GOV-ST-41-1-APP02

Rev. date : 1 Sep 2020

Job Risk Assessment Form Rev. no. 03
Page : 1 of 8

Job Risk Assessment JRA No: CE/QTLM/SCF/IS/0522/074

Company Name: Cape East Prepared by : Date:
Group : Central Maintenance Approved by : Deepak Purkuti Date:
Department :
Job Location : Equipment:
Title of Job : To erect and dismantle Scaffolding for

Mandatory PPE required:       

Risk Score Residual

Sequence of Job Steps Potential Hazards
 Fitness to work
Mobilization and demobilization of
 Lack of knowledge
manpower and equipment to and from job
site.  Wrong practices and
procedures
 Equipment failure
Access to Workplace  Permit Violation
 Hazards related to process
 Mechanical Hazards
 Slips, Trip and Falls
Potential Effects
mitigation
 Injury / Illness to the
individual.
 Resulting to error and
confusing leading to
serious injury or fatality
 Damage /loss to property
 Damaged to equipment /
property loss
 Injury / illness to the
individual
 Incident potentially cause
damage
before Control Measures
Risk
after mitigation
 Ensure All Employees to be fit to work.
4-L 1–L
 Only personnel having appropriate training
and certifications to be mobilized for the
scope of activities.
 All personnel shall complete Client
induction to be familiar with the site, scope,
hazards, Cape/ Client expectations.
 Conduct pre-mobilization checks for the
equipment and inspection by QATALUM
personnel (where applicable)
 Where applicable, equipment shall be
inspection by QATALUM and only
mobilize equipment with valid certification.
 All personnel being mobilized shall be
issued with appropriate PPE for their
specific task.
 Qatalum PTW together with the applicable
4-L 2–L
JSA shall be strictly adhered for entering
inside the plant area.
 Ensure where applicable, gas test is

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Job Risk Assessment Form
Sequence of Job Steps Potential Hazards
 Falling Materials
 Hazardous environment
 Equipment failure
Work Preparation including PPE.
 Falling of materials
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Risk Score
Potential Effects
mitigation
 Material Damage / loss
 Damage to plant and
equipment’s
 Exposure to Environmental
incident potentially cause
damage
 Damaged to equipment /
property loss
 Material Damage / loss
GOV-ST-41-1-APP02
Rev. date : 1 Sep 2020
Rev. no. 03
Page : 2 of 8
Residual
before Control Measures
Risk
after mitigation
conducted by Client representative and the
area released is free from hazards.
 Personnel shall be familiar with the Permit
Controls, Hazards and controls as per JRA
and the scope of work covered.
 Maintain high degree of vigilance whilst
moving around site. Do not interfere with
sensitive parts.
 As far as is reasonably practicable, all work
areas shall be kept free from trailing cables,
timber packing, tools, equipment and waste
cleared away as soon as possible.
 Do not block the plant access and
emergency equipment.
 Barricading by means of hazard tape
around material/ equipment mobilized on
site.
 All personnel are to maintain a safe
working distance from others working
overhead.
 Personnel are not to walk / work under
suspended loads.
 Ensure PTW and supporting documents
4-L 2-L
including appropriate JHA and Method
Statement are available for the scope of
work to be carried
 Review JSA for the specific scope and
ensure controls are adequate prior to start
the work.
 Conduct recorded toolbox talk prior to job
start to explain job specific hazards and
control measures to the work crew.
 Carry out inspection of all equipment
including PPE prior to donning to ensure
no visible damages.
 Periodic review of equipment inspection
certification to ensure validity and fit for
purpose.
 Ensure material shifted to workface is in
2

