Slip, Trip, and Fall Risk Assessment
Location: | Main Production Facility | Assessment Conducted By: | [Your Name] |
Date: | September 25, 2050 | Position: | HR Manager |
Section 1: General Information
1.1 Purpose of Assessment
The purpose of this assessment is to identify and mitigate slip, trip, and fall hazards in the Main Production Facility to ensure the safety of our employees.
1.2 Scope of Assessment
The assessment covers the main production floor, offices, break rooms, restrooms, and surrounding outdoor areas.
1.3 Participants
[Your Name], HR Manager
Mark James, Facility Manager
Sylvia Romo, Production Supervisor
John Porterfield, Health and Safety Officer
Section 2: Hazard Identification
2.1 Walkways and Floors
2.2 Stairs and Steps
2.3 Workspaces and Equipment
2.4 Outdoor Areas (if applicable)
Section 3: Risk Assessment
3.1 Likelihood of Hazard Occurrence
Rate the likelihood on a scale of 1 to 5, with 1 being highly unlikely and 5 being highly likely.
Highly Unlikely (1) | Unlikely (2) | Neutral (3) | Likely (4) | Highly Likely (5) |
| | | | |
3.2 Severity of Consequences
Rate the severity on a scale of 1 to 5, with 1 being insignificant and 5 being severe.
Insignificant (1) | Minor (2) | Significant (3) | Major (4) | Severe (5) |
| | | | |
3.3 Risk Assessment Matrix
Likelihood (L) | Severity (S) | Risk Level |
1-2 | 1-2 | Low |
1-2 | 3-4 | Medium |
3-4 | 1-2 | Medium |
3-4 | 3-4 | High |
5 | 1-5 | Extreme |
3.4 Recommended Actions
Repair or replace damaged flooring in the production area by [October 15, 2050]. (Facility Manager)
Implement a schedule for regular mat and rug inspection and replacement by [November 1, 2050]. (Production Supervisor)
Ensure all walkways are clear of obstructions by conducting weekly inspections starting [October 1, 2050]. (Health and Safety Officer)
Improve lighting in stairwells by [September 30, 2050]. (Facility Manager)
Provide training on safe equipment use by [October 10, 2050]. (HR Manager)
Section 4: Risk Control Measures
4.1 Engineering Controls
Repair damaged flooring promptly.
Improve lighting in stairwells.
Install handrails on staircases.
4.2 Administrative Controls
Implement regular mat and rug inspection.
Conduct weekly walkway inspections.
Provide equipment safety training.
4.3 Personal Protective Equipment (PPE)
Non-slip shoes should be worn in production areas.
Section 5: Review and Follow-Up
5.1 Review Date
5.2 Follow-Up Actions
Conduct a follow-up assessment to evaluate the effectiveness of control measures.
Adjust control measures as necessary based on the follow-up assessment.
[Signature]
[Your Name]
Assessor
Date: [MM/DD/YYYY]
[Signature]
[Production Supervisor Name]
Production Supervisor
Date: [MM/DD/YYYY]
[Signature]
[Facility Manager Name]
Facility Manager
Date: [MM/DD/YYYY]
[Signature]
[Health and Safety Officer Name]
Health and Safety Officer
Date: [MM/DD/YYYY]
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