DOC. REF. NO.

YL-HSE-RIA-00
REV. 00
ASPECT IDENTIFICATION / IMPACT ASSESSMENT FORM
DATE 10-10-2017
PAGE Page 1 of 8

Residual
Impact Assessment
Impact
No Aspect Impact Control Measure
Likelihoo
Severity Rating L S R
d
1. All underground services must be located prior to use of any
mechanical equipment (Utility Mapping) and marked.
2. Supervisors must be aware of all the underground services and
a) Damage to
must communicate to all the workers prior to excavation.
underground
3. Permit to dig to be issued prior to any excavation on site
1 Excavation facilities 2 4 8 1 4 4
4. Site Superintendent or Supervisor to approve the excavation works
 Bodily injury /
after ensuring all control measures have been identified, prior to
fatality
works commencing.
5. Sufficient signage to be placed around area to warn staff of the
danger and void
 DOC. REF. NO. YL-HSE-RIA-00
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ASPECT IDENTIFICATION / IMPACT ASSESSMENT FORM
DATE 10-10-2017
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Residual
Impact Assessment
Impact
No Aspect Impact Control Measure
Severit
Likelihood Rating L S R
y
1. Ensure that all sides of excavations are sloped / battered back to a
suitable angle (Angle dependant on suitability of the soil)
2. Excavation to be adequately shored in areas of soft ground.
3. Sufficient access / egress provided for all excavations
4. No heavy materials or equipment shall be placed near excavations
edge (minimum 1.5 meter distance)
b) Collapse of
5. Identify working platforms for plant and other construction
excavation Plant
vehicles.
falling into excavation 3 4 12 2 4 8
6. Sufficient signage to be placed around edge of all excavations and
 Bodily injury /
exposed edges.
fatality
7. Inspection to be carried out daily and after adverse weather
condition by a competent person and all necessary precautions to
1 Excavation
be taken to prevent any collapse or displacement of the
excavation.
8. Excavated pit must be barricade. Barricade to be placed at least
1.5m away from trench.
1. Excavator to be controlled during excavation by banksman.
2. Excavator operator must ensure all side mirrors on crane are
clearly visible and not damaged. (Damaged mirrors to be
c) Hit by excavator body
replaced immediately).
 Major bodily injury or 2 4 8 1 4 4
3. Excavator must be fitted with automatic reverse and swinging
fatality
automatic alarm.
4. Warning rotating automatic lights must be fully functional at all
times.
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ASPECT IDENTIFICATION / IMPACT ASSESSMENT FORM
DATE 10-10-2017
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Residual
Impact Assessment
Impact
No Aspect Impact Control Measure
Likelihoo
Severity Rating L S R
d
1. Slope to be always maintained at 45 degree and must be covered
with canvas if work is completed in that area.
2. Excavator operator to adhere to instructions from supervisor as to
d) Collapse of soil slopping process.
 Major bodily 2 4 8 3. Excavator operator must possess a valid driving license and/or must 1 4 4
injury or fatality have attended training on excavator operations with a valid
certificate.
4. Prevent workers from working at excavation area that is not at 45
degrees.
1. To place temporary stand lights as and where is necessary during
excavation process.
2. All machines to have functional front lights and rotating light
installed on the machine.
1 Excavation e) Low visibility
3. Accumulation of dust during excavation to be controlled by
 Major bodily 2 4 8 1 4 4
dewatering as and when necessary.
injury or fatality
4. Lux levels to be monitored monthly and recorded at working areas.
5. Frequent monitoring is to be done by immediate supervisor
handling excavation at an area to determine working area is
brightly lit.
1. Noise monitoring is to be measured
2. Ear plugs and / or ear muff to be provided to workers working in
f) Noise Pollution area with high exposure of noise.
 Hearing loss / or 2 4 8 3. Portable noise barrier is to be installed at areas where high noise 1 4 4
impairment pollution is recorded.
4. Training and / or briefing is to be provided to workers on noise
pollution and the impact of it.
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ASPECT IDENTIFICATION / IMPACT ASSESSMENT FORM
DATE 10-10-2017
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Residual
