CAPILS & Co. Ltd.

Risk Assessment Form

Date: dd/mm/yy 9-Nov-23
DEMOLITION,
Description: ATO BOLDON CONSTRUCTION AND
PRODUCT/LINE DEPT REFURBISHMENT

GENERAL MAINTENANCE/CONSTRUCTION RISK ASSESSMENT Validity: ONE (1) YEAR

Reference Doc.

Ref: OSHA General Industry - Part 1926 - Construction Safety and Health Regulations

Reviewed by:
GARY JOSEPH

Description Task/Equip/Job Hazard(s) Consequences Additional

Steps Identified Inherent Risk Present Controls /New Controls (if Accepted Risk
needed)

Likelihood Severity Risk Likelihood Severity Risk

1.Team Dressing a. Demolition a. Demolition a. Lung cancer, 3 4 12 a. - Ensure proper PPE such as dust masks, eye 2 3 6
Rooms Works asthma, chronic protection, foot protection, gloves, hard hats,
obstructive pulmonary face shield is worn at all times to prevent dust
disease, silicosis inhalation and absorbtion through nose/mouth
b. Flying Particles - Ensure that
c. Dust, noise, Cuts/bruises/skin warning signs, symbols and controls are placed
vibration irritation, eye injuries for maximum visibility in work areas or
d. Collapse and irritation stations b. Use of
b. appropriate PPE – coveralls, steel toe rubber
Cuts/bruises/skin boots, hard hats, gloves, safety glasses, face
irritation, eye injuries shield.
c. Head injuries - Use of screens and installation of safety
guards where appropriate on applicable power
tools and equipment
- Restricted access - non-essential personnel
kept away and area to be corded off.
Tiling a. Concrete- a. Exposure of silica 3 4 12 a. PPE must be used when performing activity 2 3 6
Cement work dust to eyes, that involves cement such as masks, gloves,
b. Sharp respiratory tracts and long sleeved apparel, rubber boots with steel
edges skin toe shank and safety glasses
b. Cuts, puncture Ensure that warning signs, symbols and
wounds controls are placed for maximum visibility in
work areas or stations b.
Assess materials before handling.
Use of appropriate gloves
Maintain situational awareness
Ensure that warning signs,
symbols and controls are placed for maximum
visibility in work areas or stations

Ceiling works a. Working at a. Fall from a height, 2 4 8 a. Appropriate ladders provided for tasks. 1 4 4
height – ladder use broken bones, soft Ladders maintained in good working condition
tissue injuries Appropriate storage of ladders.
b. Working b. Fall from a Working at height training, including ladder
at height - height, broken bones, safety
Scaffolding use soft tissue injuries, Ladder work instructions communicated – e.g.
fatality Ladder to be used on firm surface.
Toolbox meetings to include working at height
safety.
Ladder pre-use inspections.
Use of appropriate non-slip footwear (safety
boots)
b. Maintenance and inspection scaffolding on
site.
Scaffolding tagging system
Scaffolding erected by competent personnel
Scaffolding routinely inspected and tagged for
use by competent personnel.
Appropriate storage of scaffolding materials to
avoid damage.
Fall arrest systems provided as needed. Fall
arrest systems in good condition and certified
for use.
Electrical a. Electricity a. Electrical shock, 3 5 15 a. Maintenance equipment routinely inspected 2 3 6
b. High Voltage electrocution/ fatality and maintained by competent personnel.
Works - changing b. Electrical shock, Power to equipment such as AC units being
of cables, above electrocution/ fatality serviced to be turned off prior to the start of any
ground storage explosion/fire maintenance works.
tanks and panels c. Property loss Use of lock out/ tag out process where required.
Appropriate extension cords used for the work
environment - double insulated
Pre-use inspection of all tools and equipment.
PPE
b. Ensure that only certified electricians are
permitted to operate and perform duties on
machinery
- Ensure that all machinery or equipment are
routinely maintained and inspected by qualified
and competent technicians

Plumbing a. Plumbing a. Exposure to hot 3 3
water/steam can cause
injuries such as burns,
cuts, lacerations and
other major damage
9 a. Ensure that all water connections are turned 1 3 3
off before attempted use and installation
- Ensure all heaters
or water temperature gauges are powered off
before use
- Ensure that warning signs, symbols and
controls are placed for maximum visibility in
work areas or stations
b.
 Joinery/Carpentry a. Flying particles a. Cuts, bruises, skin 2 3
irritation, eye injuries
6 a. Use of appropriate PPE – coveralls, steel toe 1 3 3
rubber boots, hard hats, gloves, safety glasses,
face shield.
b. Use of screens and installation of safety
guards where appropriate on applicable power
tools and equipment
c. Restricted access - non-essential personnel
kept away.

1 (a). New Works Tiling a. Concrete- a. Exposure of silica 3 3 9 a. PPE must be used when performing activity 2 3 6
Cement work dust to eyes, that involves cement such as masks, gloves,
b. Sharp edges respiratory tracts and long sleeved apparel, rubber boots with steel
skin toe shank and safety glasses
b. Cuts, puncture Ensure that warning signs, symbols and
wounds controls are placed for maximum visibility in
work areas or stations b.
Assess materials before handling.
Use of appropriate gloves
Maintain situational awareness
Ceiling works a. Working at a. Fall from a height, 2 4 8 a. Appropriate ladders
Ensure provided
that warningfor tasks.
signs, 1 4 4
height – ladder use broken bones, soft Ladders
symbols maintained
and controlsinare
good working
placed condition
for maximum
tissue injuries Appropriate storage of ladders.
b. Working b. Fall from a Working at height training, including ladder
at height - height, broken bones, safety
Scaffolding use soft tissue injuries, Ladder work instructions communicated – e.g.
fatality Ladder to be used on firm surface.
Toolbox meetings to include working at height
safety.
Electrical a. Electricity a. Electrical shock, 3 4 12 a. Maintenance equipment routinely inspected 2 3 6
b. High Voltage electrocution/ fatality and maintained by competent personnel.
Works - changing b. Electrical shock, Power to equipment such as AC units being
of cables, above electrocution/ fatality serviced to be turned off prior to the start of any
ground storage Explosion maintenance works.
tanks and panels Use of lock out/ tag out process where required.
Appropriate extension cords used for the work
environment - double insulated
Pre-use inspection of all tools and equipment.
PPE
b. Ensure that only certified electricians are
permitted to operate and perform duties on
machinery
- Ensure that all machinery or equipment are
routinely maintained and inspected by qualified
and competent technicians

