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Risk Assessment/Management Form

Ref:
Section / Dept: civil , Contractor : Activity: Risk Assessment for Location:
Grouting work

Risk rating

Proba

Proba

Resid
Sl Basic Job Initial Additional Ri

bility

bility

ual
risk
Potential Hazard Consequence Current control measure
No. Steps Risk control s
measure k
ra
P E A R P
ti E A R
Both the activity upper and ground level should n
not be started simantaniously g
Fall of materials from Deployment skill workmen only
Grouting at ground Get Injury/Fatality
height Use of safety shoe,Helmet with chin strap &
level
Hand Gloves
Access should be free from obstruction
1 2 0 0 0 2 4
Skin Irritation Effects of skin To use rubber hand gloves
To use double rope full body harnesss and
Grouting at height Person fall form height Get Injury/Fatality anchored it above the head height to a fix
stable structure
Proper access to be made foe ascending and
descending
Prepared By Approved By Reviwed By
Contractor Contractor
Date Date Date

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