HAZARD IDENTIFICATION AND RISK ASSESSMENT FORM

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LIKELIHOOD RATING (LHR)

LOCATION ACTIVITIES HAZARD (What Could CONTROLS

LIKELIHOOD (Improbable, Unlikely, Rare,

CONSEQUENCE (Slightly Harmful,

Harmful, Very Harmful, Extremely Harmful,

(CR)

INITIAL RISK RATING (LHR x CR)

LIKELIHOOD RATING AFTER CONTROL

CONSEQUENCE RATING AFTER

CONTROL
Likely, Almost Certain)

Catastrophic)
(What are you going to
Harm Staff/ Students/ do to reduce the Risk?)
Visitors)

CONSEQUENCE RATING
Club house, unloading of No safe 1.Remove the hazard by designing
Warehouse materials and operational control it out -designing the permitted
stacking procedures routes and operating zones for
forklift operations such that they
will never come in contact with any
pedestrian or worker.
2. Guard the remaining hazards to
prevent the accident from occurring
This can be carried out by
erecting physical barriers next to a
walkway to prevent the forklift from
coming into contact with
pedestrians.
3. Mitigate the impact of the
hazards -wearing an appropriate
seat belt can save the life of an
operator when the forklift
overturns. a forklift fitted with a
seat belt must be provided and the
operator instructed to use the belt.
 Identifying the most efficient routes
and traffic flows,
* Separating
pedestrian walkways and forklift
routes and operating zones-
Identifying safety zones for truck
drivers,
* Incorporating containment
fences, Incorporating speed
limiting device,
* Putting up adequate warning
lack of traffic signs,
management plan
collision with • Provide safety features (such as
operative , reverse warning lights and audio
structure warning, rearview mirror, flashing
lights) and inspect them regularly

• Inadequately Before an operator is authorised to

trained and operate the forklift, he/she must
authorised undergo and pass an appropriate
operators forklift driving course.

Only trained and authorised operators

are permitted to operate a forklift.
Employers should implement a
control system to prohibit
unauthorised use of forklifts. Workers
Ineffective should be briefed on the control
system to system and only authorised forklift
control the use operators should be permitted to
of forklifts operate a forklift
Operators should check any load for
its weight, shape and size so that
precautions for lifting the load can be
taken. Do not exceed the rated load
capacity. Always travel with the load
and forks low to the ground.Always
sound the horn and slow down when
approaching corners, intersections
and doorways.

over loading
 not assesing the area of the forklift should be checked
work environment for overhead obstructions, uneven
ground, puddles, of oil or potholes etc.

lack of preventive Ensure that the operator has

maintenace performed daily maintenance checks
and the forklift is serviced in a timely
manner according to the
manufacturer’s recommendations.

Not using the Always use the seatbelts. Hold on

saefty devices firmly and stay within the cabin in the
event of an overturn. Do not bypass
the speed limiters or reversing
beeping system.

using mobile Operators should not be using the

phones mobile phone or other talking devices
while operating a forklift.
operator to keep an eye on the
helper.operate only after getting signal
Body/limbs caught
from helper
in moving parts of
the forklift
to be banned for any work at height or
Lifting of persons reaching the top of load for any
on the forks reason

Electrocution only authorised mechanic to do the

(Battery operated repair work, switch off engine before
forklift) any repair

Provide three point contacts on

forklifts (Steps with good footing,
Fall from fork lift antislip surfaces and handles)

Team Member 1: Team Member 2: Team Member 3: Approved by:

Name: Name: Name: Name:

Signature: Signature: Signature Signat

: ure:
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REMEDIAL ACTION REQUIRED /
FINAL RATING

REMARKS

safe work procedures (SWP)

must be developed and
implemented to control
the risks
*Another way to mitigate the
impact of an accident would
be to limit the speed of the
forklift. With lower speed, the
operator is better able to react
to avoid an accident
• Adequately instruct visitors
and all employers at the
workplace of the site’s traffic
management plan,
• Review the plan when
work processes or site plans
change.

Ensure that the forklifts are

inspected daily

. Electronic systems such as

swipe cards and pin code can
help to control the use of
forklifts.

. If the operator’s view from

the forklift front is blocked, he
should always travel in the
reverse direction or have
another worker to keep a look
out for him.
Display sufficient signs and
warnings in the workplace

Ensure that the workplace is

adequately lit

forklift operating areas are either eliminated or minimised