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Body Position (Falling, struck by, pinch points etc.)
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PPE (Required, adequate, good condition, worn properly)
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Screens, guards, rails
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Isolation (lockout)
BODY MECHANICS
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Lifting, bending, twisting
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Repetitive motions
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Reaching, pulling, pushing (excessive force)
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Standing, sitting, kneeling
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Comfortable (vs awkward) position
PROCEDURES & STANDARDS
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Up to date, understood
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Followed
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Orderliness (Housekeeping, storage, access)
TOOLS & EQUIPMENT
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Safe condition (Pre-use inspection, inspection)
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Correct for task
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Safe use
SIGNIFICANT ASPECTS & DISCUSSION
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Employee comfort level
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Ideas for improvement
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Any other comments
FOLLOW UP
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Is follow up required?
RISK MATRIX
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Consequence: How severely could the hazard injure or cause illness?
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Likelihood: How likely is the consequence in the previous question going to happen?
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Risk rating
- Low (1-4 where 4x1)
- Moderate (4 where 1x4, and 5 where 5x1, 6-8)
- High (5 where 1x5, 9-12)
- Very high (15-25)
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Action
- Low -Monitor the hazard, minimal action
- Moderate-Action required within 1-3 months
- High-Action required ASAP
- Very High-Immediate action required
