RISK ASSESSMENT RECORDING SHEET – FORM CP12D

Machine Safeguarding No 1

MINE Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Lifting Operations ACTIVITY (CONTEXT)Machine Safe Guarding

SUB-ACTIVITY (SUB CONTEXT)

Control Effectiveness %
IRR

RR
PROBABILITY

PROBABILITY
CONTROLHIERARCHY OF
FRCP Applicable

SEVERITY

EXPOSURE

SEVERITY

EXPOSURE
TASK/ACTIVITY/RISK HAZARD/ASPECT/CAUSE IIMPACT/INCIDENT CONTROLS/MITIGANTS
ISSUE (Including Legal Controls)

Machine Failure to lock out Single fatality 4 1 1 4 COP 05 Lockout procedure 99% Su 4 0. 0.3 0.
Safeguarding 0 0 1. Lockout permit Ad 3 36
2. lockout machine above and PPE
below you
Slip and fall from Moderate 3 3 1 9 1 Good house keeping 80% AD 3 1 1 3
equipment irreversible 2. Good supervision SU
disability PPE
Fall from a height Single fatality 4 1 1 4 Eng SOP 66 working at heights 75% Su 4 0. 0.3 0.
0 0 1 Wear required PPE Ad 3 36
2. Anchor points PPE
3. Life line

APPROVAL OF RISK REVISION

ASSESSMENT

Hierarchy of EL Eliminate SE Separate AD Administrative

Control Legend SU Substitute RE Redesign PPE Personal Protective Equipment

RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:

DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE

RISK ASSESSMENT RECORDING SHEET – FORM CP12D

Machine Safeguarding No 2

MINE Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Lifting Operations ACTIVITY (CONTEXT)Machine Safe Guarding

SUB-ACTIVITY (SUB CONTEXT)

Control Effectiveness %
IRR

RR
PROBABILITY

PROBABILITY
CONTROLHIERARCHY OF
FRCP Applicable

SEVERITY

EXPOSURE

SEVERITY

EXPOSURE
TASK/ACTIVITY/RISK HAZARD/ASPECT/CAUSE IIMPACT/INCIDENT CONTROLS/MITIGANTS
ISSUE (Including Legal Controls)

Machine Machine guards Single fatality 4 1 1 4 Eng SOP 63 Machine safe guarding. 99% Su 4 0. 0.3 0.
Safeguarding 0 0 1. Monthly checks. Ad 3 36
2. Maintenance task list PPE
Handrails Handrails Single fatality 4 1 1 4 Eng SOP 63 Machine safe guarding. 99% Su 4 0. 0.3 0.
0 0 1. Monthly checks. Ad 3 36
2. Maintenance task list PPE
Walkways Single fatality 4 1 1 4 Eng SOP 63 Machine safe guarding. 99% Su 4 0. 0.3 0.
0 0 1. Monthly checks. Ad 3 36
2. Maintenance task list PPE
APPROVAL OF RISK REVISION
ASSESSMENT

Hierarchy of EL Eliminate SE Separate AD Administrative

Control Legend SU Substitute RE Redesign PPE Personal Protective Equipment

RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:

DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE
 RISK ASSESSMENT RECORDING SHEET – FORM CP12D
Machine Safeguarding No 3

MINE Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Lifting Operations ACTIVITY (CONTEXT)Machine Safe Guarding

SUB-ACTIVITY (SUB CONTEXT)

Control Effectiveness %
IRR

RR
PROBABILITY

PROBABILITY
CONTROLHIERARCHY OF
FRCP Applicable

SEVERITY

EXPOSURE

SEVERITY

EXPOSURE
TASK/ACTIVITY/RISK HAZARD/ASPECT/CAUSE IIMPACT/INCIDENT CONTROLS/MITIGANTS
ISSUE (Including Legal Controls)

Machine Barricading Single fatality 4 1 1 4 Eng SOP 63 Machine safe guarding. 99% Su 4 0. 0.3 0.
safeguarding 0 0 1. Monthly checks. Ad 3 36
2. Maintenance task list PPE
Warning signs No Medical 1 3 3 9 Eng. SOP. 72 Notices and signs. 50% AD 1 3 2 6
treatment required 1. Monthly checks PPE
RED

APPROVAL OF RISK REVISION

ASSESSMENT

Hierarchy of EL Eliminate SE Separate AD Administrative

Control Legend SU Substitute RE Redesign PPE Personal Protective Equipment
 RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:
DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE

RISK ASSESSMENT RECORDING SHEET – FORM CP12D

Mobile Crane And Lifting No 1

MINE Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Lifting Operations ACTIVITY (CONTEXT) Over head Cranes

SUB-ACTIVITY (SUB CONTEXT)

Control Effectiveness %

CONTROLHIERARCHY OF
EXPOSURE

SEVERITY

EXPOSURE
IRR

RR
FRCP Applicable

SEVERITY

PROBABILITY

PROBABILITY
TASK/ACTIVITY/ HAZARD/ASPECT/C IIMPACT/INCIDENT CONTROLS/MITIGANTS
RISK ISSUE AUSE (Including Legal Controls)

Mobile Cranes No Safety Circuit and Single Fatality 4 1 1 4 No competent person operating AD 1 0, 1 0,
and lifting load cell defective crane PPE 3 3
equipment Not trained, licensed Eng Cop o5 lock out procedure RED
or authorised to Management Walk about
drive a mobile crane MMS Procedure
Not complying to Eng Cop o5 lock out procedure
legal requirement Management Walk about
Load swing out of Maintenance Schedules
control Eng SOP 67
Crane not level Load tests
Ground not safe for Pre –use inspections
out riggers Pre- use tests
Lifting equipment Eng. SOP. 72 Notices and signs.
 Cannot be identified Monthly checks
No log books SOP H&S 05 PPE
APPROVAL OF REVISION
RISK
ASSESSMENT
Hierarchy of Control EL Eliminate SE Separate AD Administrative
Legend SU Substitute RE Redesign PPE Personal Protective Equipment
RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:
DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE
RISK ASSESSMENT RECORDING SHEET – FORM CP12D
Mobile Crane And Lifting No 2

MINE Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Lifting Operations ACTIVITY (CONTEXT) Over head Cranes

SUB-ACTIVITY (SUB CONTEXT)

CONTROLHIERARCHY OF
Control Effectiveness %
EXPOSURE

SEVERITY

EXPOSURE
IRR

RR
FRCP Applicable

SEVERITY

PROBABILITY

PROBABILITY
TASK/ACTIVITY/ HAZARD/ASPECT/C IIMPACT/INCIDENT CONTROLS/MITIGANTS
RISK ISSUE AUSE (Including Legal Controls)

Mobile Cranes Crane Falls over due Single Fatality 4 1 1 4 No competent person operating AD 1 0, 1 0,
and lifting to terrain failure crane PPE 3 3
equipment Out riggers collapse Eng Cop o5 lock out procedure RED
Crane not level Management Walk about
Bad weather MMS Procedure
Faulty Equipment no Eng Cop o5 lock out procedure
pre- use inspection Management Walk about
Rope bird cages Maintenance Schedules
Rope has broken a Eng SOP 67
 strands Load tests
Two mobile cranes in Pre –use inspections
their arc radius Pre- use tests
collide Eng. SOP. 72 Notices and signs.
Lockout system not Monthly checks
to standard SOP H&S 05 PPE

APPROVAL OF REVISION
RISK
ASSESSMENT
Hierarchy of Control EL Eliminate SE Separate AD Administrative
Legend SU Substitute RE Redesign PPE Personal Protective Equipment
RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:
DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE
RISK ASSESSMENT RECORDING SHEET – FORM CP12D
Mobile Crane And Lifting No 3

MINE Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Lifting Operations ACTIVITY (CONTEXT) Over head Cranes

SUB-ACTIVITY (SUB CONTEXT)

CONTROLHIERARCHY OF
Control Effectiveness %
EXPOSURE

SEVERITY

EXPOSURE
IRR

RR
FRCP Applicable

SEVERITY

PROBABILITY

PROBABILITY
TASK/ACTIVITY/ HAZARD/ASPECT/C IIMPACT/INCIDENT CONTROLS/MITIGANTS
RISK ISSUE AUSE (Including Legal Controls)

Mobile Cranes Tandem lifts drops Single Fatality 4 1 1 4 No competent person operating AD 1 0, 1 0,
and lifting its load crane PPE 3 3
 equipment No rigger to do Eng Cop o5 lock out procedure RED
tandem lift Management Walk about
Crane topples MMS Procedure
because of adverse Eng Cop o5 lock out procedure
weather conditions Management Walk about
Maintenance Schedules
Eng SOP 67
Load tests
Pre –use inspections
Pre- use tests
Eng. SOP. 72 Notices and signs.
Monthly checks
SOP H&S 05 PPE
APPROVAL OF REVISION
RISK
ASSESSMENT
Hierarchy of Control EL Eliminate SE Separate AD Administrative
Legend SU Substitute RE Redesign PPE Personal Protective Equipment

RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:

DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE

RISK ASSESSMENT RECORDING SHEET – FORM CP12D

Mobile Crane And Lifting No 4

MINE Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Lifting Operations ACTIVITY (CONTEXT) Over head Cranes

