Doc. 05/1249/97 part 1 EN

Guide

for identifying and assessing

work-related hazards and stress factors

as required by § 5 of the ArbSchG (Occupational Safety and Health Act)

and

recording the results

as required by § 6 of the ArbSchG

Hazard Assessment

for

Waste disposal undertakings

Hamburg, August 1997

BGF

Berufsgenossenschaft für

Fahrzeughaltung

Technical Supervisory Service

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Foreword

This Guide, “Risk Assessment for Freight Hauliers”, is the result of a project which was subsidized by the European Commission. It addressed the following objectives:

1. To propose a basic approach, the principles of which might be applicable in all countries of the European Union;

2. To devise an aid which would specifically and effectively help firms comply with the stringent requirement of risk assessment laid down in the framework directive on worker safety and health;

3. To make the procedure readily understandable to the principal parties concerned, i.e. primarily employers and the employees directly affected by possible hazards;

4. To streamline the procedure by using standardized risk assessments and thus to save money;

5. To motivate people better by tailoring assessment to the particular sector in question so that the employer needs only to address the hazards usually relevant to his firm;

6. To word texts in clearly understandable language, particularly as regards the specialist terms peculiar to the sector in question;

7. To encompass all relevant hazards and at the same time set priorities, with an eye to actual accident and illness situations;

8. To highlight preventive measures which experience has shown to be especially effective;

9. To keep records of actual situations, measures taken and defects or omissions identified, as an integral part of the risk assessment process.

The ArbSchG (Occupational Safety and Health Act) came into effect on 21 August 1996, and the Berufsgenossenschaft für Fahrzeughaltungen immediately resolved to help its member organizations comply with the statutory requirements of §§ 5 and 6 of the Act. Consequently the BGF was keen for its Technical Supervisory Service to undertake this project with the backing of the EU Commission.

Now that the project has been completed, we are able to offer you this Guide. It is geared exclusively to Germany’s rules on occupational safety and health and accident prevention, but may also be viewed as a contribution to the further harmonization of worker safety and health requirements in the European Union.

Berufsgenossenschaft für Fahrzeughaltungen

Technical Supervisory Service

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Contents Page

0 Introductory remarks

1. What is the legal base which creates the requirement to identify and assess work-related hazards?

2. Are all employers required to identify and assess hazards and record the results?

3. What are the employer’s obligations in guaranteeing worker safety and health?

4. Factors which should motivate employers.

5. Concepts and definitions.

6. When are hazards/stress factors to be identified and assessed?

7. Who can carry out the identification and assessment of work-related hazards/stress factors?

8. Who advises and checks?

9. How are protection targets identified?

10. Purpose of risk assessment and necessary action.

11. Structure and breakdown of risk assessment.

12. How to proceed when carrying out a risk assessment.

A. How to carry out a risk assessment.

B. Hazard matrix for individual workplaces/activities.

1 Data sheets for assessing work-related hazards and stress factors in accordance with § 5 ArbSchG.

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Produced by:

Berufsgenossenschaft für Fahrzeughaltungen – BGF

- Technical Supervisory Service -

Ottenser Hauptstrasse 54

22765 Hamburg

Tel. 040/3980-0

Fax 040/3989-1992

Editor:

Dipl.-Ing. Gerhard S. Franz BGF-TAD

Copyright:

The manuscript is protected under the laws of copyright. Any use of it which is not expressly permitted under the laws of copyright requires the assent of the Berufsgenossenschaft für Fahrzeughaltungen and the user must acknowledge the source and provide a copy. This applies particularly to the preparation of multiple copies, versions, translations and microfilms and to storage and processing in electronic systems. Exceptions to this rule are copies made for in-house use in member organizations of the BGF.

Note:

The fact that this Guide mentions technical solutions for eliminating or minimizing a hazard does not mean that other, no less valid solutions do not exist which have been formalized in technical regulations of other EU Member States or signatories to the Agreement on the European Economic Area.

Production:

Mairs Graphische Betriebe, Ostfildern (Kemnat)

Layout and Typesetting:

Lihs, Satz und Repro, Ludwigsburg

Printed by:

Mairs Graphische Betriebe, Ostfildern (Kemnat)

August 1997

Order number: 0004-01-8.97/5-BFG

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0 Introductory remarks

On the identification and assessment of the hazards/stress factors which may be encountered by employees

1. What is the legal base which creates the requirement to identify and assess work-related hazards?

The statutory requirement arises out of § 5 of the Occupational Safety and Health Act (ArbSchG)

§ 5 ArbSchG

Assessment of working conditions

(1) The employer must, in an assessment of the hazards which employees may encounter in the course of their work, identify the safety and health measures which need to be taken.

(2) The employer must make an assessment for each different type of activity. Where working conditions are similar it is sufficient to assess just one workplace or activity.

(3) A hazard may arise in particular from

1. the design and fittings of premises and workplace

2. physical, chemical and biological effects

3. the design, choice and use of work aids, particularly substances, machinery, appliances and plant and the way in which these are handled

4. the design of work and manufacturing processes, working methods and hours and the interactions between these

5. insufficient employee skills and instruction.

Notes to § 5:

This is the transposition of Article 6… of the framework directive*).

Only an assessment of the working conditions determines which protective measures need to be taken.

This process includes identification of the hazard as such and an evaluation of its seriousness (nature and extent of possible damage). The requirements which the assessment must meet depend on the type of activity.

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Where working conditions are similar in several different workplaces or activities, the employer does not have to make an assessment more than once, because it is reasonable to suppose that the result of the risk assessment will be comparable in all cases.

This also makes it possible to use standard assessments for typical areas of work. Paragraph 3 lists examples of conditions which may present a hazard to employees.

The list serves as a guide to the risk assessment which the employer is required to make.

*) Council Directive 89/391/EEC of 12 June 1989 on the introduction of measures to encourage improvements in the safety and health of workers at work, transposed into national law by the ArbSchG (Occupational Safety and Health Act) which came into force on 21 August 1996.

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1. Are all employers required to identify and assess risks and record the results?

The purpose of the ArbSchG is to guarantee and improve the safety and health protection of employees at work by means of occupational safety and health measures. “Employees” are persons providing their labour on the basis of a legal relationship with the employer (among other things a contract of employment).

Consequently all employers, irrespective of payroll size, must conduct the prescribed “risk analysis”, i.e. an identification and assessment of work-related hazards/stress factors.

Under § 6 ArbSchG the employer must also keep records showing the result of the risk assessment, the occupational safety and health measures he has taken and the result of checks that these measures are complied with.

The only employers exempted from the requirement to keep records are those with ten or fewer employees, but only where other statutory rules do not provide otherwise.

Persons in positions of responsibility in the business and supervisory bodies need to consult documents which provide them with information particularly on how the situation is assessed with regard to hazards, which protective measures have been taken, whether their effectiveness has been checked and with what result.

The employer must thus keep the relevant documents available.

The employer is free to decide how he complies with this requirement to keep records.

He does not necessarily have to keep separate documents for each workplace.

Individual points of the record-keeping requirement may be covered for specific sectors in texts which are not full laws (Gesetze), but e.g. accident prevention rules or generally legal orders, where there is a need for this.

It follows from the purpose and point of the record-keeping requirements that the documents on record must be up to date.

“Old” documents thus do not need to be kept for a long time, but only for as long as necessary to make sense of current documents.

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2. What are the employer’s obligations in guaranteeing worker safety and health?

Under § 5 ArbSchG the employer has a duty to take measures to guarantee safety and health, taking account of all circumstances affecting work. He must verify the effectiveness of such measures and adapt if necessary to changing circumstances.

The aim is to involve the workforce with an eye to preventing occupational accidents and work-related health hazards. This necessitates the carefully planned and systematic identification and assessment of the hazards/stress factors which exist for employees.

Traditionally, risk assessment focused on accident risks caused by technical factors. This view is no longer adequate. Occupational safety and health need to be viewed as a whole, including the consideration of the physical and mental demands which work imposes. Only in this way can health impairment which also, after all, leads to work-related illness, be prevented.

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3. Factors which should motivate employers

Now more than ever, companies are subjected to economic constraints. The ability to cut costs and at the same time improve the quality of products or services is essential to success. Accidents and work-related illnesses, malfunctions of machinery and systems, costly repairs and defective products are all factors which make this more difficult.

A corporate philosophy geared to success will typically have considerations of occupational safety and health built into it. This applies to medium-sized and large firms just as much as to small businesses.

A company which is geared to quality will typically consider not only the products and services it offers but also the actual work process. Occupational safety and health, together with measures to improve health, play their part in determining the quality of the work process.

The basis of preventive measures is an assessment of all aspects of work and the risk they entail to the safety and health of workers.

4. Concepts and definitions

Hazards typically arise when harmful energies or substances (e.g. electric current, grinding dust) coincide with human beings in certain conditions of space and time, giving rise to the possibility of damage to health.

Risk is the probability of damage occurring as the result of a hazard and the severity of that damage.

Stress means the totality of extraneous conditions and demands in the system of work which may alter an individual’s physical and/or mental state.

Stress load is the effect of stress factors on an individual as determined by that individual’s qualities and capabilities.

Content of work means the totality of demands placed on an individual by the work performed and the conditions in which it is performed.

Activities are parts of the job and characterized by the equipment required in each case (e.g. grinding, drilling, lifting and carrying of loads, handling of hazardous substances).

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5. When are hazards/stress factors to be identified and assessed?

Identification and assessment of hazards/stress factors is carried out

· as a first-time assessment at existing workplaces;

· a regular intervals, particularly when there are changes in rules or legislation or when technological advances occur;

· if systems are substantially expanded or altered;

· if the use of systems is substantially changed;

· prior to the acquisition of new machinery and production equipment;

· where substantial changes are made in the organization of work, and

· following occupational accidents, near-accidents and illnesses.

1. Who can carry out the identification and assessment of work-related hazards/stress factors?

Identification and assessment of work-related hazards and stress factors may be carried out by the employer himself or by persons acting on his behalf, namely

· members of management

· occupational safety experts

· occupational physicians

· other specialists.

In principle it makes sense, for the purpose of identifying and assessing hazards/stress factors entailed in work, to form a team comprising the above individuals together with the employees affected and, if appropriate, the works council.

1. Who advises and checks?

Advice on how to identify and assess work-related hazards/stress factors is available from the staff of the Technical Supervisory Service of the relevant Berufsgenossenschaft.

The employer is responsible for checking that measures required are implemented, and records (where required) are checked by the competent authority.

2. How are protection targets identified?

Protection targets are the expression of safety requirements and ideals, i.e. they describe optimum conditions which machines, systems and procedures should ideally meet. The general protection target is the absence of all hazards.

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Where protection targets are formulated in orders, accident prevention regulations and standards they are binding and are designated as standard protection targets. Where protection targets are not standard, a risk assessment becomes necessary.

3. Purpose of risk assessment and requirements

Risk assessment provides the employer with a model of how he should, on his own initiative, evaluate the working conditions in his own firm. It comprises both the identification of possible hazards and the introduction of measures to eliminate or at least minimize these hazards, together with record keeping and checks on the efficacy of the measures selected. Risk assessment also helps the employer to select and implement suitable preventive measures.

