HAZARD IDENTIFICATION & RISK ASSESMENT (HIRA)

OHS-PR-09-03-F05 (A) CRITICAL TASK ANALYSIS

Operating Area: Department:

Project Name:
Contractor Name: Project Type: Contract No.:

JOB/TASK TYPE: DATE:

HIRA Team:
Name Designation Signature Name Designation Signature

Reviewed by: Date: Signature: Approved by Manager: Date : Signature :

PROBA IS IT AN
BILITY/ INHE CLASSIFICATION
HAZARD POTENTIAL PAST EXPERIENCE SEVERIT IS IT A
RENT OF CRITICAL
Y NEW OR TASKS
LY UN
S. DOES ANY PART OF THE TASK HAVE HAS ANY PART OF THE TASK CAUSED
LIST ALL TASKS IN SECTION HAZARD USUAL
No. DISRUPTION NEAR
LOSS/ OUS TASK?
INJURY / LOSS DISRUPTION/ MISS P S
DAMAGE INJURY TASK? TOTAL RANK
POTENTIAL POLLUTION DAMAGE POLLUTION
POTENTIAL
POTENTIAL 1-5 1-5 1-5

Rating Table: HIGH-5, MED-HIGH-4, MED-3, MED-LOW-2, LOW-1

OHS Forms Procedure Reference Revision Number Revision Date Approved By

CRITICAL TASK ANALYSIS OHS-PR-09-03-F05 (A) 0 MAY 2021 OHSMS