Plumbing a. Plumbing a. Exposure to hot 3 3
water/steam can cause
injuries such as burns,
cuts, lacerations and
other major damage
9 a. Ensure that all water connections are turned 1 3 3
off before attempted use and installation
- Ensure all heaters
or water temperature gauges are powered off
before use
- Ensure that warning signs, symbols and
controls are placed for maximum visibility in
work areas or stations

Joinery/Carpentry a. Flying particles
a. Cuts, bruises, skin 2 3
irritation, eye injuries
6 a. Use of appropriate PPE – coveralls, steel toe 1 3 3
rubber boots, hard hats, gloves, safety glasses,
face shield.
b. Use of screens and installation of safety
guards where appropriate on applicable power
tools and equipment
c. Restricted access - non-essential personnel
kept away.
 CAPILS & Co. Ltd. Risk Assessment Form
Date: dd/mm/yy 9-Nov-23
Description: ATO BOLDON CONSTRUCTION AND
PRODUCT/LINE DEPT INSTALLATION

GENERAL MAINTENANCE/CONSTRUCTION RISK ASSESSMENT Validity: ONE (1) YEAR

Reference Doc.

Ref: OSHA General Industry - Part 1926 - Construction Safety and Health Regulations

Reviewed by:
GARY JOSEPH

Description Task/Equip/Job Hazard(s) Consequences Additional

Steps Identified Inherent Risk Present Controls /New Controls (if Accepted Risk
needed)

Likelihood Severity Risk Likelihood Severity Risk

2. Replacement of Welding a. Welding a. Electrical shock, Arc 3
Marathon Gates b. Noise Radiation, Fumes and
Dust, Compressed
gases, Fire and
explosion, Burns
b. Headaches,
elevated blood
pressure, tinnitus,
gradual hearing
impairment, hearing
loss
4 12 a. Fire watch implemented to ensure fire safety 2 3 6
while welding activity is underway.
- PPE such as welding
gloves, masks(Faceshield with appropriate
lens), sleeves and footwear to be worn during
all welding activities.
- Adequate ventilation whether
natural or artificial are to be provided to ensure
sufficient oxygen circulation during activity.
- Welding
torch must be outfitted with built-in flash back
arrestors Ensure that
only certified welders are allowed to operate
equipment and perform designated works
- Fire
extinguishers should be placed on-site to be
used by fire watch in case of an emergency
- Ensure that all
PPE such as cutting masks, welding /cutting
gloves, face shields, eye protection, foot
protection are worn to prevent burns from
sparks and flying particles while performing
cutting duties
Ensure that warning signs, symbols and
controls are placed for maximum visibility in
work areas or stations
b. Worker rotation
- Hearing protection
- Frequent breaks
- Equipment routinely maintained
Ensure that warning signs, symbols and
controls are placed for maximum visibility in
work areas or stations
c. Worker rotation
c. Vibration c. Hand-Arm Vibration 3 4 12 c. Worker rotation 2 3 6
d. Faulty Syndrome (HAVS)
equipment d. Injuries Appropriate working
e. Inappropriate such as lacerations, gloves
Operator fires, explosions Frequent breaks
misuse/mishandlin e. Injuries Equipment routinely maintained
g such as lacerations, d. Routine maintenance of
fires, explosions, equipment
fatality . Reporting of all faulty tools encouraged
Faulty tools tagged and isolated for repair/
servicing/ replacement
e. Competent personnel
Toolbox talk and risk assessment
communication
Work equipment used as per manufacturer's
instructions
Open communication among team members to
voice concerns over tasks
Stop work policy
 f. Hot Work f. Injuries such as 3 4
burns, lacerations,
fires, sparks during use
of gas/propane tanks or
cylinders, explosions,
fatality
12 f. All hot work activities must be carried 3 3 9
out by a competent and experienced
individual
-All individuals must stay away from open
flames while using torch
-All cylinders must be in an upward
standing position affixed with the
appropriate and functional gauges
-Inspection of all cylinders must be carried
out before the use to ensure no leaks or
breakages of lead lines have occurred
-Rubber sleeves, foot protection, eye and
face protection must be utilized at all times
-A functional manual fire suppression
device (fire extinguisher) must always be
in close proximity
-On-site supervision required at all times
while activity is being conducted and
holds the responsibility for Safe Systems
and proper PPE being used and carried out
at all times
-Only authorized persons will be permitted
through completion of the JSA system to
undertake staff activity

Cutting for a. Sparks from a. Burns, fires 2 4 8 a. Ensure that all PPE such as cutting masks, Grinders should be 2 3 6
removal of grinder/flames b. Cuts, bruises, welding sleeves/cutting gloves, face shields, outfitted with the
existing gate from blow torch lacerations, puncture eye protection, foot protection are worn to appropriate safety
infiltrating clothing wounds prevent burns from sparks ,flames and flying guard.-engineering
or protective wear particles while performing cutting duties control.
b. blades - Ensure
dislodging/misuse that warning signs, symbols and controls are
or mishandling of placed for maximum visibility in work areas or
equipment stations
- Ensure that fire extinguishers and trained
personnel in the use of extinguishers are in
close proximity while task is being completed
 Use of mechanical a. Falling a. Broken limbs, head 3 4 12 a. Ensure that extra care is taken when 2 3 6
assistance for machinery/ injuries, fatalities performing duties with the use of external
removal of equipment b. Squeezed machinery.
existing gate b. limbs, cuts, bruises, Ensure that machinery is properly grounded
frame-(What Squeeze/crush c. lacerations before and during use at all times.
mechanical aid is Explosion from c. Burns, fires, Ensure that warning signs, symbols and
going to be used?) falling debris unto fatality controls are placed for maximum visibility in
flammable work areas or stations.
equipment such as Ensure that all flammable equipment is securely
acetylene/gas placed and communicated in welding area.
bottles

New Works - Use of manual a. Falling material. a. Broken limbs, head 3 4 12 a. Ensure that gate is carried and put in place Use mechanical aids 2 3 6
Replacement of handling for b. injuries, fatalities with an adequate number of personnel (to be identified) to
Gate installation of gate Squeeze/crush c. b. Squeezed assist with heavy
Explosion from limbs, cuts, bruises, Ensure that loads.
falling debris unto lacerations warning signs, symbols and controls are placed
flammable c. Burns, fires, for maximum visibility in work areas or
equipment such as fatality stations. Ensure that all
acetylene/gas flammable equipment is securely placed and
bottles communicated in welding area.
Utilize proper
lifting/carrying posture while movement of gate
is underway. Utilize rope to secure
gate while in position to eliminate or minimize
falls. Safe distance to be
maintained during this activity.