4. Structure and breakdown of risk assessment

Risk assessment is the identification and assessment, for specific industries and occupations, of the hazards/stress factors entailed in work. It is broken down by risk factors, and divided into technical factors and organizational and behavioural aspects. Its scope is roughly proportional to the risk of accident and illness in the industry concerned and the complexity of that industry. This means that in low-risk occupations and industries the overall breadth of risk assessment is markedly smaller than in high-risk ones.

This Guide is meant not as a set of absolute rules but merely as an aid, an aid couched in very general terms. This allows the employer to take due account of situations specific to his own company,.

5. How to proceed when carrying out a risk assessment

The employer has to identify and assess and stress factors to which employees in his company are exposed.

He may need to look, not only at an area of enterprise, but also at individual workplaces and even individual activities.

On the other hand the legislator says in § 5 that where working conditions are similar it is enough to assess just one job or activity.

In order to help waste disposal companies deal with working conditions which are similar, the risk assessment proposed here uses a matrix structure as its base.

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Part of this “matrix solution” is a “Classification of hazards/stress factors” in which all data sheets which might be relevant to risk assessment are represented. The heart of the matrix is formed by the risk matrices on which the hazards/stress factors which may be assumed to exist in the workplaces/activities actually found in the firm can be measured. Using the illustration the employer can, before carrying out his risk assessment, look at all workplaces/activities and decide which stress factors, problems or hazards it is essential for him to investigate. The employer can also use the already broadly summarized solutions for typical workplaces in waste disposal firms and he will need to add to these only in areas where the typical workplace/activity differs from that actually existing in his own firm.

1 How to carry out a risk assessment

As already stated the employer must, if necessary for every workplace and/or every activity carry out a risk assessment and, if he has more than 10 employees, keep records accordingly. But he does not need to verify every conceivable hazard and stress factor from an exhaustive checklist. These instructions will help you to compile a checklist individually customized for your firm, on the basis of the data sheets described in section D. The completed data sheets are used as an assessment of risk and can be made available to the competent authorities on request. If this is the procedure adopted, the risk assessments specific to the firm should be arranged in the order set out on page XY.

The recommended procedure is as follows:

1. First complete the “Profile of firm and organization of work” sheet (page XY).

2. Then identify the workplaces/activities in the firm for which risk assessments are required.

3. For this you should use one of the ready-made “Profile of workplace and/or activity” form sheets. Section C tells you how to use the sheet and gives a number of examples of typical activities in waste disposal firms. If some of your activities are not covered in the ready-made sheets, add a new sheet and give it the heading “Profile of workplace and/or activity”.

4. Check from the “Classification of hazards/stress factors” if all hazards which may arise at the workplace or in the activity concerned have been marked with a cross in the matrix of the ready-made form sheet.

5. Using the crosses in the matrix of the “Profile of workplace/activity” form sheet, the “Data sheets for assessing work-related hazards and stress factors in accordance with § 5 ArbSchG” are then extracted and copied.

6. The data sheets collected in this way for the workplace/activity in question are then completed, that is to say processed, in line with the notes in section D.

The table below gives an overview of the hazards/stress factors covered in this Guide. The numbers are the same as those of the matrix in the “Profile of workplace/ activity” form sheet.

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Classification of hazards/stress factors

1. Mechanical hazard	2. Electrical hazard	3. Hazardous substances	4. Biohazard	5. Fire & explosion hazard	6. Thermal hazard	7. Hazards from special physical effects	8. Hazards/stress factors in working environment	9. Physical stress/ arduous work	10. Perception and observation, manageability	11. Other hazards/ stress factors
1.1 Unguarded moving machine parts	2.1 Dangerous currents, defective electrical systems and equipment	3.1 Products used which contain hazardous substances	4.1 Risk of infection from microorganisms and viruses	5.1 Fire hazard from solids, liquids, gases	6.1 Contact with hot media	7.1 Noise	8.1 Climate	9.1 Arduous dynamic work Lifting and carrying of loads	10.1 Capacity for perception and observation	11.1 Defective personal protective equipment (PPE)
1.2 Parts with dangerous surfaces	2.2 Arcing, hazards from overhead power lines and other “live” systems	3.2 Hazardous substances liberated during the work process	4.2 Effects from genetically modified organisms	5.2 Hazard from explosive atmospheres	6.2 Contact with cold media	7.2 Ultrasound	8.2 Lighting Optical signals VDU work	9.2 Static/dynamic work placing stress on one side of the body	10.2 Difficulties in managing equipment	11.2 Response to emergencies
1.3 Moving vehicles, conveyors, equipment			4.3 Effects from allergens and toxic substances from micro-organisms of cells	5.3 Explosive substances		7.3 Whole-body vibration				11.3 Hazards caused by people
1.4 Uncontrolled moving parts				5.4 Static charge		7.4 Hand and arm vibration				11.4 Hazards caused by animals
1.5 Falling over						7.5 Non-ionizing radiation				11.5 Hazards caused by plants and plant products
1.6 Falling from a height						7.6 Ionizing radiation
						7.7 Hazard from electromagnetic fields

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The illustration below shows how, taken all together, the individual data sheets, hazard matrix and the profile of firm and organization of work sheet might look:

Area of operations:		Workplace:		Area of activity:		Activity:
3. Chemical safety
Potential hazard and problems	Appliances/machines or situations subject to these hazards or problems and their potential effects (place cross against hazard or problem)		Completion of measures/efficacy check		Possible measures to improve safety (indicate measure(s) selected)		Information
3.1 Products used which contain hazardous substances	Which hazardous substance or preparations………..….. …………………………		Hazard to be eliminated by (date): …………………. ………………….		¦ Identify hazardous substances …………………… ……………………		VBG 1 ………… …………

Area of operations:		Workplace:		Area of activity:		Activity:
2. Electrical safety
Potential hazard and problems	Appliances/machines or situations subject to these hazards or problems and their potential effects (place cross against hazard or problem)		Completion of measures/efficacy check		Possible measures to improve safety (indicate measure(s) selected)		Information
2.1 Hazardous currents Defective electrical systems and equipment	Are hazards due to electric current present: ? ……………………..….. ? ………………………… ? …………………………		Hazard to be eliminated by (date): …………………. ………………….		¦ Visual inspection for obvious defects before starting work …………………… ……………………		VBG 1 ………… …………

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Area of operations:		Workplace:		Area of activity:		Activity:
1. Mechanical safety
Potential hazard and problems	Appliances/machines or situations subject to these hazards or problems and their potential effects (place cross against hazard or problem)		Completion of measures/efficacy check		Possible measures to improve safety (indicate measure(s) selected)		Information
1.1 Unguarded moving machine parts	Are machines with unguarded moving parts present? If so, which (e.g. circular saws, angle grinders, presses, drive parts)? ……………………..….. …………………………		Hazard to be eliminated by (date): …………………. …………………. …………………. ………………….		¦ When buying new equipment check for safety (CE mark, certificate of conformity, operating instructions) …………………… ……………………		VBG 1 VBG 5 VBG 7a VBG 8 VBG 9 VBG 10 VBG 12 VBG 14 VBG 22 ………. ………. ………. ……….

Hazard matrix Profile of workplace/activity Code: A.1
Area of operations: Driver …………………. ………………………………………………. Brief description: …………………………… ……………………………………………….								Activity: Container exchange …………….. ………………………………………………. Brief description: removal of trade, building site and industrial waste …………………………..
1.		2.	3.		4.	5.	6.		7.		8.		9.		10.	11.
1	x	2	3	x	4	5	6		7	x	8	x	9		10	11
1	x	2	3	x	4	5	6		7		8		9	X	10	11	x
1	x				4	5			7	x						11
1	x					5			7	x						11
1	x								7							11
1	x								7
									7
Additional remarks: Main activity: transporting trade, building site and industrial waste

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Profile of firm and organization of work Name of firm: ………………….. Name of employer: ………………….. Address: ………………….. ………………….. Telephone: ……………...….. No. of employees: ………………….. Product & service profile: ………………….. Safety services provided by: …………………... Occupational medical services provided by: ………………….. Identification & assessment of work-related hazards/stress factors Area of operations for which carried out: ……………………………………… (e.g. offices, workshop, warehouse) Activity: ……………………………………… (see matrix) Carried out by Name, job title: ………………………………….. Signature: ………………………………….. Place, date: ………………………………….

Illustration Profile of firm and organization of work Name of firm: Entsorgungsdienst- leistungen GmbH Name of employer: Hans Meyer Address: Alter Steinweg 25 22367 Hamburg Telephone: 040-352379/156 No. of employees: 10 Product & service profile: Disposal & sorting Safety services provided by: Mr Peter Müller Occupational medical services provided by: Dr Hilde Schulz Identification & assessment of work-related hazards/stress factors Area of operations for which carried out: Offices, warehouse, sorting dept. (e.g. offices, workshop, warehouse) Activity: PC work station, load handling, truck maintenance (see matrix) Carried out by Name, title: Peter Müller, safety expert Signature: Peter Müller Place, date: Hamburg, 27.03.1997

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The risk assessment compiled in this way serves as proof of completion, thus as a record for the workplace/activity in question within the meaning of § 6 ArbSchG.

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Add in here:

Profile of firm and organization of work

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C. Hazard matrix for typical workplaces and activities in waste disposal firms

Hazard matrix

Profile of workplace and/or activity

Illustration*)

Code: A.1
Area of operations: Driver …………………. ………………………………………………. Brief description: …………………………… ……………………………………………….								Activity: Container exchange …………….. ………………………………………………. Brief description: removal of trade, building site and industrial waste …………………………..
1.		2.	3.		4.	5.	6.		7.		8.		9.		10.	11.
1.1	x	2.1	3.1	x	4.1	5.1	6.1		7.1	x	8.1	x	9.1		10.1	11.1
1.2	x	2.2	3.2	x	4.2	5.2	6.2		7.2		8.2		9.2	x	10.2	11.2	x
1.3	x				4.3	5.3			7.3	x						11.3
1.4	x					5.4			7.4	x						11.4
1.5	x								7.5							11.5
1.6	x								7.6
									7.7

Using the matrix

Step 1: Determine if risk assessment is to be carried out for a given workplace or activity.

Step 2: Using the “Classification of hazards/stress factors” (see next page), determine which hazards/stress factors must be presumed to arise at the workplace or in connection with the activity decided upon.

Step 3: In the matrix place a cross next to the numbers which correspond to the presumed hazards/stress factors.

Step 4: Take out the data sheets for those numbers and, assuming the originals are still needed for risk assessment purposes, copy them.

Step 5: Process the data sheets as described in section D.

In the above illustration, for the activity of “Driver, container exchange”, crosses indicate which numbers in the “Classification of hazards/stress factors” need to be dealt with in the risk assessment.

These data sheets must be kept together after processing. They provide a picture of how safe the “Driver, container exchange” workplace is or what steps have been taken to make it safe.

*) This illustration covers only the hazards which may arise in the typical activity of a “Driver, container exchange”. The actual hazards/stress factors/problems which the employer is required to address in carrying out the risk assessment will depend solely on the circumstances within his firm.