SUB-ACTIVITY (SUB CONTEXT)

 CONTROLHIERARCHY OF
Control Effectiveness %
EXPOSURE

SEVERITY

EXPOSURE
IRR

RR
FRCP Applicable

SEVERITY

PROBABILITY

PROBABILITY
TASK/ACTIVITY/ HAZARD/ASPECT/C IIMPACT/INCIDENT CONTROLS/MITIGANTS
RISK ISSUE AUSE (Including Legal Controls)

Mobile Cranes Failure to use Out Single Fatality 4 1 1 4 competent person operating crane AD 1 0, 1 0,
and lifting rigger Crane \ tuck Competent supervision PPE 3 3
equipment over turns Eng SOP 67 Lifting Procedures RED
No tag Rope used Mining control tower has a warning
Stored energy not device of storm distance
recognised Crane fitted with wind speed metre
In correct Hand Plan in place for weather
signals Eng Sop 04 Electric Storms

APPROVAL OF REVISION
RISK
ASSESSMENT

Hierarchy of Control EL Eliminate SE Separate AD Administrative

Legend SU Substitute RE Redesign PPE Personal Protective Equipment

RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:

DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE

RISK ASSESSMENT RECORDING SHEET – FORM CP12D

Mobile Crane And Lifting No 5
MINE Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Lifting Operations ACTIVITY (CONTEXT) Over head Cranes

SUB-ACTIVITY (SUB CONTEXT)

Control Effectiveness %
IRR

RR
PROBABILITY

PROBABILITY
CONTROLHIERARCHY OF
FRCP Applicable

SEVERITY

EXPOSURE

SEVERITY

EXPOSURE
TASK/ACTIVITY/RISK HAZARD/ASPECT/CAUSE IIMPACT/INCIDENT CONTROLS/MITIGANTS
ISSUE (Including Legal Controls)

Mobile Cranes Fall from height due Single Fatality 4 1 1 4 competent person operating crane AD 1 0, 1 0,
and lifting to using incorrect Competent supervision PPE 3 3
equipment method of lifting Eng SOP 67 Lifting Procedures RED
people Mining control tower has a warning
Bosons Chair unsafe device of storm distance
to hoist people Crane fitted with wind speed metre
Crane free fall Plan in place for weather
defective Eng Sop 04 Electric Storms
Driver under the
influence
To close to power
lines

APPROVAL OF RISK REVISION

ASSESSMENT

Hierarchy of EL Eliminate SE Separate AD Administrative

Control Legend SU Substitute RE Redesign PPE Personal Protective Equipment

RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:

DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE
 RISK ASSESSMENT RECORDING SHEET – FORM CP12D
Mobile Crane And Lifting No 6

MINE Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Lifting Operations ACTIVITY (CONTEXT) Over head Cranes

SUB-ACTIVITY (SUB CONTEXT)

CONTROLHIERARCHY OF
Control Effectiveness %
EXPOSURE

SEVERITY

EXPOSURE
IRR

RR
FRCP Applicable

SEVERITY

PROBABILITY

PROBABILITY
TASK/ACTIVITY/ HAZARD/ASPECT/C IIMPACT/INCIDENT CONTROLS/MITIGANTS
RISK ISSUE AUSE (Including Legal Controls)

Mobile Cranes Crane failed due to No Medical 1 3 3 9 Monthly checks 50% AD 1 3 2 6

and lifting no Maintenance treatment required Maintenance Schedules PPE
equipment being done Eng SOP 67 Lifting RED
Not Roadworthy Procedures
Tyres poor condition
Crane failed due to
no pre shift check
being done
Over wind of the
rope
Raising or lowering
load to quickly

APPROVAL OF REVISION
RISK
ASSESSMENT

Hierarchy of Control EL Eliminate SE Separate AD Administrative

Legend SU Substitute RE Redesign PPE Personal Protective Equipment
 RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:
DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE

RISK ASSESSMENT RECORDING SHEET – FORM CP12D

Lockout and Isolation No 1

MINE Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Lifting Operations ACTIVITY (CONTEXT) Lock out

SUB-ACTIVITY (SUB CONTEXT)

Control Effectiveness %
IRR

RR
PROBABILITY

PROBABILITY
CONTROLHIERARCHY OF
FRCP Applicable

SEVERITY

EXPOSURE

SEVERITY

EXPOSURE
TASK/ACTIVITY/RISK HAZARD/ASPECT/CAUSE IIMPACT/INCIDENT CONTROLS/MITIGANTS
ISSUE (Including Legal Controls)

Lock out and Failure to lock out Single fatality 4 1 1 4 COP 05 Lockout and isolation 95% SE 4 0. 0.3 0.
isolation Failure to follow lock 0 0 1. Lock out permit AD 3 36
out procedure 2. Lock out before and after PPE
Left lockout key in 3. Isolate stored energy
ignition 4. Knowledge and implication of
Left crane running BHP Billiton fatal risk protocol
and unattended 5. Only competent and
Switched off power experienced persons to do lock
under load conditions out.
Every person working on a machine
must lock out.
APPROVAL OF RISK REVISION
ASSESSMENT

Hierarchy of EL Eliminate SE Separate AD Administrative

Control Legend SU Substitute RE Redesign PPE Personal Protective Equipment
 RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:
DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE

RISK ASSESSMENT RECORDING SHEET – FORM CP12D

Lockout and Isolation No 2

MINE Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Trackless Lockout ACTIVITY (CONTEXT) Lock out

SUB-ACTIVITY (SUB CONTEXT)

Control Effectiveness %
IRR

RR
PROBABILITY

PROBABILITY
CONTROLHIERARCHY OF
FRCP Applicable

SEVERITY

EXPOSURE

SEVERITY

EXPOSURE
TASK/ACTIVITY/RISK HAZARD/ASPECT/CAUSE IIMPACT/INCIDENT CONTROLS/MITIGANTS
ISSUE (Including Legal Controls)

Lock out and Failure to lock out Single fatality 4 1 1 4 COP 05 Lockout and isolation 95% SE 4 0. 0.3 0.
isolation Lockout wrong 0 0 6. Lock out permit AD 3 36
equipment 7. Lock out before and after PPE
Lockout Switch Faulty 8. Isolate stored energy
No facility to lockout 9. Knowledge and implication of
Ring Feed BHP Billiton fatal risk protocol
Static Elect 10. Only competent and
Failure to Earth high experienced persons to do lock
voltage system out.
Failure to test 11. Every person working on a
Incompetent workers machine must lock out.
Untrained workers
APPROVAL OF RISK REVISION
ASSESSMENT

Hierarchy of EL Eliminate SE Separate AD Administrative

Control Legend SU Substitute RE Redesign PPE Personal Protective Equipment

RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:

DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE

RISK ASSESSMENT RECORDING SHEET – FORM CP12D

Working Next To Moving Machinery No 1

MINE Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Lifting Operations ACTIVITY (CONTEXT)Working Next To Moving Machinary

SUB-ACTIVITY (SUB CONTEXT)

RR
Control Effectiveness %
IRR
FRCP Applicable

SEVERITY

EXPOSURE

PROBABILITY

SEVERITY

EXPOSURE

PROBABILITY
CONTROLHIERARCHY OF
TASK/ACTIVITY/RISK HAZARD/ASPECT/CAUSE IIMPACT/INCIDENT CONTROLS/MITIGANTS
ISSUE (Including Legal Controls)

Working next to No machine guarding Single fatality 4 1 1 4 Eng S.O.P. 042 Boarding & 75% AD 4 0 0,3 0,
or over moving No barricading 0 0 Disembarking from machinery SU 3 36
machinery No warning Signs 1. Wear required P.P.E PPE
Not aware of the 2. Good House keeping
danger 3. Barricading or Safe Guarding
Not working at a safe
distance from
 moving machine

APPROVAL OF RISK REVISION

ASSESSMENT

Hierarchy of EL Eliminate SE Separate AD Administrative

Control Legend SU Substitute RE Redesign PPE Personal Protective Equipment

RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:

DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE

LIFTING EQUIPMENT

1 Activate remote by mistake from a distance not 1. Permit System control

2. Realising that the crane is activated and moving 2. Training
3. Drop remote from a height 3. Barricade Area
4. Range of remote too great 4. Measurement of wind speed
5. Not trained with the use of a remote 5. Log Books
6. Can loose sight of the load 6. PTO
, PI, Over Inspections
7. No spotter or help to give signals 7. Designed Lugs
8. Giving incorrect signals 8. Stored energy is identified in most cases
9. Cannot hear or see spotter\ signaller area noisy 9. Random drug and Alcohol tests
10. Insufficient light 10. Locked out Lockout procedure
11. Adverse weather conditions wind, rain, to hot, too cold 11. Pre issue inspection
12. Defective control 13. Monthly Service’s on schedules
13. No emergency stop crane runs away 14. pre-use checks
14. Faulty limits 15. Tag ropes
 15. Overload limiter defective 16. Life lines
16. Crane operator under the influence 17. Communication of all the hazards
17. Fire 18. Risk assessment and JSA on all planned tasks
18. Explosion 19. SOP’S and COP’S
19. Over wind of the rope \ defective rope \ Broken Rope 20. Safety meetings \ Safety talks \ accident investigation
20. Obstruction 21. Red Card and Green Card.
21. Elect \ mech, failure under load 22. Notice Board and Display boards
22. Fall from a height 23. Safety rep’s. Full time Safety officers
23. Uncontrolled swinging of load 24. Safety department . First Aide Training
24. Incompetent \ untrained workers 25. Paramedics \ Doctors \ ambulance
25. Bearing failure 26. Commitment from management and Head office
26. No safety catch on the hook \ Defective hook Billiton

