EMR SILVERTOWN - METSO

RISK ASSESSMENT FORM

KLEENOIL FILTRATION LTD: Fenton Lane,Sherburn In Elmet, LS25 5EZ

01977 682810 / sales@kleenoil.co.uk

Project Name:

Further assessments required:

Persons involved in or affected:

Individual Assessment req'd for: Nursing and Expectant Mothers Young Persons Disabled Service Users

Fire COSHH

Employees Visitors Contractors

KLEENOIL FILTER CHANGES AND OIL SAMPLING

Description of Work:

Manual Handling

To carry out filter changes on installed machine along with oil sampling to offer evaluation of oil condition

Display Screen Equipment Young Persons

Members of the public Others

Work Start Date:

Est Completion Date: 22/07/20

22/07/20

Key People / Groups in area 1. John Brough

2.

3.

Michael Cunningham

4.

5.

6.

Likelihood Without action

Grid Ref

Worst Case Outcome

Hazards Identified

Controls in Place

Additional Control Measures Required Score Rating

Working at Height - with risk of potentially Fatal falls, or bruising / fractures

All Jobs involving working at height discussed by staff (and contractor) and a safe system of work agreed before job begins Access equipment (eg ladders, tower scaffold ) kept in safe area and inspected prior to use

Minor Injury Likely

15 Low

Is a follow up assessment required? NO

Lara Layton Company Secretary

Completed by: Position: Signature:

Worst Case Outcome Likelihood

Score Guide

1 = No injury

1 = Remote

50 - 100 = High Risk

3 = Minor injury

2 = Unlikely

20 - 49 = Medium Risk

5 = Lost time injury

5 = Likely

1-19 = Low Risk

8 = Severe injury

8 = Very likely

10 = Fatality

10 = Certain / Imminent

Date of Assessment:

22/07/20

It’s important you understand this report. If you don’t you should seek proper Risk Assessment Training.

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