Professional Documents
Culture Documents
Biological ☐ Poisonous plants ☐ Animals ☐ Blood-borne Disease ☐ Food-borne bacteria ☐ Water-borne bacteria
☐ Human immune ☐ Disease-transmitting ☐ Other communicable
☐ Cold and flu viruses ☐ Parasitic insects
deficiency virus insects diseases
Body Mechanics
☐ Manual Lifting ☐ Pushing ☐ Pulling ☒ Climbing ☐ Positioning
☐ Corrosive: Click here ☐ Toxic Solid: Click ☐ Toxic Liquid: Click ☐ Toxic Gas: Click here
☒ Hydrocarbon gas
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Chemical ☐ LPGs (e.g. propane) ☐ LNGs ☐ Condensate, NGL ☐ Wax, Lube and seal oil ☐ Hydraulic oil
Electrical ☐ Voltage > 50V to 440V ☐ Voltage > 50V to 440V ☐ Temporary power
☐ Voltage > 440V ☐ Electrostatic energy
in cables in equipment sources
☐ Power Tools ☐ Inadequate Isolation ☐ Lightning discharge ☐ Weld arcing
Gravity ☐ People at height > ☐ People at height < ☐ Sloping or slippery ☐ People below grade > ☐ Near an unprotected
1.8m 1.8m surface 1.5m edge
☐ Overhead equipment ☐ Dropped Objects ☐ Mechanical Lifting ☐ Excavation ☐ People under water
☐ Process piping &
☐ Engine and turbine ☐ Process piping and
Thermal ☐ Steam piping equip between 60°C & ☐ Heaters with fire tube
exhaust systems equipment over 150 °C
150°C
☐ Temperatures ☐ Temperatures greater ☐ Process piping ☐ Process piping less
☐ Flares
between 100°C & 150°C than 150°C between −25°C & −80°C than −80°C
Mechanical ☒ Trapping ☐ Crushing ☐ Pressing ☐ Shearing ☐ Ejection
Hazard Group Hazard ID
☐ Impact with mobile
☐ Puncture ☐ Cutting ☐ Friction or Abrasion ☐ Entanglement
equipment
☐ Use of hazardous
☐ Equipment with ☐ Use of knives and
hand tools (grinding, ☐ Hand-arm vibration ☐ Whole body vibration
moving or rotating parts other sharp objects
sawing)
Noise
☐ Loud steady noise >
☐ Intrusive noise ☐ Noise due to impact
85 dBA
☐ Bottled gases under ☐ Water under pressure ☐ Air under high ☒ Oil and hydrocarbon ☐ Non-hydrocarbon gas
pressure in pipework pressure gas under pressure under pressure
Pressure
☐ Hyperbaric operations ☐ Decompression ☐ Objects under ☐ Unable to prove ☐ Low points, dead legs,
(diving) (diving) compression isolation un-drained points
☐ Trapped Pressure ☐ Explosion ☐ Valves passing ☐ Objects under tension ☐ Negative pressure
☐ E/M radiation: high
Radiation ☐ Ultraviolet ☐ Infrared ☐ Microwaves ☐ Lasers
voltage AC cables
☐ Alpha, beta, open ☐ Gamma rays, open ☐ Naturally occurring ☐ Alpha, beta, closed ☐ Gamma rays, closed
source source ionizing radiation source source
☒ Lighting ☐ Bullying, harassment ☐ Working alone ☐ Workstations ☐ Work planning issues
☐ Long and irregular ☒ Manual materials ☐ Cold stress (low ☐ Heat stress (high ☐ Incompatible hand
working hours/shifts handling ambient temperatures) ambient temperatures) controls
Human Factors
☐ Awkward location of ☐ Mismatch of work to ☐ Mismatch of work to ☐ Poor organization and ☐ Indoor climate (too
workplace & machinery physical abilities cognitive abilities job design hot / cold / dry / humid)
☐ Medical unfitness ☐ Motion sickness ☐ Post-traumatic stress ☐ Fatigue ☐ Shift work
☐ Inadequate ☒ Inadequate ☐ Inadequate ☐ Complex work
☐ New to area / task
Competency Communication Emergency evacuation procedures
Weather
☐ High Wind: ☐ Rains ☐ Sea state/currents ☐ Tectonic
HAZARD IDENTIFICATION AND RISK ASSESSMENT PROFORMA:
INITIAL RISK
HAZARD IDENTIFICATION CONTROL MEASURES ACTION RESIDUAL RISK (R)
EVALUATION
TASK STEPS
Consequ Severit Likelih Risk Sign Severi Likelih Risk
Hazard Description List all Controls Required SPA
ence y ood Rating Off ty ood Rating
List the main task - Describe all hazards Type of From From Classify - Describe fully all controls Name / Signa From From Classify
steps required to identified for each task effect (i.e. matrix, matrix, risk applicable for each hazard Title of ture matrix, matrix, risk
complete the - Identify Source of injury, identify identify rating according to Hierarchy of person of identify identify rating
job/work detailed Energy for each Hazard damage or severit likeliho from controls. who will SPA severit likeliho from
in Task Description (Chemical (C), Biological environm y with od with matrix - All controls must be valid in put the whe y with od with matrix
(B), Mechanical (M), Body ental no no for that they reduce severity, controls n control control for
Mechanics (BM), impact) control control each likelihood or both in place contr s in s in each
S
H Electrical (E), Gravity (G), s in s in hazard Ho - Use Hierarchy of Control ols place place hazard
o
T Noise (N), Pressure (P), place place C (L1, L2, L3, L4, L5, L6) are for for
E
Thermal (T), Radiation for for - If PPE is used as a control, read each each
(R), Human Factors (HF), each each it must be specifically y hazard hazard
Weather (W), SIMOPS hazard hazard described
(SO))
- Identify Hazard Type:
Task (T), Job Site (J),
Process (P)
Working inside H j Falling/ Asphyxiation Injury Make Oxygen test before E 2 4
confined space F the worker might D 3 7 entrance to pit, must be not
exposed to severe injury less than 20.8%
L4
Rescue plan
Rescue plan
The provision of
L5 information, instructions,
training and supervision.
Tools that have sharp Regular inspection and
edges, rough surfaces L5 defect reporting for all hand
Using Hand tools M T Injury D 3 7 tools. E 2 4
may injure the worker’s
hand
Mechanical gloves that allow
a good grip for the hand of
L6
the user while using hand
tools.
REVIEW AND APPROVAL TO PROCEED
Assessment Completed By:
Name Position Signature Company Date
Mohamed Talaat Rashad HITRA TL UGDC 28-03-2019
Performing Authority UGDC 28-03-2019
HSE Representative UGDC 28-03-2019
Area Authority / Affected UGDC 28-03-2019
LIKELIHOOD
SEVERITY 1 2 3 4 5
RESIDUAL RISK Required Approval Name Signature Date
A 6 8 10 11 12
B 5 7 9 10 11 ☐ White Area Authority (AA)
C 4 6 8 9 10 ☐ Turquoise Plant Manager/Delegated
D 3 5 7 8 9 ☐ Dark Blue Operations GM
E 2 4 6 7 8 ☐ Purple & B+ Activity Not Allowed