Kaneka Singapore Pte Ltd

RISK ASSESSMENT FORM

DOC/C925/SHEMS/E11/APP 11.3.4 REV_1
Company: RA Ref No. RA/C925/Company/000
Proje!:
A"no#$e%&e% 'y) S(&na!)re *a!e
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Appro,e% -y: Sub-Contractor PM: Name & Sign Date:
Ma(n Sope of .or":
Con%)!e% -y: R(/" A//e//men! Team Mem'er/ 0S)' Con!ra!or1
Re, No
S)mmary of .or" A!(,(!(e/
Date Conducted: Last Reviewed: Next Review Date: Tota No! o" Pages:
# Name
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#
R% Team Leader
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.ane/a 01eration Team .ane/a Sa"et2 Team
Name Designation Signature Date Name Designation Signature Date
Kaneka Singapore Pte Ltd
RISK ASSESSMENT FORM
DOC/C925/SHEMS/E11/APP 11.3.4 REV_1
Risk Matrix
A(%en! Se,er(!y Ca!e&ory R(/"
I 2 3 4 In%e5 *e/r(p!(on *ef(n(!(on/
R(/" Ca!e&ory Ca!a/!rop6( Cr(!(a$ Mar&(na$ Ne&$(&('$e A In!o$era'$e R(/" /6a$$ 'e re%)e% 'y #6a!e,er mean/ po//('$e
2 Fre7)en! A A A -
- 8n%e/(ra'$e
R(/" /6a$$ 'e on$y aep!a'$e (f f)r!6er r(/" re%)!(on
A(%en! 2 Pro'a'$e A A - C I/ no! po//('$e
Pro'a'($(!y 3 Oa/(ona$ A - C C
C To$era'$e
R(/" /6a$$ 'e aep!a'$e /)'je! !o %emon/!ra!(on !6a! !6e
Ca!e&ory 4 Remo!e - C C * $e,e$ of r(/" (/ a/ $o# a/ rea/ona'$y pra!(a'$e.
5 Impro'a'$e C C * * * Aep!a'$e R(/" (/ aep!a'$e
Hazard Severity Rate

2
Ca!a/!rop6(
Singe or muti1e oss o" i"e "rom in3ur2 or occu1ationa disease4
immediate2 or dea2ed5 and6or
Tota oss in excess o" 7# miion
2 Cr(!(a$
MC 8 * da2s
0ccu1ationa Disease or Dangerous 0ccurrence5 and or
Damaged to wor/s or 1ants causing dea2s o" u1 to & da2s5 and6
or
Tota oss in excess o" 7$(----4 u1 to 7# miion
3 Mar&(na$
MC ' -* da2s4 0ccu1ationa Disease5 and or
Damage to wor/s or 1ants causing dea2s o" u1 to # da25 and6or
Tota oss in excess o" 7$(---4 u1 to 7$(----
4 Ne&$(&('$e
MC 9& da2s :Minor in3ur2)4 no ost time or 1erson invoved returns
to wor/ during t;e s;i"t a"ter treatment5 and6 or
Damage to wor/s or 1ants does not cause signi"icant dea2s5 and
or
Tota oss o" u1 to 7$(---

R(/" A//e//men! Form 9 Proje!: :e//e$ 24; C$ean(n& #or"
Com1an2: Process Date Conducted: Last Review Date: Next Review Date:
Location: Conducted <2: %11roved <2: :Sub Contractor5 PM) Name & Sign Date %11roved:
Hazard Identification Risk Evaluation Risk Control
S/
N .or" A!(,(!(e/ <a=ar%/
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#!Pinc; Points
$!Tri1 & >a
#!?and Cuts4 <ruises
$!P;2sica @n3uries
Secure % materia 4toos
1ro1er2
No oose materias w;ie
using Troe2
' ' D ni
$
Anoading materias #!Pinc; Points
$!Pro1ert2 damage
#!?and Cuts4 <ruises
$!S2stem "aiure
#!Secure % materia
4toos 1ro1er2
$! Bnsure materia is
awa2 "rom existing Pi1e4
eCui1ment4 imit switc;es
etc!
& ' C
#!<arricade t;e area wit; 1ro1er
signage
$!Too <ox ta/ Prior start o" wor/
&! Permit to wor/ is a11roved
' ' D
?a=ard >reCuenc2 Rate ?a=ard Severit2 Rate Ris/ @ndex
# >reCuent - #$ 1er 2ear or once a mont; # Catastro1;ic - Loss in excess o" # Miion 6 Loss o" i"e % @ntoerabe
$ Probabe - Li/e2 to occur ' times 1er 2ear $ Critica - MC 8 * da2s < Andesirabe
& 0ccasiona - Li/e2 to occur once a 2ear & Margina - MC ' - * da2s C Toerabe
' Remote - Li/e2 to occur once in ( 2ears 1ro3ects ' Negigibe - MC 9 & da2s :Minor in3ur2) D %cce1tabe
( @m1robabe - Ani/e2 but ma2 exce1tiona2 occur Re"er to 1age $ "or detais
Page & o" ( 1ages
R(/" A//e//men! Form 9 Proje!: :e//e$ 24; C$ean(n& #or"
Com1an2: Process Date Conducted: Last Review Date: Next Review Date:
Location: Conducted <2: %11roved <2: :Sub Contractor5 PM) Name & Sign Date %11roved:
Hazard Identification Risk Evaluation Risk Control
S/
N .or" A!(,(!(e/ <a=ar%/
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a(%en!/($$ 6ea$!6
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Dor/ at ?eig;t using
%->rame Ladder

