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Aquajem Industrial Corporation

Risk Assessment
Activity Ref

Description

Assessor Date

Hazard Identification
Hazard Likelihood Severity Risk

L M H L M H L M H

L M H L M H L M H

L M H L M H L M H

L M H L M H L M H

L M H L M H L M H

L M H L M H L M H

L M H L M H L M H

L M H L M H L M H

L M H L M H L M H

L M H L M H L M H

L M H L M H L M H

L M H L M H L M H

L M H L M H L M H

Risk Assessment 1/4


Aquajem Industrial Corporation

People at Risk
Workers
Adjacent Workers
Site Wide Workers
Occupants
Visitors
Members of Public

Controls
Risk Control Measures

Risk Assessment 2/4


Aquajem Industrial Corporation

Risk Level

<L L M H !
Very Low Low Medium High Very High
safe to proceed safe to proceed proceed with proceed with unsafe DO NOT
work under work under caution under caution under proceed -
standard additional additional further controls essential
control control controls with further action
measures measures measures supervision needed

Further Action
Action Required Timeframe By Date

Ensure adequate supervision is Ongoing


provided and that control
measures remain valid for the
duration of the works.

Safe systems of work are provided 1 week


and issued to all staff and training Refresh at
provided in their use. inductions

All staff to be trained in the 1 week


importance and use of correct Refresh at
Personal Protective Equipment inductions
and wearing of the correct PPE
made a condition of employment.

Risk Assessment 3/4


Aquajem Industrial Corporation

Acknowledgement
Name Signature Date

Risk Assessment 4/4

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