Sequence of Job Steps
Erection and Dismantle of scaffolding
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Job Risk Assessment Form
Potential Hazards
 Wrong Manual Handling
 Dropped Objects.
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Risk Score
Potential Effects
mitigation
 Exposure to Manual Handling
incident/injury.
 Damage to plan and
equipment’s
 Property loss
 Incident injury
GOV-ST-41-1-APP02
Rev. date : 1 Sep 2020
Rev. no. 03
Page : 3 of 8
Residual
before Control Measures
Risk
after mitigation
good serviceable condition and enough to
complete the scope for the shift.
 No excess material shall be left unattended
at workface.
 Identify the requirements of workplace
control including barricading and arrange
as appropriate where required.
 PSTA shall be carried out by each
individual.
 Competent and trained personnel to be
12-H 3-L
assigned for the task.
 Arrange storage of materials near
workplace using mechanical handling
(where practical) to reduce manual
handling.
 Maintain manual handling techniques for
shifting / lifting of scaffold materials.
Whilst raising tubes and boards company
manual handling assessment and procedure
shall be followed.
Adequate supervision at site by performing
party always.
 Dropped object management procedure to
12-H 3-L
be followed.
 Ensure personnel are trained on dropped
object prevention.
 Exclusion / drop zone shall be identified,
and adequate barricading provided to
prevent unauthorized access.
 Ensure all tools tied up with lanyard.
 Use tools Bag / Pouches to transport
scaffolding tools.
 Use certified lifting bags or basket in
serviceable condition for shifting scaffold
materials to and from high elevation.
 Hand balling may be used for shifting tubes
and boards.
 Ensure gin wheels are attached to the
scaffolding structure and secured at both
3

Job Risk Assessment Form
Sequence of Job Steps Potential Hazards
 Slip / Trips / Falls.
Working at height.
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Risk Score
Potential Effects
mitigation
 Injury / Injury to the
individual.
 Higher Risk of Serious
incident injury / Fatality
 Falling from height
 Higher Risk of Serious
incident injury / Fatality
GOV-ST-41-1-APP02
Rev. date : 1 Sep 2020
Rev. no. 03
Page : 4 of 8
Residual
before Control Measures
Risk
after mitigation
ends with double / swivel couplers.
 Rope to be used shall be long enough
without knots and kinks.
 Establish Twist to confirm technique to
communicate/Co-ordinate with scaffolding
crew during hand transfer operation.
 Lowering and raising scaffolding materials
will be performed safe and steady manner,
and at controlled speed.
 Inspect all scaffolds pertaining to design
drawings
 Ensure toe boards placed and platforms
closely boarded & secured without gaps.
 Do not leave loose materials at scaffolding
platform.
 Carry out dropped object inspection as per
procedure
 Good Standard of House Keeping shall be
12-H 3-L
maintained. (A place for everything and
everything in its place always).
 Materials stored away from access without
obstructions.
 Use full body harness with double lanyard
12-H 3-L
whilst working above 2 meters and ensure
100% tie –off.
 Use Chin Strap for helmet while working at
height.
 Ensure harness is hooked on safe
anchorage point and hooked above waist
height as practicably possible.
 Anchorage point shall be of load bearing
and structure of adequate strength.
 Clear platform & no gap between boards.
 Handrails & Mid rails rigidly secured to
prevent fall.
Secure ladders ensure 3-point contact
whilst climbing and descending ladders.
 Scaffolding work will be suspended in case
of high wind / adverse weather condition.
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Sequence of Job Steps
Working near the electrical
Equipment
Working in energize area
Adverse weather
Hot Weather Working
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Job Risk Assessment Form
Potential Hazards
 SIMOPS Failure
 Booster bus Bar
 Electrical
 Lack of awareness
 Electrical Shock
 Heat stress
 Sun Stroke
 Dehydration
 Poor physical fitness
 Exhibiting symptoms of
fatigue
Uncontrolled when printed
Risk Score
Potential Effects
mitigation
 Collations between two team
potential to cause incident
/Injury
 Electrocution / electric
shocked
 Injury / illness
 Resulting to error and
confusing leading to serious
injury or fatality.
 Electrocution / electric
shocked
 Injury / Illness to the
individual.
 Higher Risk of Serious
incident injury / Fatality
 Higher Risk of Serious Illness
/ Fatality
 Erratic Behavior
 Weakness, Unsteady Gait
 Body Temperature elevated
 Convulsions
 Loss of Consciousness
GOV-ST-41-1-APP02
Rev. date : 1 Sep 2020
Rev. no. 03
Page : 5 of 8
Residual
before Control Measures
Risk
after mitigation
 Job safety risk assessments to be cascaded
9-M 3-L
to all operatives and followed at all times.
 Any changes in environment causing
additional risks will lead to immediate
stoppage of work and review of current
Risk assessment.
 SIMOPs endangering each other to be
avoided jobs designated priority wise.
 Ensure no other works are ongoing in the
same area without adequate SIMOPs plan.
 Do not extend any materials to buster bus
bar area.
 Do not extend any material beyond
basement fens
 All personnel shall have completed the
Qatalum HSE site induction
 Risk assessment Method of statement and
work permit briefing and task prestart talk
to all persons connected with the activity.
 Proper and close coordination with
operations personnel.
 Apply the personal padlock before entering
and start the work. Follow the isolation
procedure.
 Do not operate any electrical Equipment.
 Proper isolation (Lock out / Tagout) system
by authorize person only.
 Apply the personal padlock before entering
and start the work. Follow the isolation
procedure.
 Don’t operate any equipment.
 Rest Shelter and Ablutions at Site
12-H 3-L
 Awareness
 Regular Breaks, Drink Water
 Provide Adequate Drinking Water Nearby
& Implement Appropriate Work Rest
Scheme
 Operatives Are Given Information on Heat
Stress and Exhaustion During Tbt.
5
 GOV-ST-41-1-APP02
Rev. date : 1 Sep 2020
Job Risk Assessment Form Rev. no. 03
Page : 6 of 8

