Workplace TMP Risk Assessment Form
Form - Version 1
Warehouse Traffic Management Risk Assessment Form · FORM-31237
- RAF #
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- Company contact
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- Phone #
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Step 1: Determine Likelihood
Likelihood | Criteria | Description |
|---|---|---|
Step 2: Determine Consequence
Level of Effect | Example of each level |
|---|---|
Step 3: Determine the risk score
| Consequence → | |||||
|---|---|---|---|---|---|
| Likelihood ↑ | InsignificantNo effect, or so minor that the effect is acceptable | MinorMinor first aid treatment, minimal business disruption, minimal environmental effect | ModerateSerious injuries, medium business interruption, medium environmental impact | MajorExtensive injuries or fatality, significant business interruption, environmental harm, prosecution | CatastrophicMultiple permanent disabilities or fatalities, business failure, substantial environmental harm, prosecution or imprisonment |
| Almost certainExpected in most circumstances | 2 M2 Moderate | 2 M2 Moderate | 3 H3 High | 4 A4 Acute | 4 A4 Acute |
| LikelyWill probably occur in most circumstances | 2 M2 Moderate | 2 M2 Moderate | 3 H3 High | 4 A4 Acute | 4 A4 Acute |
| PossibleCould possibly occur at some time | 1 L1 Low | 2 M2 Moderate | 2 M2 Moderate | 3 H3 High | 4 A4 Acute |
| UnlikelyUnlikely but possible | 1 L1 Low | 1 L1 Low | 2 M2 Moderate | 3 H3 High | 4 A4 Acute |
| RareHighly unlikely to occur | 1 L1 Low | 1 L1 Low | 2 M2 Moderate | 2 M2 Moderate | 3 H3 High |
- 1 L1 LowRecord and monitor. Proceed with work, and review the risks regularly.
- 2 M2 ModerateMaintain control measures. Be cautious when working, and monitor and review regularly.
- 3 H3 HighReview before commencing work. Introduce new controls or maintain high-level controls to lower the risk level, and monitor the controls frequently.
- 4 A4 AcuteDo not proceed until the risk level is reduced. Immediately introduce high-level controls, and re-assess before proceeding.
Step 4: Record risk score on the worksheet
Scope of Traffic Management Risk Assessment
Control Measures by Hazard
Site Traffic Hazard
Site Traffic Hazard - Planning
Traffic Management Hazard - Noise
Traffic Management Hazard - Lighting
Traffic Management Hazard – Struck/crushing
Hazard – Plant/vehicle Condition
Hazard – Operator Training/ qualifications
Traffic management hazard – Communication and signage
Traffic Management Hazard – Other
Traffic Management Hazard – Other
Overall Risk Rating after Controls
Monitor and Review
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Warehouse Traffic Management Risk Assessment Form · FORM-31237
