Risk Assessment Form

School/Dept: Name of assessor: Date of Assessment:

Activity: Lift Truck operations (model assessment) Signature of Assessor: Date of Next Assessment:

Existing Precautions Further actions Action Hazard Likelihood Risk

Hazards Who may be owner Severity Rating
required
harmed
0-5 0-5
Inappropria Lift Truck Appointment of a responsible person in each
te Lift operator, school / department to coordinate Lift Truck
Truck Staff, operations.
operations students,
public in
vicinity of Lift
Truck
operations

Inappropria Lift Truck University Lift Trucks are driven only by

te driving / operator, operators, appointed in writing following
operation Staff, attendance of an approved training course.
of Lift students,
Periodic re assessment carried out by school /
Truck public in
vicinity of Lift department. Lift Trucks are securely parked
Truck with ignition keys removed.
operations

Pedestrian Staff, Pedestrians are securely prohibited from

crush students, entering Lift Truck operating area by use of
injury public in barriers, marking of routes or warning devices.
vicinity of Lift
Where this is not achievable, a suitably
Truck
operations experienced banks-man will be used. Along

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 with audible/visual warning alarms fitted to Lift
Truck. Hi Visibility clothing is worn by all
persons involved in Lift Truck operations.

Operator Lift Truck University Lift Trucks are not operated on

crush operator unacceptably uneven surfaces and are fitted
injury with ‘fall out protection’ seat belts.

Passenger Lift Truck Passengers are not allowed to ride on

crush passenger University Lift Trucks.
injury
Vehicle / Lift Truck University Lift Trucks are not used on public
vehicle operator, highway. Where Lift Trucks are used on private
impact other vehicle roads outside the confines of buildings,
operators
vehicles are securely prohibited from entering
Lift Truck operating area by use of barriers,
marking of routes or warning devices. Where
this is not achievable, a suitably experienced
banks-man is used.

Lift Truck / Lift Truck Workplace and structural features which could
workplace operator be impacted by Lift Trucks are identified,
structure marked and protected with impact barriers,
impact
signs etc. Good levels of ambient lighting are
maintained.

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Impact Lift Truck Lift Truck forks are not overloaded, loads are
injury from operator / transported at low speeds with forks in lowered
falling banks-man position. Operation of Lift Trucks on uneven
objects
ground is avoided. Head protection required to
be worn by staff involved in Lift Truck
operations where there is a risk of falling
objects.

Entrapmen Lift Truck University Lift Trucks are routinely serviced

t injury operator / and are also inspected to satisfy LOLER
caused my banks-man requirements. Routine operator checks are
Lift Truck
carried out with local records maintained.
mechanical
failure
Fire Inappropriate University Lift Trucks are recharged / re fuelled
explosion Lift Truck in designated, well ventilated, secure areas.
charging / re Ignition sources controlled. Fuel /gas bottles
fuelling
stored in designated areas.
regime
Chemical / Inappropriate Lift Truck battery maintenance carried out only
acid burns Lift Truck by competent, authorised staff. Safety Data
battery Sheets and COSHH assessments provided to
maintenance
staff responsible for battery maintenance.
regimes.
Suitable eye, hand PPE is also provided.

Electrical Inappropriate University Lift Trucks are maintained only by

burns Lift Truck competent, authorised persons.
battery
maintenance
regimes.

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Fall from Persons lifted Persons are lifted only in approved, suitably
height by Lift Truck guarded, purpose built cage securely fitted to
the Lift Truck forks. The use of purpose built
MEWP’s in encouraged.

Structural Lift Truck Workplace and structural features which could

collapse operator, staff be damaged by Lift Truck operations such as
in vicinity of fragile floors, drain / duct covers are identified,
Lift Truck
protected and / or marked.
operations.

Manual Lift Truck Manual handling assessment carried out and

handling operator communicated to Lift Truck operators. Lowest
injury maintainer. practical volume gas bottles used.
during gas
bottle
exchange
Cumulative Lift Truck University Lift Trucks are operated for short a
muscular operator period only which naturally creates acceptable
skeletal work / rest cycles.
injury
caused by
repetitive
twisting /
turning.
Noise Lift Truck Noise assessment carried out on Lift Truck
induced operator / operations. Hearing protection provided as
hearing banks-man indicated by assessment.
loss

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Insert
additional
local issues
here as
required

Insert
additional
local issues
here as
required

Insert
additional
local issues
here as
required

Insert
additional
local issues
here as
required

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