Document Reference

INTERGRAGED MANAGEMENT SYSTEM (APPENDIX A) UCC-IMS-HSE

Rev. No. Rev. Date
HAZARD IDENTIFICATION AND RISK MANAGEMENT 0 12/12/2021
Page Number
HAZARD IDENTIFICATION & RISK ASSESSMENT FORM 1 of 1

HIRA No: RISK ASSESSMENT: Risk Assessment for INSTALLTION OF THE BURIED CHILLED WATER LINE AREA / PROJECT: LPW 29/30

CLIENT: UCC
TASK / OPERATION / TOOLS &
ACTIVITY Risk Assessment for INSTALLTION OF THE BURIED CHILLED WATER LINE EQUIPMENT Hand Tool, Driller,.etc..
DESCRIPTION: IN USE: REV. / IMPL. DATE: Rev 01 / 26-02-2018 RESIDUAL RISK

Method Statement / Site Operating

WITHOUT CONTROLS WITH CONTROLS

RISK RATING (Without Controls)

A B C D A B C D

RES. RISK RATING (With

Who / What could be affected?

Procedure Required
(Direct involvement / intervention related to

CONSEQUENCE ('C')

CONSEQUENCE ('C')
PROBABILITY ('P')

PROBABILITY ('P')
FREQUENCY ('F')

FREQUENCY ('F')
Ser No.

Controls)
the activity)

RISK SCORE

RISK SCORE
HAZARDS ASSOCIATED WITH EACH ADDITIONAL & or SITE CONTROLS
TASKS HARM / CONSEQUENCE CURRENT CONTROLS / SAFEGUARDS
TASK (What additional could we do
(What one does in logical steps) (What can happen / go wrong) (What do we do to prevent incidents?)
(What can hurt one / others?) R = Tick No.
to reduce the risk?)
0 = Clears tick Pers.

Project Mngr R
• Ensure all Personal to be attend specific project induction
and common internal training.
• Strict compliance to the PTW.PTW will visible in the work • Use proper PPEs as per the work requirements apart from the mandatory PPEs. • Daily
Collision between equipement -pedestrians at site
Unsafe working practice, incorrect use of area. Tool box talk to be conducted before start of work.
1 Procedure not followed/understood leading to major injury; fatality and property damages. 3 15 8 360 HIGH 2 5 3 30 LOW
tools/Equipment • Carry out tool box talks before start of each working day or • Discuss method statement and Risk assessment with work crew • Provide clean cool drinking water, welfare and hygiene
new task facilities.
Site Engineer, Foreman
and Safety Officer R • Ensure personal clearly understand about work activity,
emergency number, emergency procedure & assembly point
area.

• When poor soil is encountered well designed blocking and

telehandler setup in an unstable ofunding
pipes .Failure to use outriggers . Operators view
obstruction . Unsafe access inside the excavated Major property damage , possible human injury while
2 Access / egress to the excavated trench
trench, damaged lifting tackle used , incorrect lifting
tackle used , Lifting plan not communicated to the
team.
Rigers, operator,
lifting or dropping the pipesl.
cribbing will be placed under outriggers pads.The blocking
used must be so designed as to prevent crushing.
• To overcome the hazard of blind spots while loads are lifted, the use of radio / whistle or flag is much more effective.
• Telehandler must be operated by a trained by a certified
• Daily tool box talk to be conducted before start of work.
compitent operator and ensure that there is sufficient space
labourers R 3 15 8 360 HIGH
for the full use of outriggers for the telehandler.
• Direct line of sight must be maintained where practicable. 2 5 3 30 LOW
The use of banks man to guide vehicles in to position must be explained to the driver and operator . The daily PSTB must cover this
• Pre job safety planning in the form of daily PSTB must be
topic responsible supervisor to ensure the correct and sufficient access is provided.
done prior to start of any work.
• LQCS/UCC/QC HSE requirement must be followed .
• Lifting tackle to be inspected.

