Risk Assessment Document Format
(To be filled on Manufacturer’s / Supplier’s letterhead)
Manufacturer Details
Name:
Address:
Product Details
Booster cable
YI WU GENIUS BROTHERS COM,LTD
Product Description
19409 the second district International trade
market,YI WU
Product Type
Product Model (s):
Booster cable 3M
Fax. No.:
TradeMark
F.A.O.
Contact Person
HS Code(s):
854430000002
CP Email Address
Reference Standard(s)
Email:
lateq300@gmail.com
Tel. No.:
Risk Assessment Qualification Check
Evaluation of Individual Hazards
User
Covered in Harmonized Standard?
(Very) vulnerable consumers
☒ Yes
☐ No
☐ NA
Other consumers
☒ Yes
☐ No
☐ NA
Skilled users only
☒ Yes
☐ No
☐ NA
Use/location of use
As in Harmonized Standard?
Use of product
☒ Yes
☐ No
☐ NA
Location of use
☒ Yes
☐ No
☐ NA
Standards used
Comments (e.g., safety instructions)
Comments (e.g., safety instructions)
Comments (e.g., safety instructions)
The product(s) is covered by the scope
☒ Yes
☐ No
☐ NA
The standard has an annexes
☒ Yes
☐ No
☐ NA
Critical conerns
☐ Yes
☒ No
☐ NA
Major concerns
☐ Yes
☒ No
☐ NA
Minor concerns
☐ Yes
☒ No
☐ NA
Critical manufacturing concerns
☐ Yes
☒ No
☐ NA
Are hazards under the scope of Harmonized Standard(s)?
Comments (e.g., safety instructions)
Electric shock
☐ Yes
☒ No
☐ NA
Heat
☐ Yes
☒ No
☐ NA
Fire
☐ Yes
☒ No
☐ NA
Weight
☐ Yes
☒ No
☐ NA
Surface
☐ Yes
☒ No
☐ NA
Crush
☐ Yes
☒ No
☐ NA
X-Ray
☐ Yes
☒ No
☐ NA
Radio / Electric Field
☐ Yes
☒ No
☐ NA
Toxic
☐ Yes
☒ No
☐ NA
Corrosive
☒ Yes
☐ No
☐ NA
Noise
☒ Yes
☐ No
☐ NA
Explosion (pressure) / Implosion
☒ Yes
☐ No
☐ NA
Other
☒ Yes
☐ No
☐ NA
Overall Verdict
Is Hazmonized Standad(s) covers all hazards of the product?
Name of competent person:
Mr. YUN
Desgination:
G. MANAGER
Signature:
☐ Yes
☒ No
☐ NA
Company Name / Stamp:
Date:
06-12-2021