HEALTH AND SAFETY RISK ASSESSMENT FORM

Activity: Column Concreting Assessment date: 01 st Oct 2021 Ref.No. RA/011

Assessor(s): Rev Date: 01 st Oct 2021 Reviewed By:
Next Rev DT: 01st April 2022 Rev. No : 0

To Carry out an activity safely

Final Risk Rating should be reduced to 20 or below. Exemption: Work Covered by Permit to Work(PTW) and Vehicle Driving

Risk Rating Final Risk Rating

Legal
requirem Existing Control Measures with Additional Control Measure(s) required with
Hazard Person(s)

Likelihood

Likelihood

Final Risk
Hazard(s) ent to be mechanism from hierarchy of mechanism from hierarchy of control for

Number

Number
Severity

Severity
Effect at risk

Risk
complied Control for each identified hazard each identified hazard
(Yes/No)

Fall of Injury, Workmen Yes The working platform provided shall Scaff-tag shall be in place and shall be duly
men fracture be constructed by competent person, inspected by a competent person on weekly
inspected and tagged. basis.
The platform shall be fully planked, The scaffolding / working platform shall be
secured with suitable access. erected on firm base (well compacted area).
2 5 5 50 2 5 1 10
The scaffolding shall be provided with Bracing shall be provided at suitable places.
guard rail, midrail and handrail. No personnel shall be allowed to work outside
No damaged / broken planks shall be the working platform and if they need to
used at any stage. come out for some emergency activity safety
harness shall be used and clipped on.
Fall of Injury, Workmen Yes The scaffolding erected shall be
Material property provided with toe board.
(Scaffold) damage No materials other than required for
the activity shall be kept in the
1 2 5 10
working platform.
No materials shall be thrown from
top or bottom rather shifted with a
suitable means of bucket and rope.
Collapse Injury, Workmen Yes The scaffold shall be erected by 2 5 5 50 No alterations shall be done on the 2 5 1 10

Assessor : Reviewed By :

QHSE Manager Project Manager

RA –Doc Page 1 of 7
 HEALTH AND SAFETY RISK ASSESSMENT FORM

Activity: Column Concreting Assessment date: 01 st Oct 2021 Ref.No. RA/011

Assessor(s): Rev Date: 01 st Oct 2021 Reviewed By:
Next Rev DT: 01st April 2022 Rev. No : 0

To Carry out an activity safely

Final Risk Rating should be reduced to 20 or below. Exemption: Work Covered by Permit to Work(PTW) and Vehicle Driving

of multiple suitable trained persons. scaffolding.

Scaffoldin causality, The base shall be checked for its No excavation shall be done below the
g property stability. scaffolding.
The materials (standards, boards etc) The wind condition shall be checked on daily
damage
shall be in good condition. basis and accordingly the scaffolding to be
The scaffolding erected shall be altered for its additional stability.
checked by trained inspector and Any movement of machinery to be avoided
scafftag shall be provided. near the scaffolding.
The scaffolding shall be inspected on
weekly basis.

Noise Tinnitus, Operator, Yes The concrete pump used shall be

distraction, Workmen checked for its noise level and if
hearing exceeds the acceptable level then
problem preventive measures shall be taken
either by isolating it from other 1 2 5 10
personnel.
The exposure to the noise shall be
limited by job rotation in shift basis.
The personnel exposed to noise shall
be provided with ear muff or plug
whichever is suitable for the
operation.
Any close by residential area shall be
checked and adequate
communication shall be given about

Assessor : Reviewed By :

QHSE Manager Project Manager

RA –Doc Page 2 of 7
 HEALTH AND SAFETY RISK ASSESSMENT FORM

Activity: Column Concreting Assessment date: 01 st Oct 2021 Ref.No. RA/011

Assessor(s): Rev Date: 01 st Oct 2021 Reviewed By:
Next Rev DT: 01st April 2022 Rev. No : 0

To Carry out an activity safely

Final Risk Rating should be reduced to 20 or below. Exemption: Work Covered by Permit to Work(PTW) and Vehicle Driving

the activity.

Vibration Vibration Operator Yes The workmen involved in the activity

white shall be given TBT about the hazards
finger involved due to vibration.
The vibrator used shall be in good
condition and have minimum
vibration while operation. 1 2 5 10
The operator shall be provided with
heavy duty gloves in addition to latex
gloves for preventing contact with
concrete.
Rotation of job shall be provided to
minimize the exposure.
Fire Burn, Workmen Yes Fully charged fire extinguisher shall The workplace shall be kept clean and tidy.
property , Property be available near the workplace. Smoking shall not be allowed inside the
damage Accumulation of waste shall not be workarea.
allowed. The temporary DB kept inside shall be
The generator used shall be in good provided with ELCB.
condition and checked by the 2 5 5 50 The temporary electric cables used shall be in 2 5 1 10
competent electrician before start of good condition and cables shall not be routed
the concreting work. through the rebars provided . Wooden stands
Adequate number of fire warden and shall be provided for temproary lighting inside
first aider shall be made available the concreting area.
during concreting work.
Slip, trip Injury, Workmen Yes The access to the workarea shall be 1 5 5 25 Access ladder shall be good condition secured 1 5 3 15

Assessor : Reviewed By :

QHSE Manager Project Manager

RA –Doc Page 3 of 7
 HEALTH AND SAFETY RISK ASSESSMENT FORM

Activity: Column Concreting Assessment date: 01 st Oct 2021 Ref.No. RA/011

Assessor(s): Rev Date: 01 st Oct 2021 Reviewed By:
Next Rev DT: 01st April 2022 Rev. No : 0

To Carry out an activity safely

Final Risk Rating should be reduced to 20 or below. Exemption: Work Covered by Permit to Work(PTW) and Vehicle Driving

and fall sprain, , staff kept free of materials. at both ends.

