Activity: Floor Condition FLT
Hazard*
Site:
What is the possible
outcome?
Company:
Persons at
risk
Rough ground or
poorly maintained
surface causing
injury to driver.
Minor to major injury. FLT Driver
S
3
Rough ground or
poorly maintained
surface causing loss
of load
Minor to major injury. Pedestrians 4
Rough ground or
poorly maintained
surface causing FLT
to tip
FLT driver,
others in
Minor to major injury. area
4
x
x
L
4
x
4
x
4
Rough ground or
poorly maintained
surface causing
damage to vehicle
or load
Date:
Control Measures
Before Controls
3
S
Floors inspected every 6 months for signs of
wear; list of repairs created; Vehicles to be
15
limited to 10mph; all drivers to be authorised.
=
22 July 2015
Carried out
Dave Gilford
by:
Position:
Health and Safety Advisor
*Include site specific and general hazards
DG02/15
Document1
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x
L
=
R
3
x
1
=
3
4
x
1
=
4
4
x
1
=
4
Floor inspection
records; warnings
and instructions; safe
system of work;
training records
3
x
1
=
3
Warnings and
instruction records;
Segregation of FLT and pedestrians; Floors
inspected every 6 months for signs of wear; list of floor inspection
records.
= 16 repairs created.
Training records;
daily inspection
FLT drivers trained and competent; FLT fitted
checklists;
with adjustable seat and restraining belt;
maintenance
supervisors to check for compliance; Floors
inspected every 6 months for signs of wear; list of records; floor
inspection records
= 16 repairs created;
-
After Controls
R
Training records;
FLT drivers trained and competent; FLT fitted
with adjustable seat and restraining belt; Floors maintenance
inspected every 6 months for signs of wear; list of records; floor
inspection records
= 16 repairs created.
Property damage
x
5
=
Ref:
Reference Records
Date for Review:
23 July 2016
RISK / PRIORITY INDICATOR KEY
SEVERITY (CONSEQUENCE)
LIKELIHOOD
1. Negligible (delay only)
1. Improbable / very unlikely
2. Slight (minor injury / damage / interruption)
2. Unlikely
3. Moderate (Lost time injury, illness, damage, lost business)
3. Even chance / may happen
4. High (Major injury / damage, Lost time business interruption, disablement)
4. Likely
5. Very High (Fatality / Business closure)
5. Almost certain / imminent
Likelihood
RISK / PRIORITY INICATOR MATRIX
SUMMARY
5
5
10
15
20
25
12-25
High
As soon as possible
4
4
8
12
16
20
6-11
Medium
Within next 3-6 months
3
3
6
9
12
15
1-5
Low
Whenever viable to do so
2
2
4
6
8
10
1
1
2
3
4
5
1
2
3
4
5
SEVERITY (CONSEQUENCE)
DG02/15
SUGGESTED TIME FRAME
Document1
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