MANAGEMENT SYSTEM
ELEVATED POSITIONS
Site Specific Revision WRITTEN BY REVIEWED BY APPROVED BY
NAME
SIGNATURE
DATE WRITTEN
REVIEW DATE Contract No
A INJURY SEVERITY B FREQUENCY of OCCURRENCE RATING
0 No injury 0 Has not occurred in last two years RISK CLASSIFICATION RISK VALUE
2 Minor laceration, wound (first aid case) 2 Occurs very seldom LOW 0---6
4 More severe injury medical attention 4 Occurs occasionally MEDIUM 6---16
8 Serious injuries, broken bones, amputation etc 8 Occurs often HIGH 16---32
10 Loss of life / fatality 10 Could / has happened CRITICAL 32---40
C POTENTIAL DAMAGE / LOSS D ENVIRONMENT ACTION REQUIRED
Supervision, training, certification, method/risk assessments, safe work
0 No damage, minimal costs R10 – 100 0 No effect LOW procedures training, toolbox talks.
Good instruction.
Spillage,
noise, water, Competent supervision, training certification, method/risk assessments, safe
2 Minor damage, small costs R100 – 1000 2 Minor effect MEDIUM work procedures training, toolbox talks.
Change method, mitigate
dust /
vapours/ Competent supervision, training certification, method/risk assessments, safe
4 Med damage, stoppage (On site repair) medium cost R1000 – 5000 4 Serious effect (Short term)
fauna and
HIGH work procedures training, toolbox talks.
Change method, mitigate.
8 More serious damage / / loss / delay < R5000 - + 8 Very serious effect (Long Term) flora Close competent supervision, training certification, method/risk assessments, Intolerable, change method,
10 Severe damage, long term stoppage, high costs 10 Catastrophic effect
CRITICAL safe work procedures, PJO’s, work permits, training, toolbox talks. transfer risk.
RISK EVALUATION PJO
ACTIVITY POTENTIAL HAZARD POSSIBLE RESULT PREVENTATIVE MEASURES CONTROLS
A B C D R RIGHT WRONG
1 No gear, debris or other Falling objects Injury to employees, possible 2 2 2 2 1 All material and equipment must be lowered or Supervisors to plan during site set up
material shall be dropped from fatal injuries and damage to chuted to lower levels and induct employees
heights property
2 Openings in floor should be Employees could trip and fall Bruises, scratches, fractures 2 2 2 2 1 Demarcate, barricade and cover all openings to Site agent, supervisor to control
boarded over, covered or into openings. Debris or tools and damage to equipment avoid unnecessary incidents. Put kickboards on
barricaded off and equipment may fall scaffold to prevent items falling off scaffolds
through openings
3 Sides and edges of slabs must Employees may fall over edge Injury to employees 2 2 2 2 1 Place handrails around all edges of slab (use Chargehand, supervisor to control.
be fitted with guard rails of building scaffolding or 8 gauge galvanized wire). Do not Induct employees on safe work
allow cranes to position closer than 3 m from the procedures. All employees working on
edge of slab during lifting operations edge of slab to wear safety belts and
tie onto structure or guard rail.
4 Safety belts / harnesses must Not hooking safety belt catch Injury to employee 4 4 4 4 6 Ensure anchor point is secure and can hold the Supervisor to induct all employees on
be worn at all times to anchor point. weight. Ensure all safety belt catches are hooked hazards. Monthly check done on all
Anchor point not secure or onto anchor points. If there is no place to hook a safety belts and registers kept up to
strong enough safety belt – a life line must be supplied date
5 Safety nets to be used to Deliberately dropping Net not strong enough to 2 2 2 2 1 Ensure correct safety net is used. Ensure net is not Competent person to inspect safety
protect against falling objects materials or equipment will hold the weight, could cause damaged. Avoid being exposed to sharp edges or nets regularly. All defects to be
damage the net injury to employees working rough surfaces, etc. reported to supervisor
below and damage to
property
MANAGEMENT SYSTEM
ELEVATED POSITIONS
RISK EVALUATION PJO
ACTIVITY POTENTIAL HAZARD POSSIBLE RESULT PREVENTATIVE MEASURES CONTROLS
A B C D R RIGHT WRONG
6 Areas below elevated work Keep all debris, rocks, scraps Poor housekeeping can 2 2 2 2 1 Ensure good standard of housekeeping Supervisor and all employees
area to be kept clean and and rubble away from the cause scaffolding to
clear work area destabilise
7 Do not stand on empty drums Drum may buckle or break Injury to employees 2 2 2 2 2 Ensure sufficient amount of scaffolding and trestles Supervisor and employees
as scaffolds or trestles Poor quality of work available
Name of worker being observed: __________________________________ Signature: _____________________________ Date: ___________________________________
Name of Observer: __________________________________________ Designation: _____________________________ Date: ____________________________________
COMMENTS: ( ie Recommended changes / re-training etc)
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