Form No.

: EHS/AMC/008-F40
Revision No.: 00 Risk A
Effectivity Date: 18/02/2019

Department:
Prepared by Jay Joco Approved By

Pre-Control Evaluation
Location/Area Activity/Process Aspect /Hazard Impact
S L

Dis-organization
Meeting room Work Evaluation Uncertified worker 1 2
of the job

Preparation and mobilization of cleaning materials Hand injury, slip and trip hazard and
Cleaning storage room Accident 2 1
and equipment improper handling of materials/tools
Admin offices and hallways

Ergonomics and slips and trips Accident/ill

2 2
hazard/dust inhilation health

Inspection and checking of Polisher equipment

Accident/ill
Electricution 2 2
health
 Ergonomics and slips and trips Accident/ill
Connecting/Installation of polishing pad to polisher 2 1
hazard/dust inhilation health

Ergonomics and slips and trips Accident/ill

2 2
hazard/dust inhilation health

Polishing of floor (Use of floor polisher)

 Polishing of floor (Use of floor polisher)

Accident/ill
Malfunctioning or overheating of
health/property 2 2
equipment (fire hazard)
damage

Ergonomics and slips and trips Accident/ill

Disposal and replacement of polishing pad 2 1
hazard/dust inhilation health
 Ergonomics and slips and trips Accident/ill
Cleaning of equipment (Polisher) 2 1
hazard/dust inhilation health

Environmental
Waste generation Land pollution 2 2
damage/ill health
 Risk Assessment - Aspect Impact

Date:

Pre-Control Evaluation
Current Control Measures Additional control measures
R Risk Level
Technical:
Technical: - N/A
- N/A Organization:
Organization: -N/A
- Conduct toolbox meeting/discuss PPE:
2 Low
step by step procedures and potential -N/A
hazard to workers
PPE:
- N/A
Technical:
Technical: - N/A
- N/A Organization:
Organization: -N/A
- Authorized and trained person to PPE:
perform the task -N/A
2 Low - Proper handling
- Buddy system
- 5's implementation
PPE:
- Use of of Safety shoes if necessary,
Safety gloves/rubber gloves
 Technical:
Technical: - N/A
- Ensure that electrical cord is free Organization:
from any damage -N/A
Organization: PPE:
- Authorized and trained person to -N/A
perform the task
- Proper handling
- Proper body positioning
4 Low - Visual checking of the equipment
before prior to work
- Person aware of the task and to the
existing hazards
- SOP or work instructions
PPE:
- Use of Safety gloves/knitted gloves,
dust mask N95, Safety shoes
- Use Safety glass (if necessary)

Technical:
Technical: - N/A
- Ensure that electrical cord is free Organization:
from any damage -N/A
Organization: PPE:
- Visual checking of the equipment -N/A
before prior to work
- Person aware of the task and to the
existing hazards
4 Low - Authorized and trained person to
perform the task
- Proper handling
- Proper body positioning
- SOP or work instructions
PPE:
- Use of of Safety shoes if necessary,
Use of Safety gloves/rubber gloves,
dust mask N95, Safety glass
 Technical:
Technical: - N/A
- N/A Organization:
Organization: -N/A
- Authorized and trained person to PPE:
perform the task -N/A
- Proper handling
- Proper body positioning
2 Low
- Person aware of the task and to the
existing hazards
- SOP or work instructions
PPE:
- Use of Safety gloves/knitted gloves,
dust mask N95, Safety shoes
- Use Safety glass (if necessary)

Technical:
Technical: - N/A
- N/A Organization:
Organization: -N/A
- Authorized and trained person to PPE:
perform the task -N/A
- Proper handling
- Proper body positioning
4 Low
- Person aware of the task and to the
existing hazards
- SOP or work instructions
PPE:
- Use of Safety gloves/knitted gloves,
dust mask N95, Safety shoes
- Use Safety glass (if necessary)
 Technical:
Technical: - N/A
- Fire extinguisher availability in the Organization:
area -N/A
Organization: PPE:
- Maintenance cleaning and checking -N/A
of the equipment
- Authorized and trained person to
perform the task
- Proper used of equipment (consider
4 Low equipment time duration usage)
- Proper handling
- Proper body positioning
- Person aware of the task and to the
existing hazards
- SOP or work instructions
PPE:
- Use of Safety gloves/knitted gloves,
dust mask N95, Safety shoes
- Use Safety glass (if necessary)

Technical:
Technical: - N/A
- N/A Organization:
Organization: -N/A
- Authorized and trained person to PPE:
perform the task -N/A
- Proper handling
- Proper body positioning
2 Low
- Person aware of the task and to the
existing hazards
- SOP or work instructions
PPE:
- Use of Safety gloves/knitted gloves,
dust mask N95, Safety shoes
- Use Safety glass (if necessary)
 Technical:
Technical: - N/A
- N/A Organization:
Organization: -N/A
- Authorized and trained person to PPE:
perform the task -N/A
- Proper handling
- Proper body positioning
2 Low
- Person aware of the task and to the
existing hazards
- SOP or work instructions
PPE:
- Use of Safety gloves/knitted gloves,
dust mask N95, Safety shoes
- Use Safety glass (if necessary)

Technical:
Technical: - N/A
- N/A Organization:
Organization: -N/A
- Proper waste segregation and PPE:
disposal -N/A
- Authorized and trained person to
perform the task
- Proper handling
2 Low
- Proper body positioning
- Person aware of the task and to the
existing hazards
- SOP or work instructions
PPE:
- Use of Safety gloves/knitted gloves,
dust mask N95, Safety shoes
- Use Safety glass (if necessary)
 Post-Control Evaluation
S L R Risk Level

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0
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0
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0
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