Professional Documents
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Hazard Identified Hazard Effect Risk Evaluation Control Measures Action Residual Risk
Use the checklist as a guide and be Type of Injury / Refer to the Required Person Date R
specific equipment damage or Responsible Completed
evaluation forms (Include existing and proposed)
Environmental impact
HE Prob Risk HE Prob Risk
1.Failure of skid lift points resulting in 1. Fatality A M 12 1. Restricting people around lift. TP/Co A L 8
dropped object. Man
2. Visual inspection prior to lift.
3. Tool box talks prior to lift
General Comments:
Emergency Provisions Required:
Assessment Team: Jim Morrice ( HSE), Willy Wallace, Len Boud ( Sen drill sup )
REVIEW TEAM NAMES: (Must include at least one person involved in task, e.g. P.A.)
Were any improvements made to the Assessment following the review? YES/NO
What were the nature of the improvements? e.g. Additional hazards identified? Additional control measures identified?