Entrapment due to fall/ roll of pipe.
Operators direct field of vision obscured by load
leading to contact with otherpersons or plant.
Failure of lifting equipment.
Inadequate supervision.
Untrained Operatives
Laying of
3 se of mobile phones by operators.
Pipes to the excavated trench
Displacement of load
Person being struck by
suspended pipe causing serious injury of harm.
Defective and broken skids causing crushing of
limbs of entrapment of body parts.
Manual Handling.
Project Mgr. R
All engines guards and covers to be in position and secured.
Vehicles should never be overloaded. Loads should be evenly Windows, lights, mirrors and camera lens to be kept clean at all times.
distributed, secured and not protruding beyond the sides or Ground workers to wear Hi Visibility Vests at all times and Hard-Hats.
possible human injury while lifting or dropping the
3 15 8 240 back ofthe vehicle Traffic management must be in place where loading/unloading is being 2 5 3 30 LOW
pipes.
operator, labourers R HIGH Heavy duty gloves to be worn by operatives handling skids. carried out on public roads.
Warning signs will be erected to alert pedestrians of Loads to be tipped only on suitably level ground to prevent overturning
Unloading/Loading Operations. of skip.

Project Mgr. R All the underground services are to be well protected to

prevent any damages.
Underground utilities test should be conduct before work
•Use proper PPEs as per the work requirements apart from the mandatory PPEs. Use
Underground Utilities commence
Property damage competent person for the work
Dust elf any Electrical cable or live irrigation pipes also there
Lund Disease Ensure ton wear the required PPE while working
Pinch Point should coordinate
4 HDPE Pipe installation Personal Injury 3 10 8 240 MEDIUM Ensure to avoid the person with vibration syndrome 2 5 3 30 LOW
Noise & Vibration Site Engineer, Foreman HAND TOOLS with the authorized regularity
use of Grinders
Vibration Syndrome
and Safety Officer R Airways use respiratory protective equipment while working
Use good and certified equipment for the work.
Electrical Shock AII kind of protective guards should be present in the machine
Electricity Water dump can be use to reduce the dust
Ensure to avoid electrical work in wet surfaces and always ensure to keep dry hands while working on electrical equipment's.
Avoid the workers who allergenic with dust or the person with
dust
Workers shall aware about potential pinch points.

Project Mgr. R

Always ensure to wear the required PPE for the work

Use well maintained and certifiec welding machine for the
purpose
Use competent persons for the work execution.
Conatact with Hot area,Electricity Avoid the work on wet surface area
Burn Injury Aiways wear the protection mask to avoid the fumes . Ensure to execute the work on ventilated area. Competent person should be
5 HDPE Pipe Welding Fire Hazard 3 15 8 360 HIGH Ensure to wear hand gloves and safety boots while working 2 5 3 30 LOW
Electrical Shock ,Lung Disease & allergy Site Engineer, Foreman used for the work.
Hazardous fumes & Inhalation of hazardous fumes
and Safety Officer R on electricty.
Avoid the person who allergetic with the fumesUse all required PPE to prevent the inhalation of fumes
Always ensure to clean the area before the work started .
Well maintained fire extinguisher should be on site while the
work conducting

Project Mgr. R
Use Competent person for the work
Check the pressure in the pipe regularly
Check Joint For leakage before giving high pressure Provide
Barricade on the testing Area
•Full time supervision must be provided during the task. •.Workers must
Provide Proper warning signages to avoid unauthorized entry
be provided with intermittent break • Body harness should be properly hooked on fixed supports.
instruct the technicians involved the activity to wear required
PPE for the work
Filling the water to Pipe line and Increasing •Use always the trained and qualified personal when working at height
The person involving these activities should be trained
Pressure Slowly Eye Injury due to over flor or Leakage from Joint Person involved in the task should br trained and competent 2.AII the crew including Engineers/Supervisor should wear the required
Work crews should be use Appropriate PPE(Hand Gloved,
6 PRESSURE TESTING Over Pressure Personal Injury Pipe Damage 3 15 8 360 HIGH PPE at all time while doing pressure test 2 5 3 30 LOW
Safety Goggles, Helmet)
High Pressure Leak Personal Injury Pipe Damage Give proper Instruction to technician to increase the pressure level slowly rather than rapid.
Ensure Appropriate barricade and signage placed around the
 Document Reference
INTERGRAGED MANAGEMENT SYSTEM (APPENDIX A) UCC-IMS-HSE
Rev. No. Rev. Date
HAZARD IDENTIFICATION AND RISK MANAGEMENT 0 12/12/2021
Page Number
HAZARD IDENTIFICATION & RISK ASSESSMENT FORM 1 of 1

