Professional Documents
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Activity Installation of Petal Installation Site/Section: Theatre Working Hours Type of Activity
Ref. No. of Method statement 10107-G173-IMS-CO000-0001_02 Date HIRA Prepared 01-06-17 Day Night Routine Non-Routine
;
Name of Assessor Mr. Saifuddin Chulawala Rev.No 02 (01.12.17) 08 R
RISK
1a Probability 2a Severity (Injury) 3a Risk Rating (Matrix) 4a 5a * RISK CONTROL MITIGATION TYPE HIRA PREPARATION INSTRUCTION
CATEGORY
5 Very much likely 5 Single or multiple Fatality 5 5 10 15 20 25 E Elimination 1. This HIRA must be prepared by the Construction Team,
1 to 4
Serious Injury requiring L AC Acceptable
4 4 4 8 12 16 20 Low R Reduce/Substitution Checked by HSE and submit to client for approval by
4 Most Likely Planning /Execution team.
Severity
hospitalisation
3 3 6 9 12 15 I Isolate/Engineering Controls 2. No columns of this form must be left blank. If deemed
5to 12
Likely M TL Tolerable Signage/Warning and/or unnecessary put NA (Not Applicable).
3 3 Lost Time Injury 2 2 4 6 8 10 Medium C
administrative Controls 3. Incomplete/Unsigned document by the concerned authority
Unlikely Injury requiring Medical 1 1 2 3 4 5 13 to 25 Undesirable / P PPE will be rejected.
2 2 H UN
Treatment but not Lost Time 1 2 3 4 5 High Unacceptable D Discipline 4. HIRA Forms must be submitted along with the Method
Statements/Drawings/plans as applicable.
1 Most Unlikely 1 First Aid treatment only Probability
Section A EXACT SEQUENCE OF WORK ( as planned for execution) Section B RISK ASSESSMENT Section C RESIDUAL RISK *RISK MITIGATION
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
Activity Consequence
Applicable
Sl. (Nature of Probability Severity of Severity of SOP / Existing
OH&S Hazard Existing Control Measures Risk Category Proposed Control Measures Probability Risk Category Legal & Proposed
No Description Type Injury / Illness (How frequent) Harm Harm Program (Sect.
Description (Describe Briefly) (Section 4a) (Define Briefly) (Section 1a) (Section 4a) Other (Sect. 5a)
(R/NR) Property (Section 1a) (Section 2a) (Section 2a) Ref. No. 5a)
Requirement
damage)
.
1. Use straight ladder for easy
access.
1. Improper 1. Injury/bone 2. Materials properly stacked on
AC
access/egress to fracture due to vehicle bed. 1 3 NIL 1 3 AC HSE Plan NA I&P
the vehicle bed. fall from height. 3. Adequate PPEs (safety helmet,
safety goggle, safety jacket, safety
shoes).
Signature
Page 1 of 6
1. Signal man for the vehicle
4. Vehicle 1. Injury/bone movement. 4 5
UN
movement without fracture/fatality 2. Provided reverse alarm for the 1. Follow the speed limit at site. 1 5 TL HSE Plan NA E&C C
signal man/reverse due to vehicle vehicle and functionality.
alarm. hit. 3. Ensure vehicle fitness through the
inspection with check lists.
Section A EXACT SEQUENCE OF WORK ( as planned for execution) Section B RISK ASSESSMENT Section C RESIDUAL RISK *RISK MITIGATION
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
Activity
Consequence Applicable
Sl. Probability Severity of Severity of SOP / Existing
OH&S Hazard (Nature of Injury / Existing Control Measures Risk Category Proposed Control Measures Probability Risk Category Legal & Proposed
No Description Type (How frequent) Harm Harm Program (Sect.
Description Illness (Describe Briefly) (Section 4a) (Define Briefly) (Section 1a) (Section 4a) Other (Sect. 5a)
(R/NR) (Section 1a) (Section 2a) (Section 2a) Ref. No. 5a)
Property damage) Requirement
1. Injury, bone
4. Overloading of fracture, fatality, BOCW – Maharashtra
Rules – 2007Part III –
lifting equipment / property damage 1. Do not exceed S.W.L 2 5 1. Follow the lifting procedures Safety & Health -
UN
devices due to 2. Adequate safety training 1 5 TL Chapter – XI, Lifting NA I I&C
toppling/overturn the Appliances and Gear,
Rule No : 84
equipment.