Painting Nauseated feeling - Ensure that fall protection is utilized and tied
a. Inhalation of leading to off to an independent mechanism.
3 3 9 - Reference should be 2 2 4
fumes disorientation resulting
in falls made to SDS in relation to chemical/paint
handling
b. Chemical a. Vapours - Irritation a. Paint selection – paint hazard profile to be Hazard
exposure – paint, to the eyes, nose and considered when selecting paints - e.g. select Communication
thinner throat paints with low VOCs training
- SDS available for all chemicals – paints,
thinner.
- SDS consulted before using paints and
thinner.
3 2 6 - PPE assigned and used in accordance with 2 2 4
SDS guidance, including respiratory protection.
- All paints and thinners to be used in well-
ventilated areas
- All spills cleaned up immediately.
c. Paint splashes in Eye/skin irritation - Ensure that PPE such as eye protection is Refer to SDS in cases
eyes worn to prevent eye irritation of exposure.

3 3 9 2 2 4

d. Falls from broken bones/head - Ensure that all persons performing work on All platforms must be
elevation injuries up to fatality walking/working platforms are outfitted with erected and inspected
fall arrest equipment and must be tied off when by competent
performing painting activities personnel
- Capils emergency plan
3 4 12 will be communicated to all persons performing 2 3 6
painting/working on height activities
 CAPILS & Co. Ltd. Risk Assessment Form
Date: dd/mm/yy 9-Nov-23
Description: ATO BOLDON ELECTRICAL UPGRADE
PRODUCT/LINE DEPT AND INSTALLATION

GENERAL MAINTENANCE/CONSTRUCTION RISK ASSESSMENT Validity: ONE (1) YEAR

Reference Doc.

Ref: OSHA General Industry - Part 1926 - Construction Safety and Health Regulations

Reviewed by:
GARY JOSEPH

Description Task/Equip/Job Hazard(s) Consequences Additional

Steps Identified Inherent Risk Present Controls /New Controls (if Accepted Risk
needed)

Likelihood Severity Risk Likelihood Severity Risk

3. Electrical General - Lighting
Upgrade
Personnel injury,
a. Poor lighting
equipment damage
a. Risk of a.Loss of work time
Electrical Shock b.Personal
Injury
c.Damage to Area
d.Fire hazard
e.Electrical shock
burns
- Tasks conducted in daylight conditions as far
as possible
4 - Use of artificial lighting as required 2
2 2 1 2
(lanterns/flashlights) when working in hatch
area.
a.Ensure training and competency in the use of a.GFCI outlets to be
wiring, tools and equipment. b.Ensure used for providing
the proper lock out/tag out procedure is power to all tools and
implemented and communicated equipment on site
3 4 12 c.Full PPE to be worn at all times 2 3 6
d.Properly inspect insulated tools that are to
be employed throughout site.

New works - Mobilization of Head injuries, a. Use recommended lifting/carrying techniques Inspect site before
a. Pinch
Installation of ATS equipment/materia squeezed fingers by while performing stated duties b. commencing work
points/back
l pinch points, cuts Ensure that all moving parts are identified and for any hazards.
strains/injuries
bruises. all body parts kept at a safe distance to avoid Inclsive of
from items falling
b. Insect 9 pinching and squeezing. c. insect/animals. 6
unto persons 3 3 2 3
bites/stings Ensure PPE such as gloves, long sleeved
b. Insects
clothing and safety footwear are utilized while
in areas that were
performing duties
stagnant/dark lit
areas
Cleaning of stump a. Contaminated
holes/Removal of water/stagnant
old material (ATS) water areas
b. Electrical
shock or damage
a. Eye or bodily
infection/bites/stings/n
ausea
b. Electrocution to
persons causing burns,
cuts an up to death
3 4
a. Ensure that proper PPE is worn such as eye
protection, masks, gloves, log sleeved clothing,
safety footwear to reduce or minimize such
occurrences b. Ensure
proper LOTO (Lock out/Tag out) procedures 6
12 are implemented and carried out by Supervision
2 3
to prevent accidental startup. c. Stagnant water
will be removed before work via water pump
system

Replacement of a. Lifting of heavy a. a. Use recommended lifting/carrying techniques

ATS cables/material Cuts/bruises/squeezed while performing stated duties
while replacing body parts during b. Ensure PPE such as gloves, long
installation/ back 3 3 9 sleeved clothing and safety footwear are 2 3 6
strains utilized while performing duties
-Musculoskeletal c. Buddy system must be employed
disorders when lifting/carrying material over 50lbs.

Commissioning of a. Electrical shock a. Electrocution which a. Ensure that no simultaneous work is taking Carry out inspection
ATS or damage can lead to burns and place during re energizing of ATS equipment of the system to
up to death after LOTO is reversed. ensure all measure
b. Ensure that selected and specified member are implemented
of the team are responsible for re energizing of before commisioning.
ATS to prevent miscommunication and
accidental startup.
c. Ensure that all areas are grounded by the
installation and use of rubber mats, installation
tools before any commencement of work.
d. All
3 4 12 areas where work is carried out will be corded 2 3 6
off and only approved personnel will have
access. e.
Capil's ERP will be communicated. in
alignment with the ERP, in the event of an
emergency, site supervision will be designated
emergency coordinator who will initiate our
ERP plan. any injured personnel will be
transported via the Couva Health Facility for
treatment by facility ambulance.
 CAPILS & Co. Ltd. Risk Assessment Form
Date: dd/mm/yy 9-Nov-23
Description: ATO BOLDON MEDICAL ROOM DEMOLITION
PRODUCT/LINE DEPT AND REFURBISHMENT

GENERAL MAINTENANCE/CONSTRUCTION RISK ASSESSMENT Validity: ONE (1) YEAR

Reference Doc.

