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RISK ASSESSMENT FORM

Accessor : Rajkumar Ref. : PLQ/RA/HSE/03


Project : GTC-808/2015 LOT-2 Assessment Dt. : 31.07.2016
Activity : Manual & Mechanical Excavation work Review Date : 15.07.2016
Details of the task / operation : Fault Location excavation
Location: Specific hazards to be identified on the site daily basis.

Risk Rating Before Risk Rating After

Risk Rating

Risk Rating
Likelihood

Likelihood
Severity

Severity
HAZARD HAZARD EFFECT MINIMIZE RISK BY / CONTROL MEASURES

No.

No.
Plant operators and any All under ground utility services shall be
Buried Services other workers in the vicinity. accuratelly determined. Hand-digging
Injury, Electrocution 2 5 5 50 measures to be used to expose existing services. 2 3 2 12
Banksman to observe area being
excavated for any undiscovered services.
TBM to be conducted
Liaise with line authority to see if line can be
Overhead lines Plant operators and any made dead or diverted.
other workers in the vicinity. 2 5 5 50 All over head electrical lines should be 2 3 2 12
(Injury, Burn & Fatal) protected by means of net or shroudings.
Proper monitoring should be carried out during
entire work.
A Physical barriers to be erected at
Workers Falling into Serious injury or fatal injury excavation edge& proper access for excavation
excavation 2 3 3 18 Safety Sign and warning sign to be placed. 2 3 2 12
Proper monitoring should be carried out during
working hours& security at night time.

Plant falling into excavation Serious injury or fatal injury A proper vehicle routes are to be planned
inside the site.
Vehicle should be provided with stop blocks
if they need to work near excavation edge.
2 5 5 50 Banksman to be assist in safe use of all plant. 2 3 2 12
Make sure all Machineries must have valid
certificate, test certificate.
All operators should have competency .

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Activity : Manual & Mechanical Excavation work Review Date : 15.07.2016
Details of the task / operation : Fault Location excavation
Location: Specific hazards to be identified on the site daily basis.

Risk Rating Before Risk Rating After

Risk Rating

Risk Rating
Likelihood

Likelihood
Severity

Severity
HAZARD HAZARD EFFECT MINIMIZE RISK BY / CONTROL MEASURES

No.

No.
certificate.
Risk of sides of excavation Serious injury or fatal injury Mechanical plant, vehicles, storage of
collapse due to heavy vehicle materials (including excavated material) or
movement, vibration, ground/ any other heavy loads should not be operated
surface water etc or located near excavation edge.
If required use of benching or the installation
2 5 3 30 of ground support (e.g. shoring) to be provided. 2 3 2 12
Pumps or other dewatering systems to be
installed for incase of water accumulation.

Ground contaminated wokers contract Provision of PPE, waterproof/abrasion


connecting to existing foul gastroenteritis, hepatitis A resistant gloves, footwear, eye & respiratory
manhole. or Leptopirosis protection.
Rotating tasks between workers.
Mechanical ventilation to remove airborne
2 3 3 18 contaminants. 2 3 2 12
Training to be provide to the workers to identify
buried contaminants and what action to take.
Proper supervision to be provided at all time.

The atmospheres in the excavation shall be


Inhalation of toxic gas and Workers could be tested before employees enter excavations
oxygen deficiency asphyxiated & /or poisoned greater than 4 feet.
2 3 3 18 If flammable/toxic gases are present, a proper. 2 3 2 12
ventilation system to be provided.

Note : Target time for implementation shall be as immediate / 3 months / 6 months depending on the action be implemented.
Legal Requirements to be followed:
QCS 2014, Kahramaa Regulation
Related emergency procedures, if any:
Fire emergency MOCK drill to be conducted once in six month.
Verification of the implementation of control measures

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Activity : Manual & Mechanical Excavation work Review Date : 15.07.2016
Details of the task / operation : Fault Location excavation
Location: Specific hazards to be identified on the site daily basis.

Risk Rating Before Risk Rating After

Risk Rating

Risk Rating
Likelihood

Likelihood
Severity

Severity
HAZARD HAZARD EFFECT MINIMIZE RISK BY / CONTROL MEASURES

No.

No.
Tools Box Talks Records, Training Records.

HSE Engineer Project Engineer

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RISK ASSESSMENT FORM
Accessor : Rajkumar Ref. : PLQ/RA/HSE/04
Project : GTC-808/2015 LOT-2 Assessment Dt. : 31.07.2016
Activity : Cable Jointing & Termination Review Date : 15.07.2016
Location: Specific hazards to be identified on the site daily basis.
Risk Rating Before Risk Rating After

Risk Rating

Risk Rating
Likelihood

Likelihood
Sevirity

Sevirity
Hazard Hazard Effect Minimize Risk By / Control Measures

No

No
Electrocution Injury to person 2 5 3 30 *Only competent persons are allowed to do the 2 3 2 12
Fire & Entanglement Electrocution Jointing & Termination activities.
Fall form heights Fatality *PTW such as Hot work should be
Tripping Burn obtained from the concerned authority before
Property Damage start the work.
*All power and hand tools handled
carefully to avoid injuries.
*Tool box talk should be conducted before
commencing the work.
* Barriers and warning devices are positioned
in accordance with requirements
* No deffective tools to be used for any
activities.
* Make sure flash back arrestor in place with
gas cylinder using for jointing work.
* Make sure all working cables are isolated at
both ends and earthed.

