Page 1 of 9
ANGLOGOLD ASHANTI
Mine Waste Solution CCIX
RISK ASSESSMENT RECORD
RA NO: 001
CONTRACTOR: Fibre-Wound Company (Pty) Ltd DATE: 2013-05-17
BRIEF DESCRIPTION OF WORK/ACTIVITY: Using of Angle Grinder LOCATION: Mine Waste Solution: Stilfontein
RISK ASSESSMENT TEAM:
Title/Appointment Signature
Initials & Surname
Contractors: Approved: Yes/ No
Chris Swart Project Coordinator Project Manager :
Name: _______________ Signature: __________
Andre Gerber Project Engineer: Engineering Manager :
Name: _____________ Signature: __________
Anton van Zyl CR 6.(6) Safety Officer:
Title/Appointment COMMENTS:
Client representative
Vaughan Swart Safety Coordinator
Discipline Coordinator
REQUIRED AND EXISTING CONTROL MEASURES: (SUBMIT AND ATTACH TO RISK ASSESSMENT)
/conversion/tmp/activity_task_scratch/[Link]
Page 2 of 9
AVAILAB ADEQUA REMARKS
LE TE
Yes No Yes No
SCOPE OF WORK (LOGICAL STEPS ON HOW TASK
WILL BE PERFORMED)
Procedures: (WI / SOP / Vendor Spec) X X
Training (induction) / Competency certificates? X X Fibre-Wound competency training, KBC, Mondi site induction
Specific training identified / other (instructions) and Fibre-Wound site induction.
Special permits required (specify) X X Hot work permits.
Equipment / Tool Registers / Others (specify) X X Available at Fibre-Wound stores at laydown area.
Code of Practice: X X LIN 001
Other:
FREQUENCY SCALE SEVERITY SCALE PROBABILITY SCALE
Frequent occurrence / (3) Catastrophi (Many fatalities / > 10 Million (8) Has happened (3)
daily c damage) before
It has happened / (2) Disaster (Fatal injury / > 1 Million damage) (7) Quite possible (2)
monthly
Could occur / yearly (1) Very (Reportable Accident / > R100, 000 (6) Unusual but (1)
Serious damage) possible
Serious (Disability Injury (LTI) / > R100, 000 (5)
damage)
Important (Non-disabling Injury / > R1, 000 (4)
damage)
Of Concern (Minor injury / > R100 damage) (3)
/conversion/tmp/activity_task_scratch/[Link]
Page 3 of 9
RISK RANKING / PRIORITY FACTOR
If score is 61 to 72 AA Potentially Catastrophic – action needed immediately.
If score is 49 to 60 A Potentially Major – action to be taken within 24 hours.
If score is 37 to 48 B Potentially Serious – action to be taken within 48 hours.
If score is 20 to 36 C Potentially Minor – action to be taken within 7 days.
If score is 01 to 19 D Potentially Tolerable - action to be taken within 1 month
ANGLOGOLD ASHANTI Mine Waste Solution CCIX
RISK ASSESSMENT
NO LIST TASK WITH POTENTIAL AND PROB SEV OF FREQ SCO RISK PREVENTATIVE PERSON RESPONSI
ALL TASK EXISTING HAZARDS OF OCCUR OF RE RANK / MEASURES AND RESPONSIBLE BLE
STEPS INJURY OCCU 3/4/5/6/ OCCU TOTA PRIORI CONTROLS TO ENSURE PERSON’S
(WHO WILL DO R 7/8 R L TY ELIMINATE RISK PREVENTATIVE SIGNATUR
HEALTH
WHAT, WHERE 1/2/3 1/2/3 PXS FACTO MEASURES E ON
PROCESS CONTROL AT
AND WHEN) XF R AND COMPLETI
SOURCE
MATERIAL CONTROLS ON DATE
PUT/FOLLOW ARE IN PLACE
ENVIRONMENT
PROCEDURE
PROVIDE PPE
1. Responsible Tools and 3 8 3 72 AA All equipment Appointed
6(1) to ensure equipment not that is going to be GMR2.(7)(a)
all tools and identified, used with their
equipment to numbered and on registers shall be
be used are register couldn’t checked by the
identified, comply with legal site’s responsible
numbered and requirements/site person and signed
on register. standards which off before work
can result in legal commences.
liability claims (Electrical
machinery reg.