Page 2 of 6
1. Injury, bone
fracture, fatality,
9. Non visibility property damage 1. Availability of trained
front side. due to collision / /experienced /authorized signal 1 5 1. Follow the lifting procedures 1 5 TL HSE Plan NA E I&C
UN
toppling of the man. 2. Adequate safety training
equipment or fall of
suspended load.
10. Non secure LT 1. Injury, bone 1. All the materials are secured
Panels on the fork fracture due to fall of with fork lift while shifting. 1 3 AC 1. Adequate training for the operatives. 1 3 AC HSE Plan NA E I
lift. LT Panels from the
fork lift.
Section AEXACT SEQUENCE OF WORK ( as planned for execution) Section BRISK ASSESSMENT Section C RESIDUAL RISK *RISK MITIGATION
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
Activity
SOP /
Consequence
Sl. OH&S Hazard (Nature of Injury / Existing Control Measures
Probability Severity of
Risk Category Proposed Control Measures Probability
Severity of
Risk Category Applicable Legal & Other
Progr
Existing Proposed
Type (How frequent) Harm Harm am
No. Description Description Illness (Describe Briefly) (Section 4a) (Define Briefly) (Section 1a) (Section 4a) Requirement (Sect. 5a) (Sect. 5a)
(Section 1a) (Section 2a) (Section 2a) Ref.
(R/NR) Property damage)
No.
1. Erection according the approved
drawing.
2. Inspection of scaffolding by authorized
/ competent person.
3. Where ever applicable provided
1. Injury / bone additional ties.
(Close to the edges). BOCW – Maharashtra Rules, Part III –
fracture/material 1. Adequate Safety Training
1. Improperly 4. Maintain safe distance from open Safety & Health, Chapter XXIII, Rule No
damage due to 1 4 AC 2. Materials free from damage 1 4 AC : 215 to 225 NA E&I C
erection of scaffold. holes and trenches.
men & materials 5. Ensure lock system of caster wheels
fall from height are in good condition.
5. Periodic inspection.
6. Life line for the erectors.
7. Use safety helmet, safety jacket,
safety shoes, safety goggle, leather hand
3 Scaffolding erection R gloves and its correct usage.
1. Muscular- 1. Experienced/trained work force.
2. Improper manual
Skeletal 2. Training and awareness to Adopt 1 2 AC NIL 1 2 AC HSE Plan NA E&C NIL
handling correct posture to lift. Shift the materials.
disorders
1. Injury/bone
3. Poor fracture due to 1. Adequate Safety Training HSE Plan
1. Trained/experienced work force. 1 3 AC 1 3 AC NA I&C E
workmanship. collapse of 2. Proper supervision.
scaffolding.
1. Injury/bone
1. Frequent training and awareness talk BOCW – Maharashtra Rules, Part III –
fracture due to Safety & Health
to the supervisors.
4. Lack of collapse/
2. Disciplinary action against the 1 3 AC NIL 1 3 AC NA C NIL
supervision. toppling of violators. Chapter XXIII, Rule No : 216
scaffolding
structure.
1. Injury / bone
fracture / fatality 1. Scaffolding should be secured with the
jack props which is secured in between
2. Place of scaffold due to topple the HSE Plan
the slabs. 4 5 UN 1. Adequate Safety Training 1 5 TL NA I&C E
in uneven surface. scaffolding. 2. Locks are in good condition to arrest
2. Material the caster wheels.
damage.
4 Work on scaffolding
1. Injury / bone 1. Close the trenches appropriately
platform R 3. Open trenches HSE Plan
fracture due to where ever work with scaffolding working 1 3 AC 1. Adequate Safety Training 1 3 AC NA I E
and holes. platforms.
toppling of the
Page 3 of 6
scaffold.
1. Injury/bone
fracture due to
collapse/ 1. Frequent training and awareness talk
to the supervisors.
4. Lack of toppling of HSE Plan
2. Disciplinary action against the 1 3 AC 1. Ensure full time supervision at site. 1 3 AC NA C E
supervision. scaffolding violators.
structure.
2. Poor
workmanship.
