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    Form 1B Pre Work Risk Assessment

    Uploaded by

    Xudong Liu
    This pre-work risk assessment form is completed by Precision Hydraulic Technology Pte Ltd prior to performing preventative maintenance work at Goodrich Aerostructures Service Center - Asia Pte Ltd. The form identifies potential hazards from working at height, electricity, chemicals, and more. It also lists control measures like guards, fall protection, PPE, and safety procedures to mitigate risks. The contractor must evaluate risks and ensure all necessary controls are in place before starting work.

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    © All Rights Reserved
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    Form 1B Pre Work Risk Assessment

    Uploaded by

    Xudong Liu
    96 views2 pages
    This pre-work risk assessment form is completed by Precision Hydraulic Technology Pte Ltd prior to performing preventative maintenance work at Goodrich Aerostructures Service Center - Asia Pte Ltd. The form identifies potential hazards from working at height, electricity, chemicals, and more. It also lists control measures like guards, fall protection, PPE, and safety procedures to mitigate risks. The contractor must evaluate risks and ensure all necessary controls are in place before starting work.

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    This pre-work risk assessment form is completed by Precision Hydraulic Technology Pte Ltd prior to performing preventative maintenance work at Goodrich Aerostructures Service Center - Asia Pte Ltd. The form identifies potential hazards from working at height, electricity, chemicals, and more. It also lists control measures like guards, fall protection, PPE, and safety procedures to mitigate risks. The contractor must evaluate risks and ensure all necessary controls are in place before starting work.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    96 views2 pages

    Form 1B Pre Work Risk Assessment

    Uploaded by

    Xudong Liu
    This pre-work risk assessment form is completed by Precision Hydraulic Technology Pte Ltd prior to performing preventative maintenance work at Goodrich Aerostructures Service Center - Asia Pte Ltd. The form identifies potential hazards from working at height, electricity, chemicals, and more. It also lists control measures like guards, fall protection, PPE, and safety procedures to mitigate risks. The contractor must evaluate risks and ensure all necessary controls are in place before starting work.

    Copyright:

    © All Rights Reserved
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    PREWORK RISK ASSESSMENT

    Goodrich Aerostructures Service Center -Asia Pte Ltd

    This form shall be completed by contractor prior to commencement of PROJECT or ROUTINE.


    Contractor’s Company Contractor’s Name Contact no.

    PRECISION HYDRAULIC TECHNOLOGY PTE LTD KARL 91863887


    Type of work & purpose PREVENTIVE MAINTENANCE

    Start Date: Completion Date: Total no. of days: Form type: PRO / ROU
    1
    02/03/2020 02/03/2020 /
    ***Please Read and CIRCLE Accordingly Y:Yes NA:Not Applicable
    STEP 1 - WHO OR WHAT MIGHT BE HARMED?
    Y / NA Employee
    Y / NA Contractor
    Y / NA Visitor
    Y / NA Public
    Y / NA Property Damage
    Y / NA Environment

    STEP 2 - HOW MIGHT THEY BE HARMED? (HAZARDS)


    Y / NA Working at Height Y / NA Chemical
    Y / NA Scaffolding Y / NA Liquid
    Y / NA Ladder Works Y / NA Gas / Air
    Y / NA MEWP Y / NA Biological
    Y / NA Trenches Y / NA Material Handling (Check Step 6)
    Y / NA Lone Working Y / NA Ergonomics(Check Step 6)
    Y / NA Electricity Y / NA Noise <85dBA
    Y / NA Radiation Y / NA Vibration
    Y / NA Simultaneous Operations Y / NA Optical
    Y / NA Moving Parts Y / NA Heat / Cold
    Y / NA Mobile Plant Y / NA Portable Appliance
    Y / NA Confined Space Y / NA Weather
    Y / NA Welding Y / NA Cranes / Hoists / Slings
    Y / NA Hot Work Y / NA Utilities
    Y / NA Water Y / NA Access / Egress
    Y / NA Sharp Edges Y / NA Fork Lift Truck
    Y / NA Unstable Ground Y / NA Asbestos
    Y / NA Fragile Surfaces Y / NA Fire
    Y / NA Vapor Fume or Dust Y / NA Chemical Burns

    STEP 3 - WHAT POTENTIAL INJURIES THAT COULD OCCUR?


