Industrial Process:

Risk
Name of Activity Person Involved Risk Likelihood Severity (before additional Specific Risk Control Measures Controlled Risk
control measures)

Physical Controls:
1) Wear appropriate PPEs; 2)
Emergency shower and eyewash is in
place

Procedural Controls: 1)
Pouring NaOH solution Employees assigned Splashing might lead to Automatization of the activity with
6 4 20 5
from bulk tank to this activity skin or eye burns equipment 2)
Monthly maintenance of equipment

Behavioral Controls:
1) Employees are trained
2) Work supervision and
monitoring is in place

Assessed by:

(Signature) (Date Signed)

(Name of Assesor)
Industrial Process:

Risk
(before Specific Risk Control
Name of Substance Hazard (H) statement Hazard Signal Word Likelihood Severity Controlled Risk
additional control Measures
measures)

Name of Substance Precautionary (P) Storage Emergency Procedures Give Disposal

statement specific details:
Prepared by:

(Signature) (Date Signed)

(Name of Assessor)