RISK ASSESSMENT RECORDING SHEET – FORM CP12D

Lifting Equipment No 1

MINE Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Lifting Operations ACTIVITY (CONTEXT) Lifting Equipment

SUB-ACTIVITY (SUB CONTEXT)

Control Effectiveness %
IRR

RR
PROBABILITY

PROBABILITY
CONTROLHIERARCHY OF
FRCP Applicable

SEVERITY

EXPOSURE

SEVERITY

EXPOSURE
TASK/ACTIVITY/RISK HAZARD/ASPECT/CAUSE IIMPACT/INCIDENT CONTROLS/MITIGANTS
ISSUE (Including Legal Controls)

Lifting Bad hand signals Moderate 3 3 1 9 Tag Ropes Life lines 80% Ad 3 1 1 3
Equipment Unsighted irreversible Designed Spreader Bar SU
Too much noise disability Centralised secure lifting Lugs PPE
Bad light Correct sized Lifting Equipment
Blinded by the sun Qualified Rigger
Pendant too long Eng S.O.P. 67 Lifting and Lifting
 Pendant too short Tackle
Load too short Regular Checks P.I, PTO
Messenger chain too Log Books and test certificate
short too long Trained workers
No safe plat form Risk assessment and JSA’S training
No access to hang Safety meetings
equipment Fatal Risk Protocol
Training at I campus
Safety Talks
Governed by the law
APPROVAL OF RISK REVISION
ASSESSMENT

Hierarchy of EL Eliminate SE Separate AD Administrative

Control Legend SU Substitute RE Redesign PPE Personal Protective Equipment

RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:

DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE
RISK ASSESSMENT RECORDING SHEET – FORM CP12D
Lifting Equipment No 2

MINE Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Lifting Operations ACTIVITY (CONTEXT) Lifting Equipment

SUB-ACTIVITY (SUB CONTEXT)

Control Effectiveness %
EXPOSURE

SEVERITY

EXPOSURE
IRR

RR
CONTROLHIERARCHY OF
FRCP Applicable

SEVERITY

PROBABILITY

PROBABILITY
TASK/ACTIVITY/ HAZARD/ASPECT/C IIMPACT/INCIDENT CONTROLS/MITIGANTS
RISK ISSUE AUSE (Including Legal Controls)

Lifting Bad whip lash Single Fatality 4 1 1 4 Tag Ropes Life lines 80% Ad 4 0, 0,3 0,
 Equipment Failure to loosen 0 0 Designed Spreader Bar SU 3 36
load , still secured Centralised secure lifting Lugs PPE
Over load Correct sized Lifting Equipment
Break Sling, shackle, Qualified Rigger
Chain, hook due to Eng S.O.P. 67 Lifting and Lifting
load not free to lift Tackle
still secured Regular Checks P.I, PTO
Struck by lifting Log Books and test certificate
equipment breaking Trained workers
loose Risk assessment and JSA’S training
Over wind Safety meetings
Too much slack Fatal Risk Protocol
Training at I campus
Safety Talks
Governed by the law

APPROVAL OF RISK REVISION

ASSESSMENT

Hierarchy of EL Eliminate SE Separate AD Administrative

Control Legend SU Substitute RE Redesign PPE Personal Protective Equipment
RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:
DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE
RISK ASSESSMENT RECORDING SHEET – FORM CP12D
Lifting Equipment No 4

MINE Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Lifting Operations ACTIVITY (CONTEXT) Lifting Equipment

SUB-ACTIVITY (SUB CONTEXT)
 Control Effectiveness %
IRR

RR
PROBABILITY

PROBABILITY
CONTROLHIERARCHY OF
FRCP Applicable

SEVERITY

EXPOSURE

SEVERITY

EXPOSURE
TASK/ACTIVITY/RISK HAZARD/ASPECT/CAUSE IIMPACT/INCIDENT CONTROLS/MITIGANTS
ISSUE (Including Legal Controls)

Lifting Not trained to use or Single Fatality 4 1 1 4 Tag Ropes Life lines 80% Ad 4 0, 0,3 0,
Equipment do lifting operations 0 0 Designed Spreader Bar SU 3 36
No risk assessment Centralised secure lifting Lugs PPE
or JSA Correct sized Lifting Equipment
No overhead crane Qualified Rigger
licence Eng S.O.P. 67 Lifting Tackle
No Permit Regular Checks P.I, PTO
Failure to lockout Log Books and test certificate
No Tag rope used Trained workers
Risk assessment and JSA’S training
Safety meetings
Fatal Risk Protocol
Training at I campus
Safety Talks
Governed by the law

APPROVAL OF REVISION
RISK
ASSESSMENT
Hierarchy of EL Eliminate SE Separate AD Administrative
Control Legend SU Substitute RE Redesign PPE Personal Protective Equipment
RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:
DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE
RISK ASSESSMENT RECORDING SHEET – FORM CP12D
Lifting Equipment No 5

MINE Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Lifting Operations ACTIVITY (CONTEXT) Lifting Equipment

SUB-ACTIVITY (SUB CONTEXT)

Control Effectiveness %
IRR

RR
PROBABILITY

PROBABILITY
CONTROLHIERARCHY OF
FRCP Applicable

SEVERITY

EXPOSURE

SEVERITY

EXPOSURE
TASK/ACTIVITY/RISK HAZARD/ASPECT/CAUSE IIMPACT/INCIDENT CONTROLS/MITIGANTS
ISSUE (Including Legal Controls)

Lifting Faulty Equipment Single Fatality 4 1 1 4 Tag Ropes Life lines 80% Ad 4 0, 0,3 0,
Equipment Rope Broke 0 0 Designed Spreader Bar SU 3 36
Defective sling Centralised secure lifting Lugs PPE
Hook cracked Correct sized Lifting Equipment
Hook not to standard Qualified Rigger
opening Eng S.O.P. 67 Lifting and Lifting
Load chain link Tackle
cracked Regular Checks P.I, PTO
Insecure load not Log Books and test certificate
rigged safely Trained workers
Swinging out of Risk assessment and JSA’S training
control Safety meetings
Bad Weather Fatal Risk Protocol
Too hot, too cold, too Training at I campus
wet no access Safety Talks
Governed by the law
APPROVAL OF RISK REVISION
ASSESSMENT

Hierarchy of EL Eliminate SE Separate AD Administrative

Control Legend SU Substitute RE Redesign PPE Personal Protective Equipment

RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:

DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE
RISK ASSESSMENT RECORDING SHEET – FORM CP12D
Lifting Equipment No 7
MINE Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Lifting Operations ACTIVITY (CONTEXT) Lifting Equipment

SUB-ACTIVITY (SUB CONTEXT)

Control Effectiveness %
IRR

RR
PROBABILITY

PROBABILITY
CONTROLHIERARCHY OF
FRCP Applicable

SEVERITY

EXPOSURE

SEVERITY

EXPOSURE
TASK/ACTIVITY/RISK HAZARD/ASPECT/CAUS IIMPACT/INCIDENT CONTROLS/MITIGANTS
ISSUE E (Including Legal Controls)

Lifting Equipment Unbalanced load Moderate 3 3 1 9 Tag Ropes Life lines 80% Ad 3 1 1 3
No designed lifting irreversible Designed Spreader Bar SU
lugs disability Centralised secure lifting Lugs PPE
Load not safe Correct sized Lifting Equipment
Wrong method used Qualified Rigger
Insufficient clearance Eng S.O.P. 67 Lifting and Lifting
Wrong route taken Tackle
Failure too plan route Regular Checks P.I, PTO
Moving machine on Log Books and test certificate
route Trained workers
Stored Energy Risk assessment and JSA’S training
Taking up a Safety meetings
incorrect position Fatal Risk Protocol
Failure to recognise Training at I campus
hazard Safety Talks
Governed by the law
APPROVAL OF RISK REVISION
ASSESSMENT

Hierarchy of EL Eliminate SE Separate AD Administrative

Control Legend SU Substitute RE Redesign PPE Personal Protective Equipment
RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:
DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE
 RISK ASSESSMENT RECORDING SHEET – FORM CP12D
Lifting Equipment No 8

MINE Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Lifting ACTIVITY (CONTEXT) Lifting Equipment

SUB-ACTIVITY (SUB CONTEXT)

Control Effectiveness %
IRR

RR
PROBABILITY

PROBABILITY
CONTROLHIERARCHY OF
FRCP Applicable

SEVERITY

EXPOSURE

SEVERITY

EXPOSURE
TASK/ACTIVITY/RISK HAZARD/ASPECT/CAUSE IIMPACT/INCIDENT CONTROLS/MITIGANTS
ISSUE (Including Legal Controls)

