OCCUPATIONAL HEALTH & SAFETY MANAGEMENT SYSTEM Ref. No. : SR4.3.

1/1

Document Title: Rev. No./ Issue : 1 / 12

Risk Assessment & Control Form Issuing Date : 26/03/2012

Project ID:_______HEAD OFFICE______________________ Cause of Assessment: New Contract / INCIDENT / Any Other ______________________________ Date: 18-05-14

Risk Assessment (RR = SR X PR)

S Activity / Who might be Prob. Risk Rating (RR) Protective / Preventive
Risk(s) Severity
# Hazard(s) affected?
(SR)
Rating Controls
(PR) H M L

1 Use of Elevators Falls, bruises, Staff/ Visitors 2 3 M 1. Ensuring annual inspections are
fractures, strains, conducted by the elevator servicing
cuts, vendor;
abrasions 2. Wait for the door to open completely –
the elevator floor levels as the doors open
3. Watch your step upon entry and exit –
the elevator car may not align level with
the floor.
4. Ensure shoelaces are tied and any scarves
or loose clothing are clear of the elevator
opening.
5. Utilize handrails and stand next to the
elevator wall, if available.
6. Make sure all persons have completely
entrance and exited before pushing the
“door close” button.
7. Watch for disabled individuals and
provide assistance where applicable.
8. Stand clear of opening elevator doors and
allow passengers to exit prior to entering.
9. Do not try to stop a door from closing,
wait for the next elevator car.
10. Push and hold the “door open” button if
more time is needed for entry or exit.
11. Never race a closing door by trying to
“slip in.”
12. Do not overload an elevator. When an
elevator is overloaded it often becomes
unlevel or disabled
13. Use the alarm or help button if the

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 OCCUPATIONAL HEALTH & SAFETY MANAGEMENT SYSTEM Ref. No. : SR4.3.1/1

Document Title: Rev. No./ Issue : 1 / 12

Risk Assessment & Control Form Issuing Date : 26/03/2012

Project ID:_______HEAD OFFICE______________________ Cause of Assessment: New Contract / INCIDENT / Any Other ______________________________ Date: 18-05-14

Risk Assessment (RR = SR X PR)

S Activity / Who might be Prob. Risk Rating (RR) Protective / Preventive
Risk(s) Severity
# Hazard(s) affected?
(SR)
Rating Controls
(PR) H M L

elevator has stalled or is malfunctioning.

Risk Rating Matrices

The outcome of the probability multiplied by the severity. (SR X PR)
Risk Rating
1 - 3 Low 3 - 10 Medium 10 - 15 High
(P.P)

5. Catastrophic 5. Frequent
4. Severe 4. Probable
Severity Rate Probability Rate
3. Critical 3. Occasional
(SR) (PR)
2. Marginal 2. Remote
1. Negligible 1.Improper

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