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Risk Assessment Form for Workplace Hazards

The risk assessment document identifies four main hazards: 1) Manual handling which could cause back pain or injury from lifting heavy objects. 2) Chemical hazards which could cause burns or fire. 3) Slips, trips and falls in the warehouse. 4) Traffic from forklifts operating at excessive speeds. For each hazard, the document lists who may be harmed, existing controls, risk rating, additional controls, new risk rating and actions to monitor the risks.

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Hawkar Taha
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0% found this document useful (0 votes)
2K views2 pages

Risk Assessment Form for Workplace Hazards

The risk assessment document identifies four main hazards: 1) Manual handling which could cause back pain or injury from lifting heavy objects. 2) Chemical hazards which could cause burns or fire. 3) Slips, trips and falls in the warehouse. 4) Traffic from forklifts operating at excessive speeds. For each hazard, the document lists who may be harmed, existing controls, risk rating, additional controls, new risk rating and actions to monitor the risks.

Uploaded by

Hawkar Taha
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Risk assessment form

Name of assessor Hawkar Taha Mohammed Date 24rd November 2022

Time 8:30am Work area KM250 Dana Gaz

Task being assessed Warehouse

New risk
How might Existing Risk rating rating Action/ Action/
What is the Who might be Additional
people be risk control (Residual) monitored by monitored by
hazard? harmed? controls
harmed? measures whom? when?
L C R L C R

Due to lifting a -PPE get permit to work. -HSE Before start work
Manual handling - Labers heavy object by Providing Supervisor and during
two workers by information to -Forman working
hand causing 4 workers about 4 -Warehouse
4 16 3 12
back pain for the manual handling Manager
workers, burning Use of equipment
the object and to move objects.
injuring their feet

-PTW
Chemical Hazard -supervisor The chemical was -PPE -get MSDS to -HSE before starting
-engineers placed in a very chemical Product Supervisor the work till
-Labers hot place and -Always check fire -Foreman completed
caused a fire. 4 extinguisher near 4
4 16 the chemical 3 12
product
ensure that there
are emergency plan
-Used good PPE
Risk assessment form

New risk
How might Existing Risk rating rating Action/ Action/
What is the Who might be Additional
people be risk control (Residual) monitored by monitored by
hazard? harmed? controls
harmed? measures whom? when?
L C R L C R
Due to washing Instruct warehouse
Physical hazard -supervisor inside the -PPE personnel that -HSE officer before starting
(Slips, Trips and -Labers warehouses warehouse -Warehouse the work till
falls) while workers cleaning Supervisor completed
were working, 5 should be done 5
they caused slips 4 20 before work begins 2 10
and injuries or after work is
completed

-Giving
Traffic and -Operator Due to speed of -Driving License instructions to the -Operator always before
Transportation -Labers Forklift more than -PPE driver -Warehouse starting the
vehicles the specified rate -Retrain them on Supervisor work
therefore causing 4 how to drive a 4 -HSE
collision 4 16 forklift 3 12 Supervisor
-Install a set of
special safety
signs for the
forklift

Review date 24rd November 2023 Signature Hawkar Taha

Training Provider name Be safe training &services (pvt.)Ltd

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