fracture Suitable access ladder shall be
provided wherever required.
Ladder provided shall be in good
condition without any damage.
Task lighting (50 lux) shall be
provided if the work continues after
day light.
Access lighting shall be provided for
the access to the scaffolding.
Any cable provided shall be routed
above the ground.
Collapse Property Operator, Yes The pump shall be positioned in a
of Pump damage, Workmen stable place where the soil condition
injury is well compacted.
The outrigger shall be fully extended
for its maximum efficiency.
Blocking pads shall be placed under
the outrigger jack.
The pump shall not be placed very
close to the excavation.
No person shall be allowed to stand
below the boom of the pump.
Safety induction shall be done to the
pump operator.
Heavy equipment (shovel) availability
The working platform shall be kept free of
materials except vibrator.
Vibrator hose shall be handled separately to
avoid any trip and fall.
One entry and exit point shall be provided.
2 5 5 50 The pump shall possess valid test certificate. 2 5 1 10
The concrete pump, third party fitness
certificate shall be checked by HSE officer.
The operator of the pump shall be competent
enough to operate the pump.
Pump operator training certificate to be
checked by HSE officer.
During any shifting of the pump for its nearest
operation the soil condition shall be checked
for its compaction.

Assessor : Reviewed By :

QHSE Manager Project Manager

RA –Doc Page 4 of 7
 HEALTH AND SAFETY RISK ASSESSMENT FORM

Activity: Column Concreting Assessment date: 01 st Oct 2021 Ref.No. RA/011

Assessor(s): Rev Date: 01 st Oct 2021 Reviewed By:
Next Rev DT: 01st April 2022 Rev. No : 0

To Carry out an activity safely

Final Risk Rating should be reduced to 20 or below. Exemption: Work Covered by Permit to Work(PTW) and Vehicle Driving

shall be maintained (as stand by

vehicle).
Concrete Burn Mason , Yes Tool Box Talk shall be given to all The boots worn shall be fit enough to avoid
burn Helper personnel involved in the activity any chance of concrete entering through the
about the hazards related to boots.
concrete burn. Exposure to the concreting shall be
All personnel involved shall be minimized.
provided with appropriate boots for Close supervision shall be in place during the
their protection. Normal safety shoes activity.
shall not be allowed.
2 5 5 50 2 5 1 10
All personnel shall be provided with
appropriate gloves for hand
protection .
Always Wash hands after use, and do
not eat, drink or smoke when
handling hazardous substances.
First aid box and washing facilities
are made available on site.
Concrete Vision Mason, Yes The personnel shall be instructed to 1 3 5 15
Splash defect, Helper avoid going closer to the pouring
irritation DM code area.
The hose shall be held by means of
4.2 rope and not directly with the hand.
All personnel shall be provided with
clear safety goggles.

Assessor : Reviewed By :

QHSE Manager Project Manager

RA –Doc Page 5 of 7
 HEALTH AND SAFETY RISK ASSESSMENT FORM

Activity: Column Concreting Assessment date: 01 st Oct 2021 Ref.No. RA/011

Assessor(s): Rev Date: 01 st Oct 2021 Reviewed By:
Next Rev DT: 01st April 2022 Rev. No : 0

To Carry out an activity safely

Final Risk Rating should be reduced to 20 or below. Exemption: Work Covered by Permit to Work(PTW) and Vehicle Driving

HIRA (HAZARD IDENTIFICATION AND RISK ASSESSMENT) Identifying the hazard

FIVE Steps of Risk Assessment People
1. Identifying the Hazards. Equipment
2. Evaluating the Risks. Procedure
3. Implementing the control measures. Work place (work environment)
4. Record the findings Materials.
5. Monitoring and reviewing the assessment.
Risk rating score
Risk is essentially a combination of three factors:
The number of people that could be affected.
The severity of likely injuries that persons could suffer.
The likelihood of harm actually occurring.
The overall Risk can be determined using the following formula.
Risk Rating = Numbers × Severity × Likelihood
The activities should be Risk Assessed as follows according to the criteria set out in Table below:
Number of people affected Severity of injury Likelihood of occurrence
1-5 Persons 1 Negligible 1 Improbable 0.5
6-50 Persons 2 Minor 2 Remote 1
50+ Persons 3 Major 5 Possible 5
Public/ vulnerable persons 3 Fatal 10 Likely 10
affected (Ref. Annexure
lllD)

Assessor : Reviewed By :

QHSE Manager Project Manager

RA –Doc Page 6 of 7
 HEALTH AND SAFETY RISK ASSESSMENT FORM

Activity: Column Concreting Assessment date: 01 st Oct 2021 Ref.No. RA/011

Assessor(s): Rev Date: 01 st Oct 2021 Reviewed By:
Next Rev DT: 01st April 2022 Rev. No : 0

To Carry out an activity safely

Final Risk Rating should be reduced to 20 or below. Exemption: Work Covered by Permit to Work(PTW) and Vehicle Driving

RISK RATING ACTION TO BE TAKEN

SCORE
Up to 20 Risk is low: Acceptable: Additional control measures may be considered to reduce the Risk,
although low priority. Time, effort and cost should be proportional to the Risk.
21-50 Risk is medium: unacceptable: Additional control measures required soon to control. Interim
measure may be necessary in the short term.
51-100 Risk is high: Unacceptable: Additional control measures required urgently to control Risk. Interim
measure required in the short term. Significant effort, time, etc. may have to be control the Risk.
100+ Risk totally unacceptable.

Risk is Likelihood × Severity

Assessor : Reviewed By :

QHSE Manager Project Manager

RA –Doc Page 7 of 7