Ref: OSHA General Industry - Part 1926 - Construction Safety and Health Regulations

Reviewed by:
GARY JOSEPH

Description Task/Equip/Job Hazard(s) Consequences Additional

Steps Identified Inherent Risk Present Controls /New Controls (if Accepted Risk
needed)

Likelihood Severity Risk Likelihood Severity Risk

4. Medical Room Demolition a. Working at a. Fall from a height, 2 4 8 a. Appropriate ladders provided for tasks. 1 4 4
height – ladder use broken bones, soft Ladders maintained in good working condition
tissue injuries Appropriate storage of ladders.
b. Working b. Fall from a Working at height training, including ladder
at height - height, broken bones, safety
Scaffolding use soft tissue injuries, Ladder work instructions communicated – e.g.
fatality Ladder to be used on firm surface.
Toolbox meetings to include working at height
safety.
Ladder pre-use inspections.
Use of appropriate non-slip footwear (safety
boots)
b. Maintenance and inspection scaffolding on
site.
Scaffolding tagging system
Scaffolding erected by competent personnel
Scaffolding routinely inspected and tagged for
use by competent personnel.
Appropriate storage of scaffolding materials to
avoid damage.
Fall arrest systems provided as needed. Fall
arrest systems in good condition and certified
for use.

Ceiling works a. Working at a. Fall from a height, 2 4 8 a. Appropriate ladders provided for tasks. 1 4 4
height – ladder use broken bones, soft Ladders maintained in good working condition
tissue injuries Appropriate storage of ladders.
b. Working b. Fall from a Working at height training, including ladder
at height - height, broken bones, safety
Scaffolding use soft tissue injuries, Ladder work instructions communicated – e.g.
fatality Ladder to be used on firm surface.
Toolbox meetings to include working at height
safety.
Ladder pre-use inspections.
Use of appropriate non-slip footwear (safety
boots)
b. Maintenance and inspection scaffolding on
site.
Scaffolding tagging system
Scaffolding erected by competent personnel
Scaffolding routinely inspected and tagged for
use by competent personnel.
Appropriate storage of scaffolding materials to
avoid damage.
Fall arrest systems provided as needed. Fall
arrest systems in good condition and certified
for use.
 Plumbing a. Steam injuries a. Exposure to hot 3 3
water/steam can cause
injuries such as burns,
cuts, lacerations and
other major damage
-exposure
to high pressure.
9 Ensure that all water connections are turned off Ensure lines a 1 3 3
before attempted use and installation properly bled out
- Ensure all heaters or before commencing
water temperature gauges are powered off work.
before use
- Ensure that warning signs, symbols and
controls are placed for maximum visibility in
work areas or stations

4 (a). New Works Ceiling works a. Working at a. Fall from a height, 2 4 8 a. Appropriate ladders provided for tasks. 1 4 4
height – ladder use broken bones, soft Ladders maintained in good working condition
tissue injuries Appropriate storage of ladders.
b. Working b. Fall from a Working at height training, including ladder
at height - height, broken bones, safety
Scaffolding use soft tissue injuries, Ladder work instructions communicated – e.g.
fatality Ladder to be used on firm surface.
Toolbox meetings to include working at height
safety.
Ladder pre-use inspections.
Use of appropriate non-slip footwear (safety
boots)
b. Maintenance and inspection scaffolding on
site.
Scaffolding tagging system
Scaffolding erected by competent personnel
Scaffolding routinely inspected and tagged for
use by competent personnel.
Appropriate storage of scaffolding materials to
avoid damage.
Fall arrest systems provided as needed. Fall
arrest systems in good condition and certified
for use.

Plumbing a. Steam injuries a. Exposure to hot 3 3
water/steam can cause
injuries such as burns,
cuts, lacerations and
other major damage
9 Ensure that all water connections are turned off 1 3 3
before attempted use and installation
- Ensure all heaters or
water temperature gauges are powered off
before use
- Ensure that warning signs, symbols and
controls are placed for maximum visibility in
work areas or stations

Painting a. Chemical a. Vapours - Irritation 3 2 6 a. Paint selection – paint hazard profile to be Hazard
exposure – paint, to the eyes, nose and considered when selecting paints - e.g. select Communication
thinner throat paints with low VOCs training 2 2 4
- SDS available for all chemicals – paints,
thinner.
 CAPILS & Co. Ltd. Risk Assessment Form
Date: dd/mm/yy 9-Nov-23
Description: ATO BOLDON
PRODUCT/LINE DEPT POWERWASHING

GENERAL MAINTENANCE/CONSTRUCTION RISK ASSESSMENT Validity: ONE (1) YEAR

Reference Doc.

Ref: OSHA General Industry - Part 1926 - Construction Safety and Health Regulations

Reviewed by:
GARY JOSEPH

Description Task/Equip/Job Hazard(s) Consequences Additional

Steps Identified Inherent Risk Present Controls /New Controls (if Accepted Risk
needed)

