218 Site Establishment

Page 1 of 14
ANGLOGOLD ASHANTI: Mine Waste Solution CCIX

RISK ASSESSMENT RECORD
RA No: 008
CONTRACTOR: Fibre-Wound Company (Pty) Ltd DATE: 2013-05-17
BRIEF DESCRIPTION OF SCOPE OF WORK/ACTIVITY: Site Establishment LOCATION: Mine Waste Solution: Stilfontein
RISK ASSESSMENT TEAM:

Title/Appointment
Contractors: Approved: Yes/ No
Initials & Surname Signature
Project Manager
Chris Swart Project Coordinator
Name: _______________ Signature: ___________
Andrè Gerber Project Engineer
Engineering Manager
Anton van Zyl CR 6.(6) Safety Officer:
Name: _______________ Signature: ___________
Title/Appointment COMMENTS:
Client representative
Vaughan Swart
Safety Coordinator
Discipline Coordinator
/conversion/tmp/activity_task_scratch/755698793.docx
Page 2 of 14
REQUIRED AND EXISTING CONTROL MEASURES: (SUBMIT AND ATTACH TO RISK ASSESSMENT)
Available Adequate Changes Remarks

Required
Yes No Yes No Yes No
Scope of work (Logical steps on

how task will be performed )
Procedures: (W I / SOP / X X X WI/ENG/211
Vendor spec's)
Training (induction) / Competency X X X Fibre-Wound competency training, KBC, Anglo site
certificates/ Specific training induction and Fibre-Wound site induction.
identified / Other (Instructions)
Special Permits required (specify) X X X
Equipment /Tool registers / others X X X Available at Fibre-Wound stores at laydown area.
(specify)
Code of Practice: X X X LIN 001
Other:
Page 3 of 14
Frequency Scale Severity Scale: Probability Scale

Frequent Occurrence/ daily Catastrophic (Many Fatalities />10 Million damage)
Has happened before (3)
(3) (8)
It has happened/ Monthly Disaster (Fatal injury / >1 Million damage ) Quite possible (2)
(2) (7)
Unusual but possible
Could occur/ Yearly Very Serious (Reportable Accident/ >R 100,000 (1)
(1) damage (6)
Serious ( Disability Injury (LTI) />R10000 damage
(5)
Important (Non Disabling Injury/<R1000 damage)
(4)
Of Concern (Minor Injury />R100 Damage)

(3)
RISK RANKING / PRIORITY FACTOR

If score is 61 to 72 AA Potentially Disaster, action needed immediately
If score is 49 to 60 A Potentially Major, action to be taken within 8 hours – during the shift
If score is 37 to 48 B Potentially Serious, action to be taken within 16 hours – during the second shift
If score is 20 to 36 C Potentially Minor, action to be taken within 7 days
If score is 0 to 19 D Potentially Concern , action not to be taken during work
Page 4 of 14
RISK ASSESSMENT
N LIST TASK WITH POTENTIAL AND PROB SEV OF FREQ SCOR RISK PREVENTATIVE PERSON RESPONSIB
O ALL TASK STEPS EXISTING HAZARDS OF OCCUR OF E RANK / MEASURES AND RESPONSIBLE LE
(WHO WILL DO  INJURY OCCU 3/4/5/6/7/ OCCU TOTA PRIORIT CONTROLS TO ENSURE PERSON’S
WHAT, WHERE R 8 R L Y  ELIMINATE RISK PREVENTATIVE SIGNATURE
 HEALTH 1/2/3 1/2/3 FACTOR MEASURES ON
AND WHEN) PXSX
 PROCESS  CONTROL AT SOURCE AND COMPLETIO
F
 MATERIAL  PUT/FOLLOW CONTROLS ARE N DATE
PROCEDURE IN PLACE
 ENVIRONMENT
 PROVIDE PPE
1. Responsible Sec  Tools and 3 8 3 72 AA All equipment that are
16.2 to ensure equipment will going to be used with Responsible
all tools and not be identified their registers shall be 16.2
equipment numbered and checked by the site’s
(Personal inspected and responsible person and
protective couldn’t comply signed off before work
equipment etc) with legal shall commence
to be used are requirements/sit (Electrical Machinery
identified e standards Reg.9+10 & driven
numbered which can result Machinery Reg 20
inspected and on in legal liability /General Safety Reg
register claims. 14a (5)(b)
Responsible
3 8 3 72 AA Where any certification 16.2
 People could be is required this will form
exposed to part of the register to
injury due to ensure failure of
failure of equipment is kept to a
Page 5 of 14
AND WHEN) PXSX
F
PROCEDURE IN PLACE
 ENVIRONMENT
 PROVIDE PPE
equipment. minimum
2. Responsible Sec  Personnel may 3 8 3 72 AA Responsible 16.2 to Responsible
16.2 will ensure be exposed to ensure Works 16.2
all his/her hazards not Instruction WI – 19 –
personnel go known to him 04 – 2/1 is followed to
through the the letter.
medical  Possible Health
surveillance and related issues
attend induction will not be
before work will identified that
commence could result in
injury
 Possible Health
related issues will
not be identified
that could result in
injury or legal
liability claims
3. Responsible Sec  Exposures to 3 8 3 72 AA Responsible 16.2. to
16.2 will ensure unknown ensure no job will
that all relevant hazards commence before all
permits and necessary permits are
clearance to  Exposure to obtained and clearance
work will be legal liability to work has been given
obtained before by the responsible
Page 6 of 14
AND WHEN) PXSX
F
PROCEDURE IN PLACE
 ENVIRONMENT
 PROVIDE PPE
the work will  Possible person of the section
commence process work is to be performed
interruptions (Occ H&S Act Const
Reg 7 )
4. Responsible  Exposures 3 8 3 72 AA  All workers to Appointed

