RISK ASSESSMENT FORM

Doc#: RA 02 HEALTH RISK ASSESSMENT DATE: DATE: 8TH AUGUST 2022

Process/ Location: CWL COMPOUND
Conducted By: SHIRLEAN PRINCE Team: Anson Khan

Introduction
The following work instruction has been written to incorporate the individual operations task, the hazards identified and the assessed risks. Contractor Warehouse Limited consider the
following risk figures as: - 1 - 4 Low Risk, 5 - 10 Medium Risk, > 12 High Risk

Contractor Warehouse Limited Standard Risk Figures.

Likelihood Risk fig Severity Risk fig.
Rare Negligible
1 1
< 10% Probability First aid not required.
Unlikely Minor
2 2
10% - <20% Probability First aid required only.
Possible Moderate
3 3
20% - <50% Probability Medical treatment required.
Likely Major
4 4
50% - <90% Probability Hospital admission required.
Almost Certain Critical
90% + Probability 5 Death or permanent disability 5
to one or more persons

Summary
Using the average frequency and severity rating figures above and using the chart on the right the assessed risk rating for each hazard can be determined.

RISK ASSESSMENT: HEALTH PAGE 1 OF 6

AUTHORIZED BY: ISSUE DATE: 8TH AUGUST, 2022 REVISION # 0 REVISION DATE: 7TH AUGUST, 2022 VALIDITY : ONE YEAR
WORK SHOP OPERATIONS

1 DRIVING COMPANY VEHICLE

# ACTIVITIES EXPOSURE EFFECTS POPULATION AT CONTROL MEASURES L S RR
RISK
Mental Health Distraction Depression Operators Competent driver Knowledge. Self-Discipline, Patience 2 5 10
Fatigue Anxiety Stress Eyesight Public Alertness, Responsible Defensive driving. Well rested,
good vision and drug test conducted.

Noise Headaches, Noise-Induced Hearing Operators Control Noise level near sensitive areas. 2 2 4
Loss. Public Keep window closed
Ensure all tires have good traction.
Fumes Headaches, Dizziness, Nausea Operators Keep window closed 2 3 6
LOADING/OFFLOADING OPERATIONS USING FORKLIFT
Public Change Your Oil and Oil Filter Regularly. Change Your
Fuel Filter Regularly. Change Your Air Filter Regularly.

Ergonomics Chronic Lower Back And/or Knee Operators Raise the seat height until your hips and knees are 2 4 8
Pain aligned.
Position the seat so that you can reach and completely
depress the foot pedals without coming away from the
backrest.
Set the backrest recline to an angle of 100-110 degree

# ACTIVITIES EXPOSURE EFFECTS POPULATION AT CONTROL MEASURES L S RR

RISK

2 FORKLIFT OPERATIONS
Mental Health Distraction Depression Operators Competent driver Knowledge. Self-Discipline, Patience 2 5 10
Fatigue Anxiety Stress Vision Alertness, Responsible Defensive driving. Well rested,
Problems RISK ASSESSMENT: HEALTH PAGEgood
2 OF 6vision and drug test conducted. High levels of
AUTHORIZED BY: ISSUE DATE: 8TH AUGUST, 2022 REVISION # 0
concentration, drivers to take breaks,
REVISION DATE: 7 AUGUST, 2022
TH be always alert,
VALIDITY : ONE YEAR
well rested
Noise Headaches, Noise-Induced Hearing Operators Replace older equipment 2 3 6
3
# ACTIVITIES EXPOSURE EFFECTS POPULATIO CONTROL MEASURES L S RR
N AT RISK

Ergonomics Musculoskeletal Disorder (MSD). Neck Operators Competent and trained Operator 2 2 4
and Back Pain Poor Posture, Shifting into Proper working surface
An Awkward Position in order to Maintain Forklift are operated for short a period. (15 minutes
Visibility. only) which naturally creates acceptable work / rest
Sitting for Long Periods of Time cycles. Ensure forklift seating is in good condition and
can be adjusted for different body types. Lowering the
speed limit
Air suspension seat
Mental Distraction Depression Operators Rotation of forklift operators for long periods. 2 2 4
Health Fatigue Anxiety Stress Eye Site Alcohol & Occasional stretches and/ or walks
Drugs
Whole Body Trauma Disorders of Hands and Arms Operators Improving the driving surface 2 2 4
Vibration Pains Resulting from Overexertion While Lowering the speed limit
Syndrome Driving Air suspension seat
(WBV’s)

