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Project Name: 380kV OHTL from JEC-JRP Abha East 380kV BSP Contract No 4400005257 Permit No. Reference No.
RA TEAM (NAMES) DESIGNATION SIGNATURES TASK/ACTIVITY/PROCESS NAME RISK EVALUATION TABLE
1. Mr. Gijo M. Eapen Civil Surveyor ________________ PERSON 2 3 6
RISK FACTOR PROBABILITY
EXPOSED Remote Possible Probable
2. Mr. Owen Villarino HSE Coordinator ________________
ACCESS ROAD REPAIR E – SEC Employee / High RiskEliminate; WSWP to 6
Consultant 25 - 36 Major/Fatal Injury M M H
reduce risk to acceptable level
SEVERITY
C – Contractors /
Medium RiskAcceptable 4
12 - 24 only with full implementation L M M
Sub-contractors Reportable Injury
WORK LOCATION: of all control measures.
O – Others, such as
1 - 11
Maintainall basic disciplines 2
Public, visitor
and clients. and controls. First Aid or Minor L L M
DEPARTMENT/AREA APPROVED BY DATE : January 18, 2017 NEXT REVIEW DATE: June 26, 2018
MANAGER/SUPERVISOR:
Identify the hazard on the given task and conduct assessment of the actual site condition, all identified risk should provide with a plan to eliminate or control the risk.
RISK ASSESSMENT
HAZARD IDENTIFICATION CONTROL Consequences X Likelihood =
RISK REDUCTION ACTION PLAN
Consequences X Likelihood = Risk Ranking
Risk Ranking
Person
ImplementedControls
Risks Issue
Risk Ranking
Risk Ranking
Consequence
Consequence
(Possible incident)
Exposed Follow up by
Likelihood
Likelihood
Workplace/Activity/
[What can go wrong] IMPROVED EXISTING Whom (name)
HAZARD EXISTING CONTROLS
No.
Prepared by: Owen Villarino/ HSE Coordinator Approved by: M. Ramesh/ Construction Manager Element Reference No: 2.8 Page No: Revision No:
Signature: Signature SEC EHV FORMS 2.8 G 4 Page 1 of 1 00