Title Page
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Site conducted
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Site Name
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Date
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Simpro Job Number
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Location
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Fantail Employee Name
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Fantail Employee Contact Number
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Fantail Employee Signature
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Site Contact Person:
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Site Contact Number:
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Fantail H & S Representative: Erik Potgieter
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Fantail H & S Contact Number: 021 249 3563
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Document Number
Hazardous Substances
PPE Required for ActivityTask
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Hard Hat, Hi Visibility Vest, Safety Glasses, Safety boots & gloves
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Date
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Administrative
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Controls
Hazardous Substances
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Sequence of Basic Steps: Describe each step in the activity – most will have 4-8 steps. Follow the flow of the product or process.
Step 1
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Handling, Storage & Transporting
Potential hazards and risks Describe the key hazards and risks for each step – there will normally be more than one per step. Number each hazard e.g 1a, 1b, 1c; 2a, 2b, 2c.
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1a Explosion/fire
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Initial Risk Assessment - Before the controls are in place. Refer to the risk assessment matrix
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Control methods and level of control Describe the key/significant way to control the risk and then refer to the hierarchy of controls
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Read & understand the relevant SDS
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Level
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Store as described, generally in a well-ventilated space not near an ignition source, keep separate from the driver
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Level
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Protect from extreme temperatures
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Level
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Residual risk assessment After all controls are in place. Refer to the risk assessment matrix.
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1b Asphyxiation/intoxication
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Initial Risk Assessment - Before the controls are in place. Refer to the risk assessment matrix
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Control methods and level of control Describe the key/significant way to control the risk and then refer to the hierarchy of controls
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Read & understand the relevant SDS
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Level
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Secure in a well-ventilated space
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Level
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If using in a confined space have emergency procedures in place and ensure a thorough task analysis is covered off.
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Level
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Residual risk assessment After all controls are in place. Refer to the risk assessment matrix.
Step 2
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Use of Substances
Potential hazards and risks Describe the key hazards and risks for each step – there will normally be more than one per step. Number each hazard e.g 1a, 1b, 1c; 2a, 2b, 2c.
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2a Freeze Burns / skin & eye irritation
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Initial Risk Assessment - Before the controls are in place. Refer to the risk assessment matrix
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Control methods and level of control Describe the key/significant way to control the risk and then refer to the hierarchy of controls
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Ensure staff are trained & competent in the use of this equipment
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Level
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Residual risk assessment After all controls are in place. Refer to the risk assessment matrix.
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Correct PPE to be worn at all times
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Level
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Use of a local exhaust ventilation system to draw vapours away if exposure occurred
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Level
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Residual risk assessment After all controls are in place. Refer to the risk assessment matrix.
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2b Explosion
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Initial Risk Assessment - Before the controls are in place. Refer to the risk assessment matrix
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Control methods and level of control Describe the key/significant way to control the risk and then refer to the hierarchy of controls
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Store in a well-ventilated space and protected from extreme temperatures
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Level
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Residual risk assessment After all controls are in place. Refer to the risk assessment matrix.
Attendee Name
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I have read and understood this Task Analysis. I agree to work to these terms and follow the process.
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Name:
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Signature
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Date
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Location of Review