Hierarchy of Controls

1.
2.
3.
4.
5.
6.

Elimination: Good housekeeping practices remove hazards from the workplace.

Substitution: Replace a manual process with an automatic process.
Isolation: Install guards on machines where there is risk of a person being trapped in a machine.
Engineering: Redesign the task.
Administration: Implement policies, procedures and training for people to follow when working with a hazard.
Personal Protective Equipment: Provide people with safety glasses, gloves or footwear when working with a
hazard and provide training in the use of these.

HIRARC FORM
HIRARC FORM
Company:
Process / Location:
Approved by:
(Name, designation)
Date:

Conducted by:
(Name,
designation)
Date:
(from to)
Review Date:
Next Review
Date:

Review 1:

Review 2:

1. Hazard Identification
No.

Work
activity

Hazard

Walking
along the
pavement

Uncovere
d
constructi
on site
Walking/
Jogging
Hole

There is
no
divider
between
the
sidewalk
and the
road.
Reid-bar

3
4

5
6

Uneven
dock
Nail is
exposed

Trip
Fall

Fall
Steppin
g on nail

2. Risk Analysis

3. Risk Control

Which can
cause /
effect
Bodily
Injured

Existing Risk
Control (if
any)
Pedestrian to
walk
opposite of
the direction
of the
vehicles.

Likeliho
od

Severi
ty

Risk

12

Bruises
and cuts

Put up fence
around the
site

Bruises
and cuts
Bruises
and cuts

Put up fence

Cover-up the
hole

Bruises or
Drown
Injuries

Repair the
dock
Hammer the
nail

Recommended
Control
Measures
Engineering

PIC

Due
Date

Status

7/04/201
6

Isolation

7/04/201
6

In
Progre
ss

Isolation

Elimination

7/04/201
6
7/04/201
6

15

Engineering

Engineering

7/04//20
16
7/04/201
6

In
progre
ss
Done

APPENDIX

Figure 1: Sidewalk

Figure 2: Construction site

Figure 3: Sidewalk with high edges

Figure 4: Hole

Figure 5: Uneven dock

Figure 6: Exposed nail