330 - Element 5.02 Using of Stanley Knife (EPCM)

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RISK ASSESSMENT RECORD
RA No: (009) DATE: 2013.07.05
CONTRACTOR: Fibre - Wound LOCATION: Mine Waste Solution Stilfontein
BRIEF DESCRIPTION OF SCOPE OF WORK/ACTIVITY: Using of a Stanley Knife
RISK ASSESSMENT TEAM:

Title/Appointment
Contractors: Approved: Yes/ No
Initials & Surname
Signature
Chris Swart Project Manager:
Project Coordinator
Name: ______________ Signature: ______________
Andre Gerber
Project Engineer
Anton van Zyl
CR 6.(6) Safety Officer: Engineering Manager:
Name: _________________ Signature: ____________
Title/Appointment
Client representative
COMMENTS:
Vaughan Swart Safety Co-Ordinator
Discipline Co-Ordinator
/conversion/tmp/activity_task_scratch/755698804.doc
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REQUIRED AND EXISTING CONTROL MEASURES: (SUBMIT AND ATTACH TO RISK ASSESSMENT)
Available Adequate Changes Required Remarks

Yes No Yes No Yes No
Scope of work (Logical steps on how task

will be performed )
Procedures: (W I / SOP / Vendor spec's) X X X
Training (induction) / Competency certificates/
X X X
Specific training identified / Other (Instructions)
Special Permits required (specify) X X X
Equipment /Tool registers / others (specify) X X X
Code of Practice: X X X
Other:
Frequency Scale Severity Scale: Probability Scale
Frequent Occurrence/ daily (3) Catastrophic (Many Fatalities />10 Million damage) (8)
Has happened before (3)
It has happened/ Monthly (2) Disaster (Fatal injury / >1 Million damage ) (7)
Quite possible (2)
Could occur/ Yearly (1) Very Serious (Reportable Accident/ >R 100,000 damage (6)
Serious ( Disability Injury (LTI) />R10000 damage (5) Unusual but possible (1)
Important (Non Disabling Injury/<R1000 damage) (4)
Of Concern (Minor Injury />R100 Damage) (3)
RISK RANKING / PRIORITY FACTOR

If score is 61 to 72 AA Potentially Disaster, action needed immediately
If score is 49 to 60 A Potentially Major, action to be taken within 8 hours – during the shift
If score is 37 to 48 B Potentially Serious, action to be taken within 16 hours – during the second shift
If score is 20 to 36 C Potentially Minor, action to be taken within 7 days
If score is 0 to 19 D Potentially Concern , action not to be taken during work
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RISK ASSESSMENT
N LIST TASK WITH ALL POTENTIAL AND EXISTING PROB SEV OF FREQ SCORE RISK PREVENTATIVE MEASURES PERSON RESPONSIBLE
O TASK STEPS HAZARDS OF OCCUR OF TOTAL RANK / AND CONTROLS RESPONSIBLE TO PERSON’S
(WHO WILL DO WHAT,  INJURY OCCUR 3/4/5/6/7/8 OCCUR PXSXF PRIORITY  ELIMINATE RISK ENSURE SIGNATURE ON
WHERE AND WHEN) 1/2/3 1/2/3 FACTOR PREVENTATIVE COMPLETION
 HEALTH  CONTROL AT SOURCE MEASURES AND DATE
 PROCESS  PUT/FOLLOW PROCEDURE CONTROLS ARE IN
 MATERIAL  PROVIDE PPE PLACE
 ENVIRONMENT
1. Responsible CR  Tools and 3 8 3 72 AA All equipment that are
6.1 to ensure all equipment will not going to be used with
tools and be identified their registers shall be
equipment numbered and checked by the site’s
(Personal inspected and responsible person and
protective couldn’t comply signed off before work
equipment etc) to with legal shall commence
be used are requirements/site (Electrical Machinery
identified standards which Reg.9+10 & driven
numbered can result in legal Machinery Reg 20
inspected and on liability claims. /General Safety Reg 14a
register (5)(b)
 People could be 3 8 3 72 AA Where any certification is