Lifting Faulty Equipment Single Fatality 4 1 1 4 Eng S.O.P. 67 Lifting and Lifting 75% Ad 4 0, 0,3 0,
Equipment No safety catch 0 0 Tackle1. SU 3 36
Cracked hook Regular Checks PPE
slipping clutch Log Books and test certificate
Broken load chain Trained workers
Over loaded load Risk assessment and JSA’S
chain Tag Ropes
Insecure load Designed Spreader Bar
No lugs Centralised secure lifting Lugs
Slings too long Correct sized Lifting Equipment
Slings too short Red Card stops unsafe work
Bad Weather Plan around bad weather
In secure ground Eng S.O.P. 04 Elect Storm
conditions
APPROVAL OF RISK REVISION
ASSESSMENT

ierarchy of Control EL Eliminate SE Separate AD Administrative

Legend SU Substitute RE Redesign PPE Personal Protective Equipment

RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:

DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE
 RISK ASSESSMENT RECORDING SHEET – FORM CP12D
Lifting Equipment No 9

MINE Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Lifting Equipment ACTIVITY (CONTEXT) Lifting Equipment

SUB-ACTIVITY (SUB CONTEXT)

Control Effectiveness %
IRR

RR
PROBABILITY

PROBABILITY
CONTROLHIERARCHY OF
FRCP Applicable

SEVERITY

EXPOSURE

SEVERITY

EXPOSURE
TASK/ACTIVITY/RISK HAZARD/ASPECT/CAUSE IIMPACT/INCIDENT CONTROLS/MITIGANTS
ISSUE (Including Legal Controls)

Lifting Unbalanced load Moderate 3 3 1 9 Eng S.O.P. 67 Lifting and Lifting 80% Ad 3 1 1 3
Equipment No lugs at designed irreversible Tackle1. SU
positions disability Regular Checks PPE
In correct slinging Log Books and test certificate
method Trained workers
Insufficient clearance Risk assessment and JSA’S
Load strikes moving Tag Ropes
machine Designed Spreader Bar
Load cannot clear a Centralised secure lifting Lugs
wall Correct sized Lifting Equipment
Stored Energy Red Card stops unsafe work
Failure to recognise Plan around bad weather
the hazard Eng S.O.P. 04 Elect Storm
APPROVAL OF RISK
ASSESSMENT

Hierarchy of EL Eliminate SE Separate AD Administrative

Control Legend SU Substitute RE Redesign PPE Personal Protective Equipment

RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:

DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE

RISK ASSESSMENT RECORDING SHEET – FORM CP12D

Material Handling No1

MINE Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Lifting Operations ACTIVITY (CONTEXT) Material Handling

SUB-ACTIVITY (SUB CONTEXT)

Control Effectiveness %
IRR

RR
PROBABILITY

PROBABILITY
CONTROLHIERARCHY OF
FRCP Applicable

SEVERITY

EXPOSURE

SEVERITY

EXPOSURE
TASK/ACTIVITY/RISK HAZARD/ASPECT/CAUSE IIMPACT/INCIDENT CONTROLS/MITIGANTS
ISSUE (Including Legal Controls)

Material Handling Falling material or Moderate 3 3 10 9 Tag Ropes Life lines 80% Ad 3 1 1 3
tools irreversible 0 Designed Spreader Bar SU
Fall from a height disability Centralised secure lifting Lugs PPE
Trying to align a hole Correct sized Lifting Equipment
with your finger Qualified Rigger
Nip Points and sharp Eng SOP 70
edges Eng S.O.P. 67 Lifting Tackle
Under the influence of Regular Checks P.I, PTO
drugs or alcohol Log Books and test certificate
Not in control or Trained workers
carrying too many Risk assessment and JSA’S training
tools Safety meetings
Bad house keeping Fatal Risk Protocol
Training at I campus
Safety Talks
Governed by the law
APPROVAL OF RISK REVISION
ASSESSMENT
 Hierarchy of EL Eliminate SE Separate AD Administrative
Control Legend SU Substitute RE Redesign PPE Personal Protective Equipment

RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:

DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE
RISK ASSESSMENT RECORDING SHEET – FORM CP12D
Material Handling No 2

MINE Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Lifting Operations ACTIVITY (CONTEXT) Material Handling

SUB-ACTIVITY (SUB CONTEXT)

Control Effectiveness %
IRR

RR
PROBABILITY

PROBABILITY
CONTROLHIERARCHY OF
FRCP Applicable

SEVERITY

EXPOSURE

SEVERITY

EXPOSURE
TASK/ACTIVITY/RISK HAZARD/ASPECT/CAUSE IIMPACT/INCIDENT CONTROLS/MITIGANTS
ISSUE (Including Legal Controls)

Material Handling Injured back lifting Moderate 3 3 1 9 Licence and trained builders, training 80% Ad 3 1 1 3
material irreversible at I campus SU
Cut hand lifting a disability Permit system in place PPE
plate Eng S.O.P. 67 Lifting and Lifting
Dropped material on Tackle
foot Regular Checks P.I, PTO
Struck by flying Log Books and test certificate
material Trained workers
Foreign matter in eye Risk assessment and JSA’S training
Tramped on nail Safety meetings
Burnt by hot material Fatal Risk Protocol
Injured by Flying Training at I campus
sparks Safety Talks
Injured ankle Governed by the law
 carrying material Eng SOP 70

APPROVAL OF RISK REVISION

ASSESSMENT

Hierarchy of EL Eliminate SE Separate AD Administrative

Control Legend SU Substitute RE Redesign PPE Personal Protective Equipment

RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:

DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE
RISK ASSESSMENT RECORDING SHEET – FORM CP12D
Material Handling No 3

MINE Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Lifting Operations ACTIVITY (CONTEXT) Material Handling

SUB-ACTIVITY (SUB CONTEXT)

RR
Control Effectiveness %
IRR
FRCP Applicable

SEVERITY

EXPOSURE

PROBABILITY

SEVERITY

EXPOSURE

PROBABILITY
CONTROLHIERARCHY OF
TASK/ACTIVITY/RISK HAZARD/ASPECT/CAUSE IIMPACT/INCIDENT CONTROLS/MITIGANTS
ISSUE (Including Legal Controls)

Material Handling Injured due to oily or Moderate 3 3 3 2 Using an earth leakage unit 85% Ad 3 1 1 3
greasy hands irreversible 7 Licence and trained builders, training SU
Injured due to at I campus PPE
Material too hot \ too Permit system in place
cold Eng S.O.P. 67 Lifting and Lifting
Bad House keeping Tackle
Injured due to Floc, Regular Checks P.I, PTO
water, ice on the Log Books and test certificate
floor Trained workers
Injured fitting pump Risk assessment and JSA’S training
 spares Safety meetings
Injured changing a Fatal Risk Protocol
tyre Training at I campus
Injured changing Safety Talks
lifting equipment Governed by the law

Hierarchy of EL Eliminate SE Separate AD Administrative

Control Legend SU Substitute RE Redesign PPE Personal Protective Equipment

RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:

DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE
RISK ASSESSMENT RECORDING SHEET – FORM CP12D
Material Handling No 4

MINE Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Lifting Operations ACTIVITY (CONTEXT) Material Handling

SUB-ACTIVITY (SUB CONTEXT)

Control Effectiveness %
IRR

RR
PROBABILITY

PROBABILITY
CONTROLHIERARCHY OF
FRCP Applicable

SEVERITY

EXPOSURE

SEVERITY

EXPOSURE
TASK/ACTIVITY/RISK HAZARD/ASPECT/CAUSE IIMPACT/INCIDENT CONTROLS/MITIGANTS
ISSUE (Including Legal Controls)

Material Handling Injured neck Moderate 3 3 3 2 Using an earth leakage unit 75% Ad 3 1 1 3
Manhandling a Injured back irreversible 7 Licence and trained builders, training SU
cable Cut hands at I campus PPE
Injured foot Permit system in place
Bitten by insects \ Eng S.O.P. 67 Lifting and Lifting
snake Tackle
Eye injuries Regular Checks P.I, PTO
Burnt by hot lead Log Books and test certificate
 Cut hand with Trained workers
Stanley knife Risk assessment and JSA’S training
Heat stroke \ Safety meetings
exhaustion \ sun Fatal Risk Protocol
burn Training at I campus
Head injuries Safety Talks
Failure to wear PPE Governed by the law
Collapsed trench
APPROVAL OF RISK REVISION
ASSESSMENT

Hierarchy of EL Eliminate SE Separate AD Administrative

Control Legend SU Substitute RE Redesign PPE Personal Protective Equipment
RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:
DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE
RISK ASSESSMENT RECORDING SHEET – FORM CP12D
Oxygen And Acetylene No 1

MINE Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Oxygen and Acetylene ACTIVITY (CONTEXT) Use of Oxygen Acetylene

SUB-ACTIVITY (SUB CONTEXT)

RR
Control Effectiveness %
IRR
FRCP Applicable

SEVERITY

EXPOSURE

PROBABILITY

SEVERITY

EXPOSURE

PROBABILITY
CONTROLHIERARCHY OF
TASK/ACTIVITY/RISK HAZARD/ASPECT/CAUSE IIMPACT/INCIDENT CONTROLS/MITIGANTS
ISSUE (Including Legal Controls)