Likelihood Severity Risk Likelihood Severity Risk

Maintenance a. Toolbox meetings and task based JSA to
Tasks: a. Pressure washing include working at height safety.
- Use of appropriate non-slip footwear (safety
boots) hard hats, eye protection, back straps,
harnesses, appropriate water apron, gloves are
worn to protect from pinches, falls, undulating
surfaces and failure of scaffolding structure
- Ensure
a. Failure of that all persons performing work on
scaffolding walking/working platforms are outfitted with
structure fall arrest equipment and must be tied off when
b. Pinch pint performing pressure washing activities
positions scaffolding
c. Slips/trips erectors must Ensure that scaffolding is built to
due to undulating Fall from a height, certified standards and rated capacity and that
areas/surfaces broken bones, soft all walking/working surfaces are stable and
d. Incorrect tissue injuries, back 3 4 12 secured correctly 1 4 4
installation strains, squeezed - Capils emergency plan will be
procedure of joints, fatality communicated to all persons performing
scaffolding/collaps powerwashing/working on height activities. In
e of structure by the event of an emergency where injury is
uncertified erectors sustained during the activity, persons will be
e. transported to the Couva Health Facility for
Employee falling treatment
to another level -Ensure that all material used for erection are
scaffolding approved and that scaffolding
erection personnel are certified and competent
for safe erection
 - Job planning to avoid awkward positions
where possible.
- Re-position equipment, ladder, scaffolding to
avoid awkward positions where possible
- Scheduled breaks.
- Worker rotation, as required.
Muscle strains and Improve work techniques
Awkward - Suggest proper stretching routines
injury, 9 6
positions, 3 3 -Designing the job to take account of the 2 3
musculoskeletal
repetitive motions capabilities and limitations of the workforce
disorders.
using engineering controls such as changing
workstation layout, which might include using
height-adjustable situations or locating tools
and materials within short reaching distances

- Loads >50lbs are not to be lifted by one team

Dropped objects,
strain, sprain, pinched
Manual handling 3 3
fingers, falls, crushing
injuries, back injuries,
member only
- In cases where loads are greater than >50lbs,
use the buddy approach along with proper
lifting techniques and proper communication.
- Plan lifts with team members where lifts are
to be completed by more than one person
- Assess and communicate travel route before
lift
- Assess pinch points before beginning
9 inspection and testing. 2 3 6
- Use appropriate PPE – Steel toe boots, gloves,
hard hats, safety glasses.
- Secure loads ensuring that they are placed in a
stable position
-Maintain good housekeeping.

- Team members must pay full attention to the

Distractions – e.g. Falls, broken bones,
3 2
cellular phone use. bruises, lacerations
task and maintain situational awareness
- Operators of tools and equipment are not
6 allowed to use phones or other devices such as 2 2 4
radios and smart watches when operating the
machine/ equipment.

-Fuel used in well ventilated areas only

- All fuel stored in secondary containment must
be labeled and in approved carrying containers
- Appropriate labeling of chemical containers
- Clean up all spills immediately
 -Fuel used in well ventilated areas only
- All fuel stored in secondary containment must
be labeled and in approved carrying containers
- Appropriate labeling of chemical containers
- Clean up all spills immediately
- SDS reviewed and available
- PPE assigned in accordance with SDS
'- Do not refuel in any indoor areas or confined
spaces. Area must be well ventilated
- Never fill the engine fuel tank while the unit is
running or hot.
- Allow to cool two minutes before refueling.
Injury or irritation to - Always refuel slowly to avoid the possibility
the skin, eyes from of spilled fuel which may cause a risk of fire.
Chemical/ splashes, Fire, - No smoking while refueling
flammable explosion, burns, - Do not refuel around any heat sources, sparks,
fatality 3 4 12 etc. - 3 3 9
exposure - fuel
vapors and flames Vapors - Irritation to Ensure that trained personnel in the use of fire
the eyes, nose and prevention measures such as fire extinguishers
throat (mucus are present while work is being conducted
membrane) - Never operate unit ( pressure washer) in the
presence of flammable vapors or combustible
dust, gases or other combustible materials. (A
spark may cause an explosion
or fire.)
- No smoking while operating the power
washer
- Do not operate units around any smoking
activities.
- Do not operate if there has been a fuel
spillage. Ensure this is properly cleaned before
using the machine.
 - Keep all containers in secondary containment.
- Clean up spills immediately and dispose
appropriately. the disposal will be in keeping
with Capil's disposal protocol.
- Do not use fuel, paints and thinners around
any open flames or hot work activity.
- Maintain good housekeeping – do not place
Environmental fuel, paint or thinner in walkways or areas
Spills damage, slips, falls, 2 4 8 where they can be impacted by vehicles which 1 4 4
fires can lead to spills.
- Have trained personnel equipped
to handle spills and cleanup processes while
using a spill kit.

Use of appropriate PPE – coveralls, steel toe

Cuts, bruises, skin
Flying particles 2 3
irritation, eye injuries
rubber boots, hard hats, water apron, gloves,
safety glasses, face shield.
6 - Use of screens where appropriate 3
1 3
- Restricted access - non-essential personnel
kept away and area corded off.

- Assess work area before start of the job and

include findings in toolbox session – e.g. areas
where there is a step down or drain to step over.
Task based assessment (JSA) will be done
before work activity for further hazard
Wet surfaces, assessment/
uneven surfaces, Falls, broken bones, - Team members must pay full attention to the
2 3 6 task and maintain situational awareness 1 3 3
entanglement bruises, lacerations
hazards - Maintain proper housekeeping – be mindful of
the placement of hoses and cords.
- Use of appropriate footwear – Non-skid Steel
toe rubber boots.

Property damage, falls,
Inclement weather injuries, lightning 2 4
strikes, fatality
Electrical - ATS'!B18 to severe weather
response bulletin.-What is this?
- Continuously monitor the current weather
and the extended forecast
8 - Stop outdoor work during rainfall, 1 4 4
lightning or heavy winds.
- Ensure equipment is properly secured.
- Seek shelter.