16.2 to ensure to unknown sign the workman’ s 16.2
risk assessment hazards declaration.
is discussed;  Working on
understood and wrong equipment
signed prior to and machinery
work is
commenced  People can
be exposed to
Injury
5. Store man to Failure of 1 5 1 5 C Faulty equipment to be Responsible
ensure all equipment, will repaired or replaced 2.1
equipment is cause injuries to
inspected & workers and/or
documented property damage
before issuing
6. Wear Failure to use will 2 4 3 24 C Enforce the use of Responsible
appropriate cause injuries to P.P.E. AT ALL times 2.1
P.P.E as workers
stipulated in
point 1
Page 7 of 14
AND WHEN) PXSX
F
PROCEDURE IN PLACE
 ENVIRONMENT
 PROVIDE PPE
7. Use only trained Untrained workers 2 5 3 30 C Supervisor to ensure Responsible
or appointed will cause injuries to that only trained 2.1
riggers themselves and operators are used
other workers as
well as damage to
equipment
8. Trained or Uneven loading of 2 8 2 32 C Supervisor/Rigger to Responsible
appointed containers/equipme ensure proper 2.1
riggers shall be nt can cause the loading /offloading as
used to load truck to overturn on per rigging risk
containers route, causing assessment
/equipment serous injuries and
or damage to
property
9. Trained or Reckless driving will 2 4 2 16 C Driver to adhere to Responsible

appointed driver cause Injuries and speed limits while 2.1
to proceed to damage to supervisor escort truck
Lay down Area equipment en route
10. Off loading of Incorrect offloading 2 5 2 20 C Rigger to ensure proper Responsible

containers/equip can cause offloading as per 2.1
ment and accidents/incidents loading/offloading risk
material to be assessment
done by
Page 8 of 14
AND WHEN) PXSX
F
PROCEDURE IN PLACE
 ENVIRONMENT
 PROVIDE PPE
competent
riggers
11. Appointed 2.1 to Incorrect fencing 2 4 2 24 C Supervisor to ensure all Responsible
ensure can lead to loss of fencing to be done as 2.1
fencing in of lay property and or
down area damage
12. Erecting of Incorrect placement 3 4 2 24 C Site Manager to ensure Responsible

display and can lead to that all boards are 2.1
bulletin boards confusion resulting erected as per SABS
in time loss 004
13. Unpacking and Incorrect unpacking 2 4 2 16 C Supervisor to ensure Responsible
sorting of can cause injuries proper unpacking, 2.1
equipment and loss of time sorting and placement
of equipment
14. All equipment Failure to do pre- 2 5 2 20 C Supervisor/Safety Responsible
will be checked use inspections will Officer to ensure that all 2.1
identified and allow workers to equipment are checked
entered in a use unsafe and entered on a
approved equipment that will register prior to use
register by lead to injuries and
storeman property damage
15. Appt. 16.2 and Failure to adhere 2 5 1 10 C Site manager And Responsible
2.1 to ensure all can lead to costly supervisor to ensure 2.1
Page 9 of 14
AND WHEN) PXSX
F
PROCEDURE IN PLACE
 ENVIRONMENT
 PROVIDE PPE
structures legal action adherence to all
erected shall requirements
conform to the
OHS Act/ MH&S
Act Regulations,
local authorities
and any other
regulation in
force
16. Only approved Illegal erection and 2 7 2 28 C Supervisor to ensure Responsible