Note: Target time for implementation shall be as immediate / 3 months/ 6 months depenting on the action be implemented.

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Activity : Cable Jointing & Termination Review Date : 15.07.2016
Location: Specific hazards to be identified on the site daily basis.
Risk Rating Before Risk Rating After

Risk Rating

Risk Rating
Likelihood

Likelihood
Sevirity

Sevirity
Hazard Hazard Effect Minimize Risk By / Control Measures

No

No
Electrocution Injury to person * Proper ventilation to be provided if the work
Fire & Entanglement Fatality is performed inside the confined space.
Fall from heights Electric Shock * Relevant requirements and established
Tripping Burn 2 5 3 30 procedures for the work are communicated 2 3 2 12
to all personnel and identified.
* Crimping tool using for jointing & Termination
should be calibrated.
*Tool box meeting should be conducted before
starts the activities.

Note: Target time for implementation shall be as immediate / 3 months/ 6 months depenting on the action be implemented.
Legal Requirements to be followed:
QCS 2014, Kahramma Regulation

Training Requirements of the personnel involved:


Use of PPE
Related emergency procedure, if any,
Usage of Fire Extinguisher.
Verification of the implementation of control measures
Inspection records, Training records, PTW

HSE Engineer Project Engineer

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Risk Assessment Form
Accessor : Rajkumar Ref: PLQ
Project : GTC-808/2015 LOT-2 Assessment Dt.
Activity :MV/LV Cable Pulling and Installation. Review Date : 1
Details of Machineries/Tools Involved :Winch machine,Drum stand,Drum shaft, Rollers etc .
Location: specific hazards shall be identified by the site before starting the activity.

Before Afte

Risk Rating Score Risk Ratin


HAZARD HAZARD EFFECT MINIMIZE RISK BY /CONTROL MEASURES

Risk Rating
Likelihood
Severity
No.

No.
Fall of material/Person Injury, Fracture *Safety Induction & Tool box talk to be
Unsafe Posture Fatality conducted before start the activity.
Inadequate space Fatigue *Proper supervision should be available at all time.
Dust Fire from power tools 2 5 3 30 *All tools and machineries should be properly 2
Electrocution examined for its serviceability.
Tripping Hazards *Soil must be piled back from the edge of the
pit/trench at least 600mm.
*Cable drum should be kept in a safe distance
and should be mounted on a stand.
*If the pit/trench deeper than 1.5m, a proper
access to be provided by means of a ladder.
* Cable rollers should be handled carefully.
* Never keep any heavy materials edge of the
excavation during cable laying activities.
*Proper traffic control to be implemented at site.

Note : Target time for implementation shall be as immediate / 3 months / 6 months depending on the action be implemented.

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Activity :MV/LV Cable Pulling and Installation. Review Date : 1
Details of Machineries/Tools Involved :Winch machine,Drum stand,Drum shaft, Rollers etc .
Location: specific hazards shall be identified by the site before starting the activity.

Before Afte

Risk Rating Score Risk Ratin


HAZARD HAZARD EFFECT MINIMIZE RISK BY /CONTROL MEASURES

Risk Rating
Likelihood
Severity
No.

No.
*Weather condition to be considered during work.
1. Improperly designed Back ache, wrist pain *Caution signs/Warning signs to be displayed.
workstations Misculosceletal disorder * All excavation site should be examined at least
2. Not following positive Stress and strain weekly or after every adverse weather.
work technique or tiredness. 2 5 3 30 * Cable socks should be properly connected with 2
Upper limb disorder cable and winch machine wire rope.
* All personnel should be stand in a proper
interval to reduce individual strain during pulling.
*Trained personal only operate the winch machine.
* Install flashing lights, if the work continues
in the night.
* Use rubber gloves during any chemical
applications.
* Proper barrication should be provided for
excavation.
* Emergency vehicle should be available at site
to meet any emergency.
* If the work is performing inside the building
proper ventilation and lighting arrangement to be
provided.
* Cable pulling speed should not be exceed
500mtr per hours.
* Fire fighting arrangemets to be available at work
place.
* Proper PPE's such as helmet, goggles,coverall,
hand gloves, dust mask and safety shoes to be
provided to all individuals.

Note : Target time for implementation shall be as immediate / 3 months / 6 months depending on the action be implemented.
Legal Requirements to be followed:

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Activity :MV/LV Cable Pulling and Installation. Review Date : 1
Details of Machineries/Tools Involved :Winch machine,Drum stand,Drum shaft, Rollers etc .
Location: specific hazards shall be identified by the site before starting the activity.

Before Afte

Risk Rating Score Risk Ratin


HAZARD HAZARD EFFECT MINIMIZE RISK BY /CONTROL MEASURES

Risk Rating
Likelihood
Severity
No.

No.
QCS 2014, Kahramma Regulation
Training Requirements of the personnel involved :
knowledge to wear safety equipments, use of fire extinguisher, Rescue Procedures
Related emergency procedures, if any,
Fire extinguisher, emergency vehicle, First Aid
Verification of the implementation of control measures
Permit forms, inspection records, and training records.

HSE Engineer

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Assessment Form
Ref: PLQ/RA/HSE/05
Assessment Dt. : 31.07.2016
Review Date : 15.07.2016

After

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Likelihood
Severity
3 2 12

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Review Date : 15.07.2016

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3 2 12

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Review Date : 15.07.2016

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Project Engineer

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