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TECHNOLOGICAL INSTITUTE OF THE PHILIPPINES – MANILA

College of Engineering and Architecture


Civil Engineering Department

ASSIGNMENT NO. 4
MODULE 4

CEM 304

SUBMITTED BY:
Platoon N. Bejer
1810587
BSCE/CE32S2

SUBMITTED TO:
ENGR. MAUREEN PAULA SIGUIN
ACTIVITY-BASED RISK ASSESSMENT FORM
Location
Company PNB DEVELOPMENT CORPORATION Activity Earthworks Tambo, Parañaque
of Work
Name Designation Date Name Designation Date Name Designation Date
Conducted by (RA Approved
P. Bejer Team Leader 06/01/21 Reviewed by: E. Nicart Safety Engr. 08/01/21 J. Calleja Safety Engr. 06/02/21
Team Member) by
A.X. Bejer T. Member 06/01/21 G. Roque Safety Engr. 08/01/21 H. Torrero Safety Engr. 06/02/21

Next Review
Last Review Date 06/01/21 08/01/21
Date
Hazard Identification Hazard Identification Hazard Identification
Initial Risk Residual
Existing Risk Owner (Action Officer)
Description Hazards Index Additional Control Risk Index
S/No Risk Control
of work Identified Measures Designatio Follow-up
Measures F S R F S R Name
n Period
Always wear
complete PPE

Maintain good
housekeeping
Open
Ensure the
wounds,
Setting Tripping visibility of
scratch, A.Y.
1 Corner on markings Supervisor 07/26/21
splinter, Docena
Benchmark markings III III C
sprain, and
Dull the sharp
strain
edges of
markings

Provide
sufficient
lighting
Ensure safety officers
Always wear
are always monitoring
complete PPE
the activity
Maintain good
housekeeping
Ensure DOLE’s
Provisions for
Relocate
Excavation activities are
equipment
followed
Open near the
wounds, excavation pit
Remove loose rocks on
puncture
Collapse excavation walls to
wounds, Ensure correct A.Y.
2. Excavation of excava- III I A prevent them from IV II C Supervisor 07/26/21
suffocation, Docena
and prevent the pit
Ensure sufficient
dislocation from
support on excavation
collapsing
WORKPLACE ACTIVITY 1: STEELWORKS walls, when needed
Regular
Conduct briefing of
Steelworks are activities in Engineering that uses and
inspection steel in constructing workers
steel structures
on safety or steel-reinforced concrete structures. Steel
maintenance
improves the structural capacity of concrete and tension failure design protocols
improvesbefore
the safety of stakeholders during operation.
of burrows
conducting the activity
ACTIVITY-BASED RISK ASSESSMENT FORM
Location
Company PNB DEVELOPMENT CORPORATION Activity Earthworks Tambo, Parañaque
of Work
Name Designation Date Name Designation Date Name Designation Date
Conducted by (RA Approved
P. Bejer Team Leader 06/01/21 Reviewed by: E. Nicart Safety Engr. 08/01/21 J. Calleja Safety Engr. 06/02/21
Team Member) by
A.X. Bejer T. Member 06/01/21 G. Roque Safety Engr. 08/01/21 H. Torrero Safety Engr. 06/02/21

Next Review
Last Review Date 06/01/21 08/01/21
Date
Hazard Identification Hazard Identification Hazard Identification
Initial Risk Residual
Existing Risk Owner (Action Officer)
Description Hazards Index Additional Control Risk Index
S/No Risk Control
of work Identified Measures Designatio Follow-up
Measures F S R F S R Name
n Period
Always wear
complete PPE

Conduct
Minor burn regular
of welder’s equipment Only certified skilled
skin or maintenance welders shall be allowed
Exposure clothes, to weld
Welding A.Y.
1 to weld burn, can Remove IV III C Supervisor 07/26/21
connection Docena
spatter ignite flammable III II B Conduct proper
nearby materials near monitoring and safety
flammable welding evaluations regularly
materials stations

Have sufficient
fire retardant
nearby
Always wear
complete PPE Ensure Safety Officers
are always monitoring
Maintain good the outputs of workers
housekeeping at all times

Remove Avoid horseplay and


unnecessary unnecessary actions
Pro- Cuts, strains,
Installation protruding during working hours
truding sprain,
of rebars, components A.Y.
2. rebar, pinches, trip, II III B III III C Supervisor 07/26/21
stirrups, Organize tools and Docena
stirrups, fall, and
and ties Use materials after use
and ties splinter
appropriate

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