Name End-of-course date Training provider ACE Training & Consulting

Total
marks

Risk assessment form

Marks

Assessors name Date

Description of process, activity or task to be risk assessed

Describe the location The Bataan Pulp and Paper Mills, Inc. (BPPMI) is located in Samal bataan. A paper mills that produces 45,000 metric tons of paper per annum. It is
where the activities are 2 Kilometer away to the nearest residential area. The excat location of the activity is in the logistic area of the Paper mills which is having 4 gantry
taking place crane locations in an 10 Kilometer warehouse rectangle design.

Describe the activities Loading and Unloading to a trailer bead or container ban of Rolled Paper that weights 2 tons each piece.
being performed

Describe the A Gantry Crane is being used to lift the Paper Roll into the trailer bed or container ban.
equipment and/or
substances being used

Describe the people The Operator of the remote lifter is moving back and fro. loading and unloading continuously for the trailer bed and container ban waiting for
involved in these completion of loading or discharge.
activities (and others
who might be affected)
 Risk assessment form

Marks
Description of hazard Who might be What risk controls Current risk Are further Date to be Residual risk
and hazardous event harmed? are currently in rating* controls needed? completed by rating*
place?
L C R L C R
The warehouse is operators and helpers None Provide A way immediate
congested with limited and passerbys designated only for
Location

movement for workers and pedestrians.

pedestrians/workers. The 3 5 15 Provide Signages for 1 5 5
parkings of trailers and proper parking and
containers may cause head reverse alarm system for
or body bump the equipment

Lifting of Paper Roll Mills operators and helpers There is a paint in the YES in a weeks time or the
in 4 simultaneous location and passerbys floor, indicating the Provision of System soonest the better
Activities

might cause confusion to boundaries of Shutdown during

operators and workers operations. emergency or
passing below. A possible 4 5 20 emergency stop button. 1 5 5
struck by the load is a Additional Signage and
hazard. Training for Operators
Equipment and

The Gantry crane operates the operators and the Monthly maintenance YES Immediate
all mosts 24 hours hence a other workers involved 4 Houris intervals for
substances

malfunction might cause 24hours works. During

overloading that may result 3 5 15 intervals must have an 1 5 5
into overheating that can documented inspection.
cause fire or electrocution must provide checklists
to maintain integrity.

*Likelihood x Consequence = Risk

Risk Rating Calculator
Likelihood that hazardous event will occur
1 very unlikely
2 unlikely
3 fairly likely
4 likely
5 very likely
Consequence of hazardous event
1 insignificant no injury
2 minor minor injuries needing first aid
3 moderate up to three days absence
4 major more than seven days absence
5 catastrophic death

Action Level Table

Risk rating Action
2025 Stop stop activity and take immediate action
1516 Urgent action take immediate action and stop activity if necessary, maintain existing controls rigorously
812 Action improve within specified timescale
36 Monitor look to improve at next review or if there is a significant change
12 No action no further action but ensure controls are maintained and reviewed

Example risk assessment

Description of hazard Who might be What risk controls Current risk Are further Date to be Residual risk
and hazardous event harmed? are currently in rating* controls needed? completed by rating*
place?
L C R L C R
Filling car with petrol, Person filling vehicle Auto pump cut off, 4 2 8 Make available By next week 3 2 6
Activities

leading to spillage and others on signage and plastic paper towels, sand
forecourt gloves and absorbent
material