Risk Assessment Form

Task/Location/Brief Risk Assesor Date S#

Technical rooms Mohamed Mahran 29/8/2023 R09

Risk Description

Electrical hazard
trip or fall
chemical hazerd

Immediate Actions

Stop work and secure the work environment before starting again, perform first aid in case of injuries, and deal with fire in case of occurrence

Initial Assessment Initial Risk Grades

L4 C5 Electrical hazard
L3 C3 trip or fall
L3 C5 chemical hazerd

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Procedures already in place
The workforce must be trained and experienced
Toolbox talk must be done before starting work
The work permit issued by the RATP must be followed
Continuous follow-up while performing the task
It is necessary to make sure that the electric current is disconnected before
starting work tag out lock out
Wear personal protective equipment (safety shoes. vist. gloves)
Do not use water during cleaning work
A competent technician must be present during work
MSDS availability and worker training shall be required
Warning signs must be placed during work

Current Assessment Current Risk Grades

L1 C5 Electrical hazard
L1 C3 trip or fall
L1 C3 chemical hazerd

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Additional Procedures

Final Assessment Final Impact Final Likelihood

Low 15 C5 L1
L5
L4
L3
L2
L1

C1 C2 C3 C4 C5
if you’re using a 5x5 matrix, this means the upper extremities of acceptability are either when the probability of risk occurrence is “Possible”, and the impact is
“Very Low”, or the probability of risk occurrence is “Rare”, and the impact is “Medium”.