Using Oxygen Burnt gas Objective but 2 3 3 1 Licence and trained at I tcampus 75% Ad 3 1 1 3
and acetylene Gas explosion reversible requiring 8 Permit system in place SU
Burnt by rubber hospitalisation Regular Checks P.I, PTO PPE
pipes Log Books and test certificate
Eye injury due to Trained workers
sudden release of Risk assessment and JSA’S training
 gas Safety meetings
Gas becomes liquid Fatal Risk Protocol
due to incorrect Safety Talks
storage of cylinders Governed by the law
Back injury handling Eng SOP 45
cylinders Barricading
Dropped cylinders Special Storage place for bottles
and neck broke off H&S SOP 05 PPE
and took off like a
missile
Fire \ explosion

APPROVAL OF RISK REVISION

ASSESSMENT

Hierarchy of EL Eliminate SE Separate AD Administrative

Control Legend SU Substitute RE Redesign PPE Personal Protective Equipment
RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:
DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE
RISK ASSESSMENT RECORDING SHEET – FORM CP12D
Use Of A Cutting Torch No 1

MINE Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Cutting Torch ACTIVITY (CONTEXT) Use of Cutting Torch

SUB-ACTIVITY (SUB CONTEXT)

RR
Control Effectiveness %
IRR
FRCP Applicable

SEVERITY

EXPOSURE

PROBABILITY

SEVERITY

EXPOSURE

PROBABILITY
CONTROLHIERARCHY OF
TASK/ACTIVITY/RISK HAZARD/ASPECT/CAUSE IIMPACT/INCIDENT CONTROLS/MITIGANTS
ISSUE (Including Legal Controls)

Use of a cutting Torch catches fire no Objective but 2 3 3 1 Licence and trained at I tampus 75% Ad 3 1 1 3
 torch flash back arresters reversible requiring 8 Permit system in place SU
Fire from sparks hospitalisation Regular Checks P.I, PTO PPE
Gas explosion from Log Books and test certificate
leaving torch open Trained workers
Leaking nozzle Risk assessment and JSA’S training
causes a fire Safety meetings
Defective torch Fatal Risk Protocol
causes fire Safety Talks
No fire extinguisher Governed by the law
at hand Eng SOP 45
Sparks set Barricading
hazardous chemicals Special Storage place for bottles
alight H&S SOP 05 PPE
No pre-use
inspection done

APPROVAL OF RISK REVISION

ASSESSMENT

Hierarchy of EL Eliminate SE Separate AD Administrative

Control Legend SU Substitute RE Redesign PPE Personal Protective Equipment

RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:

DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE
RISK ASSESSMENT RECORDING SHEET – FORM CP12D
Welding No 1

MINE Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Welding ACTIVITY (CONTEXT) Welding

SUB-ACTIVITY (SUB CONTEXT)
 Control Effectiveness %
IRR

RR
PROBABILITY

PROBABILITY
CONTROLHIERARCHY OF
FRCP Applicable

SEVERITY

EXPOSURE

SEVERITY

EXPOSURE
TASK/ACTIVITY/RISK HAZARD/ASPECT/CAUSE IIMPACT/INCIDENT CONTROLS/MITIGANTS
ISSUE (Including Legal Controls)

Welding Electrical shock Objective but 2 3 3 1 Licence and trained at I campus 75% Ad 3 1 1 3
because no voltage reversible requiring 8 Permit system in place SU
reducers not fitted hospitalisation Regular Checks P.I, PTO PPE
Fire from sparks Log Books and test certificate
Burnt from sparks Trained workers
Fire from sparks Risk assessment and JSA’S training
Burnt from welded Safety meetings
article Fatal Risk Protocol
Welding breaks Safety Talks
loose Governed by the law
Using incorrect Eng SOP 45
welding Rod weld Barricading
cracks and breaks Special Storage place for bottles
H&S SOP 05 PPE

APPROVAL OF RISK REVISION

ASSESSMENT

Hierarchy of EL Eliminate SE Separate AD Administrative

Control Legend SU Substitute RE Redesign PPE Personal Protective Equipment

RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:

DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE
RISK ASSESSMENT RECORDING SHEET – FORM CP12D
Use Of Hand Tools No 1
MINE Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Hand Tools ACTIVITY (CONTEXT) Use of Hand of hand tools

SUB-ACTIVITY (SUB CONTEXT)

Control Effectiveness %
IRR

RR
PROBABILITY

PROBABILITY
CONTROLHIERARCHY OF
FRCP Applicable

SEVERITY

EXPOSURE

SEVERITY

EXPOSURE
TASK/ACTIVITY/RISK HAZARD/ASPECT/CAUSE IIMPACT/INCIDENT CONTROLS/MITIGANTS
ISSUE (Including Legal Controls)

Use of hand Defective or broken Objective but 2 3 3 1 Licence and trained at I Campus 75% Ad 3 1 1 3
tools Chisels or punches reversible requiring 8 Permit system in place SU
mushroomed hospitalisation Regular Checks P.I, PTO PPE
causing injury Log Books and test certificate
Welded handles on Trained workers
hammers Risk assessment and JSA’S training
Spanner too small or Safety meetings
to big slipping Fatal Risk Protocol
causing injury Safety Talks
Cracked tools Governed by the law
Inferior quality tools Eng SOP 73
Wrong tool for the Eng SOP 87
job Eng SOP 23
Taking up a wrong Barricading
position to work Special Storage place for bottles
Stored energy H&S SOP 05 PPE
APPROVAL OF RISK REVISION
ASSESSMENT

Hierarchy of EL Eliminate SE Separate AD Administrative

Control Legend SU Substitute RE Redesign PPE Personal Protective Equipment
RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:
DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE
RISK ASSESSMENT RECORDING SHEET – FORM CP12D
Use Of Hand Tools No 2

MINE Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Hand Tools ACTIVITY (CONTEXT) Use of Hand of hand tools
SUB-ACTIVITY (SUB CONTEXT)

Control Effectiveness %
IRR

RR
PROBABILITY

PROBABILITY
CONTROLHIERARCHY OF
FRCP Applicable

SEVERITY

EXPOSURE

SEVERITY

EXPOSURE
TASK/ACTIVITY/RISK HAZARD/ASPECT/CAUSE IIMPACT/INCIDENT CONTROLS/MITIGANTS
ISSUE (Including Legal Controls)

Hand tools Not trained to use Objective but 2 3 3 1 Licence and trained at I Campus 75% Ad 3 1 1 3
special tools reversible requiring 8 Permit system in place SU
Misuse of hydraulic hospitalisation Regular Checks P.I, PTO PPE
tools i.e. Huck gun, Log Books and test certificates
Hydraulic pullers Trained workers
Hydraulic Jacks Risk assessment and JSA’S training
Torque multipliers Safety meetings
presses Fatal Risk Protocol
Miss use Pneumatic Safety Talks
drills, grinders, Locked trigger removed
pencil grinders, Dead mans switches
Jacks, presses Governed by the law
Injured by the Eng SOP 73
misuse of shifting Eng SOP 87
spanner Eng SOP 23
Stored energy Barricading
Special Storage place for bottles
H&S SOP 05 PPE
APPROVAL OF RISK REVISION
ASSESSMENT

Hierarchy of EL Eliminate SE Separate AD Administrative

Control Legend SU Substitute RE Redesign PPE Personal Protective Equipment
RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:
DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE
 RISK ASSESSMENT RECORDING SHEET – FORM CP12D
Use Of Hand Tools Electrically Operated No 1

MINE Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Hand Tools ACTIVITY (CONTEXT) Use of Hand of hand tools Electrically Powered
SUB-ACTIVITY (SUB CONTEXT)

Control Effectiveness %
IRR

RR
PROBABILITY

PROBABILITY
CONTROLHIERARCHY OF
FRCP Applicable

SEVERITY

EXPOSURE

SEVERITY

EXPOSURE
TASK/ACTIVITY/RISK HAZARD/ASPECT/CAUSE IIMPACT/INCIDENT CONTROLS/MITIGANTS
ISSUE (Including Legal Controls)

Hand tools Electric shock from Single Fatality 4 1 3 1 Licence and trained at I Campus 75% Ad 3 1 1 3
Electrically cable or from the 2 Permit system in place SU
operated machine Regular Checks P.I, PTO PPE
Stored energy Log Books and test certificates
Failure to use earth Trained workers
leakage or no earth Risk assessment and JSA’S training
leakage in line Safety meetings
Defective earth Fatal Risk Protocol
leakage Safety Talks
Machine not earthed Locked trigger removed
Lead light not to Dead mans switches
standard Governed by the law
Lead light not Eng SOP 73
earthed Eng SOP 87
Failure to switch off Eng SOP 23
leadlight to change Barricading
globe touch live wire Special Storage place for bottles
H&S SOP 05 PPE
APPROVAL OF RISK REVISION
ASSESSMENT

Hierarchy of EL Eliminate SE Separate AD Administrative

Control Legend SU Substitute RE Redesign PPE Personal Protective Equipment
RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:
 DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE
RISK ASSESSMENT RECORDING SHEET – FORM CP12D
Use Of Hand Tools Electrically Operated No 2

MINE Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Hand Tools ACTIVITY (CONTEXT) Use of Hand of hand tools Electrically Powered
SUB-ACTIVITY (SUB CONTEXT)

