FO-SHE-02

RISK ASSESSMENT (RA)

WAREHOUSE/WORK LOCATION RA No: PTW No: DATE:

WORK ACTIVITY BEING ASSESSED:

Initial Risk Residual Risk

No. Task Description Hazard Persons at Risk Control Measures
L S R L S R

INSERT ADDITIONAL LINES ABOVE AS REQUIRED

No. Name/Position Signature No. Name/Position Signature

REFER TO RISK ASSESSMENT & RISK RATING MATRIX OVERLEAF TO ASSESS RISKS

Revision No.: 01 Effectivity Date: September 30, 2019

Date of Revision: May 31, 2023
 FO-SHE-02
RISK ASSESSMENT (RA)
THESE RISKS ARE UNACCEPTABLE - DO NOT PROCEED
SEVERITY
The work must be stopped and the task should be redefined, or
LIKELIHOOD
Insignificant Minor Moderate Severe Major Extreme substantial improvements in control measures must be implemented, in
15-25
(1) (2) (3) (4) (5) Risk order to further reduce risk.
IF IT IS NOT POSSIBLE TO REDUCE THE RISK, THE TASK SHALL REMAIN
Rare (1) 1 2 3 4 5 PROHIBITED.
Substantial effort should be made to reduce the risk.
Additional control measures will be required, within a specific time-
Unlikely (2) 2 4 6 8 10
8-12 High Risk frame, and it may be necessary to suspend work until this is achieved.
Specific arrangements should be made to keep control measures
Possible (3) 3 6 9 12 15 monitored & maintained at all times whilst work is under way.
Consideration should made of whether the risks can be lowered further
Moderate
5-6 but costs (time/effort/money) should be taken into account. Specific
Likely (4) 4 8 12 16 20 Risk
arrangements should be made to monitor & maintain control measures

Almost These risks are considered acceptable. No further action is required

5 10 15 20 25 1-4 Low Risk
Certain (5) other than monitoring & maintenance of existing control measures

TABLE 1 – RISK ASSESSMENT MATRIX: To assess initial and residual risks TABLE 2 – RISK RATING: To determine if you can proceed after residual risk has
been assessed

REMEMBER:
There may be more than one hazard for each task. Identify & assess each individual Hazard, separately, for each task.

COMPLETE THE FOLLOWING WHEN CONDUCTING A REVIEW OF THIS RISK ASSESSMENT

DATE LAST REVIEWED BY REASON FOR REVIEW
REVIEWED

NAME: POSITION: SIGN:

Revision No.: 01 Effectivity Date: September 30, 2019

Date of Revision: May 31, 2023