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sk
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me
n
t
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o
mp
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me
:
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re
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c
h
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td
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ivi
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EVO
2
0
5
D
SAF
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a
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t
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(
C
)
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(
L
)
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c
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on
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ju
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fr
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f
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a
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it
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ITY
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5
P
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3
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a
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r
g
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it
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to
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S
TA
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B
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G
A
N
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P
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R
E
–
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ro
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P
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R
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TH
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P
A
R
TY
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JU
R
IE
S
,
C
U
TS
TO
FA
C
E
1
P
O
S
S
IB
L
E
3
3
Tr
a
in
e
d
o
p
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ra
to
r
L
o
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o
ff
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x
h
a
u
st
ch
u
te
C
o
rd
o
n
o
ff
co
lle
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n
p
o
in
t
1
1
2
S
TA
B
B
IN
G
A
N
D
P
U
N
C
TU
R
E
–
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a
n
d
lin
g
b
ra
n
c
h
e
s
O
P
E
R
A
TOR
C
U
TS
TO
H
A
N
D
S
2
Q
U
ITE
P
O
S
S
IB
L
E
4
8
W
e
a
r
h
a
rd
w
e
a
ri
n
g
g
lo
ve
s
w
it
h
l
o
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g
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ff
s
th
a
t
ca
n
b
e
tu
cke
d
i
n
to
sl
e
e
v
e
s.
2
2
4
Ke
y:
Consequenc
e
Score
Likelihood
Score
T
o find risk Score mul
tiply consequence
rating by the likelihood rating
Fatality
5
Very likely
5
Final revised
risk score acce
ptable t
o the
company is 10 o
r less. If higher,
further
controls are required
.
Final revised
likelihood sco
re must be
2 or
less
Disability
4
Probable
4
Very serious (
broken
limbs)
3
Possible
3
Important (3 day
accident)
2
Remotely p
ossible
2
Noticeab
le (first a
id)
1
Improbable
1
A
ss
es
sm
ent
N
o:
R
015
-3
S
igne
d:
……………………………
D
at
e:
…………………………….
Re
vi
ew
D
at
e
:
…………………………….