Job Name-

Contractor Name -
Subject -
Date -

Risk Identification Desired Controls and Existing Gaps, If Any Risk Assesment Recommended Control Actions Action By Remarks
to Reduce the Risk Level

SN Activity Activity Type Hazards Condition Associated Desired Control Gaps If Any Probability(P) Impact(I) Risk Risk
R/NR (N/AN/E) Risk Measures R=P*I Classification

1. Ensure Valid permit before the work and surrounding areas

1. Sudden Exposure towards
explosive/ toxic substances.
2. Fire/ Explosion
3. Body Part Injury of
Dismantling of Individuals.
1 Pumps, Valves and NR 4. Burn Injury of Individuals.
related accessories 5. Huge amount of spillage
of any chemical/
inflammable/toxic
substances.
to be barricaded.
2. Proper drawing must be consulted which indictes the
area/part to be dismantled.
3. Disconnection/Complete isolation from the live section/area
to be ensured.
4. Disconnection/ complete isolation of all the electrical
i) Body part injury. connections/supply related to the dismantled area.
Ii) Head Injury 5. Proper Drain/Vent of the pipelines attached to the pumps.
iii) Major Accidents 6. Proper cleaning to be ensured before commencing any hot Risk rating reduces after 1. Strict Compliances of PTW
N iv) Major Fire/Explosion work. 1. Hurry during the work. VL MF H taking desired control system. Mr. Srikanta Bhuiyan
v) Major Burn Injury 7. Continuous monitoring of the job by experienced measures.
vi) Property Engineer/Supervisor.
Damage/Loss. 8. Use of all requisite PPEs.
9. For majority of the dismantlingj ob, Hot work should be
avoided. Disconnection from pipeline flanges/ valve flanges is
suggested.
10. In case of hot jobs at inflammable oil line one end to be
opened. If possible nitrogen purging to be done along with
complete isolation from present live lines.

Likelihood - Possibility of occurrence of risks based on present gaps(Technological/operational/competence/measurement and monitoring

UL:Unlikely, L:Likely, VL:Very Likely, FR: Frequent, C:Continuous
Impact-
SI- Slight Injury, MI - Minor Injury, MJ - Major Injury, SF- Single Fatality, MF - Multiple Fatality
Level of Consequences - Refer guidence criteria for this i.e.Possible degree of damage.
Condition - N: Normal, AN-Abnormal, E- Emergency
Activity Type -: R- Routine, NR- Non-Routine
Risk -
L - Low Risk, M-Moderate Risk, H-High Risk
Impact Probability
UL - 1 L-2 VL - 3 FR -3 C-4

MF HIGH RISK
5 5
10 15 20 25

SI- Slight Injury, MI - M

SF
4 8 12 16 20
4

MODERATE UL:Unlikely, L:Lik

MJ RISK
3 6 (ALARP) 12 15
3 9

MI
2 4 6 8 10
2

SI LOW RISK
1 3 4 5
1 2
Risk Rating = Impact * Probability
Low Risk £ 3
4 £ Moderate Risk ³ 9
High Risk ³ 10
 Impact-
SI- Slight Injury, MI - Minor Injury, MJ - Major Injury, SF- Single Fatality, MF -
Multiple Fatality

Probability
UL:Unlikely, L:Likely, VL:Very Likely, FR: Frequent, C:Continuous