Hand Arm Vibration white finger Operators Ensure all made aware of ‘vibration white finger’ health 3 3 9
Vibration risks
Syndrome After each period of operation, exercise to increase
(HAV’s) blood circulation
Machinery must be maintained according to

RISK ASSESSMENT: HEALTH PAGE 3 OF 6

AUTHORIZED BY: ISSUE DATE: 8TH AUGUST, 2022 REVISION # 0 REVISION DATE: 7TH AUGUST, 2022 VALIDITY : ONE YEAR
 manufacturer’s instructions and serviced
Machine inspection and maintenance
Noise Headaches, Noise-Induced Hearing loss. Equipment Replace older equipment 2 2 4
Public Change operation hours
Provide hearing protection
Equipment maintenance reduces the amount of noise
emitted.
Medical Surveillance (Hearing Test)
Fumes Headaches, Dizziness, Nausea Operators Engine must not be started or run in a closed or poorly 2 2 4
Public ventilated area
Work area shall be well ventilated

4 OFFICE
Ergonomics Back pain lower spine. Poor posture Office staff Maintain a good posture Adjustable chairs with hand 1 2 2
rest, Chair can move to prevent excessive twisting and
turning. Individual workstation risk assessment to be
done. Occasional stretches and/ or walks.
Mental Depression, Fatigue, Anxiety Stress Office staff Regular breaks away from the office and encouraging 2 2 4
Health physical activities.

Eyestrain Blurry vision, Watery or dry eyes Office staff Take regular breaks away from your screen. Increase font 2 3 6
Headache Sore neck size on computer
Look away from the computer frequently to allow
your eyes to adjust to different distances
RISK ASSESSMENT: HEALTH PAGE 4 OF 6
AUTHORIZED BY: ISSUE DATE: 8TH AUGUST, 2022 REVISION # 0 REVISION DATE: 7TH AUGUST, 2022 VALIDITY : ONE YEAR
 drink plenty of water
Health Headache Cardiac Arrest Obesity Office staff To institute a health and wellness awareness program 2 2 4
Problem to encourage employees to lead a healthier lifestyle
that includes getting the right nutrition, having regular
exercise, and getting plenty of sleep.
Exposure to Skin, Nose and Eye Irritation Bacteria Office staff, Keep your hands, surface areas, and keyboard clean 2 2 4
cleaning Illnesses Janitor with disinfectant Substitution of cleaning chemicals
chemicals for a more environmental and user-friendly product.
MSDS for cleaning products. Personnel awareness.
Carpel tunnel Swellings, Numbness, Tingling, Itching Office staff Make sure your wrists never actually rest on the wrist 3 3 9
syndrome Muscle damage pad by your keyboard. (They should hover above it)

RISK ASSESSMENT: HEALTH PAGE 5 OF 6

AUTHORIZED BY: ISSUE DATE: 8TH AUGUST, 2022 REVISION # 0 REVISION DATE: 7TH AUGUST, 2022 VALIDITY : ONE YEAR
Should the task(s) scope of work changes or the conditions on site, or the circumstances under which the risk assessment was carried out change significantly or if established control measures
fail due to unforeseen circumstances e.g. Unsecured dropped object which comes into contact with personnel; unauthorized personnel entering established barriers during critical work;
extreme weather conditions etc.
Employees performing those tasks should request that this assessment be stopped and reviewed to reflect those task changes and identify the associated risks

# NAME (BLOCK LETTERS) SIGNATURE DATE

1 ANSON KHAN

2 SHIRLEAN PRINCE

RISK ASSESSMENT: HEALTH PAGE 6 OF 6

AUTHORIZED BY: ISSUE DATE: 8TH AUGUST, 2022 REVISION # 0 REVISION DATE: 7TH AUGUST, 2022 VALIDITY : ONE YEAR