217 Confined Space Laminating

Page 1 of 11
ANGLOGOLD ASHANTI: Mine Waste Solution CCIX
RISK ASSESSMENT RECORD
RA NO: 007 DATE: 2013-05-17
CONTRACTOR: Fibre-Wound LOCATION: Mine Waste Solution: Stilfontein
BRIEF DESCRIPTION OF SCOPE OF WORK/ACTIVITY: Laminating in Confined Spaces
RISK ASSESSMENT TEAM:

Title/Appointment
Contractors: Approved: Yes/ No
Initials & Surname Signature
Project Manager :
Chris Swart Project Coordinator Name:_______________ Signature: ____________
Engineering Manager :
Andrè Gerber Project Engineer
Name:_______________ Signature: ____________
Anton van Zyl CR 6.(6) Safety Officer:
Title/Appointment COMMENTS:
Client representative
Vaughan Swart
Safety Coordinator
Discipline Coordinator
/conversion/tmp/activity_task_scratch/755698816.doc
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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
Vendor spec's)
Training (induction) / Competency X X
certificates/ Specific training X
identified / Other (Instructions)
Special Permits required (specify) X X X
Equipment /Tool registers / others X X X
(specify)
Code of Practice: X X X
Other:
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FREQUENCY SCALE SEVERITY SCALE PROBABILITY SCALE
Frequent occurrence / (3) Catastrophic (Many fatalities / > 10 Million damage) (8) Has happened before (3)
daily
It has happened / (2) Disaster (Fatal injury / > 1 Million damage) (7) Quite possible (2)
monthly
Could occur / yearly (1) Very Serious (Reportable Accident / > R100, 000 (6) Unusual but possible (1)
damage)
Serious (Disability Injury (LTI) / > R100, 000 (5)

damage)
Important (Non-disabling Injury / > R1, 000 (4)

damage)
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 Tolerable, action to be taken within 1 month
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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  Tools and 3 8 3 72 AA All equipment that are Appointed
Sec16.2 to equipment will going to be used with GMR2.(7)(a)
ensure all tools not be identified their registers shall be
and 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)
3 8 3 72 AA Where any certification Appointed

 People could be is required this will form GMR2.(7)(a)
exposed to part of the register to
injury due to ensure failure of
failure of equipment is kept to a
equipment. minimum
2. Responsible Personnel may be 3 8 3 72 AA Responsible 16.2

Sec16.2 will exposed to hazards To ensure Works Responsible
ensure all his/her not known to him Instruction WI – 19 – GMR2.(7)(a)
personnel go 04 – 2/1is followed to
through the the letter.
medical 3 8 3 72 AA
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AND WHEN) PXSX
F
PROCEDURE IN PLACE
 ENVIRONMENT
 PROVIDE PPE
surveillance and  Possible Health Responsible 16.2 to Responsible
attend induction related issues ensure medical GMR2.(7)(a)
before work will will not be surveillance systems
commence identified that are adhered to
could result in
injury or legal
liability claims
3. Responsible Exposures to 3 8 3 72 AA Responsible 16.2 Responsible

