Traymaking Site Assessment

• Document No.

• Client/site

• Traymaking area

• Location
  Address

• Conducted on

  Date

• Prepared by

• Personnel

Assessment. Details

• What is the reason for the assessment?

Work Area & Environment

• Describe work area

• Photo of work area

  Media

Process/activity

• Describe activity or process

• Photo of process

  Media

• Risk matrix

  

Induction process

• The site has an induction process that clearly conveys to all workers the requirments of the site traffic management arrangements and locations of specific items such as walkways etc?

  Yes

  No

  N/A

• What is the likelihood of harm?

  1. Rare (no real risk, only under freak conitions of this event possible 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 additiomnal factors are present)

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

• What is the consequence

  1. Minor (first aid type injury, cuts, bruises, bumps)

  2. Important (medical treatment/restricted work, 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)

• Risk rating?

  Low

  Medium

  High

  Extreme

• Action(s) required: also identify who is responsible for the action and by when

Action

• Corrective actions?

• Responsibility

• Date for completion of corrective actions

  Date

• Residential risk rating

  Low

  Medium

  High

  Extreme

• Corrective actions completed

  Yes.

  No

  In progress

  Not applicable

Pedestrian walkways

• The site has clearly defined pedestrian walkways that provide for the safe passage of people travelling on foot throughout the location?

  Safe

  At Risk

  N/A

• What is the likelihood of harm?

  1. Rare (no real risk, only under freak conitions of this event possible 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 additiomnal factors are present)

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

• What is the consequence?

  1. Minor (first aid type injury, cuts, bruises, bumps)

  2. Important (medical treatment/restricted work, 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)

• Risk rating?

  Low

  Medium

  High

  Extreme

• Action(s) required: also identify who is responsible for the action and by when

Action

• Corrective actions

• Responsibility

• Date for completion of corrective action

  Date

• Residual risk rating?

  Low

  Medium

  High

  Extreme

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

Physical separation

• Is there so far as reasonably practicable physical separation from vehicle movement in the work area by barriers or controls?

  Safe

  At Risk

  N/A

• What is the likelihood of harm?

  1. Rare (no real risk, only under freak conitions of this event possible 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 additiomnal factors are present)

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

• What is the consequence?

  1. Minor (first aid type injury, cuts, bruises, bumps)

  2. Important (medical treatment/restricted work, 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)

• Risk rating?

  Low

  Medium

  High

  Extreme

• Action(s) required: also identify who is responsible for the action and by when

Action

• Corrective actions?

• Responsibility

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Low

  Medium

  High

  Extreme

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

Traymaking Machine Setup

• Traymaking machines have been setup to ensure a practical work area and trip hazards such as electrical cords/air compressor lines etc have been eliminated. Documentation has been provided to ensure safe machine operating practises.

  Safe

  At Risk

  N/A

• What is the likelihood of harm?

  1. Rare (no real risk, only under freak conitions of this event possible 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 additiomnal factors are present)

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

• What is the consequence?

  1. Minor (first aid type injury, cuts, bruises, bumps)

  2. Important (medical treatment/restricted work, 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)

• Risk rating?

  Low

  Medium

  High

  Extreme

• Action(s) required: identity who is responsible for the action and by when

Action

• Corrective action

• Responsibility

• Date for completion of corrective action

  Date

• Residential risk rating

  Low

  Medium

  High

  Extreme

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

Intersections

• Where pedestrian walkways intersect with other shared traffic areas, there are provisions to ensure that the pedestrian must stop prior to crossing?

  Safe

  At Risk

  N/A

• What is the likelihood of harm?

  1. Rare (no real risk, only under freak conitions of this event possible 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 additiomnal factors are present)

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

• What is the consequence?

  1. Minor (first aid type injury, cuts, bruises, bumps)

  2. Important (medical treatment/restricted work, 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)

• Risk rating?

  Low

  Medium

  High

  Extreme

• Action(s) required: identity who is responsible for the action and by when

Action

• Corrective action

• Responsibility

• Date for completion of corrective action

  Date

• Residential risk rating

  Low

  Medium

  High

  Extreme

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

Storage

• Where present, storage areas have specific risk controls and inspection regimes in place to ensure product integrity and stability?

  Safe

  At Risk

  N/A

• What is the likelihood of harm?

  1. Rare (no real risk, only under freak conitions of this event possible 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 additiomnal factors are present)

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

• What is the consequence?

  1. Minor (first aid type injury, cuts, bruises, bumps)

  2. Important (medical treatment/restricted work, 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)

• Risk rating?

  Low

  Medium

  High

  Extreme

• Action(s) required: identify who is responsible for the action and by when

Action

• Corrective actions?

• Responsibility

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Low

  Medium

  High

  Extreme

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

Transition zone - product delivery

• Delivery areas of shook, pallets & packaging materials are configured so far as reasonably practicable to provide the best possible controls for preventing vehicle/pedestrian interaction?

  Safe

  At Risk

  N/A

• What is the likelihood of harm?

  1. Rare (no real risk, only under freak conitions of this event possible 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 additiomnal factors are present)

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

• What is the consequence?

  1. Minor (first aid type injury, cuts, bruises, bumps)

  2. Important (medical treatment/restricted work, 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)

• Risk rating?

  Low

  Medium

  High

  Extreme

• Action(s) required: identify who is responsible for the action and by when

Action

• Corrective actions?

• Responsibility

• Date for completion of corrective actions?

  Date

• Residual risk rating?

  Low

  Medium

  High

  Extreme

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

Transition zone - product removal

• Removal of erected product are configured so far as reasonably practicable to provide the best possible controls for preventing vehicle/pedestrian interaction?

  Safe

  At Risk

  N/A

• What is the likelihood of harm?

  1. Rare (no real risk, only under freak conitions of this event possible 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 additiomnal factors are present)

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

• What is the consequence?

  1. Minor (first aid type injury, cuts, bruises, bumps)

  2. Important (medical treatment/restricted work, 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)

• Risk rating?

  Low

  Medium

  High

  Extreme

• Action(s) required: identify who is responsible for the action and by when

Action

• Correction actions?

• Responsibility

• Date for completition of corrective action

  Date

• Residential risk rating

  Low

  Medium

  High

  Extreme

• Corrective actions completed?

  Yes.

  No

  In progress

  Not applicable

Summary

• Comments

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• Orora HSE Representative

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• Traymaking Representative

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• Customer Representative

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