Risk Assessment

Site or area being assessed: Shop Floor Date of assessment: Assessor: Next review date:
Fork Lift

Identified Hazard Risk Rating Control measures or Observations and Action Date Date
safeguards in place: recommendations to improve required by: action action
Number

Hazard (the How harm can occur safety: required completed:

Risk Number

Level of Risk
Likelihood
potential to and Who could be by:

Severity
cause harm) harmed:

Overloading Forklift may overturn 1 5 5 M Ensure that load is within

causing damage to forklift’s capacity
operator. Tines/toes are in the low
travel position at all times
1
Non-standard lifts to be
planned/assessed by
operator
Seatbelt must be used

Contact with Operators may be 2 4 8 M Forklift is to be stopped if

Operators injured by forklift or Operators in vicinity.
load. Reversing beacon/sounder
Operator to look behind
them prior to reversing
2 Tines/toes are in the low
travel position at all times
Site speed limit - walking
pace indoors, fast walking
pace outdoors – monitored
Hi-visibility clothing and
safety footwear

Likelihood (Probability) 5 = Very likely to occur/has Occurred 4 = Probable 3 = Possible 2 = Remote 1 = Improbable Severity (Consequence) 5 = Fatal Outcome 4 = Major Injury (Reportable under RIDDOR) 3 = Three
Day Injury (as determined in RIDDOR) 2 = Minor Injury (First Aid Treatment only) 1 = Accident/Incident where no injury occurs
ACTION LEVELS - Very High >=15 Immediate: High 9-12 Urgent Medium 7-10 Short-term requirement: Low 5-6 Planned when possible: Trivial 1-4 For consideration
 Risk Assessment
Site or area being assessed: Shop Floor Date of assessment: Assessor: Next review date:
Fork Lift

Identified Hazard Risk Rating Control measures or Observations and Action Date Date
safeguards in place: recommendations to improve required by: action action
Number

Hazard (the How harm can occur safety: required completed:

Risk Number

Level of Risk
Likelihood
potential to and Who could be by:

Severity
cause harm) harmed:

Use by Unsafe/incompetent 1 4 4 M Only trained/certified Established minimum requirement

Untrained operator may cause operators are allowed to e.g. every 3 years.
Operators harm operate equipment.
3 Key is held by Trained
Operator when not in use.

Ejection of Load may dislodge 2 4 6 M Forklift must be stationary

material/load causing harm to when load is being raised
failure Operators Tines must be in travelling
position before moving
4 forklift
LOLER inspections must
been completed –
responsibility of hire
company

Noise Hearing loss if used for 2 3 6 M Ensure Fork Lift is

extended periods. maintained
Engines switched off when
5
not in use
Gas-powered FLT is lower
noise than diesel

Likelihood (Probability) 5 = Very likely to occur/has Occurred 4 = Probable 3 = Possible 2 = Remote 1 = Improbable Severity (Consequence) 5 = Fatal Outcome 4 = Major Injury (Reportable under RIDDOR) 3 = Three
Day Injury (as determined in RIDDOR) 2 = Minor Injury (First Aid Treatment only) 1 = Accident/Incident where no injury occurs
ACTION LEVELS - Very High >=15 Immediate: High 9-12 Urgent Medium 7-10 Short-term requirement: Low 5-6 Planned when possible: Trivial 1-4 For consideration
 Risk Assessment
Site or area being assessed: Shop Floor Date of assessment: Assessor: Next review date:
Fork Lift

Identified Hazard Risk Rating Control measures or Observations and Action Date Date
safeguards in place: recommendations to improve required by: action action
Number

Hazard (the How harm can occur safety: required completed:

Risk Number

Level of Risk
Likelihood
potential to and Who could be by:

Severity
cause harm) harmed:

Vibration Whole Body Vibration 2 3 6 M Ensure Fork Lift is

maintained
6 Ensure seats are adjusted
correctly.

Likelihood (Probability) 5 = Very likely to occur/has Occurred 4 = Probable 3 = Possible 2 = Remote 1 = Improbable Severity (Consequence) 5 = Fatal Outcome 4 = Major Injury (Reportable under RIDDOR) 3 = Three
Day Injury (as determined in RIDDOR) 2 = Minor Injury (First Aid Treatment only) 1 = Accident/Incident where no injury occurs
ACTION LEVELS - Very High >=15 Immediate: High 9-12 Urgent Medium 7-10 Short-term requirement: Low 5-6 Planned when possible: Trivial 1-4 For consideration
 Risk Assessment
Site or area being assessed: Shop Floor Date of assessment: Assessor: Next review date:
Fork Lift

Identified Hazard Risk Rating Control measures or Observations and Action Date Date
safeguards in place: recommendations to improve required by: action action
Number

Hazard (the How harm can occur safety: required completed:

Risk Number

Level of Risk
Likelihood
potential to and Who could be by:

Severity
cause harm) harmed:

Carrying out non- Daily pre-use checks

standard work may must be completed
present significant, - Defects must be reported
additional risks and immediately and plant not
should be managed used until authorised
accordingly.
- Any person carrying out
maintenance work to any
Maintenance tools or equipment will be
technician, others in the trained and competent to
Maintenance vicinity carry out such works.
of Forklifts
This includes any
7 contractors or specialists
employed by the company
to carry out maintenance
work.
Any sub-contractors
carrying out maintenance
work on behalf of the
company will supply the
necessary Health and
Safety Documentation to
include insurance policy
and risk assessments etc.

Likelihood (Probability) 5 = Very likely to occur/has Occurred 4 = Probable 3 = Possible 2 = Remote 1 = Improbable Severity (Consequence) 5 = Fatal Outcome 4 = Major Injury (Reportable under RIDDOR) 3 = Three
Day Injury (as determined in RIDDOR) 2 = Minor Injury (First Aid Treatment only) 1 = Accident/Incident where no injury occurs
ACTION LEVELS - Very High >=15 Immediate: High 9-12 Urgent Medium 7-10 Short-term requirement: Low 5-6 Planned when possible: Trivial 1-4 For consideration