-Employees encouraged to take frequent rest -Heat stress

breaks management
-Adequate supply of drinking water discussions - toolbox
-Schedule heavy work for cooler periods of the
work shift (e.g., early mornings, cool/overcast
days).
-When possible, and where appropriate, use
fans/ventilation to provide air movement for
cooling.
-Drink 4 to 8 ounces of water or sports drink
every 20 minutes while working in hot, humid
conditions.
-Limit the intake of caffeinated beverages.
-Wear light-colored clothing.
-If someone shows signs of heat stress
Exposure to UV Heat stress, (exhaustion or stroke), request immediate
radiation and hot dehydration, heat 2 4 8 medical attention, move the individual to a 1 4 4
temperatures stroke, fatality cooler area in the shade, loosen or remove
restrictive or heavy clothing, provide cool
drinking water, and fan and mist the person
with water.
-Wear sunscreen with a sun protection factor
(SPF) of 15 or greater. Reapply as necessary to
ensure protection throughout the work shift.
-When possible, wear a wide brim hat to protect
exposed skin on face, head, and neck.
-Long sleeve coveralls
 headaches, elevated - Worker rotation
blood pressure, - Hearing protection
Noise tinnitus, gradual 2 2 4 - Frequent breaks 1 2 2
hearing impairment, - Equipment routinely maintained
hearing loss
- Worker rotation
Hand-Arm Vibration - Appropriate working gloves
Vibration 2 2 4 - Frequent breaks 1 2 2
Syndrome (HAVS)
- Equipment routinely maintained
-Routine maintenance of equipment
Injuries such as - Reporting of all faulty tools encouraged
Faulty equipment lacerations, fires, 2 3 6 - Faulty tools tagged and isolated for repair/ 1 3 3
explosions servicing/ replacement
-Competent personnel
- Toolbox talk and risk assessment
communication
Inappropriate Injuries such as - Work equipment used as per manufacturer's
Operator and lacerations, fires, 2 3 6 instructions 1 3 3
Misuse explosions, fatality - Open communication among team members
to voice concerns over tasks
- Stop work policy

Severe cuts, bleeding,
Waterjet - pressure soft tissue damage,
2 4
washing injection/ puncture
wounds, eye injuries
- Pressure washer to be operated by trained,
authorized personnel only.
- Always keep a safe distance away from other
people and animals.
- Never point the nozzle at yourself, other
people or animals
- Where applicable, cordon off the area or use
signage to keep unnecessary personnel away
from the area.
- Always hold on firmly to the gun/wand
assembly when starting and
operating the unit. Failure to do so can cause
the wand to fall and whip
8 1 4 4
dangerously. NEVER operate the gun with the
trigger wired in the open
position. To prevent accidental discharge, the
trigger gun should be
securely locked when not in use.
- Do not leave pressurized unit unattended.
- Arrangements for first aid and transport to
medical care arranged. In the case of accidental
penetration by the waterjet, medical attention
should be sought.
 CAPILS & Co. Ltd. Risk Assessment Form
Date: dd/mm/yy 9-Nov-23
Description: ATO BOLDON SECURITY BOOTH
PRODUCT/LINE DEPT REFURBISHMENT

GENERAL MAINTENANCE/CONSTRUCTION RISK ASSESSMENT Validity: ONE (1) YEAR

Reference Doc.

Ref: OSHA General Industry - Part 1926 - Construction Safety and Health Regulations

Reviewed by:
GARY JOSEPH

Description Task/Equip/Job Hazard(s) Consequences Additional

Steps Identified Inherent Risk Present Controls /New Controls (if Accepted Risk
needed)

Likelihood Severity Risk Likelihood Severity Risk

Security Booth - Use of proper moving/carrying/lifting
equipment to be used
a. Damages Avoid moving parts of equipment while
obtained from assembling to avoid pinch points
transportation of a. Pinch point injuries/ 3 3 9 - Proper PPE such 2 2 4
material/equipment back as safety footwear, gloves, eye protection to be
to location or strains/cuts/bruises/trip worn while performing tasks listed
a. Mobilization of worksite by heavy s/falls/squeezed
tools/equipment lifting or carrying fingers/joints
 b. a. Damages a. Dust/fume - Proper PPE such as safety glasses, gloves,
Demolition/removal of obtained from inhalation/noise/falling protective footwear, breathing masks and ear
debris removal process of debris/cuts/bruises/trip protection (if required) to be worn at all times
material s/falls/back to prevent damage while demolishing and
(tiles/bricks/woode strains/damage to removing material.
n material/nails) eyes/hands - Proper lifting and carrying techniques to be
-Risk of injury to used while transporting debris from site. be
pedestrians or mindful of the weight of items and if so
damage to passing required, utilize Proper lifting equipment to
vehicles complete task.
- be mindful of falling objects while
demolishing location and wear head protection
such as safety helmets when performing this
task.
3 3 9 - Use caution when removing 2 2 4
tiles and boards from walls/floors/areas as loose
nails and broken tiles can cause cuts and
punctures to persons. Utilize proper safety
equipment whie performing tasks at all times.
-Cordon
off work area while performing tasks to ensure
safety -Ensure
the area is appropriately cordoned off and
alternative access to the facility arranged prior
tto the commencement of work.

New Works a. Concrete work a. Respiratory a. Inhalation of silica Use of PPE such as masks and eye protection to
(1a) issues dust and particles avoid inhalation

3 3 9 2 2 4

a. Back Strains a. Strained muscles, - Use of proper moving/carrying/lifting Back braces to be

from dislocations, sciatica equipment to be used worn during the work
lifting/carrying injuries 3 3 9 - process. 2 2 4
equipment/material Proper PPE such as safety footwear, gloves, eye
protection to be worn while performing tasks
listed
a. Pinch points a. Squeezed joints, -Avoid moving parts of equipment while
from use of amputations, fractures assembling to avoid pinch points -
equipment/tools Proper PPE such as safety footwear, gloves, eye
3 3 9 protection to be worn while performing tasks 2 2 4
listed
 a. Fall from a. Broken bones/head - Ensure that all persons performing work on If platforms are to be
elevation injuries up to fatality walking/working platforms are outfitted with used they must be
fall arrest equipment and must be tied off when erected and inspected
3 4 12 performing painting activities by competent 2 3 6
- Capils emergency plan personnel.
will be communicated to all persons performing
painting/working on height activities

b. Painting a. Chemical a. Vapours - Irritation a. Paint selection – paint hazard profile to be Hazard
exposure – paint, to the eyes, nose and considered when selecting paints - e.g. select Communication
thinner throat paints with low VOCs training
- SDS available for all chemicals – paints, -SDS to be submitted.
thinner.
- SDS consulted before using paints and
thinner.
3 2 6 - PPE assigned and used in accordance with 2 2 4
SDS guidance, including respiratory protection.
- All paints and thinners to be used in well-
ventilated areas
- All spills cleaned up immediately.
 CAPILS & Co. Ltd. Risk Assessment Form
Date: dd/mm/yy 24-Nov-23
Description: ATO BOLDON PAINTING OF MAIN
PRODUCT/LINE DEPT AREA

GENERAL MAINTENANCE/CONSTRUCTION RISK ASSESSMENT Validity: ONE (1) YEAR

Reference Doc.