HIRA No: RISK ASSESSMENT: Risk Assessment for INSTALLTION OF THE BURIED CHILLED WATER LINE AREA / PROJECT: LPW 29/30

CLIENT: UCC
TASK / OPERATION / TOOLS &
ACTIVITY Risk Assessment for INSTALLTION OF THE BURIED CHILLED WATER LINE EQUIPMENT Hand Tool, Driller,.etc..
DESCRIPTION: IN USE: REV. / IMPL. DATE: Rev 01 / 26-02-2018 RESIDUAL RISK

Method Statement / Site Operating

WITHOUT CONTROLS WITH CONTROLS

RISK RATING (Without Controls)

A B C D A B C D

RES. RISK RATING (With

Who / What could be affected?

Procedure Required
(Direct involvement / intervention related to

CONSEQUENCE ('C')

CONSEQUENCE ('C')
PROBABILITY ('P')

PROBABILITY ('P')
FREQUENCY ('F')

FREQUENCY ('F')
Ser No.

Controls)
the activity)

RISK SCORE

RISK SCORE
HAZARDS ASSOCIATED WITH EACH ADDITIONAL & or SITE CONTROLS
TASKS HARM / CONSEQUENCE CURRENT CONTROLS / SAFEGUARDS
TASK (What additional could we do
(What one does in logical steps) (What can happen / go wrong) (What do we do to prevent incidents?)
(What can hurt one / others?) R = Tick No.
to reduce the risk?)
0 = Clears tick Pers.

Use Competent person for the work

6 PRESSURE TESTING
Check the pressure in the pipe regularly
Check Joint For leakage before giving high pressure Provide
Barricade on the testing Area
•Full time supervision must be provided during the task. •.Workers must
Provide Proper warning signages to avoid unauthorized entry
be provided with intermittent break • Body harness should be properly hooked on fixed supports.
instruct the technicians involved the activity to wear required
PPE for the work
Filling the water to Pipe line and Increasing •Use always the trained and qualified personal when working at height
The person involving these activities should be trained
Pressure Slowly Eye Injury due to over flor or Leakage from Joint Person involved in the task should br trained and competent 2.AII the crew including Engineers/Supervisor should wear the required
Work crews should be use Appropriate PPE(Hand Gloved,
Over Pressure Personal Injury Pipe Damage 3 15 8 360 HIGH PPE at all time while doing pressure test 2 5 3 30 LOW
Site Engineer, Foreman Safety Goggles, Helmet)
High Pressure Leak Personal Injury Pipe Damage
and Safety Officer R Ensure Appropriate barricade and signage placed around the
Give proper Instruction to technician to increase the pressure level slowly rather than rapid.
Pressure testing equipment should be checked and well maintained prior to use.
work
Avoid unauthorized entry to the work area.
area.
Check all the connections are well joined prior to start the pressure testing.
.Proper communication prior to start the work regarding the
Ensure to avoid sharp edge equipment to keep away from the pipe while doing pressure testing
Pressure limit and related hazards .
S.Pressure testing equipment should be use trained
personnel. 6.Engineer/Supervisor should be given advice
about the maximum allowable pressure limit.
 Document Reference
INTERGRAGED MANAGEMENT SYSTEM (APPENDIX A) UCC-IMS-HSE
Rev. No. Rev. Date
HAZARD IDENTIFICATION AND RISK MANAGEMENT 0 12/12/2021
Page Number
HAZARD IDENTIFICATION & RISK ASSESSMENT FORM 1 of 1