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Hazard matrix

Profile of workplace and/or activity

Code: A.1
Area of operations: Driver …………………. ………………………………………………. Brief description: …………………………… ……………………………………………….								Activity: Container exchange …………….. ………………………………………………. Brief description: removal of trade, building site and industrial waste …………………………..
1.		2.	3.		4.	5.	6.		7.		8.		9.		10.	11.
1.1	x	2.1	3.1	x	4.1	5.1	6.1		7.1	x	8.1	x	9.1		10.1	11.1
1.2	x	2.2	3.2	x	4.2	5.2	6.2		7.2		8.2		9.2	x	10.2	11.2	x
1.3	x				4.3	5.3			7.3	x						11.3
1.4	x					5.4			7.4	x						11.4
1.5	x								7.5							11.5
1.6	x								7.6
									7.7

Additional remarks:

Main activity: transporting trade, building site and industrial waste

………………………………………………………………………………………

Secondary activities: e.g. loading and unloading of vehicle, vehicle maintenance, filling up, oil change, washing vehicle

………………………………………………………………………………………

Has employee’s physical aptitude been checked? ………………………………

………………………………………………………………………………………

Is employee suitably qualified? …………………………………………….……

………………………………………………………………………………………

Are any employment restrictions applicable, and if yes, which? ……………..

……………………………………………………………………………………...

………………………………………………………………………………………

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Filed here in the following order are:

1. Classification of hazards/stress factors

2. Index to the activities described

3. A blank “Hazard matrix” sheet

4. 42 sheets “Hazard matrix for typical workplaces and activities in waste disposal firms”

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2 Data sheets for assessing work-related hazards and stress factors in accordance with § 5 ArbSchG

By using this Guide to risk assessment an employer is operating efficiently and thereby minimizing his costs in both human and material terms.

By using the Guide in his business he creates the necessary transparency and sends a signal to his workforce that he takes their safety and health seriously.

By systematically following the Guide the employer makes it easier for himself to demonstrate to the supervisory authorities that he has complied with his obligations under the ArbSchG.

The following data sheets enable him to identify the hazards and stress factors which his employees encounter in the course of their work and to assess which occupational health and safety measures are needed to eliminate them or, if this is not possible, at least to minimize them. The employer can also verify the efficacy of the measures he has ordered and record the fact that these checks have been carried out.

The checklists are divided into five columns:

· Column 1 lists potential hazards, drawn from the hazard and stress factors named in § 5 ArbSchG.

· Column 2 lists possibly hazardous situations, appliances or products or problems and raises specific points which will help the employer identify potential hazards in his business: e.g. whether employees are subjected to constant noise. He enters here the hazard or problem he has identified.

· In Column 3 the employer indicates how the measures he has decided upon will be implemented in order to eliminate identified hazards or problems. Examples of these measures are summarized in Column 4. The employer can also evaluate the efficacy of the measures he has introduced and order further measures as necessary.

· Column 4 lists measures which have proved their worth in practice, from which the employer selects those he thinks will eliminate or at least minimize the hazard identified, listing this measure in Column 3. Here too he is free to choose measures which are not the ones proposed. But if he chooses measures other than those named in the legislation (e.g. legal orders on occupational safety and health, accident prevention regulations, ZH 1 texts), he is required to assess whether the risk entailed in the measure he has chosen is smaller than or the same as the acceptable risk. A risk is acceptable where the probability of damage is inversely proportional to the degree of damage.

· Column 5 gives references to further information and legal texts.

These data sheets should be regarded not as a definitive summary of all hazards/stress factors which must be recorded at the workplace, but simply as a guide to how the requisite identification and assessment procedure may be carried out. The data sheets will need to be added to as the workplaces and circumstances under consideration dictate.

Doc. 05/1249/97 part 2 EN

Profile of firm and organization of work Name of firm: ………………………………………. Name of employer: ………………………………………. Address: ………………………………………. ………………………………………. Telephone: ……………...……………………….. No. of employees: ……………………………………….. Product & service profile: ……………………………………….. Safety services provided by: ………………….……………………. Occupational medical services provided by: ………………………………………. Identification & assessment of work-related hazards/stress factors Area of operations for which Carried out: ……………………………………………………………. (e.g. offices, workshop, warehouse) Activity: ……………………………………………………………. (see matrix) Carried out by Name, job title: ……………………………………………………………. Signature: …………………………………………………………….. Place, date: ……………………………………………………………..

Illustration Profile of firm and organization of work Name of firm: Entsorgungsdienstleistungen GmbH Name of employer: Hans Meyer Address: Alter Steinweg 25 22367 Hamburg Telephone: 040-352379/156 No. of employees: 10 Product & service profile: Disposal & sorting Safety services provided by: Mr Peter Müller Occupational medical services provided by: Dr Hilde Schulz Identification & assessment of work-related hazards/stress factors Area of operations for which carried out: Offices, warehouse, sorting dept. (e.g. offices, workshop, warehouse) Activity: PC work station, load handling, truck maintenance (see matrix) Carried out by Name, title: Peter Müller, safety expert Signature: Peter Müller Place, date: Hamburg, 27.03.1997

Date: ………………………... Signature: …………………………..

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Notes for completing the data sheets for assessment of work-related hazards and stress factors

in accordance with § 5 ArbSchG

Area of operations:

1. Mechanical hazard
Enter here the matrix area of operations and activity for which the risk assessment has been carried out. Potential hazard and problems	Appliances/machines or situations subject to these hazards or problems and their potential effects (place cross against hazard or problem)	Completion of measures/ efficacy check	Possible measures to improve safety (indicate measure(s) selected)	Further information
Indicate here the date by which measures to eliminate hazards must be completed and if necessary by whom. Useful references to legal texts Indicate here with a cross which measures are being introduced to eliminate or at least minimize the hazard identified. Indicate here with a cross which hazards have been identified Details of efficacy checks carried out. Enter here any other situations ….. etc. identified Enter a cross here if identification and assessment have found no hazards. 1.1 Unguarded moving machine parts	Are machines with unguarded moving parts present? If so, which (e.g. circular saws, angle grinders, presses, drive parts)? ……………………..………. ……………………………………………………. ……………………………………………………. Is it possible, when operating machine, to come into contact with hazard points and sustain injury? ? Crushing of hands ? Trapping of clothing or hair ? Cuts from exposed blades/sharp parts ? Stabbing by sharp points ? Cutting points ? Impact with large parts Can danger points arise in special situations or circumstances (e.g. cleaning, remedying malfunctions, changing tools)? ?…………………………………………………… ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. No hazards identified! Þ 0	Hazard to be eliminated by (date): ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. Are measures effective? Yes ¡ No å Further measures: ……………………………… …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. Additional remarks: …………………………………………………. …………………………………………………. ………………………………………………….	¦ When buying new equipment check for safety (CE mark, certificate of conformity, operating instructions) ¦ Separation of people and equipment (e.g. protective clothing, guards, safety fencing) ¦ Stay-on-site protection devices (e.g. two- handed operation, control panels) ¦ Deflecting devices (deflectors, barriers) ¦ No-contact devices (e.g. light barriers) ¦ Check efficacy of protective xx ¦ Mark hazard points ¦ Observe safe distances ¦ ……………………………………………… ¦ ……………………………………………… ¦ ……………………………………………… ¦ ……………………………………………… ¦ ……………………………………………… ¦ ……………………………………………… ¦ ……………………………………………… ¦ ……………………………………………… ¦ ……………………………………………… ¦ ………………………………………………	VBG 1 VBG 5 VBG 22 DIN EN 292 DIN EN 294 DIN EN 349

Date: ………………………... Signature: …………………………..

- 4/5 -

Area of operations:

1. Mechanical hazard
Potential hazard and problems	Appliances/machines or situations subject to these hazards or problems and their potential effects (place cross against hazard or problem)	Completion of measures/ efficacy check	Possible measures to improve safety (indicate measure(s) selected)	Further information
1.1 Unguarded moving machine parts	Are machines with unguarded moving parts present? If so, which (e.g. circular saws, angle grinders, presses, drive parts)? ……………………..………. ……………………………………………………. ……………………………………………………. Are unguarded moving machine parts present in sorting and composting plants and dumps? If so, which? (e.g. continuous conveyors, sack openers, magnetic separators, drum or vibrating screens, shredders, balers, waste balers, converters, tyre cleaning plants) ? ………………………………………………….. ? ………………………………………………….. Is it possible, when operating appliances/machines, to come into contact with hazard points and sustain injury? ? Crushing of hands ? Trapping of clothing or hair ? Cuts from exposed blades/sharp parts ? Stabbing by sharp points ? Cutting points ? Impact with large parts ? When raising and lowering containers ? During set-up work (changing tippers) ………………………………………………….. Can danger points arise in special situations or circumstances (e.g. cleaning, remedying malfunctions, changing tools)? ?…………………………………………………… No hazards identified! Þ 0	Hazard to be eliminated by (date): ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. Are measures effective? Yes ¡ No å Further measures: ……………………………… …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. Additional remarks: …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. ………………………………………………….	¦ When buying new equipment check for safety (CE mark, certificate of conformity, operating instructions) ¦ Separation of hazards from people (e.g. protective clothing, guards, fencing) ¦ Stay-on-site protection devices (e.g. two-handed operation, control panels) ¦ Deflecting devices (deflectors, barriers) ¦ No-contact devices (e.g. light barriers) ¦ Attachment of moving protective devices to hazardous items behind them ¦ Continuous conveyor with scraper ¦ Tightening of conveyor belts without need to remove safety devices ¦ Shut-down master switch ¦ Enough emergency switches, clearly visible and easily reached ¦ Check efficacy of protective devices ¦ Annual inspection by expert ¦ Mark hazard points ¦ Observe safe distances ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ ……………………………………………	VBG 1 VBG 5 VBG 7I VBG 8 VBG 9 VBG 10 VBG 12 VBG 14 VBG 22 VBG 125 VBG 126 ZH 1/282.2 9^th GSGV DIN 15220 DIN EN 1501/1 DIN EN 292 DIN EN 294 DIN EN 349 DIN EN 811 DIN EN 918 DIN EN 1501/1 Safety rules for waste collection vehicles

Date: ………………………... Signature: …………………………..

- 6/7 -

Area of operations:

1. Mechanical hazard
Potential hazard and problems	Appliances/machines or situations subject to these hazards or problems and their potential effects (place cross against hazard or problem)	Completion of measures/ efficacy check	Possible measures to improve safety (indicate measure(s) selected)	Further information
1.2 Parts with dangerous surfaces	Are cuts or other lacerations possible from e.g. : ? Corners, sharp edges, tips (e.g. vehicle footplates, galvanized coverings, tippers, operating levers on tippers) ? Rough surfaces (e.g. powdered glass stores) ? Resting blades ? Cuts from metal foils, tin cans ? Broken glass ? Foreign bodies in sorted waste (e.g. syringes, sharp objects in metal waste) ? …………….……………………..………. ……. ? ………………………………………………….. ? ………………………………………………….. ? …………….……………………..………. ……. ? ………………………………………………….. ? ………………………………………………….. ? …………….……………………..………. ……. ? ………………………………………………….. ? ………………………………………………….. ? …………….……………………..………. ……. ? ………………………………………………….. ? ………………………………………………….. No hazards identified! Þ 0	Hazard to be eliminated by (date): ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. Are measures effective? Yes ¡ No å Further measures: ……………………………… …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. Additional remarks: …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. ………………………………………………….	Fitting of coverings, guards Keep footplates in good repair Round off galvanized covers Remove ridges ¦ Replace padding on tippers Use operating lever with knob Replace broken operating levers Separate disposal of glass Mechanical pre-sorting Mechanical sack opening Sack rippers Suitable protective footwear Protective gloves, clothing if needed …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. ………………………………………………….	VBG 1 VBG 5 VBG 126 9^th GSGV ZH 1/700 ff LaSi LV 1, LV 2 Safety rules for AFS

Date: ………………………... Signature: …………………………..

