Risk assessment form

Name of assessor K.A.M.D Perera Date 24/10/2022

Time 12.50 P.M Work area CICT Dangerous Goods Storage Facilities Yard (4D)

Task being assessed Conducting General Maintenance Work at DGSF Yard.

New risk
How might Existing Risk rating rating Action/ Action/
What is the Who might be Additional
people be risk control (Residual) monitored by monitored by
hazard? harmed? controls
harmed? measures whom? when?
L C R L C R
Chemical Hazard Maintenance Inhale airborne Randon checks Design and H.S.E
as expose to technicans/Visitors/ toxic gases and done by H.S.E implement Managment/Mainten
airbone toxic H.S.E supervisors. fainted or instant supervisors 6 hours automated DG ance Engineers 2 Months
gasses by leaked death.Long term internal using a Gas detection
DG containers diseases such as potable gas system to monitor 5
4 20 2 10
stored in the yard lung caners or other detector. 5 DG Yard condition
illnesses. Minimun 2 real time basis.
technicans enaged Provide Potable
in a maintenance gas detector to
tasks. technicans.
Work permit Introduce
procedure Inspection record
introduced with a sheet in 1 hour
tool box meeting intervals to check
the conditions
 Risk assessment form

New risk
How might Existing Risk rating rating Action/ Action/
What is the Who might be Additional
people be risk control (Residual) monitored by monitored by
hazard? harmed? controls
harmed? measures whom? when?
L C R L C R
Expose to Anyone who visits Inhale airborne Repair the corroded Check the Maintenance
contaminated the buliding Asbestos due to fire exist doors and corroded fire exit Engineers/Supervis
asbestos in exposed asbestos dispose the doors and dispose ors 2 Weeks.
Corroded Fire Exit fibres. Lung asbestos. the same without
Doors. cancers,Asbestosis repairing.
or Mesothelioma or 4 4 16 Replace them with 1 4 4
other illnesses. corrosion resistant
Fire doors.

Review date Signature

Training Provider name