general risk assessment form - calderdale council …：一般风险评估表-卡尔德达尔理事会…

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1、GENERALRISKASSESSMENTFORMDateAssessedbyWalsdenLocation1AssessmentnumberWorkingatHeightActivityReviewdatePRELIMINARYASSESSMENTYESNOCANTHEEXPOSURETIMEBEREDUCED?CANTHEACTIVITYBESUBSTITUTED?CANTHENUMBEROFPEOPLEEXPOSEDBEREDUCED?CANTHEACTIONBEAVOIDED?SeverityQuant

2、itativeRating(A)LikelihoodQuantitativeRating(B)5Death/PermanentDisablity5Willalmostcertainlyhappen4SeriousLongtermillness4Highlylikelytohappen3Temporarydisability/3daysofwork3Possibly2Willneedmedicalattention2Might/lesslikelytohappen1Minorinjury,egbruise,gra

3、ze1UnlikelytohappenRiskQuantitativeRating(Rate)16-25Unacceptablerisklevel–takeimmediateaction10-15HighRiskLevel-takeactionassoonaspossible6-9MediumRiskLevel–Dosomethingassoonasisreasonable3-5FairlyLowRiskLevel–Lowprioritybutconsiderothercontrolmeasures1-2Low

4、Risk-Noactionrequired.ThisisasampledocumentandshouldbeusedforreferenceandadaptedforyourownsettingSignificantHazardsExistingControlMeasuresPeopleaffected(staff/public/both)(A)Severity1-5(B)Likelihood1–5Rate(AxB)RecommendedremedialactionCompletiondateSignature

5、ofAssessorSignatureofResponsiblePersonN.BYoumaynowsavethisdocumentbutyouarerequiredtosignandprintahardcopyforyourfilesasallRiskAssessmentsaretobesignedintheboxesabove.Thisisasampledocumentandshouldbeusedforreferenceandadaptedforyourownsetting