1. Regular inspection &color coding 1. Removed all damaged power tools from the
5. Damaged power 1. Electric shock. system including DB HSE Plan&BOCW Act(Sec: 106) Fixed
site/repaired. electric apparatus
tools & extension 2. Burn Injury. 2. Daily visual safety inspection. 4 5 UN 1 5 TL NA C E&I
3. No taping joints at site. 2. Ensure dead man switches and its
leads 3. Electrocution.
4. Breaker/MCCB/RCCB functioning.
Section A EXACT SEQUENCE OF WORK ( as planned for execution) Section B RISK ASSESSMENT Section C RESIDUAL RISK *RISK MITIGATION
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
Activity Consequence
Applicable
Sl. (Nature of Probability Severity of Severity of SOP / Existing
OH&S Hazard Existing Control Measures Risk Category Proposed Control Measures Probability Risk Category Legal & Proposed
No Description Type Injury / Illness (How frequent) Harm Harm Program (Sect.
Description (Describe Briefly) (Section 4a) (Define Briefly) (Section 1a) (Section 4a) Other (Sect. 5a)
(R/NR) Property (Section 1a) (Section 2a) (Section 2a) Ref. No. 5a)
Requirement
damage)
BOCW –
Maharashtra Rules
1. Work without 3. Adequate PPEs ( safety helmet, -Part III – Safety &
1. Injury to the safety goggle, safety jacket, safety Health - Chapter –
PPEs/incorrect 1 3 AC 1. Education, training and enforcement. 1 3 AC NA P D
person shoes, safety hand gloves& safety X, General
usage.
harness) Provisions
Rule No : 81
Installation of 1. Injury/damage
5 4. Inexperienced HSE Plan
Hanging rods materials due to 1. Competency checking through
NR workforce. 1 2 AC 1. Adequate Safety Training. 1 2 AC & NA C D
poor screening.
BOCW Act
workmanship.
1. Experienced workers for loading
5. Improper manual 1. and unloading. 1. Shall be avoided manual handling,
handling Musculoskeletal 2. Adopt correct posture. 1 2 AC oversize or over weight. And use suitable 1 2 AC HSE Plan NA E I
disorders & 3. Training & awareness. equipment for the same.
injury from sharp 4. Adequate PPE ( safety helmet,
edges. safety goggle, safety jacket, safety
hand gloves, safety shoes))
1. Sufficient illumination.
1. Physical 1. Arrangement of sufficient halogen lights
5. Poor Illumination 2. Not less than 55 lux illumination to 1 AC 1 1 AC HSE Plan NA C E
strain. 1 according the site requirement
perform the job.
7. Poor 1. Injury due to 1. Regular housekeeping after the 1 1. Make practice to do housekeeping every
1 AC 1 1 AC HSE Plan NA E C
housekeeping trip and fall job. day.
Page 4 of 6
of the PPE Chapter XXIII,
usage) Rule No : 216
Note: It is mandatory to prepare STA of concerned activity and communicated to the workers in the TBT regularly before commencing the job.
Section A EXACT SEQUENCE OF WORK ( as planned for execution) Section B RISK ASSESSMENT Section C RESIDUAL RISK *RISK MITIGATION
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
Activity Consequence
Applicable
Sl. (Nature of Probability Severity of Severity of SOP / Existing
OH&S Hazard Existing Control Measures Risk Category Proposed Control Measures Probability Risk Category Legal & Proposed
No Description Type Injury / Illness (How frequent) Harm Harm Program (Sect.
Description (Describe Briefly) (Section 4a) (Define Briefly) (Section 1a) (Section 4a) Other (Sect. 5a)
(R/NR) Property (Section 1a) (Section 2a) (Section 2a) Ref. No. 5a)
Requirement
damage)
BOCW –
Maharashtra Rules
1. Work without 3. Adequate PPEs ( safety helmet, -Part III – Safety &
1. Injury to the safety goggle, safety jacket, safety Health - Chapter –
PPEs/incorrect 1 3 AC 1. Education, training and enforcement. 1 3 AC NA P D
person shoes, safety hand gloves& safety X, General
usage.
harness) Provisions
Rule No : 81
Installation of 1. Injury/damage
6 4. Inexperienced HSE Plan
Hanging rods with materials due to 1. Competency checking through
1 2 AC 1. Adequate Safety Training. 1 2 AC & NA C D
Subparts of Petals NR workforce. poor screening.
