Seri Libana PPC JV Sdn Bhd Doc Ref : SLPPCJV/140/PQHSEP/F003

Revision 2 Effective 01.11.2019 Page 1 of 2

HIRARC Form (Hazard Identification, Risk Assessment, Risk Control)

Process Screeding Works Prepared By Reviewed By Approved By Ref No
Location Name HIRARC/032
Project   Designation         Rev No
Project Ref            
Signature
Legal Req OSHA 1994 - Act 514       Effective Date
FMA 1967 - Act 139, (BOWEC) Reg.86 - Part XIII Date          

HI (Hazard Identification) RA (Risk Assessment) RC (Risk Control)

Risk (R)-Effect &
No Activity Hazard Current Control Severity Likelihood Risk Rating Recommended Control Responsibility
Opportunity (O)

Transfer material to work Falling object Serious bodily injury Provide lifting cage, assist by 3 1 3(L) Site Supervisor
place area designated signalman, SWP/SOP

Likelihood Severity
Rating Severity Rating Risk Rating
(Probability) Likelihood 1 2 3 4 5
5 Numerous fatalities, irrecoverable property damage and productivity 5 Most likely 5 5 10 15 20 25
Level Score
4 Approximately 1 single fatality, major property damaged if hazard realized 4 Possible 4 4 8 12 16 20
High
3 Non-fatality, injury, permanent disability. Serious bodily injury, serious work related ill health (occupational poisoning / diseases) 3 Conceivable H 3 3 6 9 12 15
15 – 25
Medium
2 Disabling but not permanent injury. Ill health requiring medical treatment 2 Remote M 2 2 4 6 8 10
5 – 12
Low
1 Minor abrasions, bruises, cuts, first aid type injury. Ill health requiring first aid treatment only, no loss of work time 1 Inconceivable L 1 1 2 3 4 5
1–4

Project QHSE Plan

 Seri Libana PPC JV Sdn Bhd Doc Ref : SLPPCJV/140/PQHSEP/F003
Revision 2 Effective 01.11.2019 Page 2 of 2

HIRARC Form (Hazard Identification, Risk Assessment, Risk Control)

Process Screeding Works  Ref No
Location HIRARC/032

HI (Hazard Identification) RA (Risk Assessment) RC (Risk Control)

Risk (R)-Effect &
No Activity Hazard Current Control Severity Likelihood Risk Rating Recommended Control Responsibility
Opportunity (O)

Likelihood Severity
Rating Severity Rating Risk Rating
(Probability) Likelihood 1 2 3 4 5
5 Numerous fatalities, irrecoverable property damage and productivity 5 Most likely 5 5 10 15 20 25
Level Score
4 Approximately 1 single fatality, major property damaged if hazard realized 4 Possible 4 4 8 12 16 20
High
3 Non-fatality, injury, permanent disability. Serious bodily injury, serious work related ill health (occupational poisoning / diseases) 3 Conceivable H 3 3 6 9 12 15
15 – 25
Medium
2 Disabling but not permanent injury. Ill health requiring medical treatment 2 Remote M 2 2 4 6 8 10
5 – 12
Low
1 Minor abrasions, bruises, cuts, first aid type injury. Ill health requiring first aid treatment only, no loss of work time 1 Inconceivable L 1 1 2 3 4 5
1–4

Project QHSE Plan