16.2 unknown hazards . to ensure no job will GMR2.(7)(a)
will ensure that commence before all
all relevant  Exposure to necessary permits are
permits and legal liability obtained and clearance
clearance to to work has been given
work will be Possible process by the responsible
obtained before interruptions person of the section
the work will work is to be performed
commence (Occ H&S Act Const
Reg 7 )
4. Ensure that the  Exposures 3 8 3 72 AA Supervisor to ensure Responsible
work permit to unknown that activities to be
received is hazards executed are clearly
signed by the  Exposures understood and the
responsible to legal liability possible hazards and
supervisor and dangers have been
Page 6 of 11
AND WHEN) PXSX
F
PROCEDURE IN PLACE
 ENVIRONMENT
 PROVIDE PPE
that the permit is  Possible pointed out.
discussed/ process All Employees to sign
understood and interruptions the attendance register
signed by the co-  People can
workers be exposed to
injury that result in
legal claims
 Entering the
wrong vessel can
cause falling from
elevated level,
asphyxiation ,
fractures and
fatality
5. Proper Asphyxiation, health 3 8 3 72 AA Supervisor to ensure Responsible
preparation of hazards, fires and that the following is in
the confined explosions, fumes place before work
space must be and eye injuries starts: Access Guard,
done before the Confined space entry
start of work register, proper lighting
Such as and ventilation, P.P.E.
proper/adequate worn by the workers.
lighting, Ensure that 8 hourly
extraction fans, environmental
air hoses and life monitoring is done and
lines if and when copies are available at
needed the entrance.
6. Discuss Lack of knowledge 3 7 3 63 AA Supervisor to “tell and Responsible
can lead to serious show” procedure with
Page 7 of 11
AND WHEN) PXSX
F
PROCEDURE IN PLACE
 ENVIRONMENT
 PROVIDE PPE
emergency injuries and /or the monitor to the
rescue fatalities workers
procedures and
apparatus
7. Pre-use Failure of 3 7 3 63 AA Supervisor to ensure Responsible
inspection of all equipment can that all faulty tools and
tools and cause injury to equipment to be
equipment to be workers and/or removed and
used damage to immediately replaced
equipment
8. Pre-use Failure of safety 3 7 3 63 AA  Replace faulty Responsible
inspection of equipment can lead safety apparatus
safety apparatus to serious injury immediately
to be used and/or fatalities
9. Barricade area Failure to barricade 3 7 3 63 AA  Supervisor to Responsible
off and place the can lead to adhere to barricading
required warning unauthorized procedures
signs in Confined space
conspicuous entry
areas
10. Conform to the Lack of equipment 3 7 3 63 AA Supervisor to confirm Responsible
availability and can cause availability and
positioning of injuries/fatalities to positioning of
serviceable workers and emergency equipment
firefighting and damage to property and inform/show all
breathing workers
apparatus
11. Entering of Lack of 3 6 3 54 A Ensure that proper Responsible
Confined space communication can communication is set
Page 8 of 11
AND WHEN) PXSX
F
PROCEDURE IN PLACE
 ENVIRONMENT
 PROVIDE PPE
to carry out the lead to injury and/or up before entering the
work will only be fatality Confined space and
allowed when Lack of access that there is a confined
workers had control can lead to space guard at all
signed the injuries and/or times at the entrance
register fatalities Blocked Establish and maintain
entry/exit can lead clear and safe exits on
to injuries and/or the Confined space
fatalities. Confined  Ensure that the
working conditions workers does not
can lead to worker exceed the OEL/ TLV
fatigue causing in Confined sp
accidents/incidents
Poor visibility inside
the vessel can lead
to a hazardous
situation
12. Working in a The absence of 3 7 3 63 AA  Supervisor to Responsible
confined space P.P.E. can lead to inspect and physically
all the workers injuries, fatalities check the P.P.E. such
must have the and the damage of as
correct and equipment and respirators/breathing
serviceable property. apparatus before
P.P.E. on entering the vessel
13. Supervisor to  . Multiple 3 8 3 72 AA Only correct quantities Responsible
inspect and injuries, health to be drawn from
physically check hazards, fires and stores.. Proof of MSDS
the P.P.E. such explosions training to officer.
as Supervisor to
Page 9 of 11
AND WHEN) PXSX
F
PROCEDURE IN PLACE
 ENVIRONMENT
 PROVIDE PPE
respirators/breat complete DSTI and
hing apparatus Safety talk before work
before entering commences
the vessel
Adhesive putty,
Acetone, Paint
brushes, rollers,
and mixing
buckets
14. Prepare surface As per RA 026 3 7 3 63 AA RA 026 discussed Responsible
for application communicated &
with grinder and training provided to all
drill and jig-saw. employees using
grinders/jig-saws and
drills.
15. Apply resin and Eye injuries, health 3 6 3 54 B Correct PPE to be Responsible
mat, to surface hazards. worn. Rubber chemical
as per spec with Fumes/vapor/fires. gloves, FF2 respirators,
rollers/brushes No spillages – No
smoking/open flames
Allowed. Well
Ventilated area.
16. Use acetone to  As above 3 6 3 54 B  Wear Responsible
clean equipment appropriate PPE as
only when stipulated
leaving the
vessel or in the
lay down area
17. Exiting of When workers are 3 7 2 42 C Supervisor to mark off Responsible
Page 10 of 11
AND WHEN) PXSX
F
PROCEDURE IN PLACE
 ENVIRONMENT
 PROVIDE PPE
workers from the left inside vessel it all workers exiting the
Confined space can lead to injuries Confined space on the
on completion of and fatalities register
work  Supervisor to
Tools, equipment inspect the inside
left inside the and confirm that all
vessel can cause tools and equipment
damage to property have been remove
and/or equipment from the working area
18. Dispose spent Environmental 2 7 3 42 C Dispose into 210lt. Responsible
acetone. pollution, air, Container – marked
ground and water. spent acetone and
dispose of – to
Wastech class ‘A’
dumping site. Proof of
disposal forwarded to
Safety officer.
19. Use correct Health hazards 3 7 3 63 AA  Use correct Responsible
PPE. cartridge type
respirators at all times
if fibre is grinded or
drilled.
20. Clean area from Multiple health 2 6 3 36 C Use a vacuum cleaner Responsible
all fibres – don’t hazards and to suck up all
use air to clean pollution  Dust and contain to
(Housekeeping). dispose safely.
11
I the undersigned Responsible person (appointee) __________________________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

217 Confined Space Laminating

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Page 1 of 11

ANGLOGOLD ASHANTI: Mine Waste Solution CCIX

RISK ASSESSMENT RECORD

RA NO: 007 DATE: 2013-05-17

CONTRACTOR: Fibre-Wound LOCATION: Mine Waste Solution: Stilfontein

BRIEF DESCRIPTION OF SCOPE OF WORK/ACTIVITY: Laminating in Confined Spaces

RISK ASSESSMENT TEAM:

Anton van Zyl CR 6.(6) Safety Officer:

Available Adequate Changes Remarks

Scope of work (Logical steps on

FREQUENCY SCALE SEVERITY SCALE PROBABILITY SCALE

Serious (Disability Injury (LTI) / > R100, 000 (5)

Important (Non-disabling Injury / > R1, 000 (4)

Of Concern (Minor injury / > R100 damage) (3)

RISK RANKING / PRIORITY FACTOR

3 8 3 72 AA Where any certification Appointed

2. Responsible Personnel may be 3 8 3 72 AA Responsible 16.2

3. Responsible Exposures to 3 8 3 72 AA Responsible 16.2 Responsible

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

Employed by: FIBRE WOUND SA (Name of Company)

PRINT NAME IN FULL SIGNATURE

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