BOCW Act
workmanship.
1. Experienced workers for loading
5. Improper manual 1. and unloading. 1. Shall be avoided manual handling,
handling Musculoskeletal 2. Adopt correct posture. 1 2 AC oversize or over weight. And use suitable 1 2 AC HSE Plan NA E I
disorders & 3. Training & awareness. equipment for the same.
injury from sharp 4. Adequate PPE ( safety helmet,
edges. safety goggle, safety jacket, safety
hand gloves, safety shoes))
1. Sufficient illumination.
1. Physical 1. Arrangement of sufficient halogen lights
5. Poor Illumination 2. Not less than 55 lux illumination to 1 AC 1 1 AC HSE Plan NA C E
strain. 1 according the site requirement
perform the job.
7. Poor 1. Injury due to 1. Regular housekeeping after the 1 1. Make practice to do housekeeping every
1 AC 1 1 AC HSE Plan NA E C
housekeeping trip and fall job. day.
BOCW –
1. Injury/bone
1. Frequent training and awareness Maharashtra
fracture due to
talk to the supervisors. Rules, Part III –
8. Lack of fall from height 1. Safety training for work at height and
2. Disciplinary action against the 1 3 AC 1 3 AC Safety & Health - NA E, P & D D
supervision (non-compliance manual handling Chapter XXIII,
violators.
of the PPE Rule No : 216
usage)
Page 5 of 6
Section A EXACT SEQUENCE OF WORK ( as planned for execution) Section B RISK ASSESSMENT Section C RESIDUAL RISK *RISK MITIGATION
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17
Activity Consequence
Applicable
Sl. (Nature of Probability Severity of Severity of SOP / Existing
OH&S Hazard Existing Control Measures Risk Category Proposed Control Measures Probability Risk Category Legal & Proposed
No Description Type Injury / Illness (How frequent) Harm Harm Program (Sect.
Description (Describe Briefly) (Section 4a) (Define Briefly) (Section 1a) (Section 4a) Other (Sect. 5a)
(R/NR) Property (Section 1a) (Section 2a) (Section 2a) Ref. No. 5a)
Requirement
damage)
BOCW –
Maharashtra Rules
1. Work without 3. Adequate PPEs ( safety helmet, -Part III – Safety &
1. Injury to the safety goggle, safety jacket, safety Health - Chapter –
PPEs/incorrect 1 3 AC 1. Education, training and enforcement. 1 3 AC NA P D
person shoes, safety hand gloves& safety X, General
usage.
harness) Provisions
Rule No : 81
Installation Of 1. Injury/damage
7 4. Inexperienced HSE Plan
Connection box, LED materials due to 1. Competency checking through
1 2 AC 1. Adequate Safety Training. 1 2 AC & NA C D
Pixel and Crystal NR workforce. poor screening.
BOCW Act
workmanship.
1. Experienced workers for loading
5. Improper manual 1. and unloading. 1. Shall be avoided manual handling,
handling Musculoskeletal 2. Adopt correct posture. 1 2 AC oversize or over weight. And use suitable 1 2 AC HSE Plan NA E I
disorders & 3. Training & awareness. equipment for the same.
injury from sharp 4. Adequate PPE ( safety helmet,
edges. safety goggle, safety jacket, safety
hand gloves, safety shoes))
1. Sufficient illumination.
1. Physical 1. Arrangement of sufficient halogen lights
5. Poor Illumination 2. Not less than 55 lux illumination to 1 AC 1 1 AC HSE Plan NA C E
strain. 1 according the site requirement
perform the job.
7. Poor 1. Injury due to 1. Regular housekeeping after the 1 1. Make practice to do housekeeping every
1 AC 1 1 AC HSE Plan NA E C
housekeeping trip and fall job. day.
BOCW –
1. Injury/bone
1. Frequent training and awareness Maharashtra
fracture due to
talk to the supervisors. Rules, Part III –
8. Lack of fall from height 1. Safety training for work at height and
2. Disciplinary action against the 1 3 AC 1 3 AC Safety & Health - NA E, P & D D
supervision (non-compliance manual handling Chapter XXIII,
violators.
of the PPE Rule No : 216
usage)
Page 6 of 6