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Form 1B Pre Work Risk Assessment

This pre-work risk assessment form is completed by Precision Hydraulic Technology Pte Ltd prior to performing preventative maintenance work at Goodrich Aerostructures Service Center - Asia Pte Ltd. The form identifies potential hazards from working at height, electricity, chemicals, and more. It also lists control measures like guards, fall protection, PPE, and safety procedures to mitigate risks. The contractor must evaluate risks and ensure all necessary controls are in place before starting work.

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Xudong Liu
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117 views

Form 1B Pre Work Risk Assessment

This pre-work risk assessment form is completed by Precision Hydraulic Technology Pte Ltd prior to performing preventative maintenance work at Goodrich Aerostructures Service Center - Asia Pte Ltd. The form identifies potential hazards from working at height, electricity, chemicals, and more. It also lists control measures like guards, fall protection, PPE, and safety procedures to mitigate risks. The contractor must evaluate risks and ensure all necessary controls are in place before starting work.

Uploaded by

Xudong Liu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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PREWORK RISK ASSESSMENT

Goodrich Aerostructures Service Center -Asia Pte Ltd

This form shall be completed by contractor prior to commencement of PROJECT or ROUTINE.


Contractor’s Company Contractor’s Name Contact no.

PRECISION HYDRAULIC TECHNOLOGY PTE LTD KARL 91863887


Type of work & purpose PREVENTIVE MAINTENANCE

Start Date: Completion Date: Total no. of days: Form type: PRO / ROU
1
02/03/2020 02/03/2020 /
***Please Read and CIRCLE Accordingly Y:Yes NA:Not Applicable
STEP 1 - WHO OR WHAT MIGHT BE HARMED?
Y / NA Employee
Y / NA Contractor
Y / NA Visitor
Y / NA Public
Y / NA Property Damage
Y / NA Environment

STEP 2 - HOW MIGHT THEY BE HARMED? (HAZARDS)


Y / NA Working at Height Y / NA Chemical
Y / NA Scaffolding Y / NA Liquid
Y / NA Ladder Works Y / NA Gas / Air
Y / NA MEWP Y / NA Biological
Y / NA Trenches Y / NA Material Handling (Check Step 6)
Y / NA Lone Working Y / NA Ergonomics(Check Step 6)
Y / NA Electricity Y / NA Noise <85dBA
Y / NA Radiation Y / NA Vibration
Y / NA Simultaneous Operations Y / NA Optical
Y / NA Moving Parts Y / NA Heat / Cold
Y / NA Mobile Plant Y / NA Portable Appliance
Y / NA Confined Space Y / NA Weather
Y / NA Welding Y / NA Cranes / Hoists / Slings
Y / NA Hot Work Y / NA Utilities
Y / NA Water Y / NA Access / Egress
Y / NA Sharp Edges Y / NA Fork Lift Truck
Y / NA Unstable Ground Y / NA Asbestos
Y / NA Fragile Surfaces Y / NA Fire
Y / NA Vapor Fume or Dust Y / NA Chemical Burns

STEP 3 - WHAT POTENTIAL INJURIES THAT COULD OCCUR?


Y / NA Fall >2m Y / NA Trapping
Y / NA Fall <2m Y / NA Broken Bones
Y / NA Falling Person Y / NA Burn / Scald
Y / NA Falling Objects Y / NA Thermal Burns
Y / NA Asphyxiation Y / NA Eye Injury
Y / NA Explosion Y / NA Dermatitis
Y / NA Fire Y / NA Irritation
Y / NA Electric Shock Y / NA Respiratory
Y / NA Drowning Y / NA Sprain / Strain
Y / NA Slip / Trip Y / NA Hearing Damage
Y / NA Limb Loss Y / NA Vibration White Finger
Y / NA Collapse Y / NA Assault
Y / NA Crushing Y / NA Flying Projectiles
Y / NA Overturning Y / NA Single Sling Lift
Y / NA Collision Y / NA Unidentified Services
Y / NA Entanglement Y / NA Chemical Burns

STEP 4.1 - WHAT CONTROL MEASURES WILL BE INPLACE TO PREVENT OR REDUCE INJURY(Engineering)
Y / NA Guards Y / NA Fall Protection
Y / NA Mechanical Assistance Y / NA Low Voltage
Y / NA 10mA RCD Y / NA Inter Lock
Y / NA Barriers Y / NA LEV
Y / NA Y / NA Supervision

STEP 4.2 - WHAT CONTROL MEASURES WILL BE INPLACE TO PREVENT OR REDUCE INJURY(Administrative)
Y / NA Instruction Y / NA Inspection
Y / NA Warning Signs Y / NA Housekeeping
COLLINS AEROSPACE AEROSTRUCTURES contractor coordinator shall ensure their CONTRACTOR comply with regulatory, local and site
specific Compliance
PREWORK RISK ASSESSMENT R0
PREWORK RISK ASSESSMENT
Goodrich Aerostructures Service Center -Asia Pte Ltd
Y / NA Permit to Work Y / NA Induction / Training
Y / NA Safety Work Instructions Y / NA Toolbox Talks

4.3 WHAT PERSONAL PROTECTIVE & ENVIRONMENTAL EQUIPMENT WILL BE USED?


Y / NA Overalls Y / NA Respirator
Y / NA Gloves Y / NA Dust Mask
Y / NA Eye Protection Y / NA Safety Shoes
Y / NA Face Shield
Specific Control
Measures
ENVIRONMENTAL CONSIDERATIONS
Y / NA Hazardous Waste Y / NA Double Bund
Y / NA Non Hazardous Waste Y / NA Drain Protection
Y / NA Drip Tray Y / NA Emergency Spill Kit

STEP 5 - EVALUATE THE RISK AND DETERMINE IF ADDITIONAL CONTROLS ARE NECESSARY
Risk Rating (RR = S x (F + C)). For guidance refer to JHAG rationale.
Severity Frequency Control Risk Rating

5.1 IS FURTHER ACTION NEED? (I.E EMERGENCY) YES / NO


WHAT WHO WHEN CHECKED BY SUPERVISOR

STEP 6. CHECK LIFTING RULES CAN BE FOLLOWED AND ERGONOMIC POSTURES MINIMISED

STEP 6. CHECK LIFTING RULES CAN BE FOLLOWED AND ERGONOMIC POSTURES MINIMISED
SAFESTART Considerations
Consider how Rushing, Frustration, Fatigue or Complacency could lead to
potential balance traction
Could rushing frustration fatigue or complacency lead to potential line of fire
risks?
HAND SAFETY : check (Move eyes first), for obstructions, pinch points and
ensure good grip
REMINDER: Eyes / mind on task?

SAFE START Error Reduction Techniques


Each employee should adopt the following process:
• Stop before beginning work & think about how you’ll perform
the activity.
• Are you following established rules and procedures?
• Identify the potential hazards associated with the activity.
• Plan out your steps in advance
• STOP! If your safety is in question and report the concern to
your supervisor or PROCEED as planned if conditions are
safe, while watching for Safe start States and/or Critical Errors.
Contractor Contractor
Employee Name: Supervisor Name: Date:
Signature : Signature:

COLLINS AEROSPACE AEROSTRUCTURES contractor coordinator shall ensure their CONTRACTOR comply with regulatory, local and site
specific Compliance
PREWORK RISK ASSESSMENT R0

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