Control Effectiveness %
IRR

RR
PROBABILITY

PROBABILITY
CONTROLHIERARCHY OF
FRCP Applicable

SEVERITY

EXPOSURE

SEVERITY

EXPOSURE
TASK/ACTIVITY/RISK HAZARD/ASPECT/CAUSE IIMPACT/INCIDENT CONTROLS/MITIGANTS
ISSUE (Including Legal Controls)

Hand tools Not holding the drill Objective but 2 3 3 1 Licence and trained at I Campus 75% Ad 3 1 1 3
Electrically secure enough spins reversible requiring 8 Permit system in place SU
operated in your hand stored hospitalisation Regular Checks P.I, PTO PPE
Hand held drill energy Log Books and test certificates
Drill jams while Trained workers
drilling a hole Risk assessment and JSA’S training
Holding chuck and Safety meetings
using power to Fatal Risk Protocol
tighten drill Safety Talks
Drill bit breaks while Locked trigger removed
drilling drill into Dead mans switches
some part of the Governed by the law
body Eng SOP 73
Failure to pop mark Eng SOP 87
hole to be drilled drill Eng SOP 23
runs away causing Barricading
an injury Special Storage place for bottles
H&S SOP 05 PPE
APPROVAL OF RISK REVISION
ASSESSMENT

Hierarchy of EL Eliminate SE Separate AD Administrative

Control Legend SU Substitute RE Redesign PPE Personal Protective Equipment
RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:
DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE
RISK ASSESSMENT RECORDING SHEET – FORM CP12D
Hand Held Grinder No 1
MINE Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Hand Tools ACTIVITY (CONTEXT) Use of Hand of hand tools Electrically Powered
SUB-ACTIVITY (SUB CONTEXT)

RR
Control Effectiveness %
IRR
FRCP Applicable

SEVERITY

EXPOSURE

PROBABILITY

SEVERITY

EXPOSURE

PROBABILITY
CONTROLHIERARCHY OF
TASK/ACTIVITY/RISK HAZARD/ASPECT/CAUSE IIMPACT/INCIDENT CONTROLS/MITIGANTS
ISSUE (Including Legal Controls)

Hand tools Using a hand held Objective but 2 3 3 1 Licence and trained at I Campus 75% Ad 3 1 1 3
Electrically grinder without a reversible requiring 8 Permit system in place SU
operated guard burnt by hospitalisation Regular Checks P.I, PTO PPE
Hand held sparks Log Books and test certificates
Grinder Cut by unguarded Trained workers
disc Risk assessment and JSA’S training
Not wearing safety Safety meetings
glasses or req PPE Fatal Risk Protocol
sparks in eye Safety Talks
Disc disintegrating Locked trigger removed
Wrong RPM disc for Dead mans switches
grinder Governed by the law
Dropping grinder Eng SOP 73
and cracking disc Eng SOP 87
Using cutting or Eng SOP 23
masonry disc to Barricading
 grind Special Storage place for bottles
Not following H&S SOP 05 PPE
procedures
APPROVAL OF RISK REVISION
ASSESSMENT

Hierarchy of EL Eliminate SE Separate AD Administrative

Control Legend SU Substitute RE Redesign PPE Personal Protective Equipment
RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:
DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE
RISK ASSESSMENT RECORDING SHEET – FORM CP12D
LDV and HDV ( Mobile Machines) No 1 Track Less

MINE Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Trackless Mobile Machine ACTIVITY (CONTEXT) Mobile Machines LDV

SUB-ACTIVITY (SUB CONTEXT)

RR
Control Effectiveness %
IRR
FRCP Applicable

SEVERITY

EXPOSURE

PROBABILITY

SEVERITY

EXPOSURE

PROBABILITY
CONTROLHIERARCHY OF
TASK/ACTIVITY/RISK HAZARD/ASPECT/CAUSE IIMPACT/INCIDENT CONTROLS/MITIGANTS
ISSUE (Including Legal Controls)

Mobile Machines Collision Single Fatality 4 1 1 4 Licence Control 65% Ad 4 3 1 12

LDV Reversed into 0 0 Simulator Training SU
Run over by Sop eng 98 PPE
Over Turned Speed limits and speed control
Over loaded Speeding
Bad tyres Not riding to road conditions
Loose wheel nuts Muddy Conditions l
Speeding SOP MG01 to 05
Not riding to road H&S 02 and O5
conditions MG 01, 02, 03, 04, 05
Muddy Conditions
APPROVAL OF RISK REVISION
ASSESSMENT

Hierarchy of EL Eliminate SE Separate AD Administrative

Control Legend SU Substitute RE Redesign PPE Personal Protective Equipment

RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:

DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE

RISK ASSESSMENT RECORDING SHEET – FORM CP12D

LDV and HDV ( Mobile Machines) No 2 Track Less

Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Trackless Mobile Machine ACTIVITY (CONTEXT) Mobile Machines LDV

SUB-ACTIVITY (SUB CONTEXT)

RR
Control Effectiveness %
IRR
FRCP Applicable

SEVERITY

EXPOSURE

PROBABILITY

SEVERITY

EXPOSURE

PROBABILITY
CONTROLHIERARCHY OF
TASK/ACTIVITY/RISK HAZARD/ASPECT/CAUSE IIMPACT/INCIDENT CONTROLS/MITIGANTS
ISSUE (Including Legal Controls)

Mobile Machines Bad weather No medical 1 3 10 3 Licence Control 50% Ad 1 3 3 9

LDV conditions treatment 0 Simulator Training SU
Lightening Sop eng 98 PPE
Storm water Speed limits and speed control
Vehicle not Not riding to road conditions
Roadworthy SOP MG01 to 05
No hooter H&S 02 and O5
No brakes Vehicle not roadworthy
Smooth tyres Warning stickers
Unfamiliar Route Contractors vehicles examined by
 Turn into hazardous service department
area H&S 02 and O5
Failure to adhere to MG 01, 02, 03, 04, 05
standards
Weather conditions
Muddy Conditions
APPROVAL OF RISK REVISION
ASSESSMENT

Hierarchy of EL Eliminate SE Separate AD Administrative

Control Legend SU Substitute RE Redesign PPE Personal Protective Equipment
RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:
DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE
RISK ASSESSMENT RECORDING SHEET – FORM CP12D
LDV and HDV ( Mobile Machines) No 3 Track Less

MINE Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Trackless Mobile Machine ACTIVITY (CONTEXT) Mobile Machines LDV

SUB-ACTIVITY (SUB CONTEXT)

RR
Control Effectiveness %
IRR
FRCP Applicable

SEVERITY

EXPOSURE

PROBABILITY

SEVERITY

EXPOSURE

PROBABILITY
CONTROLHIERARCHY OF
TASK/ACTIVITY/RISK HAZARD/ASPECT/CAUSE IIMPACT/INCIDENT CONTROLS/MITIGANTS
ISSUE (Including Legal Controls)

Mobile Machines Defective seat belts Single Fatality 4 1 1 4 Licence Control 65% Ad 4 3 3 12
LDV No seat belt 0 0 Simulator Training SU
Seat belt too short Sop eng 98 PPE
Broken seat Speed limits and speed control
No roll over H&S 02 and O5
protection MG 01, 02, 03, 04, 05
Incorrect roll over Maintenance schedules
 protection Break down crew
No cargo restraints Warning stickers
Loose cargo onto Checking work to the standard
road Contractors vehicles examined by
Insecure restraint service department
Muddy Conditions
Not riding to road
conditions
APPROVAL OF REVISION
RISK
ASSESSMENT

Hierarchy of Control EL Eliminate SE Separate AD Administrative

Legend SU Substitute RE Redesign PPE Personal Protective Equipment
RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:
DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE

RISK ASSESSMENT RECORDING SHEET – FORM CP12D

LDV and HDV ( Mobile Machines) No 4 Track Less

MINE Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Trackless Mobile Machine ACTIVITY (CONTEXT) Mobile Machines LDV

SUB-ACTIVITY (SUB CONTEXT)

Control Effectiveness %
IRR

RR
PROBABILITY

PROBABILITY
CONTROLHIERARCHY OF
FRCP Applicable

SEVERITY

EXPOSURE

SEVERITY

EXPOSURE
TASK/ACTIVITY/RISK HAZARD/ASPECT/CAUSE IIMPACT/INCIDENT CONTROLS/MITIGANTS
ISSUE (Including Legal Controls)

Mobile Machines Driver Side Air bag Single Fatality 4 1 1 4 Licence Control 65% Ad 4 3 3 12
LDV defective 0 0 Simulator Training SU
No air bag Sop eng 98 PPE
Air bag tampered Speed limits and speed control
 with SOP MG01 to 05
No equipment for H&S 02 and O5
positive Warning stickers
communication Contractors vehicles examined by
No flag or buggy service department
whip
Too short or too long
Broken \ damaged
APPROVAL OF REVISION
RISK
ASSESSMENT

Hierarchy of Control EL Eliminate SE Separate AD Administrative

Legend SU Substitute RE Redesign PPE Personal Protective Equipment
RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:
DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE

RISK ASSESSMENT RECORDING SHEET – FORM CP12D

LDV and HDV ( Mobile Machines) No 5 Track Less

MINE Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Trackless Mobile Machine ACTIVITY (CONTEXT) Mobile Machines LDV

