SANDBACH COMMERCIAL DISMANTLERS

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 FILTRATION CLEAN SERVICE

Description of Work:

Manual Handling

To clean tank hydraulic oil using Kleenoil filtration unit with before and after sampling if required

Display Screen Equipment Young Persons

Members of the public Others

Work Start Date:

Est Completion Date: 22/07/21

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

Slips, Trips and Falls which can cause sprains, fractures etc if people fall over depris / offcuts / tools or slip on spillages

Protective non-slip footwear to be worn Minor Injury Likely

15 Low

Area to be tidied, cleaned and dry prior to work date Ensure walkways cleared of stock

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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