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Risk Assessment Worksheet

Date / Place: RAW Ref No: 16-09-2013 / Waste water treatment area (near RO bldng) 172 Dept: Proposed Review Date: Name & Position 1 2 3 4 1 2 3 Mechanical / Heavy lifting/ HSE 14-01-2013

Risk Assessment Team
People Effected

TASK TO BE DONE: __Lifting of 10 inch fire water pipeline by using multiple cranes (6 cranes) at waste water treatment area_____ Risk Rating: 1 to 3 is Tolerable; 4 to 6 – Apply Judgement; 8 to 25 – Reduce Risk
Generic Hazard Checklist as Identified below
Risks as identified During discussions Risk Assessment RCMs in Hand

Risk Assessment
Risk Rating After the influence of existing Controls Re-Assess Yes No

Risk Control Measures Required to bring further down the Risk Rating

Ref #

{Description of Associated Hazard(s) please refer to generic Hazard Checklist (Below)}:

Likelihood 1 to 5

Existing Controls Strategy (What existing processes / controls are in place to manage the risk)?

Risk Rating (Likelihood x Severity) (1 to 25)

Severity 1 to 5

If any risk is identified as being 4 to 6 apply judgement. If 8 to 25 imperative to reduce the risk.

.

2

Tripping/ Slipping

4

Crushing

37

Improper access/ egress

Area housekeeping, highlight all obstructions with safety ribbon Maintain proper distance from lifting activities, Use tag line (ensure hand free lifting), No one is allowed to stand or work under suspended load Ensure proper access/ egress before workers entry, emergency exits & rescue routes must be available & clear

1

2

2

No

1

3

3

No

1

3

3

No

First Issue: Oct 2008

Rev # 01

Contingency plan (for emergency condition). Only single signal man shall be allowed to signal all operators (other signal men can guide him).e. Proper meal to maintain energy. never bend back always bend knees Physical inspection before start of activity. No long hours working 1 2 1 1 3 1 2 2 3 2 2 2 No No No No 36 1 2 2 No 37 Crane failure 1 3 3 No 38 39 Night work Fatigue 1 2 2 1 2 2 No No First Issue: Oct 2008 Rev # 01 . Load must be within safe capacity of crane. Use drip tray Prior inspection of SLI & other safety equipment. Close supervision. Proper illumination at all working area Periodic rest. close supervision. immediately take action to rectify Barricade the boom radius (swing) area.Risk Assessment Worksheet 5 7 27 28 Impact injury Manual handling injury Leakage Safety equipment failure Boom swing Ensure hand free lifting (use tag line) Follow proper ergonomics i. Irrelevant persons must remain outside the barricaded area All lifting activity shall be carried out under the supervision of qualified rigging supervisor/ incharge.

Severity describes the most credible consequences. fall from height. electrocution. Guidance for Assessment of Risk associated with a Hazard Factor 1 2 3 4 Likelihood Almost Impossible Very Unlikely Unlikely Likely Guidance Not Foreseeable Within a Hundred Years Within the Next Ten Years Within the Next Year Severity Minor Accident Intermediate Accident Reportable Accident Severe Injury Guidance Cut finger Sprain. for most situations the following table should be used as a guide. 2 3 4 5 4-6 Apply Judgement 8-25 Reduce Risk 5 Almost Certain Within the Next Shift Fatality First Issue: Oct 2008 Rev # 01 . severe cut Permanent disability (loss of limb) Drowning. It may be necessary to get specialist advice when determining the factors for some hazards.Risk Assessment Worksheet Generic Hazard Checklist (Circle all relevant numbers) Ref Hazard Ref Hazard 1 Falling from a height (personnel) 10 High pressure injection injury 2 Tripping / Slipping 11 Burns / scalds 3 Injury from falling objects 12 Electrocution 4 5 6 7 8 9 Crushing Impact injury (from flying objects) Skin laceration injury Manual handling injury e. strain to back/limbs Entanglement in moving plant Injury to eye 13 14 15 16 17 18 Asphyxiation (CO2. air. N2. However. should the hazard cause an accident.g. etc) Inhalation of hazardous gases / fumes Inhalation of hazardous dusts Ingestion of Hazardous chemicals/ oils Skin contact with hazardous chemicals Hearing damage Ref 19 20 21 22 23 24 25 26 27 Hazard Entrapment Eye Strain Damage to health from adverse environment Exposure to substances that can cause disease Fire Explosion Collapse (e. Likelihood is the possibility of an accident. Scaffold / floor plates) Breakage Leakage Ref 28 29 30 31 32 33 34 35 36 Hazard Safety equipment failure Drowning Pollution to watercourse.g. bad cut 1 Likelihood Risk Assessment Matrix Severity Risk Rating 1 1 2 3 4 5 2 2 4 6 8 10 3 3 6 9 12 15 4 4 8 12 16 20 5 5 10 15 20 25 1-3 Tolerable Eye injury. land Radiation Lone working Vibration Driving/travelling Plant or vehicle movement Other (specify) Confirm that the existing control measures are in place and working and then allocate Likelihood and Severity factors for the hazard.