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FICHE D’EVALUATION DE RISQUE

Evaluation de Risque No : Système : Département/ Site Magasin du Nombre de personnes concernées


CPF 4 Personnes

Evaluation de Risque de la Tâche : Evaluation de risque d’isolation (O/N) : NON


(O/N) : Oui
Activité : Travail en hauteur

N° Plan : Remarque :

RESIDUAL
RISK
Step ACTIVITY HAZARD CONSEQUENCE CONTROL MEASURES RISK
RATING
RATING
1 Working at height Fall injury/ fatality 12  Daily inspection and 17
certification by a competent
person
Defective/ inadequate  Continue site supervision
platform for work Injury by slip/ trip/
fall Provide adequate platform to
Faulty mounting ladder perform work
Injury by fall
 Place the ladder on firm &
even ground
 Keep ladder at appropriate
Vertigo while working at height.
height Fall from height lead
to serious injury/  Confirm personnel in good
fatal incident health condition
 Deploy trained personnel for
Leaning/ stretching from the the job
platform Fall from height lead
to serious injury/  Deploy trained person
fatal accident  Worn full body harness and
tied up with firm anchor point.
 Close supervision.

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FICHE D’EVALUATION DE RISQUE

Remarques générales : R-A-S


Impacts environnementaux : R-A-S
Mesures d'urgence exigées : BALISAGE ET SIGNALISATION - PORTE EPI - UTILISATION DU DISPOSITIF ANTICHUTES A RAPPEL AUTOMATIQUE

Equipe d'Evaluation
Nom Position Signature Date
Mohamed ZOUBIR CDS GDS

Signature d'autorisation ci-dessous

Approbation Du Responsable
Signature : Date :
Propriétaire de la Zone Position : Chef dpt Log

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