SUB-ACTIVITY (SUB CONTEXT)

Control Effectiveness %
IRR

RR
PROBABILITY

PROBABILITY
CONTROLHIERARCHY OF
FRCP Applicable

SEVERITY

EXPOSURE

SEVERITY

EXPOSURE
TASK/ACTIVITY/RISK HAZARD/ASPECT/CAUSE IIMPACT/INCIDENT CONTROLS/MITIGANTS
ISSUE (Including Legal Controls)

Mobile Machines No identification on No medical 1 3 10 3 Licence Control 50% Ad 1 3 3 9

LDV the vehicle treatment 0 Simulator Training SU
No required Stickers Sop eng 98 PPE
displayed Speed limits and speed control
 Defective Wheels/ SOP MG01 to 05
tyres H&S 02 and O5
Wheel buckled Vehicle not roadworthy
Wheel unbalanced Warning stickers
Defective steering, Contractors vehicles examined by
suspension and service department
braking system
APPROVAL OF REVISION
RISK
ASSESSMENT

Hierarchy of Control EL Eliminate SE Separate AD Administrative

Legend SU Substitute RE Redesign PPE Personal Protective Equipment

RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:

DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE

RISK ASSESSMENT RECORDING SHEET – FORM CP12D

LDV and HDV ( Mobile Machines) No 6 Track Less

MINE Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Trackless Mobile Machine ACTIVITY (CONTEXT) Mobile Machines LDV

SUB-ACTIVITY (SUB CONTEXT)

Control Effectiveness %
IRR

RR
PROBABILITY

PROBABILITY
CONTROLHIERARCHY OF
FRCP Applicable

SEVERITY

EXPOSURE

SEVERITY

EXPOSURE
TASK/ACTIVITY/RISK HAZARD/ASPECT/CAUSE IIMPACT/INCIDENT CONTROLS/MITIGANTS
ISSUE (Including Legal Controls)

Mobile Machines No speed restriction Single Fatality 4 1 1 4 Licence Control 65% Ad 4 3 3 12

 LDV Over revving 0 0 Simulator Training SU
Overtaking a mobile Sop eng 98 PPE
machine in dusty Speed limits and speed control
conditions Speed traps
Unaware of a SOP MG01 to 05
Hazardous area \ H&S 02 and O5
conditions Maintenance schedules
PTO and PI to check compliance to
standards
Warning stickers
Contractors vehicles examined by
service department
APPROVAL OF REVISION
RISK
ASSESSMENT
Hierarchy of Control EL Eliminate SE Separate AD Administrative
Legend SU Substitute RE Redesign PPE Personal Protective Equipment
RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:
DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE

RISK ASSESSMENT RECORDING SHEET – FORM CP12D

LDV and HDV ( Mobile Machines) No 7 Track Less

MINE Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Trackless Mobile Machine ACTIVITY (CONTEXT) Mobile Machines LDV

SUB-ACTIVITY (SUB CONTEXT)
 Control Effectiveness %
IRR

RR
PROBABILITY

PROBABILITY
CONTROLHIERARCHY OF
FRCP Applicable

SEVERITY

EXPOSURE

SEVERITY

EXPOSURE
TASK/ACTIVITY/RISK HAZARD/ASPECT/CAUSE IIMPACT/INCIDENT CONTROLS/MITIGANTS
ISSUE (Including Legal Controls)

Mobile Machines Failure to follow at a No medical 1 3 10 3 Licence Control 50% Ad 1 3 3 9

LDV safe distance no treatment 0 Simulator Training SU
Signs in place Sop eng 98 PPE
Failure to park at a Speed limits and speed control
safe distance Road graded to protect vehicle
Struck by mobile SOP MG01 to 05
machine H&S 02 and O5
Stalled in haul Road Maintenance schedules
Run over by Warning stickers
Ran into by Contractors vehicles examined by
service department

APPROVAL OF REVISION
RISK
ASSESSMENT

Hierarchy of Control EL Eliminate SE Separate AD Administrative

Legend SU Substitute RE Redesign PPE Personal Protective Equipment

RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:

DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE

RISK ASSESSMENT RECORDING SHEET – FORM CP12D

Heavy Duty Equipment No 1 Track bound

MINE Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Track bound Mobile Machine ACTIVITY (CONTEXT) Surface Mobile Equipment
SUB-ACTIVITY (SUB CONTEXT)

Control Effectiveness %
IRR

RR
PROBABILITY

PROBABILITY
CONTROLHIERARCHY OF
FRCP Applicable

SEVERITY

EXPOSURE

SEVERITY

EXPOSURE
TASK/ACTIVITY/RISK HAZARD/ASPECT/CAUSE IIMPACT/INCIDENT CONTROLS/MITIGANTS
ISSUE (Including Legal Controls)

Surface Mobile Traction Loss No medical 1 3 10 3 Licence Control 50% Ad 1 3 3 9

heavy earth Worn Tracks treatment 0 Simulator Training SU
Equipment Broken tracks Sop eng 98 PPE
Bad visibility Speed limits and speed control
Obstruction due to Road graded to protect vehicle
Dropped load SOP MG01 to 05
H&S 02 and O5
Maintenance schedules
Warning stickers
Contractors vehicles examined by
service department
APPROVAL OF REVISION
RISK
ASSESSMENT

Hierarchy of Control EL Eliminate SE Separate AD Administrative

Legend SU Substitute RE Redesign PPE Personal Protective Equipment
RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:
DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE

RISK ASSESSMENT RECORDING SHEET – FORM CP12D

Heavy Duty Equipment No 1 Track bound

MINE Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Track bound Mobile Machine ACTIVITY (CONTEXT) Surface Mobile Equipment
SUB-ACTIVITY (SUB CONTEXT)

Control Effectiveness %
IRR

RR
PROBABILITY

PROBABILITY
CONTROLHIERARCHY OF
FRCP Applicable

SEVERITY

EXPOSURE

SEVERITY

EXPOSURE
TASK/ACTIVITY/RISK HAZARD/ASPECT/CAUSE IIMPACT/INCIDENT CONTROLS/MITIGANTS
ISSUE (Including Legal Controls)

Surface Mobile Walking and working Injury, fatal 1 3 10 3 Awareness positive radio Ad 3 3 0.0 0.
heavy earth around machine in 0 communication, authorised and RE 0 1 3
Equipment poor weather enforced, JSA, site safety meetings, PPE
conditions apply
Working unsafe due Injury, fatal, Awareness positive radio Ad 3 3 0.0 0.
to time and pressure property damage communication, authorised and RE 0 1 3
enforced, JSA, site safety meetings, PPE
apply
Change in working Injury, fatal, Risk assessment, change Ad 3 3 0.0 0.
condition when property damage management, communication, SOP RE 0 1 3
working at BCP PPE
Dozer and dozer Injury, fatal, Awareness positive radio Ad 3 3 0.0 0.
interaction property damage communication, authorised and RE 0 1 3
enforced, JSA, site safety meetings, PPE
apply
APPROVAL OF REVISION
RISK
ASSESSMENT

Hierarchy of Control EL Eliminate SE Separate AD Administrative

Legend SU Substitute RE Redesign PPE Personal Protective Equipment
RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:
DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE
RISK ASSESSMENT RECORDING SHEET – FORM CP12D
Heavy Duty Equipment No 2 Track bound
MINE Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Track bound Mobile Machine ACTIVITY (CONTEXT) Surface Mobile Equipment
SUB-ACTIVITY (SUB CONTEXT)

Control Effectiveness %
IRR

RR
PROBABILITY

PROBABILITY
CONTROLHIERARCHY OF
FRCP Applicable

SEVERITY

EXPOSURE

SEVERITY

EXPOSURE
TASK/ACTIVITY/RISK HAZARD/ASPECT/CAUSE IIMPACT/INCIDENT CONTROLS/MITIGANTS
ISSUE (Including Legal Controls)

Machine to Injury, fatal 1 3 10 3 Awareness positive radio Ad 3 3 0.0 0.

personnel interaction 0 communication, authorised and RE 0 1 3
enforced, JSA, site safety meetings, PPE
apply
Working unsafe due Injury, fatal, Awareness positive radio Ad 3 3 0.0 0.
to time and pressure property damage communication, authorised and RE 0 1 3
enforced, JSA, site safety meetings, PPE
apply
Disembarking and Slip and fall, injury SOP disembarking and embarking of Ad 1 3 0.0 0.
boarding of dozer machines, inspection of floor, RE 0 1 1
authorised, JSA PPE
Change Change in working Injury, fatal, Risk assessment, change Ad 3 3 0.0 0.
Management condition when property damage management, communication, SOP RE 0 1 3
working at BCP PPE
APPROVAL OF REVISION
RISK
ASSESSMENT

Hierarchy of Control EL Eliminate SE Separate AD Administrative

Legend SU Substitute RE Redesign PPE Personal Protective Equipment
RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:
DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE
 RISK ASSESSMENT RECORDING SHEET – FORM CP12D
Heavy Duty Equipment No 3 Track bound

MINE Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Track bound Mobile Machine ACTIVITY (CONTEXT) Surface Mobile Equipment
SUB-ACTIVITY (SUB CONTEXT)

