Health and Safety Risk Assesment Sample Report

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General Health and Safety Risk Assessment

Sunbeam Horizons / 03 Oct 2018 / George Watson Complete

Score 60% Failed items 4

Client / Site Sunbeam Horizons

Date and Time of Inspection 3 Oct 2018 11:09 PST

Inspected by George Watson

Location Skolgatan 14, 831 37 Östersund,


Sweden

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Failed Items 4 failed

Assessment / Biological (e.g. hygiene, disease, infection)

Are there biological hazards observed? At Risk

Assessment / Chemicals

Are there chemical hazards observed? At Risk

Assessment / Environment

Are there environment hazards observed? At Risk

Assessment / Machinery, Plant and Equipment

Are there machinery, plant and equipment hazards observed? At Risk

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Assessment 4 failed, 60%

Hazard Identification
Enter description of procedure, task or worksite being assessed
constructing a building

Biological (e.g. hygiene, disease, infection) 1 failed, 0%

Are there biological hazards observed? At Risk

Click Add Hazard after you have observed and identified a hazard

Hazard 1

Choose the type of hazard Other

Kindly specify Garbage nearby the construction site

Description of hazard
Rotten food and other materials scattered

Take a photo (Optional)

Photo 1

Risk rating

Consequence Minor Injuries

Likelihood Unlikely

Risk rating Medium

Controls

Select control measures Elimination

Administrative Controls

Chemicals 1 failed, 0%

Are there chemical hazards observed? At Risk

Click Add Hazard after you have observed and identified a hazard

Hazard 1

Choose the type of hazard Hazardous chemical(s)

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Description of hazard
Saw some chemicals stacked in one area. Some need to be disposed of and not to be mixed with other chemicals.

Photo of hazard (optional)

Photo 2

Name of chemical(s) / Details


Hexachlorocyclopentadiene
Hexamethylenediamine
Hydrazine
Hydrocyanic acid

Risk rating

Consequence Major Injuries

Likelihood Likely

Risk rating High

Controls

Select control measures Elimination

Administrative Controls

PPE

Critical Incident 100%

Are there critical hazards observed? Safe

Energy Systems 100%

Are there energy system hazards observed? Safe

Environment 1 failed, 0%

Are there environment hazards observed? At Risk

Click Add Hazard after you have observed and identified a hazard

Hazard 1

Choose type of hazard Sun exposure

Description of hazard
Too much sun exposure

Photo of hazard (optional)

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Photo 3

Risk rating

Consequence Major Injuries

Likelihood Likely

Risk rating High

Controls

Select control measures Engineering Controls

Administrative Controls

PPE

Facilities / Built Environment 100%

Are there facilities / built environment hazards observed? Safe

Machinery, Plant and Equipment 1 failed, 0%

Are there machinery, plant and equipment hazards observed? At Risk

Click Add Hazard after you have observed and identified a hazard

Hazard 1

Choose type of hazard Machinery (fixed plant)

Description of hazard
Damaged crane boom

Photo of hazard (optional)

Photo 4

Risk rating

Consequence Fatality

Likelihood Likely

Risk rating High

Controls

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Select control measures Engineering Controls

Administrative Controls

PPE

Manual Tasks / Ergonomics 100%

Are there manual tasks / ergonomics hazards observed? Safe

People 100%

Are there people hazards observed? Safe

Others
Are there any other hazards not listed above? None

References
Risk Matrix Reference

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Hierarchy of Controls Reference

Monitor and Review Controls 100%

Are the planned control measures sufficient and effective in minimizing the
Yes
level of risk?

Are further control measures required in future? No

Have there been any changes to the planned control measures? No

Completion
Recommendations
Conduct regular inspections to ensure that the construction work area is hazard free.
remind your workers to always wear PPE to protect themselves from uncontrolled hazards present on site.

Full Name and Signature of the Inspector

George Watson
3 Oct 2018 13:03 PST

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Appendix

Photo 2
Photo 1

Photo 3

Photo 4

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