Activity Based Risk Assessment Form Mom

Activity Based Risk Assessment Form Mom Template for Malaysia

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Key Requirements PROMPT example:

"I need an Activity Based Risk Assessment Form Mom for a chemical manufacturing plant in Penang, Malaysia, focusing on new automated packaging processes that will be implemented in March 2025, with particular emphasis on chemical exposure risks and machine safety."

Document background

The Activity Based Risk Assessment Form Mom is a mandatory document under Malaysian workplace safety regulations, designed to systematically evaluate and control risks associated with specific workplace activities. This form is required by the Department of Occupational Safety and Health (DOSH) and must be completed before commencing any new activity or when significant changes occur in existing processes. It encompasses comprehensive hazard identification, risk evaluation, control measures, and monitoring procedures. The document is particularly crucial in high-risk industries and must be regularly reviewed and updated to maintain its effectiveness. Its implementation is guided by the Occupational Safety and Health Act 1994 and related Malaysian regulations, serving as a vital tool for preventing workplace accidents and ensuring regulatory compliance.

Suggested Sections

1. Document Information: Basic details including date, location, department, and assessors' information

2. Activity Description: Detailed description of the work activity being assessed

3. Hazard Identification: List and description of all potential hazards associated with the activity

4. Risk Evaluation: Assessment of likelihood and severity of identified hazards, including risk matrix

5. Existing Control Measures: Documentation of current safety measures and controls in place

6. Risk Rating: Calculation and presentation of risk levels based on evaluation

7. Additional Control Measures: Proposed new or enhanced control measures to reduce risks

8. Residual Risk Assessment: Re-evaluation of risks after implementation of additional control measures

9. Action Plan: Timeline and responsibilities for implementing control measures

10. Review and Approval: Sign-off section for relevant authorities and review date

Optional Sections

1. Emergency Procedures: Specific emergency response procedures related to the activity, included for high-risk activities

2. Training Requirements: Specific training needs for workers involved in the activity, included when specialized skills are required

3. Personal Protective Equipment (PPE) Matrix: Detailed PPE requirements, included for activities requiring specific protective equipment

4. Environmental Impact Assessment: Environmental considerations and controls, included when activity has significant environmental impacts

5. Chemical Risk Assessment: Specific chemical hazards and controls, included when activity involves hazardous substances

6. Equipment/Machinery Specific Controls: Detailed controls for specific equipment, included when activity involves complex machinery

Suggested Schedules

1. Risk Matrix: Standard risk assessment matrix used for evaluating risk levels

2. Hazard Checklist: Comprehensive checklist of potential hazards by category

3. Control Measures Hierarchy: Framework for selecting appropriate control measures

4. PPE Requirements Chart: Visual guide for required personal protective equipment

5. Incident Report Form: Template for reporting any incidents during the activity

6. Safe Work Procedure Template: Standard template for documenting safe work procedures

7. Legal Requirements Reference: Summary of relevant Malaysian safety regulations and requirements

Authors

Alex Denne

Head of Growth (Open Source Law) @ ��Ƶ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co

Relevant legal definitions

Clauses

Relevant Industries

Manufacturing

Construction

Oil and Gas

Mining

Chemical Processing

Logistics and Warehousing

Healthcare

Agriculture

Food Processing

Utilities

Engineering Services

Telecommunications

Marine and Offshore

Aviation

Pharmaceutical

Relevant Teams

Health, Safety and Environment

Operations

Quality Assurance

Production

Maintenance

Risk Management

Compliance

Project Management

Industrial Safety

Emergency Response

Relevant Roles

Health and Safety Manager

Risk Assessment Specialist

Operations Director

Facility Manager

Production Supervisor

Safety Coordinator

Quality Control Manager

Process Engineer

Maintenance Supervisor

Environmental Health Officer

Compliance Manager

Site Safety Inspector

Industrial Hygienist

Project Manager

Operations Supervisor

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