scaffolding will use of scaffolding that scaffolding have a 2.1
be used when can cause injury and SAFE TO USE board
necessary for damage to on and that the
the erection of equipment scaffolding are
structures by inspected on a daily
competent basis
scaffolders
under the
supervision of
appt. 2.1
17. Appt. 6.6 to Failure can cause 3 3 3 27 C Safety officer to ensure Responsible
Page 10 of 14
AND WHEN) PXSX
F
PROCEDURE IN PLACE
 ENVIRONMENT
 PROVIDE PPE
check that all hygienic problems good housekeeping at 6.6
structures and that can lead to all times
facilities in diseases and
designated area illnesses
will be kept clean
and in a neat
condition
18. Appt 6.6.to Failure to do so can 2 4 2 16 C Site manager to ensure Responsible
check that cause health risks to that the sanitary 6.6
ablution facilities the workers and the facilities are in
will be kept clean spread of infectious accordance with part F,
and hygienic at diseases P and Q of SABS
all times
19. Appt 6.6 to Sub standard water 2 6 2 24 C Site manager to ensure Responsible
ensure can lead to the that all drinking water 6.6
availability of spread of diseases points are clearly
clean running and illnesses with marked with the
drinking water the likes of cholera necessary
for all workers symbolic signs
during the site
establishment
20. Appt 6.6 to Lack of eating 2 6 2 24 C Safety officer to ensure Responsible
confirm erection facilities in lay down that a properly 6.6
of dining area area cause the enclosed eating place
storage and eating is available in the lay
Page 11 of 14
AND WHEN) PXSX
F
PROCEDURE IN PLACE
 ENVIRONMENT
 PROVIDE PPE
of food in working down area.
areas causing an
exposure to
hazardous
chemicals and
substance
21. Appt 16.2 to Faulty installation 2 7 2 28 C Site manager to ensure Responsible
approve will cause after completion of 16.2
installation of electrocution, burns electrification that the
electricity, and property electrical contractor
distribution damage issue a certificate of
boards and wall compliance
mounted plugs
22. Fire fighting Shortage and faulty 3 5 2 30 C Safety officer to ensure Responsible
equipment will fire fighting that the right amount of 6.6
be installed, equipment will result fire fighting equipment
maintained and into fires causing is installed, maintained
inspected by burns to the workers and the workers
appt 6.6 with a and property properly trained in the
fire prevention damage use of fire fighting
plan available equipment
23. Appt 6.6 to Lack or sub 3 6 2 36 C Safety officer to ensure Responsible
ensure standard first aid the adherence of the 6.6
the availability of equipment and first OHS Act/ Mine Health
first aid aiders can cause and Safety Act on first
equipment and serious problems in aid.
Page 12 of 14
AND WHEN) PXSX
F
PROCEDURE IN PLACE
 ENVIRONMENT
 PROVIDE PPE
trained first aiding injured
aiders workers
I the undersigned Responsible person : ________________________________hereby
(Print name in full)
declare that:
I have after consultation with my employees as far as reasonably practicable identified and recorded all the significant hazards and risks
associated with the task that I am to perform with regards to this Risk Assessment
I have determined all measures that needs to be in place for this task, including changing the organization of work and design of safe systems of
work, necessary to eliminate, control, minimise, or where the risk still remains provided the necessary personal protective equipment, and
implemented them.
I undertake to periodically review the hazards identified and the risk assessed, to determine whether further elimination, control and minimization
of risk is possible
I have provided every employee as part of this risk assessment with the necessary training, information, instruction or supervision to enable
them to perform their work without risk to his/her Safety and Health.
Signed on the _________/20…. at ANGLOGOLD ASHANTI by: ____________________________

(Date) (Responsible person)
Employed by: FIBRE- WOUND SA (Name of Company)
I / we the undersigned hereby declare that the Responsible person in charge has made us familiar with the work-related hazards and risk and the
measures that must be taken to eliminate, control and minimise those hazards and risks:
PRINT NAME IN FULL SIGNATURE

218 Site Establishment

Uploaded by

Document Information

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

218 Site Establishment

Uploaded by

Copyright:

Available Formats

Page 1 of 14

ANGLOGOLD ASHANTI: Mine Waste Solution CCIX

CONTRACTOR: Fibre-Wound Company (Pty) Ltd DATE: 2013-05-17

RISK ASSESSMENT TEAM:

Andrè Gerber Project Engineer

Available Adequate Changes Remarks

Scope of work (Logical steps on

Frequency Scale Severity Scale: Probability Scale

Of Concern (Minor Injury />R100 Damage)

RISK RANKING / PRIORITY FACTOR

4. Responsible  Exposures 3 8 3 72 AA  All workers to Appointed

9. Trained or Reckless driving will 2 4 2 16 C Driver to adhere to Responsible

10. Off loading of Incorrect offloading 2 5 2 20 C Rigger to ensure proper Responsible

12. Erecting of Incorrect placement 3 4 2 24 C Site Manager to ensure Responsible

16. Only approved Illegal erection and 2 7 2 28 C Supervisor to ensure Responsible

Signed on the _/20…. at ANGLOGOLD ASHANTI by: ____________________

Employed by: FIBRE- WOUND SA (Name of Company)

PRINT NAME IN FULL SIGNATURE

You might also like