HIRA No: RISK ASSESSMENT: Risk Assessment for INSTALLTION OF THE BURIED CHILLED WATER LINE AREA / PROJECT: LPW 29/30

CLIENT: UCC
TASK / OPERATION / TOOLS &
ACTIVITY Risk Assessment for INSTALLTION OF THE BURIED CHILLED WATER LINE EQUIPMENT Hand Tool, Driller,.etc..
DESCRIPTION: IN USE: REV. / IMPL. DATE: Rev 01 / 26-02-2018 RESIDUAL RISK

Method Statement / Site Operating

WITHOUT CONTROLS WITH CONTROLS

RISK RATING (Without Controls)

A B C D A B C D

RES. RISK RATING (With

Who / What could be affected?

Procedure Required
(Direct involvement / intervention related to

CONSEQUENCE ('C')

CONSEQUENCE ('C')
PROBABILITY ('P')

PROBABILITY ('P')
FREQUENCY ('F')

FREQUENCY ('F')
Ser No.

Controls)
the activity)

RISK SCORE

RISK SCORE
HAZARDS ASSOCIATED WITH EACH ADDITIONAL & or SITE CONTROLS
TASKS HARM / CONSEQUENCE CURRENT CONTROLS / SAFEGUARDS
TASK (What additional could we do
(What one does in logical steps) (What can happen / go wrong) (What do we do to prevent incidents?)
(What can hurt one / others?) R = Tick No.
to reduce the risk?)
0 = Clears tick Pers.

Project Mngr R

The spoil may fall into the excavation and the extra loading will make the sides more prone to collapse Contaminants removed
following a suitable risk assessment andmethod statement
Employees and Management must ensure no-one enters an unsupported unsafe trench
Ground conditions established by a survey to identify the type
Support materials on site before excavation starts.
of ground in which the excavation is to be carried out; means
Plant and materials kept away from the side of excavations to prevent undue pressure or ingress of exhaust fumes. if the depth is a
 Underground services - gas, of trench support confirmed upon completion of trial holes
particular risk of anybody falling, suitable guard-rails placed and suitable access arrangements, such as ladders or ramps,provided If
electricity or water Remember that even work in shallow trenches can be
there is a risk of water ingress, suitable methods and/or equipment provided to either prevent the entry of water or to remove water,
 Falling materials or plant dangerous. You may need to provide support if the work
External network pipe damage e.g. water pumps
 Falls of persons involves bending or kneeling
Property damage . The location of electric cables, drains, gas and water mains etc. will bedetermined and marked prior to the commencement work.
7 Excavation  Ingress of water Site Engineer, Foreman 3 20 10 600 HIGH in the trench. No one should be in the trench unless it is safe 3 5 1 15 LOW
 Collapse of sides
Injury
Electrical Shock and Safety Officer R to be
Local Networks staff to be consulted on underground services. Local authorities and, where necessary, scanning are to be used to
determine service locations.
 Weakening of adjacent there.
It will be the liability of the contractor to make good any damage done to such services during excavation work, to render them safe
structures Where possible ensure that all water sources are turned off
and secure without undue delay.
 Noise before entering an excavation
Excavations or openings will be properly sloped or shored at all times.A competent person must approve trench designs prior to
Do not go into unsupported excavations that have not being
entry.Warning lamps must be used during hours of darkness or low visibility.
battered to a suitable slope. Never work ahead of the support.
Excavations or openings in floors must be properly fenced at all times.
During excavation work the surrounding areas must be maintained in
an orderly and tidy condition
 Document Reference
INTERGRAGED MANAGEMENT SYSTEM (APPENDIX A) UCC-IMS-HSE
Rev. No. Rev. Date
HAZARD IDENTIFICATION AND RISK MANAGEMENT 0 12/12/2021
Page Number
HAZARD IDENTIFICATION & RISK ASSESSMENT FORM 1 of 1

