Risk Control Sheet for Safety Management
Translated by
ScribdTranslationsRisk Control Sheet for Safety Management
Translated by
ScribdTranslationsRISK CONTROL SHEET "RCS"
1.- COMPANY
2.- AREA / SECTOR HOUR DATE
3.- ACTIVITY OR TASK
4.- REFERRAL PROCEDURE:
5.- IDENTIFICATION OF ASPECTS AND HAZARDS
ENVIRONMENTAL ASPECTS HEALTH AND SAFETY HAZARDS
Identify Aspect (See Annex B) Identify Environmental Impact (See Annex C)
EMISSIONS TO THE ATMOSPHERE: CHEMICALS (Explosives, Liquids, Gases, Corrosives) PSYCHOSOCIAL (Monotony, Fatigue)
SPILLS AND LEAKS SUSPENDED PARTICLES (Dust, Smoke, Haze) MECHANICS (Machine, Equipment, Tools)
SOLID WASTE GENERATION: PHYSICALS (Noise, Vibrations, Temperature, Radiation) ELECTRICAL (Voltage, Amperage)
NOISE AND VIBRATION GENERATION BIOLOGICALS (Bacteria, Fungi, Viruses, Insects) ENVIRONMENT (Visibility, Surface, Wind)
CONSUMPTION OF NATURAL RESOURCES ERGONOMIC (Lifting Load, Restricted Spaces) HEALTH (Water, Food)
6.- JOB DESCRIPTION AND RISK ASSESSMENT
IMPACT OR DANGEROUS EVENT CONTROL MEASURES
STEP OR STAGE
(That can originate the detected aspect or danger) (Not included in the Form)
Please use legible handwriting 12
7.- MAIN CONTROL MEASURES
7.1- DESCRIPTION OF PERSONAL PROTECTIVE EQUIPMENT 7.2 - DETAIL OF FIRE PROTECTION EQUIPMENT
(Mark the one that is necessary)
SAFETY HARNESS PVC suit Nitrile gloves
RESPIRATORY PROTECTION ANTACID JACKET LEATHER GLOVES PORTABLE PQS FIRE EXTINGUISHER (ABC)
CHEMICAL FILTERS HEARING PROTECTION CUT-RESISTANT GLOVES EXPLOSIVENESS METER
DUST FILTER SAFETY HELMET WORK JUMPER PORTABLE CO2 FIRE EXTINGUISHER
MIXED FILTERS SAFETY FOOTWEAR SAFETY GLASSES ANOTHER
ANTIPARRAS FACE SHIELD OTHERS
7.3.- BLOCKING DETAIL (Obligation to Respond)
REQUIRES ELECTRICAL BLOCKING YES NO NAME THE TEAM OR SYSTEM
REQUIRES MECHANICAL LOCKING YES NO NAME THE TEAM OR SYSTEM
REQUIRES AIRLOCK YES NO NAME THE TEAM OR SYSTEM
REQUIRES BLOCKING OTHERS________________ YES NO NAME THE TEAM OR SYSTEM
7.4.- INTERFERENCE ANALYSIS
Presents interferences YES NO TYPE OF INTERFERENCE MAINTENANCE OPERATION
INDICATE THE CONTROL METHOD
COMPANY INVOLVED IN THE ACTIVITY CONTACT NAME(S)
8.- DETAIL TOOLS, EQUIPMENT, AND MACHINES FOR THE ACTIVITY (Which ones?)
TOOLS EQUIPMENT MACHINES
9.- GROUND TRAINING
No. NAME RUT CARGO FIRM
1
10
11
12
13
14
15
9.1.- SPECIAL INSTRUCTIONS
9.2.- PERSON RESPONSIBLE FOR THE EXECUTION OF THE ACTIVITY
NAME CARGO SIGNATURE
Work Responsible
10.- PERSON IN CHARGE OF THE ACTIVITY
NAME CARGO SIGNATURE
OBSERVATIONS AND/OR RECOMMENDATIONS:
11.- MONITORING OR HCR REVIEW APPROVED: REJECTED
NAME CARGO SIGNATURE
OBSERVATIONS AND/OR RECOMMENDATIONS:
VFC