Fork Lift Truck-Risk Assessment - Date: R A - S A /S

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Fork lift truck- Risk Assessment- date

RISK ASSESSMENT – SPECIFIC ACTIVITY/SITUATION

WORKPLACE / ACTIVITY / Fork Lift Truck Operations – REVIEW


Annually
EQUIPMENT BEING ASSESSED: Unloading area TIMESCALE:

FLT drivers, any employees,


PERSONS AT RISK- AFFECTED
BY ACTIVITY:
contractors, members of public in the NUMBER 1 – 20
vicinity
OTHER VULNERABLE
PERSONS AFFECTED BY None NUMBER
ACTIVITY:

POTENTIAL HAZARDS Assessment of Risk


REF. Low Med High
1 Pedestrian/vehicle collision causing impact injury √
2 Falling loads, dropping onto pedestrians in work area √
Adverse weather conditions causing poor visibility, impact √
3
injury
4 Sliding or skidding on wet/contaminated/ icy floor surfaces √
Electric shock from touching live terminals of battery causing √
5
severe burning to the hands
6 Overloading of the forklift causing load failure, falling objects √
7 Unsecured loads falling from height – crushing injury √
8 Fire /explosion caused by LPG leaks – burns etc √
9 Forklift falling when unloading on the slope √
10 Overturning vehicle travelling at speed, driver crush injury √

EXISTING CONTROL MEASURES


 Daily pre us driver inspection of vehicle – checklist maintained
 Checking of all pallets are sound condition prior to use – Driver training – Load checks
 Restricted use in adverse weather conditions – management control
 Protective footwear worn by forklift truck drivers and another personnel in unloading areas
 Salt available and applied during icy conditions.
 Lighting is provided and maintained.
 Marked pedestrian access areas and temporary barriers to restrict access in non routine work
 Statutory LOLER inspections of vehicle chains – SWL marked in drivers area
 Trained and competent drivers operating vehicles – Authorised to drive – Site Induction
 Routine vehicle maintenance – D A C Handling – Records of maintenance maintained
 Restrict forklift use in customer areas during peak times
 Forklift must be used on the flattest ground possible
 FLT Operating sign to front of work area – restricted access

INITIAL ASSESSMENT OF OVERALL RISK LOW MEDIUM √ HIGH

RISK = SEVERITY x LIKELIHOOD


Rating SEVERITY of injury/disease LIKELIHOOD of occurrence

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Fork lift truck- Risk Assessment- date

HIGH Fatality; major injury or illness causing long term disability Certain or near certain to occur
MEDIUM Injury or illness causing short term disability Reasonably likely to occur
LOW Other injury or illness Very seldom or never occurs

COMPLETION
ADDITIONAL CONTROL MEASURES - (IF APPLICABLE) RESPONSIBLE PERSON
DATE
Train personnel on the installation of the LPG
cylinder, refuelling and include daily checks within the
maintenance regime.
Provide drivers with fluorescent jackets
Provide barriers to unloading area
Carry out and record familiarisation training for
drivers.
Introduce formal recorded weekly inspection of traffic
routes/work area
Flashing beacons should be fitted to all forklift trucks.

RESIDUAL ASSESSMENT OF OVERALL RISK LOW √ MEDIUM HIGH


Note: Re-Assessment Required if Overall Residual Risk Remains High

ADDITIONAL INFORMATION:
(Notes, comments, further details, outline procedures, safe systems of work, standards, drawings, etc.)

Risk Assessment Circulation list (tick box)


Employees √ Management √ Contractors
Other – Specify:
Signature of person primarily accountable: Date:

Assessor: Signature:

Review
Date Assessed: 1 year
Timescale:

Notes: Control measures that already exist or additional control measures that will reduce the risks further
require to be noted. The additional control measures noted will also have to have the completion date for
each measure indicated

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