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LOCATION
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ACTIVITIES
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Visitors)
Harm Staff/ Students/
HAZARD (What Could

LIKELIHOOD (Improbable, Unlikely, Rare,


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Likely, Almost Certain)


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LIKELIHOOD RATING (LHR)

CONSEQUENCE (Slightly Harmful,


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Harmful, Very Harmful, Extremely Harmful,


Catastrophic)
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CONSEQUENCE RATING (CR)


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INITIAL RISK RATING (LHR x CR)


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the Risk?)
CONTROLS (What are you going to do to reduce
HAZARD IDENTIFICATION AND RISK ASSESSMENT FORM
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LIKELIHOOD RATING AFTER CONTROL

CONSEQUENCE RATING AFTER


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CONTROL
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FINAL RATING
Club house, unloading of No safe 1.Remove the hazard by designing it
Warehouse materials and operational control out -designing the permitted routes
stacking procedures and operating zones for forklift
operations such that they will never
come in contact with any pedestrian
or worker. 2. Guard the
remaining hazards to prevent the
accident from occurring This can
be carried out by erecting physical
barriers next to a walkway to
prevent the forklift from coming into
contact with pedestrians.
3. Mitigate the impact
of the hazards -wearing an
appropriate seat belt can save the
life of an operator when the forklift
overturns. a forklift fitted with a
seat belt must be provided and the
operator instructed to use the belt.

Identifying the most efficient routes


and traffic flows,
* Separating pedestrian
walkways and forklift routes and
operating zones- Identifying safety
zones for truck drivers,
* Incorporating
containment fences, Incorporating
speed limiting device,
lack of traffic * Putting up adequate
management plan warning signs,
collision with • Provide safety features (such as
operative , reverse warning lights and audio
structure warning, rearview mirror, flashing
lights) and inspect them regularly
• Inadequately Before an operator is authorised to
trained and operate the forklift, he/she must
authorised undergo and pass an appropriate
operators forklift driving course.

Only trained and authorised operators


are permitted to operate a forklift.
Employers should implement a control
system to prohibit unauthorised use of
Ineffective forklifts. Workers should be briefed on
system to control the control system and only authorised
the use of forklift operators should be permitted to
forklifts operate a forklift
Operators should check any load for its
weight, shape and size so that
precautions for lifting the load can be
taken. Do not exceed the rated load
capacity. Always travel with the load
and forks low to the ground.Always
sound the horn and slow down when
approaching corners, intersections and
over loading doorways.
not assesing the area of the forklift should be checked
work environment for overhead obstructions, uneven
ground, puddles, of oil or potholes etc.
lack of preventive Ensure that the operator has
maintenace performed daily maintenance checks
and the forklift is serviced in a timely
manner according to the
manufacturer’s recommendations.
Not using the Always use the seatbelts. Hold on
saefty devices firmly and stay within the cabin in the
event of an overturn. Do not bypass
the speed limiters or reversing beeping
using mobile Operators should not be using the
phones mobile phone or other talking devices
while operating a forklift.
Body/limbs caught operator to keep an eye on the
in moving parts of helper.operate only after getting signal
the forklift from helper
Lifting of persons to be banned for any work at height or
on the forks reaching the top of load for any reason
Electrocution only authorised mechanic to do the
(Battery operated repair work, switch off engine before
forklift) any repair
Provide three point contacts on forklifts
(Steps with good footing, antislip
Fall from fork lift surfaces and handles)

Team Member 1: Team Member 2: Team Member 3: Approved by:


Name: Name: Name: Name:
Signature: Signature: Signature: Signatu
re:
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REMEDIAL ACTION REQUIRED /
REMARKS
safe work procedures (SWP)
must be developed and
implemented to control
the risks
*Another way to mitigate the
impact of an accident would be
to limit the speed of the forklift.
With lower speed, the operator
is better able to react to avoid
an accident

• Adequately instruct visitors


and all employers at the
workplace of the site’s traffic
management plan,
• Review the plan when
work processes or site plans
change.

Ensure that the forklifts are


inspected daily
. Electronic systems such as
swipe cards and pin code can
help to control the use of
forklifts.

. If the operator’s view from the


forklift front is blocked, he
should always travel in the
reverse direction or have
another worker to keep a look
out for him.

Display sufficient signs and


warnings in the workplace

Ensure that the workplace is


adequately lit
forklift operating areas are either eliminated or minimised