- 8/9 -

Area of operations:

1. Mechanical hazard
Potential hazard and problems	Appliances/machines or situations subject to these hazards or problems and their potential effects (place cross against hazard or problem)	Completion of measures/ efficacy check	Possible measures to improve safety (indicate measure(s) selected)	Further information
1.3 Moving vehicles, conveyors, equipment	Are hazards present from e.g.: ? Movement of transport machinery ? Movement of earthworking machinery ? Operation of machinery e.g. stack mover ? Operation of automatic skip handling systems ? Tipper movements ? Overloading of vehicle ? Overloading of containers ? Equipment malfunction/deficiency (e.g. brakes) ? unauthorized use of transport equipment ? Hazard from materials ? Transport equipment toppling over ? Driver’s view obscured by bulky load ? Traffic routes blocked or obscured ? …………….……………………..………. ……. ? ………………………………………………….. ? ………………………………………………….. ? …………….……………………..………. ……. ? ………………………………………………….. ? ………………………………………………….. ? …………….……………………..………. ……. ? ………………………………………………….. No hazards identified! Þ 0	Hazard to be eliminated by (date): ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. Are measures effective? Yes ¡ No å Further measures: ……………………………… …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. Additional remarks: …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. ………………………………………………….	Take account of manufacturer’s instructions and model type. Have equipment inspected regularly. Use suitable, properly trained operatives. Ensure traffic routes are wide enough. Ensure equipment is not overloaded, check its stability, place and secure loads correctly (see operating instructions). Use signallers. ¦ Separation of traffic areas. Keep private and commercial deliveries separate. Limit tipper operations to maximum permitted skip weight. Check load weight regularly. ¦ Mark designated skip locations. ¦ Keep traffic routes clear. System of acoustic signals to warn of automatic start-up of machinery and equipment Regular inspection of safety devices …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. ………………………………………………….	VBG 1 VBG 5 VBG 9 VBG 12 VBG 36 VBG 37 VBG 126 ZH 1/282.1 ZH 1/282.2 DIN EN 1501/1 9^th GSGV StVZO ZH 1/700 ff § 17 ff ArbStättV

Date: ………………………... Signature: …………………………..

- 10/11 -

Area of operations:

1. Mechanical hazard
Potential hazard and problems	Appliances/machines or situations subject to these hazards or problems and their potential effects (place cross against hazard or problem)	Completion of measures/ efficacy check	Possible measures to improve safety (indicate measure(s) selected)	Further information
1.4 Uncontrolled movement of parts	Can objects move of their own accord? ? tip over (e.g. loads, stacks, tipped material) ? swing (e.g. crane loads, sedimentation tanks) ? roll (e.g. barrels, poles, waste cylinders) ? fall down (e.g. tools or equipment, containers or sorted items falling out of the tipper) ? fly away (e.g. wood chips, metal particles, bulky waste during loading, operation of shredders, magnetic separators) ? fall over (e.g. bale stacks) ? drop down (e.g. raised vehicle bodies) ? pressurized media (e.g. gases) ? ……….……………………..………. …………. ? ………………………………………………….. ? ………………………………………………….. ? …………….……………………..………. ……. ? ………………………………………………….. ? ………………………………………………….. ? …………….……………………..………. ……. ? ………………………………………………….. ? …………….……………………..………. ……. ? ………………………………………………….. No hazards identified! Þ 0	Hazard to be eliminated by (date): ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. Are measures effective? Yes ¡ No å Further measures: ……………………………… …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. Additional remarks: …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. ………………………………………………….	¦ Do not exceed weight limit for storage surface. ¦ Ensure stored materials and stacks are stable, do not exceed permitted stacking heights. ¦ Observe safe distances. ¦ Fit fences, guards. ¦ Store loads and tools securely; fit guard rails, hood guards, retainers ¦ Wear hard hat. ¦ Machine to have safety device against flying wood chips, metal; fit extractor. ¦ Choose correct grinding disc, do not exceed permitted revs; hood guard. ¦ Wear goggles, visor if necessary. ¦ Hard hat. ¦ Dust aprons. ¦ Safety valve to contain pressure. ¦ Check efficacy of skip brakes and locking mechanisms. ¦ Secure operating lever against inadvertent activation. ¦ Protection of hydraulic hoses. ¦ Anti-splitting protection for hoses. ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ ……………………….………………….. ¦ …………………………………………… ¦ ……………………………………………	VBG 1 VBG 5 VBG 9 VBG 9a VBG 10 VBG 12 VBG 36 VBG 37 VBG 61 VBG 64 VBG 126 DIN EN 249 DIN EN 346 DIN EN 811 DIN EN 1501/1 ZH 1/519 ZH 1/700 ff StVZO 9^th GSGV Pressurized Containers Order ASR 12/1-3

Date: ………………………... Signature: …………………………..

- 12/13 -

Area of operations:

1. Mechanical hazard
Potential hazard and problems	Appliances/machines or situations subject to these hazards or problems and their potential effects (place cross against hazard or problem)	Completion of measures/ efficacy check	Possible measures to improve safety (indicate measure(s) selected)	Further information
1.5 Falling over	Can people fall, slip, trip, turn an ankle or lose their footing as a result of: ? Dirty floors (e.g. oil, grease) ? Floor made slippery by rain, snow, ice ? Uneven floors, steps up or down (e.g. thresholds) ? Parts left lying around ? Inappropriate footwear ? Inadequate shape and/or size of (step)ladder steps or rungs ? Narrow or obstructed traffic routes and working areas ? ……….……………………..………. …………. ? ………………………………………………….. ? ………………………………………………….. ? …………….……………………..………. ……. ? ………………………………………………….. ? ………………………………………………….. ? …………….……………………..………. ……. ? ………………………………………………….. ? …………….……………………..………. ……. ? ………………………………………………….. ? …………….……………………..………. ……. ? ………………………………………………….. No hazards identified! Þ 0	Hazard to be eliminated by (date): ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. Are measures effective? Yes ¡ No å Further measures: ……………………………… …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. Additional remarks: …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. ………………………………………………….	¦ Fit non-slip flooring. ¦ Remove dirt and tripping hazard points immediately. ¦ Repair defective flooring. ¦ Remove objects left lying around and store in a suitable place. ¦ Do not lay cables and leads across working areas. ¦ Mark any tripping hazard points which remain. ¦ Suitable footwear: use work shoes, safety boots. ¦ Operating area: at least 1.5^2. ¦ Traffic routes at least 1 m wide. ¦ Clean traffic routes and working areas. ¦ Remove wetness due to ice and snow. ¦ Do not load moving vehicles. ¦ Instruct employees. ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ ……………………….………………….. ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ ……………………….………………….. ¦ ……………………………………………	VBG 1 ArbStättV ASR 8/1 ZH 1/571

Date: ………………………... Signature: …………………………..

- 14/15 -

Area of operations:

1. Mechanical hazard
Potential hazard and problems	Appliances/machines or situations subject to these hazards or problems and their potential effects (place cross against hazard or problem)	Completion of measures/ efficacy check	Possible measures to improve safety (indicate measure(s) selected)	Further information
1.6 Falling down	Is there a danger of people falling down: ? from ladders, stepladders, stairs ? …………………………………………………... ? from scaffolding (e.g. overloading, no safe access, no side guards) ? ……….……………………..………. …………. ? from elevated workplaces (e.g. high operating points, work platforms, roofs) ? ………………………………………………….. ? through vertical and horizontal openings (e.g. openings in floors and walls, platforms, hatches, pits) ? ………………………………………………….. ? workplaces in vats, tanks and containers with substances into which one can sink (e.g. liquids, sludge, cereals, slurries) ? …………….……………………..………. ……. ? ………………………………………………….. Falls occur ? from skips whilst netting or sheeting is being fitted to secure the load ? at refuse bunkers, transfer stations, dumps, tipping points ? from footplates ? ………………………………………………….. ? …………….……………………..………. ……. No hazards identified! Þ 0	Hazard to be eliminated by (date): ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. Are measures effective? Yes ¡ No å Further measures: ……………………………… …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. Additional remarks: …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. ………………………………………………….	¦ Place ladders on a stable footing. ¦ Check ladders are placed at a secure angle, extend standing ladders fully and set up in a stable position. ¦ Erect scaffolding correctly. ¦ Block off area in front of the falling zone. ¦ Fit rails, fencing. ¦ Use safety catchers, nets. ¦ Secure openings (rails, guards). ¦ At wall openings: fit grilles, chest bars or half-doors. ¦ If fall protection and catching devices are not practicable: use safety harness ¦ Stable ascending aids and platforms ¦ Stable footplates ¦ Use work platforms ¦ Use safety harness ¦ Emergency cut-off devices at the feed apertures of bale presses. ¦ Balustrade height of chutes at least 1 m. ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ ……………………….………………….. ¦ …………………………………………… ¦ …………………………………………… ¦ ……………………………………………	VBG 1 VBG 9 VBG 7I VBG 12 VBG 37 VBG 74 VBG 126 ZH 1/519 ZH 1/700 ff DIN EN 1501/1 LV 1 LV 13 ASR 12/1-3

Date: ………………………... Signature: …………………………..

- 16/17 -

Area of operations:

1. Electrical hazard
Potential hazard and problems	Appliances/machines or situations subject to these hazards or problems and their potential effects (place cross against hazard or problem)	Completion of measures/ efficacy check	Possible measures to improve safety (indicate measure(s) selected)	Further information
2.1 Hazardous currents Defective electrical systems and equipment	Are there hazards from electric current? ? Insulation of leads damaged (e.g. kinking, bare wires) ? Appliance casings damaged ? Defective plugs or sockets ? Improper use of electrical appliances ? Use of damp electrical appliances or operation of electrical systems when hands, feet or clothing are wet or damp ? Contact with live parts is possible ? Special safety rules need to be observed ? Special environmental conditions apply (e.g. extreme heat, cold, humidity, chemical factors) ? Areas at risk of fire or explosion ? Constricted spaces (e.g. containers, steel structures) ? …………….……………………..………. ……. ? ………………………………………………….. ? …………….……………………..………. ……. ? ………………………………………………….. ? …………….……………………..………. ……. ? ………………………………………………….. ? …………….……………………..………. ……. ? ………………………………………………….. No hazards identified! Þ 0	Hazard to be eliminated by (date): ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. Are measures effective? Yes ¡ No å Further measures: ……………………………… …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. Additional remarks: …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. ………………………………………………….	¦ Visual inspection for obvious defects before starting work. ¦ Regular checks by qualified electrician. ¦ Use only appliances bearing the CE mark. ¦ Equipment defect/malfunction: switch off power immediately, remove plug. Report problem and have damage repaired by qualified electrician. ¦ Mark and if necessary fence off electrical plant or switchgear ¦ Choose and use the correct appliance for the job (e.g. type of IP protection, mechanical guarding) ¦ Use low-voltage appliances or ones with protective separation ¦ Use appliances only for the purpose intended ¦ Use only residual current circuit breakers with a rating of ‹ 30mA. ¦ Use insulated tools only. ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ ……………………….………………….. ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ ……………………………………………	VBG 1 VBG 4 ZH 1/228 ZH 1/249 ZH 1/257 DIN VDE 0100 DIN VDE 0101 DIN VDE 0105 DIN VDE 0470

Date: ………………………... Signature: …………………………..

