[go: up one dir, main page]
Scribd
Upload
369 views1 page

Task Risk Assessment Form

This document is a task risk assessment form used to evaluate potential hazards for a given task. It collects information about the task, substances used, affected parties, identified hazards and their likelihood and severity, required controls and PPE, and plans for health surveillance and review. The form aims to comprehensively assess risks to optimize safety for any task being evaluated.

Uploaded by

muhammadsuhaib
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
369 views1 page

Task Risk Assessment Form

This document is a task risk assessment form used to evaluate potential hazards for a given task. It collects information about the task, substances used, affected parties, identified hazards and their likelihood and severity, required controls and PPE, and plans for health surveillance and review. The form aims to comprehensively assess risks to optimize safety for any task being evaluated.

Uploaded by

muhammadsuhaib
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 1

TASK RISK ASSESSMENT FORM

1 Task title 2 Process title

3 Location 4 Risk assessor

5 What is the task being assessed? 6 Who are the people affected by this task? (tick boxes)

Operator (s) New and expectant mothers

Employees Disabled

Visitors Service users

Contractors Members of the public

Other

7 What hazardous substances are being used in this task? 8 Circle a classification system: CHIP or GHS

Product Name And Code Manufacturer Application Method Area Freq. used Quantity Duration

9 For the identified substances, have you considered eliminating


substance use, substituting the substances with a safer option
or changing the substance to a safer form? (If yes, describe)

10 What are the hazards of the task?


(i.e. Fire, Spillage, Waste, Disposal, WELs)
[L] : Likelihood [S] : Severity [R] : Risk Rating
Hazard from the task Risk before Controls in place Risk after Emergency Procedures
L S R L S R

11 What personal protection equipment is required? (i.e. Type, Colour, BSEN Number)

12 Is there a requirement for health surveillance? (if yes, describe) 13 Review Term

Assessed by

Date

Signature

Sevron Ltd, Company No. 06053767 Registered in England & Wales, Visit www.sevron.co.uk

You might also like