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Activity Based Risk Assessment Form
"I need an Activity Based Risk Assessment Form for our new chemical processing line that's launching in March 2025, which must comply with Swiss regulations and include specific sections on hazardous material handling and emergency response procedures."
1. Assessment Information: Basic details including date, assessor name, location, and department
2. Activity Description: Detailed description of the work activity being assessed, including scope and context
3. Personnel Involved: List of workers, contractors, and other parties involved in the activity
4. Equipment and Materials: Inventory of tools, machinery, substances, and materials used in the activity
5. Hazard Identification: Systematic listing of all potential hazards associated with the activity
6. Risk Evaluation: Assessment of risks using Swiss compliance criteria, including likelihood and severity ratings
7. Existing Control Measures: Documentation of current safety measures and their effectiveness
8. Additional Control Measures Required: New or enhanced safety measures needed to reduce risks to acceptable levels
9. Action Plan: Timeline and responsibilities for implementing additional control measures
10. Monitoring and Review: Schedule and procedures for reviewing and updating the risk assessment
11. Approval and Sign-off: Signatures of responsible persons confirming assessment review and approval
1. Emergency Procedures: Specific emergency response procedures when high-risk activities are involved
2. Environmental Impact: Assessment of environmental risks when activities may affect the environment
3. Training Requirements: Specific training needs when specialized skills or certifications are required
4. Personal Protective Equipment (PPE): Detailed PPE requirements when specific protective equipment is necessary
5. Health Surveillance: Health monitoring requirements for activities with potential long-term health impacts
6. Contractor Management: Additional controls when external contractors are involved in the activity
1. Risk Matrix: Standard risk evaluation matrix used for assessment
2. Hazard Checklist: Comprehensive checklist of potential hazards by category
3. Control Measure Hierarchy: Framework for selecting appropriate control measures
4. Equipment Specifications: Technical details of machinery and equipment used
5. Safety Data Sheets: Information about hazardous substances involved in the activity
6. Relevant Certificates: Copies of required certifications and permits
7. Training Records: Documentation of relevant training completed by personnel
8. Incident Report Template: Standard form for reporting accidents or near-misses
Authors
Manufacturing
Construction
Chemical Processing
Healthcare
Mining
Transportation and Logistics
Agriculture
Energy and Utilities
Food Processing
Pharmaceuticals
Automotive
Aerospace
Metal Working
Waste Management
Research and Development
Health and Safety
Operations
Production
Maintenance
Quality Control
Engineering
Compliance
Human Resources
Project Management
Research and Development
Facilities Management
Risk Management
Environmental Protection
Occupational Health
Health and Safety Manager
Risk Assessment Specialist
Operations Manager
Department Supervisor
Plant Manager
Safety Engineer
Occupational Hygienist
Production Manager
Maintenance Supervisor
Quality Control Manager
Project Manager
Site Manager
Process Engineer
Technical Director
Compliance Officer
EHS Coordinator
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