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1、Risk Assessment Form 風險評估表Page 1 CSR Health&Safety Each Departmental Manager is responsible for the Health&Safety of the department.各部門主管需負責該部門的健康與安全Responsibility cannot be delegated.職責是無法交付予他人Only authority can be delegated.只有權力可以授權給他人代理Each Departmental Manager must undertake as many risk assessm
2、ents as needed to ensure the department is health&safe.各部門主管須盡可能進行風險評估，以確保該部門的健康與安全Each risk found must be rated as per page 2&3.各項發現的風險必須按照第2,3 頁的等級來區分Page 5 is the check list to be used 第 5 頁是檢查表Page 6 is the risk assessment form to be used 第 6 頁是風險評估表Page 7 is to be used if additional controls ar
3、e required.第 7 頁是若要需要更多的管制時需填寫的名师资料总结-精品资料欢迎下载-名师精心整理-第 1 页，共 7 页 -Risk Assessment Form 風險評估表Page 2 LIKELIHOOD可能性SEVERITY嚴重性HIGH Expected HIGH-Fatality/disabling 高-預期會發生的高-injury 致命/傷殘,受傷MEDIUM Possible it will happen sometimeMEDIUM A period of absence中等-可能會發生的中等-with full recovery 缺席一段期間,充分的恢復LOW I
4、mprobable(rarely/never)LOW Minor injury allowing 低-不大可能（很少/沒有）低-people to stay at work 小傷,人員還可以 工作RISK ESTIMATOR風險估計HIGH 高MEDIUM 中等LOW 低HIGH 高HIGH 高HIGH 高MEDIUM 中等MEDIUM 中等HIGH 高MEDIUM 中等LOW 低LOW 低MEDIUM 中等LOW 低LOW 低RISK RATING 風險評級L*=Likelihood S*=Severity R*=Risk Estimate Likelihood可能性Severity 嚴重性
5、名师资料总结-精品资料欢迎下载-名师精心整理-第 2 页，共 7 页 -Risk Assessment Form 風險評估表Page 3 LOW 低NO ADDITIONAL CONTROLS REQUIRED,CONSIDERATION MAY BE GIVEN TO A MORE COST EFFECTIVE SOLUTION OR IMPROVEMENT THAT IMPOSES NO ADDITIONAL COST BURDEN.MONITOR TO ENSURE THAT CONTROLS ARE MAINTAINED 不需要更多的 管制,若沒增加額外費用 或負擔,可考慮以更具成本效
6、益的解決方案或改善。監測以確保維持控制措施。MEDIUM 中等EFFORTS SHOULD BE MADE TO REDUCE THE RISK,BUT COSTS OF PREVENTION SHOULD BE CAREFULLY MEASURED AND LIMITED.RISK REDUCTION METHODS INCLUDE SAFE SYSTEMS OF WORK,INFORMATION,INSTRUCTION,TRAINING,SUPERVISION,PPE.應作出努力，降低風險，但預防的費用應有分寸和有限 制的。減少風險的方法包括安全的工作制度，資料，指導，培訓，監督，個人防護
7、裝備HIGH 高WORK SHOULD NOT BE STARTED OR CONTINUED UNTIL THE RISK HAS BEEN REDUCED USING THE HIERARCHY OF CONTROL MEASURES SUCH AS ELIMINATION,SUBSTITUTION,ISOLATION,REDUCTION ETC.IF IT IS NOT POSSIBLE TO REDUCE THE RISK EVEN WITH UNLIMITED RESOURCES,WORK HAS TO REMAIN PROHIBITED.不應開始工作或持續 直到風險已經減少,管制措
8、施如:取消，替代，隔離，降低等。即使有無限資源,如果不能減低風險，還是禁止工作。名师资料总结-精品资料欢迎下载-名师精心整理-第 3 页，共 7 页 -Risk Assessment Form 風險評估表Page 4 This is the first part of the Risk assessment.When considering the hazards at this stage you must mentally remove the controls that are in place,as it is easy to consider that a task is of lo
9、w likelihood or severity because the risk is already being controlled.The danger of this is that this incidental control may not be appreciated and may be removed by changing operators.Hazards with a risk rating of HIGH or MEDIUM are considered to be significant findings and require transferring ont
