Sample Risk Assessment Form – Retail Sector

ACTIVITY-BASED RISK ASSESSMENT FORM

Company: AGT Company Conducted by: Ms. Lim (Store Manager), Ms. Koh (Store Supervisor),
Process/ Location: Selling dietary supplements (Names, designations) Ms. Pang (Store Attendant)
Approved by: Ms. Cecilia Quek (Managing Director) (Date) 03 Jan 2010
(Name, designation) 05 Jan 2010
(Date) Last Review Date: NA Next Review Date: 21 January 2010

1. Hazard Identification 2. Risk Evaluation 3. Risk Control

1a. 1b. 1c. 1d. 2a. 2b. 2c. 2d. 3a. 3b.
Existing Risk Action Officer,
Possible Accident / Control Risk Additional Risk Designation
No. Work Activity Hazard Severity Likelihood
Ill Health Level Control
(if any) (Follow-up date)
1a Arranging Falling objects Foot injury • Wear covered Moderate Occasional Medium Proper and Ms. Koh (Store
products on shoes only permanent Supervisor)
display shelves • Exercise extra marking on 17 January 2010
caution and shelves to serve
ensure products as reminder
are displayed at
least 5 cm away
from edge
1b Fall from height Sprain • Use step ladder Moderate Remote Low Continuous Ms. Lim (Store
when arranging effort to remind Manager) and Ms.
products on employees on Koh (Store
shelves above adopting right Supervisor)
shoulder height posture while On-Going
working
1c Manual handling Lower back pain • Cart available to Moderate Occasional Medium To train shop Ms. Lim (Store
(heavy lifting as assist in moving attendants in Manager)
products come in products around proper lifting 21 January 2010
bulk, and weigh up to • Boxes with weight technique
50 kg) indication
2 Attending to shop Prolonged standing Swollen feet • Wear comfortable Minor Occasional Low NA NA
shoes
• Shop attendants
briefed – to take
breaks every hour
of work
1. Hazard Identification 2. Risk Evaluation 3. Risk Control
1a. 1b. 1c. 1d. 2a. 2b. 2c. 2d. 3a. 3b.
Existing Risk Action Officer,
Possible Accident / Control Risk Additional Risk Designation
No. Work Activity Hazard Severity Likelihood
Ill Health Level Control
(if any) (Follow-up date)
• Chair provided
Dealing with Physical injury • Post signs stating Major Remote Medium Install panic Ms. Lim (Store
workplace robbery that the cash buttons so that Manager) to
register only employees can discuss with
contains minimal notify authorities authorities and
cash quickly and security company
• Periodic patrolling easily 30 March 2010
by security officer
3 Cleaning shelves, Direct contact with Skin irritation / • Rubber gloves Moderate Remote Low NA NA
furniture etc harsh cleaning agents problem worn whenever
one is handling
chemicals
• Selection and use
of chemicals that
claim to be less
harsh on skin –
information from
the labels
Inhaling chemicals Giddy, headache • Use of chemicals Minor Remote Low NA NA
kept at minimal
• Avoid using spray
bottle to apply
chemicals to
eliminate
aerosolisation
• Chemicals kept
closed and stored
in designated
cabinets after use
Slippery work surface Slip and fall • Floors are Minor Occasional Low Purchase the Ms. Koh (Store
mopped after “Caution” sign – Supervisor)
business hour to be placed on 30 March 2010
• Ensure shoes floors when it is
worn to work needed to be
have good mopped during
traction business hours
Overstretching / Muscle aching • Use of bucket Minor Occasional Low Continuous Ms. Lim (Store
1. Hazard Identification 2. Risk Evaluation 3. Risk Control
1a. 1b. 1c. 1d. 2a. 2b. 2c. 2d. 3a. 3b.
Existing Risk Action Officer,
Possible Accident / Control Risk Additional Risk Designation
No. Work Activity Hazard Severity Likelihood
Ill Health Level Control
(if any) (Follow-up date)
bending while equipped with effort to remind Manager) and Ms.
carrying out mop wringer employees on Koh (Store
housekeeping • Use of step adopting right Supervisor)
ladder when posture while On-Going
cleaning high working
shelving
• Adopt squatting
posture when
cleaning low
shelving
• 2-person task – to
share the
workload