HSE RISK ASSESSMENT FORM

DOC00
Revision E

Ref. N° : RA Participants Name Job Title Signature

Activity/Task
Shuttering for GT foundations / GT
concerned and
Foundation plate
its location

 Minimum (at
Required level
start and end of Permanent  Other:
of Supervision:
task)

Risk Rating (RR) guideline:

IMPORTANT NOTE : By signing this document, it is acknowledged by

each person involved in this risk assessment that all reasonable
attempts have been made as a first priority to identify any potential to
eliminate all the significant hazards listed, e.g. by preventing working
at height or entering into a confined space.

Likelihood (L): Probability of the undesired event to happen (shall consider the frequency and Severity (S): Importance of harm, damage or impact caused by the event.
duration of exposure and the potential for the undesired event to happen).
Definition Severity Definition
Value
Value
Negligible the occurrence is extremely unlikely to happen and has never Minor None or very limited consequences on people (e.g. first aid injury), property (e.g. scratch on equipment
(1) happened according to our knowledge (1) painting) or the environment (e.g. small quantity of biodegradable waste dispersed)
Low the occurrence is unlikely to happen in the foreseeable future but Moderate Injury requiring medical treatment without lost work days, reversible environmental negative impact or
(2) has already been experienced (2) property damage / business interruption below 50 k€ of cost involved
Moderate the occurrence is predictable to happen in the mid-term High Lost Time Injuries, with full recovery, or reversible environmental negative impact or property
(3) (3) damage/business interruption below 200 k€ of cost involved
High the occurrence is predictable to happen in the short term Major Severe Accident as per Alstom e-book definition
(4) (4)
Definite the occurrence is certain and immediate. Catastrophic Potential for several fatalities (or other type of severe accident)
(5) (5)

APPROVED BY

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GE Competent Discipline Manager/ GE HSE Representative

Engineer (Name, Signature and Date) (Name, Signature and Date)
ZGPP

Activity Hazard Risk and Existing Control Measures (L) (S) (RR) Additional Control Measures (L) (S) (RR) Check
step affected
Persons
Permit to Violation of Persons in work Supervisor to obtain required Permit to 3 2 6 Periodic examination of the 2 1 2
work Permit to Work area Work & shall be available at site at all work permit by the safety
Procedure times. supervisor
Supervisor/Foreman to conduct toolbox
talk and discuss about the hazards
involved in the job as per RA.

Shuttering Work at height- Persons in work Use of scaffolds as working platform 3 3 9 2 1 2

for Fall of person, area where possible, Use of safety harness
foundation Fall of material, shall be made mandatory for 1.8 m and
Collapse of above level including on scaffolds,
scaffold, Lack 100% tie off with double lanyard during
of proper/ the work, Proper anchoring point, Tie
certified Plat off small tools while working at heights,
form for the Scraps and other loose materials shall
personnel to be, removed every day, Trained
work on, Lack personnel to work at height, Safe
of Mobile Elevated Work Platforms
arrangements operation Procedure & Working at
for securing the height, Inspection & approval of the
tools/ items Work Platforms/ Scaffolding & fall
while working protection arrangements, Ensure TBT
at height, The before start work, At least two persons
Platform is not allow for working at height, Isolate the
designed for overhead power lines, Stop the activity
the purpose. if wind is more then 35 kh/mph
The Platform is
not adequately
supported/
braced for the
intended
activity,

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Personnel are
not medically fit
& aware of the
hazards of
working at
height,
Personnel are
not provided
with adequate
fall protection
arrangements,
Overhead
power lines,
Severe/advers
e weather
Working Persons in work Understood the Lock Out / Tag Out 4 3 12 2 1 2
electrical on area Procedure.
equipment - Only Trained & Qualified Electricians
Electrical shall inspect and test equipment for
Shock or defects, prior to startup of the
Possible Death equipment.
due to: A Preventive Maintenance Schedule
-Damaged or shall be implemented for regular
Inadequate inspection and repairs to Electrical
Insulation on equipment.
Wiring When measuring 440 Voltages or
Inadequate Higher or High Levels of Amperage,
Over Current Two Electricians will always work
Protection on together in the “buddy – system.”
Electrical Working on “LIVE ELECTRICAL
Equipment EQUIPMENT” is strictly PROHIBITED.
Inadequate Only Trained & Qualified Electricians
Grounding shall inspect and test equipment for
Loose defects prior to startup of the
Contacts and equipment.
Connectors Electrical systems shall be tested prior
Poor to all work commencement, to ensure
Maintenance that the systems have been de-
and Testing energized or properly isolated.
Program

Electrical
Burns due to:

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direct result of
electrical
shock, causing
severe deep
burns,
Personal Injury
or Fatality,
Damage to
Equipment on

Working Persons in work Personal Injury or Fatality, Damage to 4 3 12 2 2 4

electrical on area Equipment on, All combustible
equipment - materials shall be properly stored away
Electrical Fires from electrical equipment.
due to: All waste materials shall be properly
Storage of discarded.
combustible or Sufficient firefighting equipment shall be
waste available according to fire code
materials near regulations around the premises where
un-insulated electrical equipment is in operation
conductors
Working Persons in work Areas of potential risk shall be 3 2 6 1 1 1
electrical on area assessed and suitable controls or
equipment- precautions implemented.
Explosion: The Housekeeping shall be kept to the
Aa result of highest standards possible and
electrical maintained at all times.
arcing or Electrical equipment shall be isolated
operating “Out of Service” when it is no longer
inadequate / required or in use.
un-insulated
electrical
systems in
dusty or
flammable
environments.
Unauthorized Persons in work No person must be employed to use / 2 3 6 2 1 2
use of area operate a wooding machine unless he
woodworking has been trained and instructed in its
machine operation and authorized to use it by
the site manager.

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Manual Persons in work Sup/ Foreman shall be present while 3 3 9 1 2 2

Handling - area work is going on, Give TBT before start
Strain in Body work, Grasp the load properly, Keep
parts, Back , your lower back in its normal position
neck and and use your legs to lift the load, when
shoulders Pain, require more than one person, call
Physical injury equal height workers, Lift load at one
due to sharp time simultaneously, Put equal support
edges, Pinch to the load and distribute manpower
points equally, Use all required PPEs

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