Title Page
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Document No.
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SAFETY WALKBY
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GSC Cavite2
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Conducted on
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Cavite
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Personnel
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5 - Safety: Catastrophic (very serious injury or illness, severe cut, knock with fracture and crack, unbearable pain, fainting, require medical treatment, hospitalization, lost days expected, partial disability, permament disable, fatality, damage to a major section of the property, major health issue detected).
Environment: Serious Pollution > 45 gals (more 203 liters)
4 - Safety: Serious Effect (serious injury or illness; severe cut, knock with severe swelling, very much inpain, fainting, require medical treatment, lost days expected, major damage to property, high potential for chronic health issue to develop). Lost Time injury > 90 days PTD or fatality.
Environment: Serious pollution < 45 gals (203 liters)
3 - Safety: Major Effect (major injury or illness; major cut requiring first aid treatment, knock with major swelling, very much inpain, fainting, require medical treatment, 1 lost day, damage to machine, tool, minor health issue to develop). Lost Time Injury > 30 days.
Environment: Moderate pollution < 20 gals (90 liters)
2 - Safety: Minor Effect (minor injury or illness, scratch, minor cut, knock with swelling, considerable pain, require first aid, need rest, can continue to work, minor scratches to machne, tools, very low potential for chronic heallth issue to develop). Medical Treatment Injury, return to work < 3 days.
Environment: Minor Pollution < 10 gals (45 liters)
1 - Safety: Insignificant Effect / with or without First Aid injury (minor injury or illness; minor scratch(no blood), knock, some pain, inconvenience, smell, no first aid required, can continue to work, knock/scratches to machine, unlikely of chronic health issue to develop).
Environment: Trivial Pollution contained < 1 gal (4.5 liters) -
High
Extreme/significant Risk; immediate action required; must be managed by department management with a detailed plan.
Medium
Moderate Risk; addition control or management responsibility must be specified; manage by specific monitoring or response procedures
Low
Low Risk; manage by routine procedures; unlikely to need specific allocation of resources -
Findings #1
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Risk Assessment
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Action owner
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Findings #2
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Findings #3
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Findings #4
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Severity
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Findings #5
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Severity
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Action owner
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Findings #6
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Severity
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Action owner
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Findings #7
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Likelihood
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Likelihood
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Findings #8
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Severity
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Action owner
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Findings #9
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Severity
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Action owner
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Findings #10
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Severity
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Likelihood
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Risk Assessment
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Remarks
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Action owner