- 18/19 -

Area of operations:

1. Electrical hazard
Potential hazard and problems	Appliances/machines or situations subject to these hazards or problems and their potential effects (place cross against hazard or problem)	Completion of measures/ efficacy check	Possible measures to improve safety (indicate measure(s) selected)	Further information
2.2 Arcing Hazards from overhead power lines and other live systems	? Work is done dangerously close to electrical systems ? ………………………………………………….. ? Failure to maintain safe distance from overhead power lines creates a hazard (NB also: work movements, e.g. during erection of scaffolding, swinging out of lifting vehicles, swinging of loads or power lines, raising of vehicle bodies at dumps) ? ………………………………………………….. ? Frequent short circuits ? Live appliances or systems must be fitted with a trip ? …………….……………………..………. ……. ? Hazard due to arcing ? ………………………………………………….. ? …………….……………………..………. ……. ? ………………………………………………….. ? …………….……………………..………. ……. ? ………………………………………………….. ? …………….……………………..………. ……. ? ………………………………………………….. ? ………………………………………………….. No hazards identified! Þ 0	Hazard to be eliminated by (date): ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. Are measures effective? Yes ¡ No å Further measures: ……………………………… …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. Additional remarks: …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. ………………………………………………….	¦ Investigate reasons for short circuits and correct problem. ¦ Inspect electrical systems and appliances prior to use, after repairs and at regular intervals. ¦ Take protective measures where electrical risk is especially high ¦ Maintain safe distance from live systems. ¦ Limit areas in which lifting vehicles operate. ¦ Safety marking. ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ ……………………….………………….. ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ ……………………….………………….. ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ ……………………………………………	VBG 1 VBG 4 VBG 9 VBG 12 VBG 37 VBG 40 VBG 125 VBG 126 ZH 1/178 ZH 1/228 ZH 1/249 ZH 1/257 DIN VDE 0100 DIN VDE 0101 DIN VDE 0105 DIN VDE 0470

Date: ………………………... Signature: …………………………..

- 20/21 -

Area of operations:

1. Hazardous substances
Potential hazard and problems	Appliances/machines or situations subject to these hazards or problems and their potential effects (place cross against hazard or problem)	Completion of measures/ efficacy check	Possible measures to improve safety (indicate measure(s) selected)	Further information
3.1 Products used which contain hazardous substances	? Which hazardous substances or preparations are used (look at risk symbols on packagings, safety data sheets)? ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? Hazardous liquids, dusts or other solids may inadvertently penetrate the skin, eyes or mucous membranes ? Hazardous liquids or solids may inadvertently be swallowed ? Gases or vapours from hazardous liquids may inadvertently be inhaled ? ………………………………………………….. ? ………………………………………………….. ? …………….……………………..………. ……. ? ………………………………………………….. ? …………….……………………..………. ……. ? ………………………………………………….. ? …………….……………………..………. ……. ? ………………………………………………….. ? ………………………………………………….. No hazards identified! Þ 0	Hazard to be eliminated by (date): ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. Are measures effective? Yes ¡ No å Further measures: ……………………………… …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. Additional remarks: …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. ………………………………………………….	Substitute less hazardous products. Ask manufacturer for EC safety data sheets. Observe rules on storage as per safety data sheet. Draw up instructions for use. Prevent contact with food, drink, smoking materials. Use products as instructed. Never mix different products (cleaning products and similar). Personal protection as per instructions for use or safety data sheet. Skin protection plan (gloves, cream, suitable cleaning and care routines). Preventive check-ups by occupational physician. ¦ First aid facilities. ¦ Instruction of employees. .…………………………………………………. …………………………………………………. …………………………………………………. ……………………….…………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. ………………………………………………….	VBG 1 VBG 23 ZH 1/46 VBG 61 VBG 62 VBG 81 VBG 86a VBG 100 VBG 109 VBG 113 VBG 119 ZH 1/124 ZH 1/644 ZH 1/708 GefStoffV ArbStättV VbF and TRbF

Date: ………………………... Signature: …………………………..

- 22/23 -

Area of operations:

1. Hazardous substances
Potential hazard and problems	Appliances/machines or situations subject to these hazards or problems and their potential effects (place cross against hazard or problem)	Completion of measures/ efficacy check	Possible measures to improve safety (indicate measure(s) selected)	Further information
3.2 Hazardous substances liberated during the work process	Which substances may be encountered? Gases, vapours (e.g. nitrogen oxide welding fumes or coolants, exhaust gases, solvent fumes, methane) – list gases or vapours: ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. Contact with airborne substances: aerosols, fumes, dusts (e.g. spray paints, welding fumes, grinding dust from high-alloy steels, wood dust, flour dust) – list substances: ? ………………………………………………….. ? ………………………………………………….. ? …………….……………………..………. ……. ? Gases or vapours are inadvertently inhaled ? Aerosols, fumes or dusts are inadvertently inhaled ? Contact with dusts from combustion residues occurs ? Dusts from sorted materials, paper dust, wood dust or asbestos are absorbed ? Skin, eyes or mucous membranes are irritated by gases, vapours or dusts ? …………….……………………..………. ……. ? ………………………………………………….. ? ………………………………………………….. No hazards identified! Þ 0	Hazard to be eliminated by (date): ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. Are measures effective? Yes ¡ No å Further measures: ……………………………… …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. Additional remarks: …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. ………………………………………………….	¦ Change operating procedures, use other substances. ¦ Sealed systems and apparatus. ¦ Keep hazard area physically separate. ¦ Extract harmful substances at source or point of emergence. ¦ Ventilate premises. ¦ Respiratory protection. ¦ Skin protection. ¦ Eye protection. ¦ Hand protection. ¦ Ensure operator consoles and driver cabs are properly ventilated. ¦ Proper ventilation measures at fixed continuously manned workplaces. ¦ Draw up work schedule with measures to protect operatives. ¦ Use services of an occupational physician. ¦ Operating instructions. ¦ ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ ……………………………………………	VBG 1 VBG 23 VBG 61 VBG 62 VBG 81 VBG 86a VBG 86b VBG 100 VBG 113 ZH 1/93 ZH 1/183 ZH 1/184 ZH 1/248 ZH 1/708 GefStoffV

Date: ………………………... Signature: …………………………..

- 24/25 -

Area of operations:

1. Biohazard
Potential hazard and problems	Appliances/machines or situations subject to these hazards or problems and their potential effects (place cross against hazard or problem)	Completion of measures/ Efficacy check	Possible measures to improve safety (indicate measure(s) selected)	Further information
4.1 Infection hazard from micro-organisms and viruses	Are infected materials, persons or animals handled? ? Contact occurs during work with bacterial or viral pathogens ? Activity entails the handling of infected or contaminated materials ? Contact with skin possible during sorting of waste ? Dusts may be inhaled during sorting and disposal of waste Can a hazard arise as a result of mould or germ formation? ? Moulds ? Germ colonies (e.g. in aqueous solutions, e.g. water-based coolants) Is there an air conditioning system? ? Contamination of air conditioning system by bacteria, fungal spores ? ………………………………………………….. ? …………….……………………..………. ……. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? …………….……………………..………. ……. ? ………………………………………………….. No hazards identified! Þ 0	Hazard to be eliminated by (date): ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. Are measures effective? Yes ¡ No å Further measures: ……………………………… …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. Additional remarks: …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. ………………………………………………….	¦ Avoid contact. ¦ Separate into black and white areas. ¦ Dispose of waste properly. ¦ Use suitable body protection. ¦ Skin protection plan. ¦ Regular cleaning and disinfecting (hands). ¦ Respiratory protection. ¦ Preventive health care (e.g. preventive check-ups, vaccinations). ¦ Ventilation. ¦ Maintenance plan for coolants. ¦ Sealed containers. ¦ Observe proper conditions of storage (e.g. cooling). ¦ Regular servicing of air conditioning system. ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ ……………………………………………	VBG 1 VBG 15 VBG 23 VBG 100 VBG 102 ZH 1/124 ZH 1/178 ZH 1/644 ZH 1/708 Federal Infectious Diseases Act GefStoffV

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Area of operations:

1. Biohazard
Potential hazard and problems	Appliances/machines or situations subject to these hazards or problems and their potential effects (place cross against hazard or problem)	Completion of measures/ efficacy check	Possible measures to improve safety (indicate measure(s) selected)	Further information
4.2 Effects from genetically modified organisms	Are genetically modified organisms handled? Which ones? ? ………………………………………………….. ? …………….……………………..………. ……. ? ………………………………………………….. ? Contact with the skin is unavoidable during sorting of waste ? Solids may be swallowed during sorting or disposal of waste ? Genetically modified organisms may escape ? ………………………………………………….. ? ………………………………………………….. ? …………….……………………..………. ……. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? …………….……………………..………. ……. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. No hazards identified! Þ 0	Hazard to be eliminated by (date): ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. Are measures effective? Yes ¡ No å Further measures: ……………………………… …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. Additional remarks: …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. ………………………………………………….	¦ Avoid contact. ¦ Separate into black and white areas. ¦ Dispose of waste properly. ¦ Use suitable body protection. ¦ Skin protection plan. ¦ Regular cleaning and disinfecting (hands). ¦ Respiratory protection. ¦ Preventive health care (e.g. preventive check-ups, vaccinations). ¦ Ventilation system. ¦ Observe proper conditions of storage (e.g. cooling). ¦ Sealed systems and apparatus. ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ ……………………………………………	VBG 1 VBG 100 Genetic Engineering Act Genetic Engineering Safety Order ZH 1/341-349 ZH 1/195 G 43

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Area of operations:

4. Biohazard
Potential hazard and problems	Appliances/machines or situations subject to these hazards or problems and their potential effects (place cross against hazard or problem)	Completion of measures/ efficacy check	Possible measures to improve safety (indicate measure(s) selected)	Further information
4.2 Effects from allergens and toxic substances from micro-organisms of cells etc.	Are toxic substances from microorganisms handled during the disposal or sorting of waste? Which ones? ? ………………………………………………….. ? …………….……………………..………. ……. ? ………………………………………………….. ? Dust is visibly generated ? Waste shows clear evidence of mould formation ? Germ colonies are detectable in aqueous solutions, e.g. water-based coolants ? Contact occurs with the skin during sorting or disposal ? Dusts are inhaled or swallowed during sorting or disposal ? Moulds or germs come into contact with the skin ? ………………………………………………….. ? ………………………………………………….. ? …………….……………………..………. ……. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? …………….……………………..………. ……. ? ………………………………………………….. ? ………………………………………………….. No hazards identified! Þ 0	Hazard to be eliminated by (date): ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. Are measures effective? Yes ¡ No å Further measures: ……………………………… …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. Additional remarks: …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. ………………………………………………….	¦ Avoid contact. ¦ Separate into black and white areas. ¦ Dispose of waste properly. ¦ Use suitable body protection. ¦ Skin protection plan. ¦ Regular cleaning and disinfecting (hands). ¦ Respiratory protection. ¦ Preventive health care (e.g. preventive check-ups, vaccinations). ¦ Ventilation. ¦ Observe proper conditions of storage (e.g. cooling). ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ ……………………………………………	VBG 1 VBG 100 ZH 1/344-349 ZH 1/1700 ff

Date: ………………………... Signature: …………………………..