HIRA No: RISK ASSESSMENT: Risk Assessment for INSTALLTION OF THE BURIED CHILLED WATER LINE AREA / PROJECT: LPW 29/30

CLIENT: UCC
TASK / OPERATION / TOOLS &
ACTIVITY Risk Assessment for INSTALLTION OF THE BURIED CHILLED WATER LINE EQUIPMENT Hand Tool, Driller,.etc..
DESCRIPTION: IN USE: REV. / IMPL. DATE: Rev 01 / 26-02-2018 RESIDUAL RISK

Method Statement / Site Operating

WITHOUT CONTROLS WITH CONTROLS

RISK RATING (Without Controls)

A B C D A B C D

RES. RISK RATING (With

Who / What could be affected?

Procedure Required
(Direct involvement / intervention related to

CONSEQUENCE ('C')

CONSEQUENCE ('C')
PROBABILITY ('P')

PROBABILITY ('P')
FREQUENCY ('F')

FREQUENCY ('F')
Ser No.

Controls)
the activity)

RISK SCORE

RISK SCORE
HAZARDS ASSOCIATED WITH EACH ADDITIONAL & or SITE CONTROLS
TASKS HARM / CONSEQUENCE CURRENT CONTROLS / SAFEGUARDS
TASK (What additional could we do
(What one does in logical steps) (What can happen / go wrong) (What do we do to prevent incidents?)
(What can hurt one / others?) R = Tick No.
to reduce the risk?)
0 = Clears tick Pers.

Electrician R
• Provision of Toolbars or belts while working.
• Inspecting tools for loose and deficient parts. Report and
replace immediately.
• Calibrated equipment's must be used at site. • Discuss method statement and Risk assessment with work
• Testing Equipment’s should be used for their intended
crew. • Use proper PPEs as per the work requirements apart from the mandatory
8 Use of Power and Manual Tools Eyes, Hands, Feet & Body Injuries, Electric Shock Physical injury 2 10 5 100 MEDIUM purposes only. • Regular 3 1 3 9 LOW
Site Engineer, Foreman PPEs. • All person involved will be trained to perform their duties with due regard
and Safety Officer R maintenance and inspection . • Carry out inspection
to the health and safety of themselves and anyone else who could be affected.
before & after use, Label all damaged equipment, Follow
manufacturer instructions, Tools must have proper guarding
and proper PPE protection to be used.

Project Mngr R
• Basic rule of 5s will be implementing on site for
housekeeping in different form by education, engineering and
Slip,trip,fall, fire,explosion,pests inspection, .
enforcement way. • Electrical cable • Lighting of fires at the workplace is prohibited. Including smoking. • Fire extinguisher
9 Poor House keeping Physical, WDNH(Waste Disposal Non Hazardous Increase. Work loss and property damage due to 6 5 8 240 MEDIUM 2 5 1 10 LOW
Site Engineer, Foreman Waste scrap will kept in scrap yard. • Rubbish must be will be provide at workplace if any contributing cause will generate from operation or by any nearby work. CO2 type)
poor housekeeping.
and Safety Officer R placed in specified area, bin or skip. • All fire safety
precautions are to be observed.
 Document Reference
INTERGRAGED MANAGEMENT SYSTEM (APPENDIX A) UCC-IMS-HSE
Rev. No. Rev. Date
HAZARD IDENTIFICATION AND RISK MANAGEMENT 0 12/12/2021
Page Number
HAZARD IDENTIFICATION & RISK ASSESSMENT FORM 1 of 1

HIRA No: RISK ASSESSMENT: Risk Assessment for INSTALLTION OF THE BURIED CHILLED WATER LINE AREA / PROJECT: LPW 29/30

CLIENT: UCC
TASK / OPERATION / TOOLS &
ACTIVITY Risk Assessment for INSTALLTION OF THE BURIED CHILLED WATER LINE EQUIPMENT Hand Tool, Driller,.etc..
DESCRIPTION: IN USE: REV. / IMPL. DATE: Rev 01 / 26-02-2018 RESIDUAL RISK

Method Statement / Site Operating

WITHOUT CONTROLS WITH CONTROLS

RISK RATING (Without Controls)

A B C D A B C D

RES. RISK RATING (With

Who / What could be affected?

