Risk Assessment/Management Form
Ref:
Section / Dept: civil , Contractor : Activity: Risk Assessment for Location:
Grouting work
Risk rating
bility
Proba
Proba
Resid
Sl Basic Job Initial Additional Ri
bility
risk
Potential Hazard Consequence Current control measure
ual
No. Steps Risk control sk
measure ra
ti
P E A R P
n E A R
Both the activity upper and ground level should g
not be started simantaniously
Fall of materials from Deployment skill workmen only
Grouting at ground Get Injury/Fatality
height Use of safety shoe,Helmet with chin strap &
level
Hand Gloves
Access should be free from obstruction
1 2 0 0 0 2 4
Skin Irritation Effects of skin To use rubber hand gloves
To use double rope full body harnesss and
Grouting at height Person fall form height Get Injury/Fatality anchored it above the head height to a fix
stable structure
Proper access to be made foe ascending and
descending
Prepared By Approved By Reviwed By
Contractor Contractor
Date Date Date
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