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Area of operations:

1. Fire and explosion hazard
Potential hazard and problems	Appliances/machines or situations subject to these hazards or problems and their potential effects (place cross against hazard or problem)	Completion of measures/ efficacy check	Possible measures to improve safety (indicate measure(s) selected)	Further information
5.1 Fire hazard from solids, liquids, gases	Are highly flammable substances handled? ? Flammable liquids (e.g. acetone, petrol, heating oil) ? Flammable solids (e.g. roofing felt, wood, paper) ? Flammable dusts (metal dusts e.g. aluminium, magnesium dusts) ? ………………………………………………….. ? …………….……………………..………. ……. Are ignition sources present? ? Sparks from e.g. matches, cigarettes, naked lights, electrical appliances, welding torches, friction ? Fire from build-up of static charge ? Heat conduction, e.g. during welding ? Operating instructions required under § 20 GefStoffV not to hand? ? Requisite fire-fighting equipment not to hand ? Fire-fighting equipment not marked ? Fire-fighting equipment not readily accessible ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. No hazards identified! Þ 0	Hazard to be eliminated by (date): ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. Are measures effective? Yes ¡ No å Further measures: ……………………………… …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. Additional remarks: …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. ………………………………………………….	¦ Replace highly flammable substances. ¦ Remove unnecessary flammable materials. ¦ Use equipment made of flame-resistant material. ¦ Be alert to ignition sources and eliminate if possible. ¦ No smoking. ¦ Fire hazard signs to be displayed. ¦ Welding to be done only with permission. ¦ Eliminate dangerous transfers of heat. ¦ In all premises, according to the degree of fire hazard, the requisite fire-fighting equipment must be provided, marked and made easily accessible. ¦ Regular servicing of fire-fighting equipment. ¦ Fume and heat extractor systems. ¦ Display emergency and escape plans. ¦ Hold fire drills. ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ ……………………………………………	VBG 1 VBG 23 VBG 61 VBG 62 VBG 81 VBG 81a, b VBG 100 VBG 113 VBG 119 ZH 1/248 ZH 1/708 TRbF VbF ArbStättV GefStoffV

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Area of operations:

1. Fire and explosion hazard
Potential hazard and problems	Appliances/machines or situations subject to these hazards or problems and their potential effects (place cross against hazard or problem)	Completion of measures/ efficacy check	Possible measures to improve safety (indicate measure(s) selected)	Further information
5.2 Fire hazard from explosive atmospheres	Are explosive mixtures encountered? ? Air and gases (e.g. uncontrolled escape of gas from liquefied gas-fuelled appliances) ? Air and vapours, aerosols (e.g. solvent fumes) ? Air and dusts (e.g. metal dusts) ? ………………………………………………….. ? …………….……………………..………. ……. Do areas at risk of explosion exist ? Inside apparatuses ? In confined spaces, pits, ducting ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? Dangerous levels of explosive atmosphere may develop ? No measures are in place to prevent the propagation of explosions ? No prohibitory and indicative signs and no risk markings are in place ? Fire-fighting equipment is not as required ? ………………………………………………….. ? ………………………………………………….. No hazards identified! Þ 0	Hazard to be eliminated by (date): ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. Are measures effective? Yes ¡ No å Further measures: ……………………………… …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. Additional remarks: …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. ………………………………………………….	¦ Replace flammable substances. ¦ Natural ventilation or ventilation system. ¦ Monitoring of concentrations. ¦ Eliminate ignition sources. ¦ Check tightness of gas piping. ¦ Gas-powered burners: if flame goes out, switch off gas supply. ¦ Keep substances which form explosive mixtures with air away from naked flames, electrical appliances, sparks etc. ¦ Observe explosion safety zones. ¦ Check number, location and good repair of fire-fighting appliances. ¦ Take measures to prevent the propagation of explosions. ¦ Keep systems and parts of buildings physically separate. ¦ Provide quick-closing valves, flash-back preventers and flame arresters. ¦ Provide suitable fire-fighting equipment ¦ Observe safety rules. ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ ……………………………………………	See 5.1 VBG 1 VBG 21 GefStoffV ZH 1/10 ZH 1/178 ZH 1/309 DIN VDE 0165 VDI 2263

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Area of operations:

5. Fire and explosion hazard
Potential hazard and problems	Appliances/machines or situations subject to these hazards or problems and their potential effects (place cross against hazard or problem)	Completion of measures/ efficacy check	Possible measures to improve safety (indicate measure(s) selected)	Further information
5.3 Explosive substances 5.4 Build-up of static charge	? An explosion cannot be prevented from propagating ? Fire-fighting aids are not to hand ? The requisite signs and markings are not in place ? Safety rules for the handling of explosive substances are not always observed ? Other people as well as experts have access to explosive substances ? ………………………………………………….. ? …………….……………………..………. ……. ? ………………………………………………….. ? Sparking occurs when loads are being separated ? Friction or flowing liquid can encounter flammable gas or dust and so cause explosions ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. No hazards identified! Þ 0	Hazard to be eliminated by (date): ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. Are measures effective? Yes ¡ No å Further measures: ……………………………… …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. Additional remarks: …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. ………………………………………………….	¦ Introduce and use only permitted hazardous substances and blasting accessories. ¦ Allow experts only to have access to explosive substances. ¦ Observe safety rules. ¦ Join and earth conductive equipment parts. ¦ Ensure a high enough level of air humidity. ¦ Ensure employees use footwear with conductive soles. ¦ Fire extinguishers (choose correct type depending on flammable substance and size of work premises). ¦ Fire blankets or sprinkler systems. ¦ Fume and heat extractor systems. ¦ Regular servicing of fire-fighting equipment ¦ Fire alarm systems ¦ Fire doors. ¦ Mark emergency escape routes and keep them clear! ¦ Display emergency and escape plans and hold drills. ¦ Use explosion-resistant building methods. ¦ Explosion pressure relief (e.g. bursting disc, explosion valve, fast-closing valve) ¦ …………………………………………… ¦ …………………………………………… ¦ ……………………………………………	VBG 55a-m VBG 58 VBG 59 Explosives Act VBG 7z VBG 23 VBG 24 VBG 81 VBG 86a, b ZH 1/200 ZH 1/250 ZH 1/251 ZH 1/443 ZH 1/444 DIN VDE 0147

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Area of operations:

6. Thermal hazard
Potential hazard and problems	Appliances/machines or situations subject to these hazards or problems and their potential effects (place cross against hazard or problem)	Completion of measures/ efficacy check	Possible measures to improve safety (indicate measure(s) selected)	Further information
6.1 Contact with hot media	Danger of burns from: ? Naked flames ? Hot surfaces of equipment, workpieces, tools, furnaces, pipes ? Hot liquids (e.g. hot bitumen, cooking fat) ? Steam ? Splashes of hot material ? ………………………………………………….. ? …………….……………………..………. ……. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. No hazards identified! Þ 0	Hazard to be eliminated by (date): ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. Are measures effective? Yes ¡ No å Further measures: ……………………………… …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. Additional remarks: …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. ………………………………………………….	¦ Screen off, separate the hazard area. ¦ Insulate objects against heat. ¦ Carry out the required marking and placing of sings and symbols ¦ Protective gloves ¦ Eye protection. ¦ Protective footwear. ¦ Protective clothing. ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ ……………………………………………	VBG 1 VBG 20

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Area of operations:

6. Thermal hazard
Potential hazard and problems	Appliances/machines or situations subject to these hazards or problems and their potential effects (place cross against hazard or problem)	Completion of measures/ efficacy check	Possible measures to improve safety (indicate measure(s) selected)	Further information
6.2 Contact with cold media	Contact possible with: ? Refrigerants and coolants, dry ice ? Cold pipes, metal parts ? Cold equipment Is work done in cold premises? ? Cold stores ? Refrigerated warehouses ? ………………………………………………….. ? …………….……………………..………. ……. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. No hazards identified! Þ 0	Hazard to be eliminated by (date): ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. Are measures effective? Yes ¡ No å Further measures: ……………………………… …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. Additional remarks: …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. ………………………………………………….	¦ Remove refrigerants from hazard area before doing maintenance work. ¦ Use protective gloves and suitable body protection. ¦ Work in the cold store to be done only in cold-protective clothing (do not exceed permitted residence time). ¦ Draw up rules for use of refrigeration systems and cold stores. ¦ Surveillance of persons working in the cold store (e.g. alarm system). ¦ Carry out the required marking and placing of sings and symbols. ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ ……………………………………………	VBG 1 VBG 20

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Area of operations:

7. Hazards from special physical effects
Potential hazard and problems	Appliances/machines or situations subject to these hazards or problems and their potential effects (place cross against hazard or problem)	Completion of measures/ efficacy check	Possible measures to improve safety (indicate measure(s) selected)	Further information
7.1 Noise	What sources of noise are present and for how long are they operational (e.g. drive motors, pumping machinery, tippers, compressors, vibrating screens, shredders, breakers, guillotine shears, magnetic separators)? ? ………………………………………………….. ? …………….……………………..………. ……. Are sound levels sometimes extremely high (e.g. as a result of detonations, explosions)? ? ………………………………………………….. ? ………………………………………………….. ? Operational noise makes hazard signals inaudible ? Noisy areas are not marked ? Peak noise levels are too high in some work processes ? Loud sources of noise are not adequately shielded or enclosed ? Not enough ear protectors are available ? The ear protectors used are not suitable ? No known measures to reduce noise emission ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. No hazards identified! Þ 0	Hazard to be eliminated by (date): ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. Are measures effective? Yes ¡ No å Further measures: ……………………………… …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. Additional remarks: …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. ………………………………………………….	¦ When purchasing new machines: compare noise levels of the various options. ¦ Mark noisy areas. ¦ Reduce length of operation time. ¦ Source of loud noise to be kept physically separate (e.g. bulkhead), shielded, enclosed. ¦ Sound absorbing wall and ceiling coverings. ¦ Use ear protectors (plugs, muffs). ¦ Observe measures to reduce noise emission. ¦ Avoid high noise levels, even if brief. ¦ Work which is largely intellectual: ‹ 55 dB(A). ¦ Simple and largely mechanized office work: ‹ 70 dB(A). ¦ Other activities: ‹ 85 dB(A). ¦ Mark areas where noise level exceeds 90 dB(A). ¦ For areas where noise level exceeds 90 dB(A), written noise attenuation programme. ¦ Preventive check-ups by occupational physician. ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ ……………………………………………	§ 15 ArbStättV 3^rd GSGV VBG 100 VBG 121 ZH 1/705

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Area of operations:

7. Hazards from special physical effects
Potential hazard and problems	Appliances/machines or situations subject to these hazards or problems and their potential effects (place cross against hazard or problem)	Completion of measures/ efficacy check	Possible measures to improve safety (indicate measure(s) selected)	Further information
7.2 Ultrasound	? Air conducted sound is encountered during the operation of machines ? Solid structure-borne sound is encountered during equipment handling ? Ultrasound sources are not adequately enclosed ? ………………………………………………….. ? …………….……………………..………. ……. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? …………….……………………..………. ……. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. No hazards identified! Þ 0	Hazard to be eliminated by (date): ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. Are measures effective? Yes ¡ No å Further measures: ……………………………… …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. Additional remarks: …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. ………………………………………………….	¦ Enclose or shield equipment and machinery which emits ultrasound. ¦ Where structure-borne sound occurs avoid body contact, especially head contact. ¦ Do not reach into ultrasound baths. ¦ Prove suitable ear protectors. ¦ Ensure that ear protectors can be worn. ¦ Ensure that ear protectors are worn. ¦ Mark hazards. ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ ……………………………………………	VBG 1

