Free Employee Safety Risk Assessment Template
Employee Safety Risk Assessment
1. General Information
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Assessment Date: January 15, 2080
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Assessor Name and Role: John Doe, Health & Safety Officer
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Assessment Number: RA-2080-001
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Department/Area: Warehouse Operations
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Location: Building B, 123 Industrial Park, Springfield
2. Task/Activity Description
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Task/Activity Being Assessed: Forklift operation for loading and unloading pallets
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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.
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Frequency of Task/Activity: Daily (8 hours per day)
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Duration of Exposure: Approximately 6-8 hours per operator per day
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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
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Overall Risk Level (Low/Medium/High): Medium
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Risk Scoring Matrix: Severity x Likelihood = Risk Score (High = 9, Medium = 6, Low = 3)
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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 |
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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
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Emergency Procedures:
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Conduct monthly evacuation drills.
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Designate and train first-aid responders.
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Install visible and accessible emergency stop buttons on forklifts.
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Training Required:
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Emergency response training for all staff.
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Annual first-aid certification for designated personnel.
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Personal Protective Equipment (PPE) Needed:
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Steel-toe boots for all workers.
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High-visibility vests for operators and assistants.
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Hard hats in pallet stacking areas.
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7. Monitoring and Review
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Monitoring Frequency: Weekly inspections of the warehouse environment.
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Person(s) Responsible for Monitoring: John Doe, Health & Safety Officer
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Date for Review: April 15, 2080
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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.
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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