Risk Score Residual

Sequence of Job Steps Potential Hazards Potential Effects before Control Measures
Risk
mitigation after mitigation
 Operatives Are Instructed to Take Regular
Breaks and Drink Water as Per Project
Heat Stress Index.
 Provide adequate cold water on site at all
times. Always provide adequate shelter on
site. Water flasks to be provided to all
operatives
 Reduce, as much as possible, the number of
activities performed outdoors
 Ensure that workers remain well hydrated
 Higher Risk of Serious Illness  Maintain personal hygiene
COVID - 19 COVID19 Infection / Spread 9-M 3-L
/ Fatality / Environmental  Masks and gloves are mandatory for self as
of Virus / Transmission
Conditions that may affect well other precautionary.
exposure  Avoid sharing tools & equipment.
 Adhere to social distancing 1.5 m.
 Try to be paperless for procedures.
 Ensure all the team who involved in the job
should have good health.
 Report to senior if anyone feeling sick or
fever.
 Follow MOPH as well as Qatalum
guidelines for self and others awareness
Area cleaning  Ongoing at all times as you work, the area
shall be cleaned and unwanted materials to
be removed.

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 GOV-ST-41-1-APP02
Rev. date : 1 Sep 2020
Job Risk Assessment Form Rev. no. 03
Page : 7 of 8

Likelihood or probability

1 2 3 4 5
Rare Unlikely Moderate Likely Almost certain

Property damage Might well be

Practically
Injury/illness Environmental Quite possible or expected or
(actual loss, USD) impossible, has Unlikely, but has Possible or has
has been has been
never occurred been occurred in been occurred
occurred once a occurred more
in similar similar industry in Qatalum
year in Qatalum than once per
industry
year in Qatalum
Minor incident but no
1 Insignificant immediate signs of No effect to environment < 5,000 1–L 2–L 3–L 4–L 5–L
injury/illness
Environmental incident
2 Minor First Aid Case 5,000 – 25,000 2–L 4–L 6–M 8–M 10 – M
potentially cause damage
LTI temp. disability
Environmental incident
3 Moderate Restricted Work Case 25,000 – 100,000 3–L 6–M 9–M 12 – H 15 – H
resulting minor damage
Medical Treatment Case
4 Major Single fatality Environmental incident 100,000 – 1,000,000 4–L 8–M 12 – H 16 – H 20 – H
resulting major damage to
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 GOV-ST-41-1-APP02
Rev. date : 1 Sep 2020
Job Risk Assessment Form Rev. no. 03
Page : 8 of 8
Severity or

LTI perm. disability Qatalum

Multiple fatality Environmental incident
5 Catastrophic Perm. disability > 10 people resulting major damage to > 1,000,000 5–L 10 – M 15 – H 20 – H 25 – H
surrounding community
Risk = Severity x Likelihood L = Low Risk (≤ 5) M = Medium Risk (6 – 10) H = High risk (≥ 11)

MANAGING RISKS

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