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Area of operations:

7. Hazards from special physical effects
Potential hazard and problems	Appliances/machines or situations subject to these hazards or problems and their potential effects (place cross against hazard or problem)	Completion of measures/ efficacy check	Possible measures to improve safety (indicate measure(s) selected)	Further information
7.3 Whole body vibration	Is frequent or protracted work done using vehicles or transport equipment, where the seated operator clearly experiences vibration? ? Fork trucks ? Electric trolleys ? Lorries on uneven terrain ? tractors ? Excavators ? Tow trucks ? ………………………………………………….. ? …………….……………………..………. ……. ? Clearly felt impact loads are experienced ? Drivers operate in unnatural or forced postures ? Vehicles designed to be driven on the flat are often used on inclines ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? …………….……………………..………. ……. ? ………………………………………………….. No hazards identified! Þ 0	Hazard to be eliminated by (date): ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. Are measures effective? Yes ¡ No å Further measures: ……………………………… …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. Additional remarks: …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. ………………………………………………….	¦ When purchasing vehicles and equipment look for low-vibration types (low k). ¦ Restrict use on inclines. ¦ Drive slowly on uneven terrain. ¦ Choose tyres which provide the best possible shock absorption. ¦ Drive slowly, in a manner appropriate to the conditions. ¦ Restrict time employed on activity. ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ ……………………………………………	VBG 1 VDI 2058/2 VDI 2057 ISO 2631

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Area of operations:

7. Hazards from special physical effects
Potential hazard and problems	Appliances/machines or situations subject to these hazards or problems and their potential effects (place cross against hazard or problem)	Completion of measures/ efficacy check	Possible measures to improve safety (indicate measure(s) selected)	Further information
7.4 Hand, arm vibration	Which manually operated items of equipment and tools are used which entail powerful vibrations to hands and arms? ? Pneumatic tools, power saws ? Percussion drills, impact spanners, chisels, cutters, grinders ? Hammers ? Chippers Are items of equipment and tools used which have vibration levels of 20-1000 Hz (e.g. high-speed drills, chisels, cutters, grinders)? ? ………………………………………………….. ? ………………………………………………….. ? Are handheld and manually operated items of equipment and tools used which place strain on the joints? ? ………………………………………………….. ? ………………………………………………….. ? Are pneumatic tools used (e.g. hammers, chisels, drills, rammers)? ? ………………………………………………….. ? Kickback is not absorbed by active pressure ? Wakes of about 10-15 Hz occur ? ………………………………………………….. No hazards identified! Þ 0	Hazard to be eliminated by (date): ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. Are measures effective? Yes ¡ No å Further measures: ……………………………… …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. Additional remarks: …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. ………………………………………………….	¦ Modify procedure. ¦ Use vibration-damped equipment. ¦ Handles with vibration damping or cushioning. ¦ Restrict time employed on activity. ¦ Avoid cold handles. ¦ Observe operating instructions for equipment and machines used. ¦ Emphasize machine manufacturer’s claims of faster operation when protective measures are in place. ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ ……………………………………………	VBG 1 DIN 45675 VDI 2057

Date: ………………………... Signature: …………………………..

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Area of operations:

7. Hazards from special physical effects
Potential hazard and problems	Appliances/machines or situations subject to these hazards or problems and their potential effects (place cross against hazard or problem)	Completion of measures/ efficacy check	Possible measures to improve safety (indicate measure(s) selected)	Further information
7.5 Non-ionizing radiation	? Employees are exposed to planned UV radiation, e.g. during the hardening or drying of work substances ? Employees are exposed to parasitic UV radiation, e.g. during electric arc welding and from discharge lamps ? Protection against IR radiation is not adequate ? Where lasers are used, shielding is not adequate ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. No hazards identified! Þ 0	Hazard to be eliminated by (date): ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. Are measures effective? Yes ¡ No å Further measures: ……………………………… …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. Additional remarks: …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. ………………………………………………….	¦ Provide adequate protective measures/shielding (especially eye protection). ¦ In areas with high IR radiation prevent employees from exposure to heat. ¦ Remember protection against UV radiation outdoors as well. ¦ Assign laser devices to classes 1-4 and mark accordingly. ¦ Operate laser devices only with the required protective devices and shielding in place. ¦ Provide PPE. ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………..	VBG 1 VBG 15 VBG 93 Radiation Protection Order ArbStättV ZH 1/183 ZH 1/703 DIN VDE 0837

Date: ………………………... Signature: …………………………..

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Area of operations:

7. Hazards from special physical effects
Potential hazard and problems	Appliances/machines or situations subject to these hazards or problems and their potential effects (place cross against hazard or problem)	Completion of measures/ efficacy check	Possible measures to improve safety (indicate measure(s) selected)	Further information
7.6 Ionizing radiation	? X-rays from X-ray equipment or parasitic radiation strikes employees ? Areas in which this radiation is encountered are not marked ? Optimum practice is not observed in regard to residence time in room, distance and shielding ? PPE not available in the requisite quantities ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. No hazards identified! Þ 0	Hazard to be eliminated by (date): ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. Are measures effective? Yes ¡ No å Further measures: ……………………………… …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. Additional remarks: …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. ………………………………………………….	¦ Provide PPE. ¦ Demarcate and mark areas. ¦ Residence time in room, distance and shielding. ¦ Preventive check-ups by occupational physician. ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ ……………………………………………	VBG 1 X-Ray Order VBG 30

Date: ………………………... Signature: …………………………..

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Area of operations:

7. Hazards from special physical effects
Potential hazard and problems	Appliances/machines or situations subject to these hazards or problems and their potential effects (place cross against hazard or problem)	Completion of measures/ efficacy check	Possible measures to improve safety (indicate measure(s) selected)	Further information
7.7 Hazards from electro-magnetic fields	? Can people be endangered by electromagnetic fields, e.g. in the vicinity of ? Magnetic separators ? NF metal separators ? ………………………………………………….. ? Work is done close to systems with a high magnetic flux density ? ………………………………………………….. ? Work is done close to high-voltage installations ? Work is done close to industrial plant/laboratories where very high magnetic flux densities occur ? Employees are exposed to high frequency fields ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. No hazards identified! Þ 0	Hazard to be eliminated by (date): ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. Are measures effective? Yes ¡ No å Further measures: ……………………………… …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. Additional remarks: …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. ………………………………………………….	¦ Keep magnetic and NF metal separators far enough away from routinely manned workplaces. ¦ Display risk indications. ¦ Observe maximum force levels for electromagnetic fields. ¦ Protect employees with pacemakers. ¦ Perform work only as instructed by a qualified electrician. ¦ Connect lines with the power off. ¦ Overhead power lines to be sheathed in rubber or plastic insulation. ¦ Shielding devices. ¦ Observe maximum levels for electrical and electromagnetic fields. ¦ Determine and mark hazard areas. ¦ Hazard areas to be accessible only to properly instructed persons. ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ ……………………………………………	VBG 1 ZH 1/43 DIN VDE 0848

Date: ………………………... Signature: …………………………..

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Area of operations:

8. Hazards/stress factors in working conditions
Potential hazard and problems	Appliances/machines or situations subject to these hazards or problems and their potential effects (place cross against hazard or problem)	Completion of measures/ efficacy check	Possible measures to improve safety (indicate measure(s) selected)	Further information
8.1 Climate	Are arduous conditions encountered? ? Room temperature too warm/cold ? Atmosphere too dry ? Draughts ? Head radiation ? Temperatures too cold ? Strong sunlight ? Irritation of respiratory passages ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. No hazards identified! Þ 0	Hazard to be eliminated by (date): ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. Are measures effective? Yes ¡ No å Further measures: ……………………………… …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. Additional remarks: …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. ………………………………………………….	¦ Appropriate temperature settings (heating, air conditioning system). ¦ Insulation against heat and humidity. ¦ Humidify room air. ¦ Free or forced dynamic ventilation, avoid draughts. ¦ Avoid direct sunlight. ¦ Work breaks as appropriate when temperatures are too high 1 qq ¦ Protective clothing for cold work. ¦ Ensure proper movement of air. ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ ……………………………………………	VBG 1 VBG 20 VBG 100 G 30 G 21 ZH 1/28 ZH 1/174 § 5,6 ArbStättV DIN 33403

Date: ………………………... Signature: …………………………..

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Area of operations:

8. Hazards/stress factors in working conditions
Potential hazard and problems	Appliances/machines or situations subject to these hazards or problems and their potential effects (place cross against hazard or problem)	Completion of measures/ efficacy check	Possible measures to improve safety (indicate measure(s) selected)	Further information
8.2 Lighting Optical signals VDU work	? Workplace lighting in the firm is not good enough (too dark, sources of dazzle) ? ………………………………………………….. ? Lights too small ? Lights dirty ? Dazzle from incorrect lighting ? Flicker ? ………………………………………………….. ? There are dark places, e.g. at workshop entrances, on through routes, stairs and at doors ? Are signs/optical signals hard to recognize The following problems arise with VDU work: ? Characters not big or sharp enough ? Poor contrast and brightness ? Screen flicker ? Dazzle and glare from desk and screen surfaces ? Electric shock from touching defective electrical appliances or live cables ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. No hazards identified! Þ 0	Hazard to be eliminated by (date): ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. Are measures effective? Yes ¡ No å Further measures: ……………………………… …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. Additional remarks: …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. ………………………………………………….	¦ Measure lighting level. ¦ Modify lighting system. ¦ Eliminate/shield sources of dazzle. ¦ Clean lights regularly. ¦ Redesign signals (place differently, make bigger). ¦ Purchase only appliances with the CE mark. ¦ Clean VDU screens regularly and adjust definition, character height to be at least 2.6 mm. ¦ Use non-dazzle lights and low-glare screens, place lights parallel to main line of sight. ¦ Adjust lighting level to the work performed. ¦ Plugs, switches, sockets and leads to be free of damage and appliance casings to be in original condition, i.e. sealed. ¦ Anti-static flooring. ¦ Use anti-static products to clean or treat screen surface. ¦ Increase room humidity level. ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ ……………………………………………	VBG 1 ArbStättV VDU Order DIN 5035/2 DIN 5035/6 ZH 1/28 ZH 1/190

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Area of operations:

9. Physical stress/arduous work
Potential hazard and problems	Appliances/machines or situations subject to these hazards or problems and their potential effects (place cross against hazard or problem)	Completion of measures/ efficacy check	Possible measures to improve safety (indicate measure(s) selected)	Further information
9.1 Arduous dynamic work Lifting and carrying of loads	Are loads frequently lifted and carried which exceed the following weights? Age in Weight in kg Weight in kg years for women for men 15-17 10 15 18-39 15 25 40+ 10 20 ? Loads of ³ kg are sometimes carried on the shoulder ? Is a bad posture sometimes adopted when lifting carrying (e.g. exaggeratedly bent, twisted)? ? A second man is not on hand to help with heavy loads ? No lifting or carrying aids are available ? Technical lifting aids are available but not used Which employees are particularly subjected to these stresses? ? Refuse workers ? Drivers ? Sorters ? Joiners ? ………………………………………………….. ? ………………………………………………….. No hazards identified! Þ 0	Hazard to be eliminated by (date): ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. Are measures effective? Yes ¡ No å Further measures: ……………………………… …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. Additional remarks: …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. ………………………………………………….	¦ Use transport aids and lifting equipment (e.g. pick-ups and vans, cranes, lifting platforms). ¦ Reduce load weights. ¦ If possible carry load close to the body with the spine straight. ¦ Get additional people to help. ¦ Change load-handling procedures. ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ ……………………………………………	VBG 1 Load Handling Order ZH 1/28 Mother & Child Protection Act BeKV DIN 33402 DIN 33406

Date: ………………………... Signature: …………………………..

