Slip, Trip, and Fall Risk Assessment

Location:	Main Production Facility	Assessment Conducted By:	[Your Name]
Date:	September 25, 2050	Position:	HR Manager

Section 1: General Information

1.1 Purpose of Assessment

The purpose of this assessment is to identify and mitigate slip, trip, and fall hazards in the Main Production Facility to ensure the safety of our employees.

1.2 Scope of Assessment

The assessment covers the main production floor, offices, break rooms, restrooms, and surrounding outdoor areas.

1.3 Participants

• [Your Name], HR Manager

• Mark James, Facility Manager

• Sylvia Romo, Production Supervisor

• John Porterfield, Health and Safety Officer

Section 2: Hazard Identification

2.1 Walkways and Floors

•  Uneven or damaged flooring

•  Wet or slippery floors

•  Loose mats or rugs

•  Cables or cords across walkways

•  Obstructions or clutter in walkways

•  Poor lighting

2.2 Stairs and Steps

•  Slippery or uneven steps

•  Missing handrails

•  Inadequate lighting on stairs

•  Obstructed stairwells

2.3 Workspaces and Equipment

•  Cluttered workspaces

•  Poorly maintained equipment

•  Spills or leaks near equipment

•  Inadequate storage solutions

•  Unsafe use of ladders or stools

2.4 Outdoor Areas (if applicable)

•  Uneven terrain

•  Potholes or cracks in walkways

•  Slippery surfaces due to weather conditions

•  Poorly maintained parking lots or pathways

Section 3: Risk Assessment

3.1 Likelihood of Hazard Occurrence

Rate the likelihood on a scale of 1 to 5, with 1 being highly unlikely and 5 being highly likely. 

Highly Unlikely (1)	Unlikely (2)	Neutral (3)	Likely (4)	Highly Likely (5)

3.2 Severity of Consequences

Rate the severity on a scale of 1 to 5, with 1 being insignificant and 5 being severe.

Insignificant (1)	Minor (2)	Significant (3)	Major (4)	Severe (5)

3.3 Risk Assessment Matrix

Likelihood (L)	Severity (S)	Risk Level
1-2	1-2	Low
1-2	3-4	Medium
3-4	1-2	Medium
3-4	3-4	High
5	1-5	Extreme

3.4 Recommended Actions

1. Repair or replace damaged flooring in the production area by [October 15, 2050]. (Facility Manager)

2. Implement a schedule for regular mat and rug inspection and replacement by [November 1, 2050]. (Production Supervisor)

3. Ensure all walkways are clear of obstructions by conducting weekly inspections starting [October 1, 2050]. (Health and Safety Officer)

4. Improve lighting in stairwells by [September 30, 2050]. (Facility Manager)

5. Provide training on safe equipment use by [October 10, 2050]. (HR Manager)

Section 4: Risk Control Measures

4.1 Engineering Controls

1. Repair damaged flooring promptly.

2. Improve lighting in stairwells.

3. Install handrails on staircases.

4.2 Administrative Controls

1. Implement regular mat and rug inspection.

2. Conduct weekly walkway inspections.

3. Provide equipment safety training.

4.3 Personal Protective Equipment (PPE)

1. Non-slip shoes should be worn in production areas.

Section 5: Review and Follow-Up

5.1 Review Date 

• Date: [October 31, 2050]

5.2 Follow-Up Actions

1. Conduct a follow-up assessment to evaluate the effectiveness of control measures.

2. Adjust control measures as necessary based on the follow-up assessment.

[Signature]

[Your Name]

Assessor

Date: [MM/DD/YYYY]

[Signature]

[Production Supervisor Name]

Production Supervisor

Date: [MM/DD/YYYY]

[Signature]

[Facility Manager Name]

Facility Manager

Date: [MM/DD/YYYY]

[Signature]

[Health and Safety Officer Name]

Health and Safety Officer

Date: [MM/DD/YYYY]

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