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प्रणाली · 111 कागजातTransport & Warehousing OHS-WHS Industry Suite को भाग

Workplace TMP Risk Assessment Form

फारम · FORM-31665

संस्करण 1

The Workplace TMP Risk Assessment Form helps you assess the risks in a workplace traffic management plan. It walks through the likelihood, consequence and risk score steps, with a hierarchy of controls.

It covers the scope of the assessment and higher risk conditions such as forklifts, heavy vehicles and blind corners, the personal protective equipment required, and the monitor and review arrangements.

It then sets out traffic hazards with their causes and example control measures: site traffic, planning, noise, lighting, struck or crushing, plant and vehicle condition, operator training and communication systems.

यसको आफ्नै पृष्ठ हेर्नुहोस्

Workplace TMP Risk Assessment Form

फारमVersion 1

Risk Assessment No.: —
Location: —
No. of workers at the workplace: —
Address: —

Contact Name: —
Position: —
Phone No.: —
Email: —

Step 1: Determine likelihood

	Criteria	Description
Almost certain
Likely
Possible
Unlikely
Rare

Step 2: Determine consequence

Level of Effect:	Example of each level:
Insignificant/ Acceptable
Minor
Moderate
Major
Catastrophic

Step 3: Determine the risk score

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
	Consequence →
Almost certainExpected in most circumstances	2 Moderate	2 Moderate	3 High	4 Acute	4 Acute
LikelyWill probably occur in most circumstances	2 Moderate	2 Moderate	3 High	4 Acute	4 Acute
PossibleCould possibly occur at some time	1 Low	2 Moderate	2 Moderate	3 High	4 Acute
UnlikelyUnlikely but possible	1 Low	1 Low	2 Moderate	3 High	4 Acute
RareHighly unlikely to occur	1 Low	1 Low	2 Moderate	2 Moderate	3 High

1 LowRecord and monitor. Proceed with work, and review the risks regularly.
2 ModerateMaintain control measures. Be cautious when working, and monitor and review regularly.
3 HighReview before commencing work. Introduce new controls or maintain high-level controls to lower the risk level, and monitor the controls frequently.
4 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

Score	Action

Scope of Traffic Management Risk Assessment

PPE

Assessment and approval

Name of Assessor: —
Signature: —

Job Title: —
Date: —

Names of people consulted with during development of this Risk Assessment: —
Signature/s: —

Job Title: —
Date: —

Person Responsible for ensuring compliance with Risk Assessment: —
Signature: —

Job Title: —
Date: —

Risk Assessment Approved by: —
Signature: —

Job Title: —
Date: —

Monitor and review


Name
Initial
Date

Hazards and control measures

Site traffic hazard

Site traffic hazard - Planning

Traffic management hazard - Noise hazard

Traffic management hazard - Lighting

Traffic management hazard – Struck/crushing

Hazard – Plant/vehicle condition

Hazard – Operator training/qualifications

Traffic management hazard – communication systems

Traffic management hazard – Other

यसको मार्गदर्शन र नमुना प्रविष्टिहरू लक गरिएका छन्

फारमको बनावट कस्तो छ तपाईं देख्न सक्नुहुन्छ। जुनसुकै डिभाइसमा भर्न, प्रिन्ट गर्न वा आफ्नो बनाउन यो लिनुहोस्।

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ब्राउजरमा यो कस्तो देखिन्छ

यो प्रणाली लिनुहोस्

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सशुल्क प्लानहरूमा समावेश
आफ्नो प्लानका टेम्प्लेट क्रेडिट प्रयोग गर्नुहोस्। यसको मूल्य 20 हो।
प्लान र मूल्य तुलना गर्नुहोस्
एकपटक किन्नुहोस्
$999.90 एकपटक तिरेपछि सधैँ तपाईंकै। निःशुल्क प्लानमा पनि चल्छ।

एडिटर निःशुल्क चलाएर हेर्नुहोस्निःशुल्क साइन अप गर्नुहोस्

साइन अप गर्न कार्ड चाहिँदैन। प्रारम्भिक पहुँच सदस्यहरूले जुनसुकै प्लानमा 30% छुट पाउँछन्।

यसले के समेट्छ

34 फिल्ड

Risk Assessment No
Location
No. of workers at the workplace
Address
Contact Name
Position
Phone No
Email
Criteria
Description
Almost certain
Likely

र थप 22

टेम्प्लेटहरू कसरी काम गर्छन्

यसलाई पैसा तिर्नुअघि नै चलाएर हेर्नुहोस्।

निःशुल्क पूर्वावलोकन
हरेक टेम्प्लेटका कामका चरण, खतरा र पहिलो काम पढ्न खुला छन्। साइन अप चाहिँदैन।
एडिटर चलाएर हेर्नुहोस्
कम्प्युटर वा फोनमा, डेमो SWMS लाई आफ्नो कम्पनी, काम र साइटअनुसार मिलाउनुहोस्।
निःशुल्क साइन अप गर्नुहोस्
तपाईंको विवरण र लोगो सर्छन्। यो टेम्प्लेट विवरण भरिएरै खुल्छ।
क्रेडिट प्रयोग गर्नुहोस् वा एकपटक किन्नुहोस्
सशुल्क प्लानहरूमा हरेक महिना टेम्प्लेट क्रेडिट आउँछ। वा सधैँका लागि यो एउटा किन्नुहोस्।

Workplace TMP Risk Assessment Form