10、o the risk assessment record,to be re-assessed taking into account persons at risk and control measures put into place.If no significant findings are identified i.e.all hazards have a risk rating of LOW the risk assessment need proceed no further and the record kept for reference purposes.這是風險評估的第一部
11、分，在這階段當有發現任何危險，必須適當的移除裝置，因為可以將它視為不太可能發生或嚴重性較低的風險，因為風險已經先控制。這個偶發危險可能沒有發現和可能已經因為變換操作員而移除了，若是風險等級為高或中等者，需視為重大發現，且登記到風險評估紀錄中，然後重新評估會渉及到的人和儀器，若無重大發現，例如所有的風險等級均為低，則可以不進行進一歩動作，但要保留紀錄做參考。名师资料总结-精品资料欢迎下载-名师精心整理-第 4 页，共 7 页 -Risk Assessment Form 風險評估表Page 5 HAZARD CHECKLIST有風險的名單L*S*R*1.Fall of person from he
12、ight由高空墮下1.2.Fall of object or material from height物體從高處 墮下3.Fall of person on same level(slip or trip)平坦地跌倒（滑或絆倒）4.Manual handling 手工操作5.Machinery hazards(cuts,abrasions,entanglement,friction etc)機械造成的 危險（割傷，擦傷，纏繞，摩擦等）6.Fire 火7.Electricity 電8.Stored energy 能量貯存9.Explosions(chemicals or dust)爆炸（化學品或
13、塵埃）10.Contact with excessively hot or cold surfaces接觸過熱或過冷表面11.Compressed air or gases壓縮空氣或氣體12.Mechanical lifting operations起重機械作業13.Noise噪音14.Biological agents生物工程製劑15.Excessive vibration過度振動16.Use of hand tools使用手工工具17.Adverse weather conditions(where exposure is part of the task)不利的氣候條件（如暴 曬,雨淋是
14、任務 之一部份）18.Hazardous Substances有害物質19.Storage,stacking or shelving貯存，堆放或擱置20.Housekeeping 總務,後勤21.Lighting levels(too high,too low,glare,rapid changes)照明水平（太高，太低，眩光，迅化）22.Confined spaces密閉空間23.Cleaning(before,during or after the task)清洗（任務之前，期間或之後）24.Use of display screen equipment(as part of the ta
15、sk)使用顯示屏幕設備(任務的一部分）25.Lone or unaccompanied working 孤單或無伴的 工作26.Exposure to personal violence or aggression 暴露於個人暴力或侵略27.Other(please specify)其他（請註明）L*=Likelihood S*=Severity R*=Risk EstimateBRIEF DESCRIPTION OF ACTIVITIES OR TASKS TO BE ASSESSED活動或任務進行評估的簡述名师资料总结-精品资料欢迎下载-名师精心整理-第 5 页，共 7 页 -Risk A
16、ssessment Form 風險評估表Page 6 ACTIVITY行動DEPARTMENT部門:LOCATION位置:REF No參照#.No.HAZARD危險PERSONS AT RISK 處境有危險的人CONTROL MEASURES 控制措施RISK ESTIMATE 風險估計L x S RISK RATING 風險評級ADDITIONALCONTROLS REQ.Y/N 需要更多的 管制.是/否Signature of Assessor 評審者簽名PERSONS AT RISK CODE 處境危險的人的代號名师资料总结-精品资料欢迎下载-名师精心整理-第 6 页，共 7 页 -Ri
17、sk Assessment Form 風險評估表Page 7 ASSESSMENT DATE評估日期A FACTORY WORKER 工廠員工D SUB CONTRACT WORKER 外發廠員工REVIEW DATE 審查日期B OFFICE WORKER 辦公室人員E MEMBERS OF THE PUBLIC 市民ASSESSORS NAME 評審者名稱C CUSTOMER 客戶F YOUNG PERSONS 年青人No.ADDITIONAL CONTROLS REQUIRED 需要更多的 管制RISK ESTIMATE 風險估計L x SRISK RATING 風險評級RESPONSIBLE PERSON/DEPT 負責人/部門COMPLETION DATE 完成日期STANDARD OPERATING PROCEDURES標準作業程序Signature of Assessor 評審者簽名.名师资料总结-精品资料欢迎下载-名师精心整理-第 7 页，共 7 页 -