Risk assessment Form

Names of Team members: Assessed by: Reviewed by:

• All hoses, gauges, torches

Date:
and cylinders shall be in a Date:
serviceable condition, free
Point Value → from damage and only
1/A 2/B 3/C 4/D 5/E
Parameter ↓ recognised and approved
Likelihood > once/shift equipment shall be used for
≤ once/shift ≤ once/week ≤ once/month ≤ once/year
Severity Death or Permanent Disabilitythis activity. Home-made
Partial Disability Lost Time Medical Treatment First Aid
cylinder connections shall
Area, Process or Task: cutting using gas cylinders not be permitted on the Likelihood
1 2 3 4
project.
A A1 A2 A3 A4
• •Secure
Equipment that is tohose
the cylinder be

Severity
used for oxy-fuel gas cutting B B1 B2 B3 B4
connection by using suitable
shall be where C C1 C2 C3 C4
clips. possible
D D1 D2 D3 D4
• All areas shifted
lifted and where gas by
E E1 E2 E3 E4
mechanical means.
cutting is to be undertaken Where
shallthis is notofpractical
be free combustible
adequate
materialslabour and shall resources
have

Severity

Severity
Likelihoo
shall be
serviceableprovideddry to position
chemical Extra safe guard
Task Hazard Consequences Present safe guard Risk

d
powder the fire
equipment.
extinguishers required
• All cylinders
present at the work shallplace.
be
•transported
All gas andequipment
cutting
• Fire watch to remain on
stored in
the shall
upright position at all #N/A
locationbe fittedburning
during with
Set up / transfer of equipment
Sprains, strains, slips andPersonnel
falls / equipment serviceable times. flash 30mins
back
activity and remain
• Full protective equipment
arresters
after not non-return
burning has been
shall be used at ALL times -
valves.
completed #N/A
i.e. helmet, glasses, safety
Burning / Cutting
Damaged / poorly maintained Personnel
cylinders
/ Equipment/ Asset
• Suitable
shoes, fire extinguishers
gloves….etc.
should
• Personnelbe available in the
shall ensure
thatworking
all burns, area.
etc are #N/A
Burning inside existing facilities
Personnel
/ equipment
/ Equipment/ Assettreated immediately to
reduce any possibility of
infection #N/A
General health effects Personnel
 separately with a separation
distance of at least 6 meters
or be divided by a one hour
fire wall.
• All cylinders shall be
secured in the storage are
to prevent them from falling #N/A
Storage of cylinders Incorrect storage
Personnel / Equipment/ Asset
 5/E
≤ once/year
First Aid

hood
5
A5
B5
C5
D5
E5
Likelihoo

Risk
d

#N/A

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