    Y / NA Fall >2m Y / NA Trapping
    Y / NA Fall <2m Y / NA Broken Bones
    Y / NA Falling Person Y / NA Burn / Scald
    Y / NA Falling Objects Y / NA Thermal Burns
    Y / NA Asphyxiation Y / NA Eye Injury
    Y / NA Explosion Y / NA Dermatitis
    Y / NA Fire Y / NA Irritation
    Y / NA Electric Shock Y / NA Respiratory
    Y / NA Drowning Y / NA Sprain / Strain
    Y / NA Slip / Trip Y / NA Hearing Damage
    Y / NA Limb Loss Y / NA Vibration White Finger
    Y / NA Collapse Y / NA Assault
    Y / NA Crushing Y / NA Flying Projectiles
    Y / NA Overturning Y / NA Single Sling Lift
    Y / NA Collision Y / NA Unidentified Services
    Y / NA Entanglement Y / NA Chemical Burns

    STEP 4.1 - WHAT CONTROL MEASURES WILL BE INPLACE TO PREVENT OR REDUCE INJURY(Engineering)
    Y / NA Guards Y / NA Fall Protection
    Y / NA Mechanical Assistance Y / NA Low Voltage
    Y / NA 10mA RCD Y / NA Inter Lock
    Y / NA Barriers Y / NA LEV
    Y / NA Y / NA Supervision

    STEP 4.2 - WHAT CONTROL MEASURES WILL BE INPLACE TO PREVENT OR REDUCE INJURY(Administrative)
    Y / NA Instruction Y / NA Inspection
    Y / NA Warning Signs Y / NA Housekeeping
    COLLINS AEROSPACE AEROSTRUCTURES contractor coordinator shall ensure their CONTRACTOR comply with regulatory, local and site
    specific Compliance
    PREWORK RISK ASSESSMENT R0
    PREWORK RISK ASSESSMENT
    Goodrich Aerostructures Service Center -Asia Pte Ltd
    Y / NA Permit to Work Y / NA Induction / Training
    Y / NA Safety Work Instructions Y / NA Toolbox Talks

    4.3 WHAT PERSONAL PROTECTIVE & ENVIRONMENTAL EQUIPMENT WILL BE USED?


    Y / NA Overalls Y / NA Respirator
    Y / NA Gloves Y / NA Dust Mask
    Y / NA Eye Protection Y / NA Safety Shoes
    Y / NA Face Shield
    Specific Control
    Measures
    ENVIRONMENTAL CONSIDERATIONS
    Y / NA Hazardous Waste Y / NA Double Bund
    Y / NA Non Hazardous Waste Y / NA Drain Protection
    Y / NA Drip Tray Y / NA Emergency Spill Kit

    STEP 5 - EVALUATE THE RISK AND DETERMINE IF ADDITIONAL CONTROLS ARE NECESSARY
    Risk Rating (RR = S x (F + C)). For guidance refer to JHAG rationale.
    Severity Frequency Control Risk Rating

    5.1 IS FURTHER ACTION NEED? (I.E EMERGENCY) YES / NO


    WHAT WHO WHEN CHECKED BY SUPERVISOR

    STEP 6. CHECK LIFTING RULES CAN BE FOLLOWED AND ERGONOMIC POSTURES MINIMISED

    STEP 6. CHECK LIFTING RULES CAN BE FOLLOWED AND ERGONOMIC POSTURES MINIMISED
    SAFESTART Considerations
    Consider how Rushing, Frustration, Fatigue or Complacency could lead to
    potential balance traction
    Could rushing frustration fatigue or complacency lead to potential line of fire
    risks?
    HAND SAFETY : check (Move eyes first), for obstructions, pinch points and
    ensure good grip
    REMINDER: Eyes / mind on task?

    SAFE START Error Reduction Techniques


    Each employee should adopt the following process:
    • Stop before beginning work & think about how you’ll perform
    the activity.
    • Are you following established rules and procedures?
    • Identify the potential hazards associated with the activity.
    • Plan out your steps in advance
    • STOP! If your safety is in question and report the concern to
    your supervisor or PROCEED as planned if conditions are
    safe, while watching for Safe start States and/or Critical Errors.
    Contractor Contractor
    Employee Name: Supervisor Name: Date:
    Signature : Signature:

    COLLINS AEROSPACE AEROSTRUCTURES contractor coordinator shall ensure their CONTRACTOR comply with regulatory, local and site
    specific Compliance
    PREWORK RISK ASSESSMENT R0

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