exposed to injury required this will form part
due to failure of of the register to ensure
equipment. failure of equipment is
kept to a minimum
2. Responsible CR  Personnel may be 3 8 3 72 AA Responsible CR 6.1 to
6.1 will ensure all exposed to ensure Works Instruction
his/her personnel hazards not WI – 19 – 04 – 2/1 is
go through the known to him followed to the letter.
medical
surveillance and  Possible Health
attend induction related issues will
before work will not be identified
commence that could result
in injury
 Possible Health
related issues will not
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 ENVIRONMENT
be identified that
could result in injury
or legal liability claims
3. Responsible CR  Exposures to 3 8 3 72 AA Responsible CR6.1 to
6.1 will ensure that unknown hazards ensure no job will
all relevant permits commence before all
and clearance to  Exposure to legal necessary permits are
work will be liability obtained and clearance to
obtained before work has been given by
the work will  Possible process the responsible person of
commence interruptions the section work is to be
performed (Occ H&S Act
Const Reg 7 )
4. Responsible 16.2 to Exposures to unknown 3 8 3 72 AA All workers to sign the
ensure risk hazards workman’ s declaration.
assessment is Working on wrong
discussed; equipment and
understood and machinery
signed prior to work
is commenced People can be exposed
to Injury
5. Doing a visual Ensure that the body of 2 7 2 28 C Supervisors to enforce the
inspection of the the knife is properly wearing of leather gloves
Stanley knife closed preventing spare and proof of operators
blades protruding trained to use, maintain the
causing lacerations to knife correctly
the hand when cutting.
6. Testing retractable When the retraction does 2 7 2 28 C Operator to ensure that the
mechanism and not work it can cause blade is properly installed
blade inspection laceration to the hands and ret traction is working,
when removing from numbered and written in the
hand tool container. hand tool register
7. Securing material If material is not properly 3 7 2 42 B Supervisor to ensure that the
before the cutting secured it can slip and operator secures material
process slide thus causing lack of before the cutting process
control in the cutting starts
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 ENVIRONMENT
process causing
lacerations, amputations
and damage to material.
8. Cutting of material Operator to ensure that 3 7 2 42 B Supervisor to ensure that the
the materiel is so operator has the correct
orientated that he cuts P.P.E. on i.e. Dust mask,
away from his body Safety Glasses and Leather
minimizing the possibility Gloves
of lacerations and
amputations.
9. Removal of blade If blade is not removed 2 7 2 28 C Operator to ensure that the
and placing back and only retracted the blade is physically removed
into handle blade can slide out while and not only retracted
manhandling the knife
causing lacerations.
10. Handing knife back Ensure that the body of 2 7 2 28 C If any damage caused, the
to the store man the knife is properly operator must report it to the
closed preventing spare store man when handing it
blades protruding back so that the store man
causing lacerations to can attend to the deviation.
the hand when cutting
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I the undersigned Responsible person ________________________________hereby declare that:

(Print name in full)
I have after consultation with my employees as far as reasonably practicable identified and recorded all the significant hazards and
risks associated with the task that I am to perform with regards to this Risk Assessment
I have determined all measures that needs to be in place for this task, including changing the organization of work and design of safe
systems of work, necessary to eliminate, control, minimise, or where the risk still remains provided the necessary personal protective
equipment, and implemented them.
I undertake to periodically review the hazards identified and the risk assessed, to determine whether further elimination, control and
minimization of risk is possible
I have provided every employee as part of this risk assessment with the necessary training, information, instruction or supervision to
enable them to perform their work without risk to his/her Safety and Health.
Signed on the: _________/20… at ANGLOGOLD ASHANTI by: ______________________

(Date) (Responsible person)
Employed by: FIBRE – WOUND (Name of Company)
I / we the undersigned hereby declare that the Responsible person in charge has made us familiar with the work-related hazards and risk and
the measures that must be taken to eliminate, control and minimise those hazards and risks:
Print name in full Signature
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330 - Element 5.02 Using of Stanley Knife (EPCM)

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330 - Element 5.02 Using of Stanley Knife (EPCM)

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Page 1 of 6

RISK ASSESSMENT RECORD

RA No: (009) DATE: 2013.07.05

CONTRACTOR: Fibre - Wound LOCATION: Mine Waste Solution Stilfontein

BRIEF DESCRIPTION OF SCOPE OF WORK/ACTIVITY: Using of a Stanley Knife

RISK ASSESSMENT TEAM:

Name: _____ Signature:

Available Adequate Changes Required Remarks

Scope of work (Logical steps on how task

Frequency Scale Severity Scale: Probability Scale

Important (Non Disabling Injury/<R1000 damage) (4)

Of Concern (Minor Injury />R100 Damage) (3)

RISK RANKING / PRIORITY FACTOR

 People could be 3 8 3 72 AA Where any certification is

I the undersigned Responsible person ________________________________hereby declare that:

Signed on the: _/20… at ANGLOGOLD ASHANTI by: ______________

Employed by: FIBRE – WOUND (Name of Company)

Print name in full Signature

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