FORM # HSE-F-50

SHELL BIRD GROUP OF COMPANIES

REVISION 3
(SEM / SC)
HAZARD IDENTIFICATION & RISK ASSESSMENT FORM DATE 04/04/2019
`
Risk Assessment Number 002 Date 25-02-2020 Assessment Name Designation Signature & Date
Project: DEWA RFX 38 Prepared By: HSE Officer
Activity Reviewed by: Project Engineer
Reason for assessment Part of Method Statement Approved by: Project Manager
PERSONS AT RISK

Own Employees  Sub-contractors  Other Workers  Visitors  Public 

Young Persons  Pregnant Women  Lone Workers  Disabled  Other 

HAZARDS
Electrical  Falling Objects  Lifting Operation  Dust  Demolition 
Mobile Plant  Mobile Vehicles  Excavations  Confined Space  Buried Services 
Overhead Service  Manual Handling  Vibration  Noise  Fire or Explosion
Fumes or Gas  Near or In Water  Collapse  Adverse Weather  Chemical 
Health  Physical 

* See the Risk Assessment Matrix Chart Continued? YES / NO

Control measures are required to ensure that the residual risk rating is at a minimum level so the activity can commence safely. If the activity still has a high residual risk rating then it is necessary to find another
method of carrying out the task.
WE NEVER STOP CARING ABOUT YOU!
 LEGAL INITIAL RESIDUAL
ACTION
REQ WHO RISK CONTROL MEASURES ADDITIONAL CONTROL RISK
RISK / BY
ACTIVITIES HAZARD DM MIGHT BY RATING* MEASURES RATING*
IMPACT COCSP HARMED
L S (R) L S (R)

Unloading Truck may  strike Helper  Before work

from Tank move Supervis starts TBT
Make sure that the manual brakes
Trucks or
and a vehicle lock are applied so that Must be conducted
and plant 4
3 12 the truck cannot move during the (All workers must be 1 3 3
operations. Under no circumstances away from ducts,
should the truck be left unobserved. pumps, except
supervisor and helper.

Transfer leakage  hydro Helper  workers

of chloric acid supervis Make sure in advance that there are working in this area
chemicals might be or no defects in the lid of the tank, the
4 must wear their
ejected to 4 16 flange connected to the pipeline, the 2 2 4
appropriate PPE
cause an valves
accident

Transfer leakage  skin Helper If it comes into contact

of contact supervis with your skin, flush
chemicals or PPE must be worn, PVC disposable immediately with
5
4 20 coverall, and PVC hand gloves. plenty of water for at 2 2 4
least 15 minutes and
remove any
contaminated clothing.
Transfer leakage  Eye Helper 4 5 20 Involved workers must wear their If any chemical gets 1 4 4
of Contact supervis goggles. into eyes, immediately
chemicals or flush with plenty of
water for at least 15
minutes. Seek
See the Risk Assessment Matrix Chart Continued? YES / NO

Control measures are required to ensure that the residual risk rating is at a minimum level so the activity can commence safely. If the activity still has a high residual risk rating then it is necessary to find another
method of carrying out the task.
 LEGAL INITIAL RESIDUAL
ACTION
REQ WHO RISK CONTROL MEASURES ADDITIONAL CONTROL RISK
RISK / BY
ACTIVITIES HAZARD DM MIGHT BY RATING* MEASURES RATING*
IMPACT COCSP HARMED
L S (R) L S (R)

immediate medical
attention.

Transfer leakage  Inhala Helper  If someone

of tion supervis inhales hydrochloric
chemicals or acid vapors or mists,
3 4 12 Safety mask respirator must be worn 1
seek fresh air and
medical attention
immediately.

Note:
Fire Precautions
Although hydrochloric acid itself is not combustible, it corrodes various metals to generate hydrogen. Therefore, isolate any flames during the
operation of the pipelines and the tank.
Education and training
Workers shall know
The location of protectors, showers, eye washers, water taps, cleaning hoses, and first aid facilities ・Proper methods for the use of protectors
and first aid facilities ・First aid measures to be taken in case of an emergency.

See the Risk Assessment Matrix Chart Continued? YES / NO

Control measures are required to ensure that the residual risk rating is at a minimum level so the activity can commence safely. If the activity still has a high residual risk rating then it is necessary to find another
method of carrying out the task.
 FORM # HSE-F-50
SHELL BIRD GROUP OF COMPANIES
(SEM / SC) REVISION 2
HAZARD IDENTIFICATION & RISK ASSESSMENT FORM
DATE 26/04/2018

Risk Matrix (Severity = Probability X Consequence)

Severity CONSEQUENCE (Potential severity of consequences of injury or damage)
(1) Insignificant (2) Minor (3) Moderate (4) Major (5) Catastrophic
(LIKELIHOOD )
PROBABILITY

 Minor injuries, which may  Injuries requiring on-site treatment  Serious injuries requiring off-site  Single fatality. Multiple fatalities.

require self-administered by medical practitioner. Personnel treatment by medical practitioner or  Major damage to structures/items Irreparable damage to highly

first aid. Injured personnel unable to continue to perform immediate evacuation to hospital. of cultural significance, or Major valued structures/ items/

can continue to perform duties. Potential Long-term or permanently infringement of cultural values/ locations of cultural

normal duties.  Minor repairable damage to disabling effects. sacred locations. significance or sacred value.
(likelihood of failure of
control measures)

 Minor repairable damage structures/items of cultural  Moderate damage to structures/  Production loss or delay for over Loss of license to operate or

to commonplace structures significance, or minor infringements items of cultural significance, or one month. ability to produce indefinitely.

 Without causing of cultural values. significant infringement of cultural Severe financial penalties or

production loss.  Production loss. values/ sacred locations. legal liabilities, cost to repair,

 Production loss or delay of 1 week. plant damage).

(1) Rare -
1 2 3 4 5
Never occurred

(2) Possible
2 4 6 8 10
Has occurred

(3) Likely

Occurred more than 3 6 9 12 15

once

* See the Risk Assessment Matrix Chart Continued? YES / NO

Control measures are required to ensure that the residual risk rating is at a minimum level, so the activity can commence safely. If the activity still has a high residual risk rating then it is necessary to find another
method of carrying out the task.
WE NEVER STOP CARING ABOUT YOU!
 (4) Often

Occurs several times / 4 8 12 16 20

year

(5) Frequent
5 10 15 20 25
Occurs frequently

Risk Legend
1-5 Low No action required, unless escalation of risk is possible.

6-10 Moderate Activity or industry can operate subject to management and /or modification

11-15 High Activity or industry should be modified to include remedial planning and action and be subject to detailed EHS assessment.

16-25 Extreme Activity or industry should not proceed in current form.

See the Risk Assessment Matrix Chart Continued? YES / NO

Control measures are required to ensure that the residual risk rating is at a minimum level so the activity can commence safely. If the activity still has a high residual risk rating then it is necessary to find another
method of carrying out the task.