Free Employee Safety Risk Assessment Template

Employee Safety Risk Assessment


1. General Information

  • Assessment Date: January 15, 2080

  • Assessor Name and Role: John Doe, Health & Safety Officer

  • Assessment Number: RA-2080-001

  • Department/Area: Warehouse Operations

  • Location: Building B, 123 Industrial Park, Springfield


2. Task/Activity Description

  • Task/Activity Being Assessed: Forklift operation for loading and unloading pallets

  • Description of the Process: Operators use forklifts to move pallets from delivery trucks to designated storage areas. The task involves maneuvering in confined spaces with other workers present.

  • Frequency of Task/Activity: Daily (8 hours per day)

  • Duration of Exposure: Approximately 6-8 hours per operator per day

  • Number of Employees Involved: 8 forklift operators and 3 warehouse assistants


3. Identified Hazards

Hazard

Potential Harm

People at Risk

Likelihood

Current Control Measures

Collision with objects

Injuries due to impact

Forklift operators, warehouse staff

Medium

Safety barriers installed; operator training

Overturning forklift

Serious injury or fatality

Forklift operators

Low

Speed limits enforced; forklifts regularly serviced

Falling pallets

Injuries from falling objects

Warehouse staff, delivery personnel

Medium

Proper stacking procedures; use of pallet restraints

Slippery floors

Slips and falls

All employees in the area

High

Regular cleaning; warning signage placed


4. Risk Evaluation

  • Overall Risk Level (Low/Medium/High): Medium

  • Risk Scoring Matrix: Severity x Likelihood = Risk Score (High = 9, Medium = 6, Low = 3)

  • Justification for Risk Level: The hazards identified have varying severity and likelihood. Control measures are in place but require reinforcement to reduce residual risk. Slippery floors present the highest ongoing risk due to weather conditions and potential spills.


5: Recommended Control Measures

Control Measure

Action Required

Responsible Person

Resources Needed

Status

Install anti-slip flooring

Procure and install certified anti-slip tiles

Facility Manager

Vendor selection, $8,000 budget

Planned

Conduct refresher forklift training

Schedule quarterly operator training

HR Manager

External trainer, $2,000 budget

In Progress

Introduce automated stacking arms

Upgrade warehouse equipment to include automated stacking technology

Operations Manager

Capital investment, $50,000

Planned

Update safety signage

Add signage at entry points and high-risk zones

Safety Officer

In-house printing resources

In Progress


6. Emergency Preparedness

  1. Emergency Procedures:

    • Conduct monthly evacuation drills.

    • Designate and train first-aid responders.

    • Install visible and accessible emergency stop buttons on forklifts.

  2. Training Required:

    • Emergency response training for all staff.

    • Annual first-aid certification for designated personnel.

  3. Personal Protective Equipment (PPE) Needed:

    • Steel-toe boots for all workers.

    • High-visibility vests for operators and assistants.

    • Hard hats in pallet stacking areas.


7. Monitoring and Review

  • Monitoring Frequency: Weekly inspections of the warehouse environment.

  • Person(s) Responsible for Monitoring: John Doe, Health & Safety Officer

  • Date for Review: April 15, 2080

  • Comments/Observations: Current controls are reducing incidents, but additional measures, such as the introduction of automated stacking systems, are needed to further mitigate risks. Recent wet weather has highlighted a need for faster cleanup response times for spills.

  • Action Taken Post-Review: Implemented an updated cleaning schedule and purchased additional anti-slip mats for high-traffic zones.


8: Sign-Off

[Your Name]
Date: January 15, 2080

Manager Approval:

Jane Smith

Warehouse Manager
Date: January 15, 2080

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