RISK ASSESSMENT SHEET

RISK ASSESSMENT SHEET
Risk assessment detail
Risk Assessment Number: 2177
Risk Assessment Date: 28 June 2013
Site Name: Wyndford VC 90157
Related PM Number 2875 Boiler (Atmospheric Gas
Burner) EC-GB2 Weekly
Related Asset EC-GB2 Gas Boiler 2 + Dunphy Burner
Related Location
Main Task under assessment
Boiler (Atmospheric Gas Burner) EC-GB2 Weekly
Boiler 2 (Athmospheric Gas Burner) WEEKLY
No other PM/Task other than that stated shall be
undertaken
HAVE YOU INFORMED THE DESIGNATED TEAM LEADER OR ANY OTHER PERSON THAT
YOU ARE WORKING ON THIS SITE TODAY? IF NOT - DO IT NOW
ENSURE PLANT ROOM DOOR IS LEFT UN-LOCKED WHILST IN THE ENERGY CENTRE
ENSURE LIGHTING LUX LEVELS ARE SUFFICIENT FOR SAFE WORKING
ENSURE YOU VISUALLY INSPECT THE ENERGY CENTRE FOR ANY OBVIOUS HAZARDS
ENSURE YOU CARRY AN OPERATIONAL HAND TORCH
IS YOUR PPE ADEQUATE FOR TODAYS WORK?
FOR TENANT/DWELLING WORK
IF THERE IS NO ADULT AVAILABLE TO ALLOW ACCESS OR THE PERSON IS PERCIEVED TO BE UNDER 16
YEARS OF AGE, THEN DO NOT ENTER AND NOTIFY YOUR TEAM LEADER OR COORDINATOR IMMEDIATELY
ONCE INSIDE THE DWELLING;
ENSURE LIGHTING LUX LEVELS ARE SUFFICIENT FOR SAFE WORKING
ENSURE YOUR MOBILE PHONE IS FULLY CHARGED
ENSURE YOU CARRY AN OPERATIONAL HAND TORCH
Plant Equipment / Location ID
Other Equipments involved with task
EC-GB2
burner b2
Forseeable hazards
slips trips falls
hot surfaces
Electric shock
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RISK ASSESSMENT SHEET
Safety Systems to be Employed
Yes/No Comments
Safety Documents
Required?
Hot Work Assessment? N
Special PPE? Y Gloves
Safety Harness? N
Gas Test? N
Floor Open Certificate? N
Selected Persons Report? N
COSHH? N
Other/s? N
N
All the safety systems on the left must be
employed and necessary to carry out
maintenance and repair work. You will be
expected to work on sites in areas that
may be hazardous. You must carry out or
have carried (by a competent person) a
risk assessment prior to any work being
carried out. The risk assessment must be
approved by your supervisor or safety
rep. If you consider any job/area to be
unsafe, then leave the work/aera and
report immediately to your supervisor.
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RISK ASSESSMENT SHEET
Hazard Probability Task Frequency Frequency Hazard Severity People People
Probability Factor
Factor Severity Factor Exposed Factor
Impossible 0 Infrenquently 1 Insignificant 0.1 1 - 2 Persons 1
Unlikely 1 Annually/ 6 Monthly 1 Minor - Light
Damage
Possible 2 Monthly / 3 Monthly 1 Break - minor
bone or
minor illness
(temp)
Even Chance 5 Weekly / 2 Weekly 1.5 Break - major
bone or
minor illness
(Permanent)
0.5 3 - 7 Persons 2
1 8 - 15 Persons 4
2 16 - 50
Persons
Probable 8 Daily 2.5 Loss of 1 4 more than 50
limb/eye or
Persons
serious illness
Likely 10 Hourly 4 Loss of 2 8
limbs/eyes or
serious illness
Certain 15 Constantly 5 Fatal 15
Table of Hazard Scores before and after control measures
People Factor 1.0 Frequency Factor 1.5
Uncontrolled
Controlled
Hazards Prob. Factor Sev. Factor Risk Action Taken to Reduce risks Prob. Factor Sev. Factor Risk
Electricity 8.0 15.0 180.0 Employ permit for work/ isolate lock
off source. Ensure that extension
cables and power tools are in safe
condition.
Moving Machinery 2.0 4.0 12.0 Employ a permit for work/ isolate and
lock off source
Stored energy 1.0 4.0 6.0 Ensure all stored energy is release
prior to work commencing.
Cuts, stabs grazes 2.0 0.5 1.5 Wear all PPE identified in the risk
assessment/ take care when using
provided hand tools. keep area of
work tidy
Manual Handling 2.0 0.1 0.3 Use tested lifting equipment on
heavy on heavy awkward items. Use
2 persons lift
Slips, Trips & Falls 1.0 0.5 0.8 Ensure that your work area is kept
tidy at al times, ensure clear access
and egress.
Falls from height /
falling objects
Use of hazardous
substances (COSHH
1999)
Dust, Fumes and
Vapours
Blows, impacts,
crushing
1.0 0.5 0.8 Use certified scaffolds when working
above 2 meters. Ensure that tools
and equipment cannot fall. Wear
safety harness attached to fixed
anchor point.
0.0 0.1 0.0 Read, understand and follow
precautions mentioned in COSHH
assessment
2.0 1.0 3.0 Wear fume/ particle masks as
appropriate.
1.0 1.0 1.5 Wear PPE issued/ take care when
using hand tools/ moving heavy
items.
8
12
1.0 15.0 22.5
1.0 4.0 6.0
1.0 4.0 6.0
1.0 0.5 0.8
1.0 0.1 0.2
1.0 0.5 0.8
1.0 0.5 0.8
0.0 0.1 0.0
1.0 1.0 1.5
1.0 1.0 1.5
Splashes and Spurts 0.0 0.5 0.0 Wear PPE issued/ Wear goggles. 0.0 0.5 0.0
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RISK ASSESSMENT SHEET
Risk Assessment guide Table
Risk Factor = Probability Factor x Severity Factor x person Factor x
Frequency Factor
Risk Factor Category Action
0 - 10 Acceptable Routine Action
11 - 50 Marginal - Low Risk Employ Safety Systems
51 - 100 Medium Risk Reduce Risk / Employ Safety Systems
Over 100 Unacceptable Must not be Allowed
Population Affected / Group at Risk
Engineer undertaking the task.
Accessor's Comments / Recommendations
Assessed By: Rico Lorentzen Signature:
Team Leader:
Signature:
A copy of this document must be retained on site in the SHE folders.
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