Ref: OSHA General Industry - Part 1926 - Construction Safety and Health Regulations

Reviewed by:
GARY JOSEPH

Description Task/Equip/Job Hazard(s) Consequences Additional

Steps Identified Inherent Risk Present Controls /New Controls (if Accepted Risk
needed)

Likelihood Severity Risk Likelihood Severity Risk

STADIUM Mobilize and check Damages obtained Pinch point injuries/ - Use of proper moving/carrying/lifting
MAIN required from transportation back equipment to be used
ENTRANCE tools/equipment of strains/cuts/bruises/trip Avoid moving parts of equipment while
PAINTING material/equipment s/falls/squeezed assembling to avoid pinch points
to location or fingers/joints - Proper PPE such
worksite by heavy as safety footwear, gloves, eye protection to be
lifting or carrying 3 3 9 worn while performing tasks listed 2 2 4
Appropriate hoisting
system to transport tools and equipment to
work platform Work
area must be cordoned off to ensure work safety

Painting Nauseated feeling - Ensure that fall protection is utilized and tied SDS to be submitted.
leading to off to an independent mechanism.
Inhalation of fumes 3 3 9 - Reference should be 2 2 4
disorientation resulting
in falls made to SDS in relation to chemical/paint
handling
a. Chemical a. Vapours - Irritation a. Paint selection – paint hazard profile to be Hazard
exposure – paint, to the eyes, nose and considered when selecting paints - e.g. select Communication
thinner throat paints with low VOCs training
- SDS available for all chemicals – paints,
thinner.
- SDS consulted before using paints and
thinner.
3 2 6 - PPE assigned and used in accordance with 2 2 4
SDS guidance, including respiratory protection.
- All paints and thinners to be used in well-
ventilated areas
- All spills cleaned up immediately.

Paint splashes in Eye/skin irritation - Ensure that PPE such as eye protection is Refer to SDS in case
eyes worn to prevent eye irritation of exposure.

3 3 9 2 2 4

Falls from broken bones/head - Ensure that all persons performing work on All platforms must be
elevation injuries up to fatality walking/working platforms are outfitted with erected and inspected
fall arrest equipment and must be tied off when by competent
3 4 12 performing painting activities personnel. 2 3 6
- Capils emergency plan
will be communicated to all persons performing
painting/working on height activities
 CAPILS & Co. Ltd. Risk Assessment Form
Date: dd/mm/yy
Description: ATO BOLDON
PRODUCT/LINE DEPT

GENERAL MAINTENANCE/CONSTRUCTION RISK ASSESSMENT Validity:

Reference Doc.

Ref: OSHA General Industry - Part 1926 - Construction Safety and Health Regulations

Reviewed by:
GARY JOSEPH

Description Task/Equip/Job Hazard(s) Consequences Additional

Steps Identified Inherent Risk Present Controls /New Controls (ifAccepted Risk
needed)
Likelihood Severity Risk Severity Risk
SEWER Waste removal/sewer a. Contamination a. Gastroenteritis Ensure masks, gloves and other PPE are worn Is a waste removal
WORKS - maintenance of persons by /leptospirosis/bacterial at all times to minimize direct contact with contracting company
General waste or viral infections waste carrying out waste
- Ensure all pipeways/waste storage areas removal?
are sanitized and cleared before beginning any 6
4 3 12 work.
3
- Ensure that area is corded off with signage
and rope to minimize ailment of general
personnel.

Improper handling a. Spills/leaks a. Environmental Proper disposal measures put into place to
techniques during pollution ensure that no contaminants spill over and
disposal or removal b. Personnel cause environmental impacts to the work area
contamination 4 3 12 or location 3 6
In case of spillage, proper sanitization of area
techniques to eliminate contaminants within the
work space or beyond

Repair of sewer tank a. a. Blockages or holes Ensure that works completed are checked, area
Spills/leaks/cracks/ causing overflow and pipes flushed to ensure clear pathways and all
malfunctoning contamination of area holes or cracks properly sealed before use to
parts 4 3 12 avoid contamination of area by bacteria. 3 6
Scheduled wastage removal and structural
maintenance to ensure no cracks are present to
the area
 CAPILS & Co. Ltd. Risk Assessment Form
Date: dd/mm/yy 24-Nov-23
Description: ATO BOLDON
PRODUCT/LINE DEPT TIERS

GENERAL MAINTENANCE/CONSTRUCTION RISK ASSESSMENT Validity: ONE (1) YEAR

Reference Doc.

Ref: OSHA General Industry - Part 1926 - Construction Safety and Health Regulations

Reviewed by:
GARY JOSEPH

Description Task/Equip/Job Hazard(s) Consequences Additional

Steps Identified Inherent Risk Present Controls /New Controls (if Accepted Risk
needed)

Likelihood Severity Risk Likelihood Severity Risk

SEALING OF Ensure PPE is worn such as face
TIERS Removal of old joint Puncturing of Cuts/bruises/ protection/gloves/ goggles, light long sleeved
3 2 6 clothing/safety footwear/long covered trousers 2 2 4
compound (use of fingers/flying lacerations/
grinder/chisel) foreign particles contusions/fractures
Ensure PPE is worn such as face
protection/gloves/ goggles, light long sleeved
clothing/safety footwear/long covered trousers
3 2 6 2 2 4
Inspect area before
Ensure that grinder has safety guards fitted for
Cuts/bruises/ commencing any
optimal
Slips/trips/falls lacerations/fractures work
Grinder blade Cuts/lacerations/ Ensure PPE is worn such as face 1. Ensure safety
becoming dismemberment of protection/gloves/ goggles, light long sleeved guard is installed.
dislodged/disconne joints/body parts clothing/safety footwear/long covered trousers 2. Ensure grinder
cted from 3 3 9 blade in secure. 3 2 6
equipment or Ensure that grinder has safety guards fitted for
kickback from optimal safety while operating
blade
Power washing and - Job planning to avoid awkward positions
cleaning of surfaces where possible.
- Re-position equipment, ladder, scaffolding to
avoid awkward positions where possible
- Scheduled breaks.
- Worker rotation, as required.
Muscle strains and Improve work techniques
Awkward - Suggest proper stretching routines
injury, 9
positions, 3 3 -Designing the job to take account of the 2 3
musculoskeletal
repetitive motions capabilities and limitations of the workforce
disorders.
using engineering controls such as changing
workstation layout, which might include using
height-adjustable situations or locating tools
and materials within short reaching distances