Procedure Required
(Direct involvement / intervention related to

CONSEQUENCE ('C')

CONSEQUENCE ('C')
PROBABILITY ('P')

PROBABILITY ('P')
FREQUENCY ('F')

FREQUENCY ('F')
Ser No.

Controls)
the activity)

RISK SCORE

RISK SCORE
HAZARDS ASSOCIATED WITH EACH ADDITIONAL & or SITE CONTROLS
TASKS HARM / CONSEQUENCE CURRENT CONTROLS / SAFEGUARDS
TASK (What additional could we do
(What one does in logical steps) (What can happen / go wrong) (What do we do to prevent incidents?)
(What can hurt one / others?) R = Tick No.
to reduce the risk?)
0 = Clears tick Pers.

Project Mngr R
•.Provide tool box or proper storage area to prevent damage.
Damaged and Poor Condition of the Electrofusion Cuts, Abrasion, Repetitive Motion Injuries and Eye •Use the right tools for the right job. • No homemade tools shall be used.
10 Hand Tools 3 5 5 75 MEDIUM 1 1 3 3 LOW
Welding Machine Injury Site Engineer, Foreman •Adequate supervision shall be provided. •.Proper eye • .Regular maintenance and inspection.
and Safety Officer R protection shall be provided

Project Mngr R

Slip ,trip and fall,fatigue,poor visibility when • Provide proper PPE ,

• Provide proper illumination day and night shift . •.Ensure adequate supervision to be deployed specially during the
11 Poor or no lighting in the area of working Personnel Injury, eyestrain performing his work can cause Damage of 3 10 5 150 MEDIUM • Adequate lighting should be provided ,Stop all works 2 5 3 30 LOW
Site Engineer, Foreman night shift
property ,Serious personal injury
and Safety Officer R performed with inadequate lighting
• All workers should wear reflective vest •
Ensure a proper housekeeping .

Project Mgr. R
• Tool box talk shall be conducted by the Forman.
• Task specific safety
training provided . • Authorized and competent
personnel to undertaken the job. • Daily safety inspection should be carried out and eliminate the hazard. • Barricade
12 Prepare Work Area Un authorized and untrained workers Cuts, Abrasion 3 5 3 45 MEDIUM 1 5 3 15 LOW
Site Engineer, Foreman • Ensure C02 type fire extinguisher is available. the area required for inspection.
and Safety Officer R • Ensure the
disconnecting link in earth bar inside the electrical room is
disconnected.

Engineers R
• Adequate lighting shall be provided. • Workers
Injury • Work rotation & buddy system are strictly implemented . • All workers are well
Slip, trip & fail, hit/Struck Inadequate must wear reflective vest. • Flashing light
13 Night Shift Fatality 3 15 8 360 HIGH aware with all access/egress during emergency. 2 5 3 30 LOW
lighting, Inadequate Supervision. Poor visibility shall be provided on all exit routes.
Damage to property Technicians R • Adequate rest periods for workers.
• Ensure adequate supervision to be deployed especially during the night shift.

Project Mgr. R

• Personals awareness training on Heat stress.

• Availability of cold
Heat stroke, Heat stress, Heat exhaustion, Poisoning • Schedule the heavy work during cooler part of the shift • All
14 General Extreme temperature/Humidity 3 10 5 150 MEDIUM water and shaded rest area & use loose cloths. 2 5 3 30 LOW
and Fatality crew shall be familiar with emergency procedure.
Male Nurse R • Drink plenty of cool water to
replace the water loss

Std PPE: Overalls, Hard hat, Safety shoes, Reflective Vest, Safety Glasses & Gloves Average rounded up: 6 15 8 720 HIGH Additional PPE: Issued according to tasks carried out Aver rounded up: 2 5 3 30 LOW ###

Risk Assessment Committee

Name: Signature:

Approved By: Signature: