HIRARC FORM

CONDUCTED BY:
COMPANY : WH DESIGN
(NAME,DESIGNATION)
PROCESS/LOCATION: CONSTRUCTION SITE DATE: (FROM…TO…)
MOHD RIDZUAN BIN ABDULLAH - MANAGER
APPROBED BY: (NAME,DESIGNATION)

DATE: 8-Jan-21 REVIEW DATE: 10-Jan-21

1. HAZARD IDENTIFICATION 2. RISK ANALYSIS 3. RISK CONTROL

RECOMMENDED
EXISTING RISK
NO. WORK ACTIVITY HAZARD WHICH CAN CAUSE/EFFECT LIKELIHOOD SEVERITY RISK CONTROL MEASURE PIC (DUE DATE/
CONTROL (IF ANY)
STATUS)

1. Training
2. Awareness
4 3 12 program
Working on Working at 3. S.O.P A week
1 scaffolding height Falling from high place Safety work practice 4. Safety induction by SSS monitor on it

Moving Objects overhead 3 3 9 1. Awareness

(ex:bricks or lifting program
2 metals) equipment might caused slip disk Safety work practice 2. Safety induction 1 month by SHO

3 2 6 1. Awareness
program
3 Floor hacking Noise Might damage hearing S.O.P/PPE 2. Safety induction 1 week by SHO
 1. Training
2. Awareness
3 4 12 program
risk of a respiratory infection by 3. S.O.P
4 Cooling tower Chemical Legionella bacteria S.O.P/PPE 4. Safety induction 1 month by SHO

Work must be done

distribution board 3 4 12 ny competent person 1 month by SHO &
5 installation Electrical Electrical trip Safety work practice (PW4) PW4