- Loads >50lbs are not to be lifted by one team

Dropped objects,
strain, sprain, pinched
Manual handling
fingers, falls, crushing
3 3
injuries, back injuries,
Distractions – e.g. Falls, broken bones,
cellular phone use. bruises, lacerations
3 2
member only
- In cases where loads are greater than >50lbs,
9 use the buddy approach along with proper
2 3 6
lifting techniques and proper communication.
- Plan lifts with team members where lifts are
to be completed by more than one person
- Assess and communicate travel route before
-lift
Team members must pay full attention to the
task and maintain situational awareness
- Operators of tools and equipment are not
6 allowed to use phones or other devices such as 2 2 4
radios and smart watches when operating the
machine/ equipment.

-Fuel used in well ventilated areas only

- All fuel stored in secondary containment must
be labeled and in approved carrying containers
- Appropriate labeling of chemical containers
- Clean up all spills immediately
- SDS reviewed and available
- PPE assigned in accordance with SDS
Chemical/ '- Do not refuel in any indoor areas or confined
flammable Injury or irritation to spaces. Area must be well ventilated
exposure - fuel the skin, eyes from - Never fill the engine fuel tank while the unit is
vapors and flames splashes, Fire, running or hot.
explosion, burns, - Allow to cool two minutes before refueling.
fatality 3 4 12 - Always refuel slowly to avoid the possibility 3 3 9
Vapors - Irritation to of spilled fuel which may cause a risk of fire.
the eyes, nose and - No smoking while refueling
throat (mucus - Do not refuel around any heat sources, sparks,
membrane) etc. -
Ensure that trained personnel in the use of fire
prevention measures such as fire extinguishers
 - Keep all containers in secondary containment.
- Clean up spills immediately and dispose
appropriately. the disposal will be in keeping
with Capil's disposal protocol.
Environmental - Do not use fuel, paints and thinners around
Spills damage, slips, falls, 2 4 8 any open flames or hot work activity. 1 4 4
fires - Maintain good housekeeping – do not place
fuel, paint or thinner in walkways or areas
where they can be impacted by vehicles which
can lead to spills.
- Have trained personnel equipped
Use of appropriate PPE – coveralls, steel toe
rubber boots, hard hats, water apron, gloves,
Cuts, bruises, skin safety glasses, face shield.
Flying particles 2 3 6 - Use of screens where appropriate 1 3 3
irritation, eye injuries
- Restricted access - non-essential personnel
kept away and area corded off.
Wet surfaces, - Assess work area before start of the job and
uneven surfaces, Falls, broken bones, 6 include findings in toolbox session – e.g. areas 3
2 3 1 3
entanglement bruises, lacerations where there is a step down or drain to step over.
hazards Task based assessment (JSA) will be done
Adhere to severe weather response bulletin.
-Continuously monitor the current weather and
the extended forecast
Property damage, falls, -Stop outdoor work during rainfall, lightning or
Inclement weather injuries, lightning 2 4 8 heavy winds. 1 4 4
strikes, fatality -Ensure equipment is properly secured.
-Seek shelter.

-Employees encouraged to take frequent rest -Heat stress

Exposure to UV Heat stress, breaks management
radiation and hot dehydration, heat 2 4 8 -Adequate supply of drinking water discussions - toolbox 1 4 4
temperatures stroke, fatality -Schedule heavy work for cooler periods of the
work shift (e.g., early mornings, cool/overcast
days).
headaches, elevated - Worker rotation
blood pressure, - Hearing protection
Noise tinnitus, gradual 2 2 4 - Frequent breaks 1 2 2
hearing impairment, - Equipment routinely maintained
hearing loss
- Worker rotation
- Appropriate working gloves
- Frequent breaks
Hand-Arm Vibration 4 - Equipment routinely maintained 2
Vibration 2 2 1 2
Syndrome (HAVS)

-Routine maintenance of equipment

Injuries such as - Reporting of all faulty tools encouraged
Faulty equipment lacerations, fires, 2 3 6 - Faulty tools tagged and isolated for repair/ 1 3 3
explosions servicing/ replacement
 -Competent personnel
- Toolbox talk and risk assessment
communication
Inappropriate Injuries such as - Work equipment used as per manufacturer's
Operator and lacerations, fires, 2 3 6 instructions 1 3 3
Misuse explosions, fatality - Open communication among team members
to voice concerns over tasks
- Stop work policy

- Pressure washer to be operated by trained,

Severe cuts, bleeding,
Waterjet - pressure soft tissue damage,
2 4
washing injection/ puncture
wounds, eye injuries
authorized personnel only.
- Always keep a safe distance away from other
people and animals.
- Never point the nozzle at yourself, other
people or animals
- Where applicable, cordon off the area or use
signage to keep unnecessary personnel away
from the area.
- Always hold on firmly to the gun/wand
assembly when starting and
operating the unit. Failure to do so can cause
the wand to fall and whip
8 1 4 4
dangerously. NEVER operate the gun with the
trigger wired in the open
position. To prevent accidental discharge, the
trigger gun should be
securely locked when not in use.
- Do not leave pressurized unit unattended.
- Arrangements for first aid and transport to
medical care arranged. In the case of accidental
penetration by the waterjet, medical attention
should be sought.

Installation of Application Ensure that PPE such as eye/nose/mouth (face SDS FOR Dymonic
Dymonic 100 sealant through caulking Eye infection or protection), gloves, long sleeved light loose 100 sealant to be
gun damage, fitting clothing is worn as well as respiratory provided.
skin/inhalation protection in enclosed areas while conducting
3 4 12 activity. Ensure that
irritation, aspiration
hazard/inhalation or frequent breaks are taken while conducting
skin toxic reactions activity to minimize inhalation and contact to
skin