3 8 3 72 AA 9+10 & driven
/conversion/tmp/activity_task_scratch/[Link]
Page 4 of 9
NO LIST TASK WITH POTENTIAL AND PROB SEV OF FREQ SCO RISK PREVENTATIVE PERSON RESPONSI
ALL TASK EXISTING HAZARDS OF OCCUR OF RE RANK / MEASURES AND RESPONSIBLE BLE
STEPS INJURY OCCU 3/4/5/6/ OCCU TOTA PRIORI CONTROLS TO ENSURE PERSON’S
(WHO WILL DO R 7/8 R L TY ELIMINATE RISK PREVENTATIVE SIGNATUR
HEALTH
WHAT, WHERE 1/2/3 1/2/3 PXS FACTO MEASURES E ON
PROCESS CONTROL AT
AND WHEN) XF R AND COMPLETI
SOURCE
MATERIAL CONTROLS ON DATE
PUT/FOLLOW ARE IN PLACE
ENVIRONMENT
PROCEDURE
PROVIDE PPE
machinery reg. 20/ Appointed
People could general safety GMR2.(7)(a)
be exposed to reg.14a (5)(b)
injury due to Where any
failure of certification is
equipment required this will
form part of the
register to ensure
failure of equipment
is kept to a
minimum
2. Responsible Person 3 8 3 72 AA Responsible Appointed
6(1) will ensure may be exposed 6(1) to ensure works GMR2.(7)(a)
all his/her to hazards not instruction from the
personnel go known to him client is followed to
through the 3 8 3 72 AA the letter.
Possible
medical health related Responsible
surveillance issues will not be 16.2 to ensure
and attend identified that medical surveillance
induction could result in systems are
2 5 3 30 C
before work will injury or legal adhered to.
commence. liability claims Certificate of
Responsible Incompeten competency to be
6(1) to ensure t personnel can produced for all
/conversion/tmp/activity_task_scratch/[Link]
Page 5 of 9
NO LIST TASK WITH POTENTIAL AND PROB SEV OF FREQ SCO RISK PREVENTATIVE PERSON RESPONSI
ALL TASK EXISTING HAZARDS OF OCCUR OF RE RANK / MEASURES AND RESPONSIBLE BLE
STEPS INJURY OCCU 3/4/5/6/ OCCU TOTA PRIORI CONTROLS TO ENSURE PERSON’S
(WHO WILL DO R 7/8 R L TY ELIMINATE RISK PREVENTATIVE SIGNATUR
HEALTH
WHAT, WHERE 1/2/3 1/2/3 PXS FACTO MEASURES E ON
PROCESS CONTROL AT
AND WHEN) XF R AND COMPLETI
SOURCE
MATERIAL CONTROLS ON DATE
PUT/FOLLOW ARE IN PLACE
ENVIRONMENT
PROCEDURE
PROVIDE PPE
all his/her lead to injury or labour.
personnel is property damage
certified
competent for
the tasks they
are to perform,
and legally
appointed.
3. Responsible Exposures 3 8 3 72 AA Responsible 6(1) to Appointed
6(1) to Ensure to unknown ensure no job will GMR2.(7)(a)
all relevant Hazards commence before
permits and Exposures all the necessary
clearance to to legal liability permits are obtained
work are and clearance to
obtained before Possible work has been
the work will process given by the
commence, interruptions responsible person
where required. People can of the section where
be exposed to work is to be
Injury performed
Result in
.
Legal Claims
4. Responsible Exposures 3 8 3 72 AA All Employees Appointed
/conversion/tmp/activity_task_scratch/[Link]
Page 6 of 9
NO LIST TASK WITH POTENTIAL AND PROB SEV OF FREQ SCO RISK PREVENTATIVE PERSON RESPONSI
ALL TASK EXISTING HAZARDS OF OCCUR OF RE RANK / MEASURES AND RESPONSIBLE BLE
STEPS INJURY OCCU 3/4/5/6/ OCCU TOTA PRIORI CONTROLS TO ENSURE PERSON’S
(WHO WILL DO R 7/8 R L TY ELIMINATE RISK PREVENTATIVE SIGNATUR
HEALTH
WHAT, WHERE 1/2/3 1/2/3 PXS FACTO MEASURES E ON
PROCESS CONTROL AT
AND WHEN) XF R AND COMPLETI
SOURCE
MATERIAL CONTROLS ON DATE
PUT/FOLLOW ARE IN PLACE
ENVIRONMENT
PROCEDURE
PROVIDE PPE
6(1) to ensure to unknown to sign the GMR2.(7)(a)
risk hazards attendance register
assessment is Exposures
discussed; to legal liability
understood and
Possible
signed prior to
process
work is
interruptions
commenced
People can
be exposed to
injury
Result in
legal claims
5. Use trained Untrained 2 7 3 42 B Supervisors to Appointed
operators only. operators will ensure operation by
cause injuries to trained operators GMR2.(7)(a)
themselves or only
other employees
6. Pre-use Possible 3 8 2 48 B Faulty equipment to Appointed
inspection electrocution, be repaired or GMR2.(7)(a)
burns, faulty, replaced.
/conversion/tmp/activity_task_scratch/[Link]
Page 7 of 9
NO LIST TASK WITH POTENTIAL AND PROB SEV OF FREQ SCO RISK PREVENTATIVE PERSON RESPONSI
ALL TASK EXISTING HAZARDS OF OCCUR OF RE RANK / MEASURES AND RESPONSIBLE BLE
STEPS INJURY OCCU 3/4/5/6/ OCCU TOTA PRIORI CONTROLS TO ENSURE PERSON’S
(WHO WILL DO R 7/8 R L TY ELIMINATE RISK PREVENTATIVE SIGNATUR
HEALTH
WHAT, WHERE 1/2/3 1/2/3 PXS FACTO MEASURES E ON
PROCESS CONTROL AT
AND WHEN) XF R AND COMPLETI
SOURCE
MATERIAL CONTROLS ON DATE
PUT/FOLLOW ARE IN PLACE
ENVIRONMENT
PROCEDURE
PROVIDE PPE
cabling and
switches.
7. Prior to work Failure to 2 5 2 20 C Enforce the correct Appointed
ensure that the use will cause use of PPE at all GMR2.(7)(a)
correct PPE is injuries to times.
worn employees ass
well as
occupational
diseases
8. Secure Loose 3 5 2 30 C Operator to Appointed
material in a material can ensure clamping of GMR2.(7)(a)
vice or clamp it cause injuries to material
firmly. persons or
property damage
9. Only switch Damage 3 4 3 36 C Operator to Appointed
grinder on and/or injuries to ensure that grinder GMR2.(7)(a)
when starting employees. is unplugged when
with a task and Untrained worker not in use.
off when task is can leave grinder
completed on when still
unplugged
causing injuries
such as
lacerations
/conversion/tmp/activity_task_scratch/[Link]
Page 8 of 9
I, _____________________ (print name in full), the undersigned ANGLOGOLD ASHANTI responsible person (16.2 Appointee) for the
area this Risk Assessment pertains to hereby declare that I have explained and ensured understanding of the hazards associated and
the necessary precautionary measures that need to be taken with the area and work that is going to be done to the appointed
responsible Contractor.
_______________________________ ___________________________
ANGLOGOLD ASHANTI Person Contractor Responsible Person
I, ___________________________ (print name in full), and the undersigned responsible person (CR 6.1 appointee) hereby declares that
as per Section 13 of the OHSA:
I have after consultation with my employees, as far as reasonably practicable, identified and recorded all the significant
hazards and risks associated with the task that I am to perform with regards to this Risk Assessment.
I have determined all measures that needs to be in place for this task, including changing the organisation of work and design of
safe systems of work, necessary to eliminate, control, minimise, or where the risk still remains, provided the necessary personal
protective equipment, and implemented them.
I undertake to periodically review the hazards identified and the risk assessed, to determine whether further elimination, control
and minimisation of risk are possible.
I have provided every employee as part of this risk assessment with the necessary training, information, instruction or
supervision to enable them to perform their work without risk to his/her Safety and Health.
Signed on: _________________ (date) at ANGLOGOLD ASHANTI by: _________________ (responsible person)
Employed by FIBRE WOUND SA (name of company)
/conversion/tmp/activity_task_scratch/[Link]
Page 9 of 9
I/we, the undersigned, hereby declare that the responsible person in charge has made us familiar with the work-related hazards and risk
and the measures that must be taken to eliminate, control and minimise those hazards and risks:
PRINT NAME IN FULL SIGNATURE
/conversion/tmp/activity_task_scratch/[Link]
