RISK ASSESSMENT FORM

TAKASAGO THERMAL ENGINEERING CO., LTD

INVENTORY OF WORK ACTIVITIES

Company: Date: 09-Feb-2021
No. Location Process Work Activities Remarks
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TAKASAGO THERMAL ENGINEERING CO., LTD RISK ASSESSMENT FORM

RISK ASSESSMENT
Company: Takasago Thermal Engineering RA Leader: Mr Yan Naing Htoo Approved By: Document No.
Process: Work at height activities RA Members 1: Mr Hein Ko Ko Signature:
Activity Location: RA Members 2: Mr Aung Paing Khant
Original Assessment Date: 09-Feb-2021 RA Members 3: Mr Thaw Zin Name: Mr.Tsuyoshi Miura Revision No.
Last Review Date: 09-Feb-2021 RA Members 4: Mr Myo Khant Kyaw Designation: Project Manager
0
Next Review Date: 09-Feb-2021 RA Members 5: Mr Wai Yan Tun Date: 09-Feb-2021

1. Hazard Identification 2. Risk Evaluation 3. Risk Control

Control
Possible Accident / Ill Initial Risk Residual Risk Action by:
Additional Risk Control Implement
No Activity Hazard Health & Persons-at- Existing Risk Control Index Index Designation
Measures ed
Risk (Follow up-date)
S L R S L R Yes / No
-Scaffold -Falling Object - Injury to labor - Barricade the area and putting 4 3 12 -Provide toe board and 3 1 3 -Site Engineer Yes
Erection - Property damage working at height signage not allow to put hand -Supervisor
-Must be worn proper PPE (Body tools and others at the -Labor
-Falling equipment harness etc.)
from above. edge of scaffold plank
-Check scaffold wheels, locking and hand tools should be
-Scaffold Vibration casters, cross bracing, and access tied with rope to avoid
gate before using. falling
-Not riding anyperson while -Make sure not to use
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scaffold moved. damaged scaffold plank,
-If you feel tired or dizzy, not claim bracket, and diagonal
on scaffold. brace
-Surface is level.
-Support scaffold if used 4-layer -Must display Red Scaff
scaffold. tag if the scaffold is not
ready to use

Likelihood Rare Remote Occasional Frequent

Almost Certain (5)
Severity (1) (2) (3) (4)
Catastrophic (5) 5 10 15 20 25

Major (4) 4 8 12 16 20

Moderate (3) 3 6 9 12 15

Minor (2) 2 4 6 8 10

Negligible (1) 1 2 3 4 5
 1. Hazard Identification 2. Risk Evaluation 3. Risk Control
Control
Possible Accident / Ill Initial Risk Residual Risk Action by:
Additional Risk Control Implement
No Activity Hazard Health & Persons-at- Existing Risk Control Index Index Designation
Measures ed
Risk (Follow up-date)
S L R S L R Yes / No
-Working at -Falling from -Fatality and serious -Must be worn full body harness 4 3 12 -Precheck before using 3 1 3 -Site Engineer Yes
height height injury during working at height body harness and lanyard -Supervisor
-Lanyard anchor point should be -Opening hatch must be -Labor
above the shoulder covered or barricade
-Anchor point should be strong
enough to hang 5000 pounds and -Life line have to provide
lanyard capacity should be 3000 if necessary

02 pounds

-Using -Body Injuries -The circumference of -Barricade the area and putting 4 3 12 -Checklist 3 1 3 -Site Engineer Yes
Boom lift/ -Falling hazard the lift often significant working at height signage -Signage -Supervisor
Scissor lift and tools can easily fall -Must be worn proper PPE (Body -Operator
-Properties harness etc.) -Short briefing prior to -Signal man
machine damaged from the platform and work.
Works serious injury to anyone -The circumference of the boom lift -Worker
-Environmental who may be standing is clear of any personnel while the -PTW system
hazard. below. boom lift is in use. -Signal man
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-Must be worn proper PPE.
-Do not lift over the weight limit.
-Machine operator must be trained
person who knowledge operation.
-Avoid windy condition when the
boom lift is extremely high.

Likelihood Rare Remote Occasional Frequent

Almost Certain (5)
Severity (1) (2) (3) (4)
Catastrophic (5) 5 10 15 20 25

Major (4) 4 8 12 16 20

Moderate (3) 3 6 9 12 15

Minor (2) 2 4 6 8 10

Negligible (1) 1 2 3 4 5
 Table 1 - Severity categories and description

Level Severity Description

5 Catastrophic
4 Major
3 Moderate
2 Minor
1 Negligible
Fatality, fatal diseases or multiple major injuries
Serious injuries or life-threatening occupational disease (include amputations, major
fractures, multiple injuries, occupational cancer, acute poisoning).
Injury requiring medical treatment or ill-health leading to disability (includes lacerations,
burns, sprains, minor fractures, dermatitis, deadness, work-related upper limb
disorders).
Injury or ill-health requiring first aid only (includes minor cuts and bruises, irritation, ill-
health with temporary discomfort).
Not likely to cause injury or ill-health.

Table 2 - Likelihood categories and description

Level Livelihood Description

1 Rare Not expected to occur but still possible
2 Remote Not likely to occur under normal circumstances
3 Occasional Possible or known to occur
4 Frequent Common occurrence
5 Almost Certain Continual or repeated experience

Table 3 – Risk matrix to determine Risk Level

Likelihoo
d Rare Remote Occasional Frequent
Almost Certain (5)
Severity (1) (2) (3) (4)

Catastrophic (5) 5 10 15 20 25
Major (4) 4 8 12 16 20
Moderate (3) 3 6 9 12 15
Minor (2) 2 4 6 8 10
Negligible (1) 1 2 3 4 5

Table 4 – Acceptability of risk and recommended actions

Acceptability of
Risk Level Recommended actions
risk

Low Risk No additional risk control measures may be needed. However, frequent review may be needed to
Acceptable
(1-3) ensure that the risk level assigned is accurate and does not increase over time.

A careful evaluation of the hazards should be carried out to ensure that the risk level is reduced to as
low as is practicable within a defined time period.
Medium Risk Moderately
(4-12) acceptable Interim risk control measures, such as administrative controls, may be implemented.

Management attention is required.

High Risk level must be reduced to at least Medium Risk before work commences.

There should not be any interim risk control measures and risk control measures should not be overly
High Risk
Not acceptable dependent on personal protective equipment or appliances. If need be, the hazard should be
(15-25)
eliminated before work commences.

Immediate management intervention is required before work commences.