#!>a "rom ;eig;t
$! >aing 0b3ects
#!?ead and <od2
in3uries even ead to
"atait2
$! Pro1ert2 Damage
#! Bnsure 1ersons wor/ing
on %->rame adder are
wearing Sa"et2 ;arness and
;oo/ on to t;e rigid structure
$! Bnsure sa"et2 ;arness is
in good condition
&! Maintain t;ree 1oints o"
contact w;en cimbing a
adder :two ;ands and one
"oot or one ;and and two
"eet)
'Bnsure t;at t;e adder is
secured "irm2 in 1ace! Do
not site t;e adder on oose
materia or si11er2 sur"aces
& & C
#!D0 N0T carr2 toos in ;and
w;en cimbing a adder! Ase a too
bet instead!
$!Do not overreac;! Move t;e
adder as needed! >ace t;e adder
w;en cimbing u1 or down!
&!% ban/s man s;oud ;od t;e
Ladder "irm2
'! Conduct a ris/ assessment
be"ore starting wor/ to identi"2 t;e
;a=ards
(! >a arrest:Li"eine) to be
instaed i" necessar2
& ' D
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@nsta To1 cover Asing
Mobie crane
#!Crane To11e
$! >a o"
sus1ended oad
&Pinc; Points w;ie
instaing cover
#!Pro1ert2 Damage
$! Severe @n3uries
ma2 even cause
"atait2
&! Cut& <ruises
#!Bnsure outrigger is "u2
extended
$ i"ting su1ervisor ;as to
stud2 t;e ground condition4
Sa"e wor/ing Load and oo/
around t;e site conditions
and obstructions 1rior start
o" i"ting wor/s
&! T<M 1rior start o" wor/
& & C
#!Bnsure Li"ting crew is com1etent
and are certi"ied
$! Bnsure wa/ie ta/ie in 1ace i"
no signaing is 1ossibe to crane
driver
&! <arricade t;e area wit; 1ro1er
Signage : Li"ting wor/s in 1rogress
& No unaut;ori=ed entr2
signageEs)
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?a=ard >reCuenc2 Rate ?a=ard Severit2 Rate Ris/ @ndex
# >reCuent - #$ 1er 2ear or once a mont; # Catastro1;ic - Loss in excess o" # Miion 6 Loss o" i"e % @ntoerabe
$ Probabe - Li/e2 to occur ' times 1er 2ear $ Critica - MC 8 * da2s < Andesirabe
& 0ccasiona - Li/e2 to occur once a 2ear & Margina - MC ' - * da2s C Toerabe
' Remote - Li/e2 to occur once in ( 2ears 1ro3ects ' Negigibe - MC 9 & da2s :Minor in3ur2) D %cce1tabe
( @m1robabe - Ani/e2 but ma2 exce1tiona2 occur Re"er to 1age $ "or detais
Page ' o" ( 1ages
R(/" A//e//men! Form 9 Proje!: :e//e$ 24; C$ean(n& #or"
Com1an2: Process Date Conducted: Last Review Date: Next Review Date:
Location: Conducted <2: %11roved <2: :Sub Contractor5 PM) Name & Sign Date %11roved:
Hazard Identification Risk Evaluation Risk Control
S/
N .or" A!(,(!(e/ <a=ar%/
Po//('$e
a(%en!/($$ 6ea$!6
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#!?and Cuts4 <ruises
$!P;2sica @n3uries
Secure % materia 4toos
1ro1er2
No oose materias w;ie
using Troe2
' ' D ni
?a=ard >reCuenc2 Rate ?a=ard Severit2 Rate Ris/ @ndex
# >reCuent - #$ 1er 2ear or once a mont; # Catastro1;ic - Loss in excess o" # Miion 6 Loss o" i"e % @ntoerabe
$ Probabe - Li/e2 to occur ' times 1er 2ear $ Critica - MC 8 * da2s < Andesirabe
& 0ccasiona - Li/e2 to occur once a 2ear & Margina - MC ' - * da2s C Toerabe
' Remote - Li/e2 to occur once in ( 2ears 1ro3ects ' Negigibe - MC 9 & da2s :Minor in3ur2) D %cce1tabe
( @m1robabe - Ani/e2 but ma2 exce1tiona2 occur Re"er to 1age $ "or detais
Page ( o" ( 1ages