Control Effectiveness %
IRR

RR
PROBABILITY

PROBABILITY
CONTROLHIERARCHY OF
FRCP Applicable

SEVERITY

EXPOSURE

SEVERITY

EXPOSURE
TASK/ACTIVITY/RISK HAZARD/ASPECT/CAUSE IIMPACT/INCIDENT CONTROLS/MITIGANTS
ISSUE (Including Legal Controls)

Refuelling Dozer and dozer Injury, fatal, Awareness positive radio Ad 3 3 0.0 0.
interaction property damage communication, authorised and RE 0 1 3
enforced, JSA, site safety meetings, PPE
apply
Machine to Injury, fatal 1 3 10 3 Awareness positive radio Ad 3 3 0.0 0.
personnel interaction 0 communication, authorised and RE 0 1 3
enforced, JSA, site safety meetings, PPE
apply
Weather conditions, Injury, fatal, SOP lightning, authorised and Ad 3 3 0.0 0.
rain lightning, property damage enforced, JSA, inspection of floor RE 0 1 3
slippery conditions PPE
Spillage Injury, Awareness positive radio Ad 3 3 0.0 0.
environmental communication, authorised and RE 0 1 3
impact enforced, JSA, site safety meetings, PPE
apply
APPROVAL OF REVISION
RISK
ASSESSMENT

Hierarchy of Control EL Eliminate SE Separate AD Administrative

Legend SU Substitute RE Redesign PPE Personal Protective Equipment
 RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:
DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE
RISK ASSESSMENT RECORDING SHEET – FORM CP12D
Heavy Duty Equipment No 4 Track bound

MINE Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Track bound Mobile Machine ACTIVITY (CONTEXT) Surface Mobile Equipment
SUB-ACTIVITY (SUB CONTEXT)

Control Effectiveness %
IRR

RR
PROBABILITY

PROBABILITY
CONTROLHIERARCHY OF
FRCP Applicable

SEVERITY

EXPOSURE

SEVERITY

EXPOSURE
TASK/ACTIVITY/RISK HAZARD/ASPECT/CAUSE IIMPACT/INCIDENT CONTROLS/MITIGANTS
ISSUE (Including Legal Controls)

Dozer on Machine to machine Injury, property Barricading, Positive radio Ad 3 3 0.0 0.

breakdown interaction damage communication, only alight when safe RE 0 1 3
to disembark. PPE
Machine to Injury, fatal 1 3 10 3 Awareness positive radio Ad 3 3 0.0 0.
personnel interaction 0 communication, authorised and RE 0 1 3
enforced, JSA, site safety meetings, PPE
apply
Weather conditions, Injury, fatal, SOP lightning, authorised and Ad 3 3 0.0 0.
rain lightning, property damage enforced, JSA, inspection of floor RE 0 1 3
slippery conditions PPE
Dozer pulling Dozer struggle to Property damage Stop dozer and conveyor drive. EL 3 3 1 30
overland pull, spin Clamp rope. SU 0
conveyor rope Disconnect dozer from rope and
repair if necessary.
Pull with other dozer from starting
pad.
APPROVAL OF REVISION
RISK
ASSESSMENT
 Hierarchy of Control EL Eliminate SE Separate AD Administrative
Legend SU Substitute RE Redesign PPE Personal Protective Equipment
RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:
DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE
RISK ASSESSMENT RECORDING SHEET – FORM CP12D
Heavy Duty Equipment No 5 Track bound

MINE Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Track bound Mobile Machine ACTIVITY (CONTEXT) Surface Mobile Equipment
SUB-ACTIVITY (SUB CONTEXT)

Control Effectiveness %
IRR

RR
PROBABILITY

PROBABILITY
CONTROLHIERARCHY OF
FRCP Applicable

SEVERITY

EXPOSURE

SEVERITY

EXPOSURE
TASK/ACTIVITY/RISK HAZARD/ASPECT/CAUSE IIMPACT/INCIDENT CONTROLS/MITIGANTS
ISSUE (Including Legal Controls)

Foreign object Property damage, Apply good housekeeping. EL 3 3 0.1 3

wedge in between fatal, injury No bystanders in area where rope is AD 0
deflection sheave moving.
and rope
Rope break Fatal, property No person to stand within 100m EL 3 3 0.1 3
damage behind dozer. SU 0
Stable and at constant rate pulling AD
rope with dozer, not jerking.
Dozer drives same speed as
conveyor.
7 spotters along conveyor monitor
and communicate this process.
Road is closed.
Bad coiling of rope Property damage Maintain tension on rope with RE 1 3 0.1 1
on reel capstan winch and rope reel brake. 0
APPROVAL OF REVISION
 RISK
ASSESSMENT

Hierarchy of Control EL Eliminate SE Separate AD Administrative

Legend SU Substitute RE Redesign PPE Personal Protective Equipment
RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:
DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE
RISK ASSESSMENT RECORDING SHEET – FORM CP12D
Lightning red alert No 1

MINE Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Trackless Mobile Machine ACTIVITY (CONTEXT)

SUB-ACTIVITY (SUB CONTEXT)

CONTROLHIERARCHY OF
Control Effectiveness %
EXPOSURE

SEVERITY

EXPOSURE
IRR

RR
FRCP Applicable

SEVERITY

PROBABILITY

PROBABILITY
TASK/ACTIVITY/ HAZARD/ASPECT/C IIMPACT/INCIDENT CONTROLS/MITIGANTS
RISK ISSUE AUSE (Including Legal Controls)

Dozer stuck/ bogged Property damage Inspection of tramming areas. AD 2 3 0.1 2

down Only tramming on approved areas. EL 0
Monitoring the traction on dozer’s
tracks – stop immediately if starts
spinning, to prevent digging in.
Constant communication with dozer
operator and belt drive operator.
Do a problem specific JSA, to cover
intended action plan and recovery
equipment.
Working outside Struck by lightning Fatality 4 1 1 4 Draw people back to safe waiting 95% Ad 4 3 1 12
 0 0 place
Person gets wet/ sick Personal injury Wear rain jacket PPE 1 4 2 4
Draw people back to safe waiting
place
APPROVAL OF REVISION
RISK
ASSESSMENT

Hierarchy of Control EL Eliminate SE Separate AD Administrative

Legend SU Substitute RE Redesign PPE Personal Protective Equipment

RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:

DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE

RISK ASSESSMENT RECORDING SHEET – FORM CP12D

Heavy Duty Equipment No 1 Track less

MINE Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Trackless Mobile Machine ACTIVITY (CONTEXT)

SUB-ACTIVITY (SUB CONTEXT)

CONTROLHIERARCHY OF
Control Effectiveness %
EXPOSURE

SEVERITY

EXPOSURE
IRR

RR
FRCP Applicable

SEVERITY

PROBABILITY

PROBABILITY
TASK/ACTIVITY/ HAZARD/ASPECT/C IIMPACT/INCIDENT CONTROLS/MITIGANTS
RISK ISSUE AUSE (Including Legal Controls)

Surface Mobile Blind Spot Single Fatality 4 1 1 4 Licence Control 65% Ad 4 3 3 12

Equipment Failure to Secure or 0 0 Simulator Training SU
make vehicle safe Sop eng 98 PPE
 when parking Speed limits and speed control
Fatigue Road graded to protect vehicle
SOP MG01 to 05
H&S 02 and O5
Maintenance schedules
Warning stickers
Contractors vehicles examined by
service department
APPROVAL OF REVISION
RISK
ASSESSMENT

Hierarchy of Control EL Eliminate SE Separate AD Administrative

Legend SU Substitute RE Redesign PPE Personal Protective Equipment

RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:

DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE
RISK ASSESSMENT RECORDING SHEET – FORM CP12D
Heavy Duty Equipment No 2 Track less

MINE Middelburg Mine DEPARTMENT Engineering

ASSESSMENT Trackless Mobile Machine ACTIVITY (CONTEXT)

SUB-ACTIVITY (SUB CONTEXT)

CONTROLHIERARCHY OF
Control Effectiveness %
EXPOSURE

SEVERITY

EXPOSURE
IRR

RR
FRCP Applicable

SEVERITY

PROBABILITY

PROBABILITY
TASK/ACTIVITY/ HAZARD/ASPECT/C IIMPACT/INCIDENT CONTROLS/MITIGANTS
RISK ISSUE AUSE (Including Legal Controls)

Surface Mobile Mud rush\ high wall No medical 1 3 10 3 Licence Control 50% Ad 1 3 3 9
 Equipment collapse treatment 0 Simulator Training SU
Defective\ missing Sop eng 98 PPE
walkways hand rails Speed limits and speed control
steps Road graded to protect vehicle
SOP MG01 to 05
H&S 02 and O5
Maintenance schedules
Warning stickers
Contractors vehicles examined by
service department
APPROVAL OF REVISION
RISK
ASSESSMENT

Hierarchy of Control EL Eliminate SE Separate AD Administrative

Legend SU Substitute RE Redesign PPE Personal Protective Equipment

RISK ASSESSMENT ENTERED INTO RISK REGISTER BY:

DESIGNATION NAME SIGNATURE DATE
HEAD OF DEPARTMENT
HEALTH AND SAFETY REPRESENTATIVE