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Area of operations:

9. Physical stress/arduous work
Potential hazard and problems	Appliances/machines or situations subject to these hazards or problems and their potential effects (place cross against hazard or problem)	Completion of measures/ efficacy check	Possible measures to improve safety (indicate measure(s) selected)	Further information
9.2 Static/dynamic work placing stress on one side of the body	? Work sequences are repetitive ? Some jobs entail repeated movements and relatively high frequency of movement ? Body posture remains the same and handling movements always have to be the same ? In some jobs a change in posture slows down the work process ? Work has to be done in confined spaces ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. No hazards identified! Þ 0	Hazard to be eliminated by (date): ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. Are measures effective? Yes ¡ No å Further measures: ……………………………… …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. Additional remarks: …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. ………………………………………………….	¦ Change load handling operations. ¦ Enable employees to vary their work postures by redesigning the job to be done. ¦ Avoid work entailing protracted holding of the same weight. ¦ Eliminate high, unchanged frequencies of movement by changing the work procedure. ¦ Provide suitable seats/standing aids. ¦ If necessary, modify layout of machinery operating controls. ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ ……………………………………………	VBG 1 Load Handling Order ZH 1/28 BeKV DIN 33402 DIN 33406

Date: ………………………... Signature: …………………………..

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Area of operations:

10. Perception and observation, manageability
Potential hazard and problems	Appliances/machines or situations subject to these hazards or problems and their potential effects (place cross against hazard or problem)	Completion of measures/ efficacy check	Possible measures to improve safety (indicate measure(s) selected)	Further information
10.1 Capacity for perception and observation	? A lot of wide-ranging information has to be taken on board all at once or within short periods of time ? Purely supervisory activities are too frequent ? Breaks entailing active behaviour are too infrequent ? The density of information is too great ? Monotony leads to poorer vigilance ? Too much is expected of employees’ capacity for perception ? Information overload often leads to malfunctions or other problems ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. No hazards identified! Þ 0	Hazard to be eliminated by (date): ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. Are measures effective? Yes ¡ No å Further measures: ……………………………… …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. Additional remarks: …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. ………………………………………………….	¦ Reduce information load. ¦ Filter and target information. ¦ Impose breaks in supervisory activity by assigning tasks which entail active behaviour. ¦ Avoid asking too much of employees. ¦ Improve employee skills. ¦ Instruction, skilling, training. ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ ……………………………………………	VBG 100 DIN 33413! ZH 1/28

Date: ………………………... Signature: …………………………..

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Area of operations:

10. Perception and observation, manageability
Potential hazard and problems	Appliances/machines or situations subject to these hazards or problems and their potential effects (place cross against hazard or problem)	Completion of measures/ efficacy check	Possible measures to improve safety (indicate measure(s) selected)	Further information
10.2 Difficulty in managing equipment	? Controls are not easy to manage ? Arrangement of controls is not easy to understand ? Controls are not ergonomically arranged ? Controls are not logically arranged ? Not possible to secure a good enough grip on control handles, knobs etc. ? Displays are not easy to read ? Operational status displays cannot be understood with certainty ? It is too complicated to see and read all the information displayed ? There is not enough foot room for all operating controls ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. No hazards identified! Þ 0	Hazard to be eliminated by (date): ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. Are measures effective? Yes ¡ No å Further measures: ……………………………… …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. Additional remarks: …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. ………………………………………………….	¦ When purchasing appliances and systems look for the CE mark. ¦ When converting or modifying equipment, ensure controls meet ergonomic criteria. ¦ Replace worn-out or damaged controls with ergonomically good ones. ¦ Ensure operator can secure a good enough grip on control handles, knobs etc. ¦ Check and if necessary improve manageability of controls. ¦ Check operating controls are easy to see. ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ ……………………………………………	ZH 1/28 DIN 33401

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Area of operations:

11. Other hazards/stress factors
Potential hazard and problems	Appliances/machines or situations subject to these hazards or problems and their potential effects (place cross against hazard or problem)	Completion of measures/ efficacy check	Possible measures to improve safety (indicate measure(s) selected)	Further information
11.1 Defective personal protective equipment (PPE)	Are there defects in the personal protective equipment used? ? Holes in gloves ? Incorrect footwear, worn-out or damaged safety boots ? Ear muffs with worn and split cushioning ? Careless failure to use PPE (e.g. ear protectors not worn) ? Incorrect face masks, respirators or filters ? Inappropriate skin protection products ? PPE used beyond the end of its useful life ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. No hazards identified! Þ 0	Hazard to be eliminated by (date): ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. Are measures effective? Yes ¡ No å Further measures: ……………………………… …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. Additional remarks: …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. ………………………………………………….	¦ Choose correct PPE and provide adequate number of items. ¦ Replace defective items of PPE. ¦ Check state of repair prior to every use. ¦ Correct storage (of e.g. medical, laboratory clothing). ¦ Regular cleaning and care of PPE. ¦ Inform employees of potential consequences of not using PPE. ¦ Mark places/situations in which PPE must be used. ¦ Give employees regular instruction. ¦ Encourage safety awareness and feelings of responsibility amongst workforce. ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ ……………………………………………	VBG 1 VBG 100 ZH 1/700-708 Use of PPE Order

Date: ………………………... Signature: …………………………..

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Area of operations:

11. Other hazards/stress factors
Potential hazard and problems	Appliances/machines or situations subject to these hazards or problems and their potential effects (place cross against hazard or problem)	Completion of measures/ efficacy check	Possible measures to improve safety (indicate measure(s) selected)	Further information
11.2 Response to emergencies	Are employees regularly informed about emergency procedures ? No emergency plan ? No instruction given about potential hazards in the firm ? Fire drills are not held ? First-aid facilities and equipment are not available or are not adequate ? Emergency escape routes are not indicated ? Emergency escape routes are not useable ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. No hazards identified! Þ 0	Hazard to be eliminated by (date): ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. Are measures effective? Yes ¡ No å Further measures: ……………………………… …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. Additional remarks: …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. ………………………………………………….	¦ Familiarize employees with first aid measures and equipment. ¦ Comply with marking requirements. ¦ Observe correct emergency procedures. ¦ Designate and train first-aiders. ¦ Provide first aid kits. ¦ Use emergency plan. ¦ Hold emergency drills. ¦ Hold fire drills. ¦ Prepare and mark emergency escape routes and keep them clear. ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ ……………………………………………

Date: ………………………... Signature: …………………………..

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Area of operations:

11. Other hazards/stress factors
Potential hazard and problems	Appliances/machines or situations subject to these hazards or problems and their potential effects (place cross against hazard or problem)	Completion of measures/ efficacy check	Possible measures to improve safety (indicate measure(s) selected)	Further information
11.3 Hazards caused by people	Are employees suited to the activities they perform? Look at: skills, experience, age, particular groups of people (e.g. handicapped workers, pregnant women and nursing mothers), health status, character traits (e.g. hot temper) ? Hazardous situations have sometimes arisen due to employees acting carelessly or taking the wrong action because they overestimated their own capacities ? Employees had not been informed of all the hazards entailed in their work ? The work process is often interrupted unexpectedly ? Continuous working is not possible ? Too much is demanded of employees as they handle systems, appliances or programmes ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. No hazards identified! Þ 0	Hazard to be eliminated by (date): ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. Are measures effective? Yes ¡ No å Further measures: ……………………………… …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. Additional remarks: …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. ………………………………………………….	¦ Select personnel in accordance with the requirements of the job. ¦ Give employees regular instruction and motivate them to be safety-conscious. ¦ Involve employees in the planning of work procedures. ¦ Provide instruction and training. ¦ Check employee skills and qualifications and improve them if necessary ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ ……………………………………………	VBG 1 UVV 1.1 of the LBG

Date: ………………………... Signature: …………………………..

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Area of operations:

11. Other hazards/stress factors
Potential hazard and problems	Appliances/machines or situations subject to these hazards or problems and their potential effects (place cross against hazard or problem)	Completion of measures/ efficacy check	Possible measures to improve safety (indicate measure(s) selected)	Further information
11.4 Hazards caused by animals	? Employees come into contact with diseased animals (e.g. rabies, ornithosis, toxoplasmosis) ? Employees may be at risk from clawing, kicking or biting animals ? Your employees have to cope with insects at their workplace ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. No hazards identified! Þ 0	Hazard to be eliminated by (date): ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. Are measures effective? Yes ¡ No å Further measures: ……………………………… …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. Additional remarks: …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. ………………………………………………….	¦ Avoid contact with animals. ¦ Introduce veterinary medical measures. ¦ Disinfecting. ¦ Put physical barriers and warning signs in place. ¦ Fit fly meshes. ¦ Use insect traps. ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ ……………………………………………	VBG 17 VBG 103 UVV 1.1 of the LBG GUV 17.17

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Area of operations:

11. Other hazards/stress factors
Potential hazard and problems	Appliances/machines or situations subject to these hazards or problems and their potential effects (place cross against hazard or problem)	Completion of measures/ efficacy check	Possible measures to improve safety (indicate measure(s) selected)	Further information
11.5 Hazards caused by plants and plant products	? Employees are allergic to certain plants (e.g. pollen dust) ? Employees are in contact with poisonous plants ? Lacerations and pricking of the skin may occur ? PPE is not worn ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. ? ………………………………………………….. No hazards identified! Þ 0	Hazard to be eliminated by (date): ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. ………………………………………………….. Are measures effective? Yes ¡ No å Further measures: ……………………………… …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. Additional remarks: …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. …………………………………………………. ………………………………………………….	¦ Only use suitable employees. ¦ Wear suitable gloves and work clothing. ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ …………………………………………… ¦ ……………………………………………	UVV 1.1 of the LBG GUV 29.15

Date: ………………………... Signature: …………………………..

Key to titles of German laws and regulations

AFS ?

ArbStättV Workplaces Order

ASR Workplace Guidelines

BeKV Occupational Diseases Order

G ?

GefStoffV Hazardous Substances Order

GSGV Order on the Safety of Appliances Act

GUV local authority accident insurance

LaSi Land committee for occupational safety and health and safety engineering

LBG Berufsgenossenschaft for Agriculture

LV Land Constitution

StVZO Road Traffic Licensing Regulations

TRbF Technical Regulations on Flammable Liquids

UVV Accident Prevention Regulations

VbF Flammable Liquids Order

VBG Berufsgenossenschaft for Administrative Employees (covers accident prevention)