Impact Assessment
Impact
No Aspect Impact Control Measure
Severit
Likelihood Rating L S R
y
1. Two-way ventilation fans must be installed. One is to
purge out the air from excavated area and the other is to
g) Insufficient supply fresh air into excavated area.
oxygen supply 2. Works shall stop if ventilation fans are not functioning. 1 4 4
1 Excavation 2 4 8
 Major bodily 3. Symptoms of lacks of oxygen shall be briefed to workers
injury or fatality during toolbox talks.
4. Symptoms of “heat stress’ shall be briefed to workers
during toolbox meeting.
1. Excavator swinging radius to be barricaded during lifting
operations.
2. Excavator movements to be controlled by banksman
and/or riggers.
3. Excavator operator to ensure all side mirrors on crane is
a) Hit by excavator
Removal of debris by clearly visible and not damaged (Damaged mirrors to be
body
2 excavator onto soil 2 4 8 replaced immediately). 1 4 4
 Major bodily
lorry 4. Excavator must be fitted with automatic reverse and
injury or fatality
swinging automatic alarm.
5. Warning rotating automatic lights must be fully functional
at all times.
6. Isolated slewing plants if its stationed movement.
7. Provide separate pedestrian walkways.
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Residual
Impact Assessment
Impact
No Aspect Impact Control Measure
Likelihoo
Severity Rating L S R
d
1. Lorry drivers are forbidden to climb on top
of the truck roof whilst excavator is still
loading soil.
b) Lorry driver fall from height 2. Cover up the spoil with tarpaulin sheet from
2 3 6 1 3 3
 Major bodily injury the top but only tie them back from ground
level.
3. Lorries should all be equipped with
reversing alarm.
c)Lorry parking brake failure
1. Place stop block to prevent lorry moving
when driver exits lorry during
forward.
Removal of debris by filling of soil 2 4 8 1 4 4
2. Lorry is to be parked on gear and engine
2 excavator onto soil  Major bodily injury and / or
turned off.
lorry property damage
1. All movement into and exit from site is to be
controlled by banksman stationed at entry
and exit point,
2. All maneuvering of lorry is to be controlled
d) Collision of moving soil lorry
by banks man especially during reversing
 Major bodily injury and / or 2 4 8 1 4 4
position.
property damage
3. Interval between arrival of lorry to site is
necessary to avoid congestion.
4. Access for lorries is to be separated from
pedestrian walkway.
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ASPECT IDENTIFICATION / IMPACT ASSESSMENT FORM
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Residual
Impact Assessment
Impact
No Aspect Impact Control Measure
Severit
Likelihood Rating L S R
y
1. Set up a No Entry zone where only the operator
is allowed to enter.
2. Ground personnel to stay outside the barricade
at all times until the demolition works are
a) Concrete debris hitting
completed.
worker inside the station
4 4 16 3. Basic PPE regulations to be adhered, such as 2 4 8
 Major bodily injury /
helmet, glasses etc.
fatality
4. Demolition activities to be closely monitored by
Supervisors and/or Engineers.
Demolition works using 5. Banksman in charge to prevent anyone inside
3
mechanical breaker the No Entry zone.
1. Ensure tunnel is no longer in use and both
b) Concrete debris hitting
entries to the station area are sealed.
pedestrian inside tunnel
3 4 12 2. Visible notices to indicate no entry. 1 4 4
 Major bodily injury or
3. Demolition activities to be closely monitored by
fatality
Supervisors and/or Engineers.
1. Noise monitoring to be conducted during
c) Noise Exposure activity.
4 3 12 1 3 3
 Hearing deficiency 2. Appropriate ear plugs to be used base on dB
produced by the activity
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ASPECT IDENTIFICATION / IMPACT ASSESSMENT FORM
DATE 10-10-2017
PAGE Page 7 of 8

Residual
Impact Assessment
Impact
No Aspect Impact Control Measure
Severit
Likelihood Rating L S R
y
1. Excavator to be controlled during demolition by banksman.
2. Excavator operator must ensure all side mirrors on crane are
d) Hit by excavator clearly visible and not damaged. (damaged mirrors to be
Demolition works
body replaced immediately). 1 4 4
3 using mechanical 2 4 8
 Major bodily 3. Excavator must be fitted with automatic reverse and
breaker
injury or fatality swinging automatic alarm.
4. Warning rotating automatic lights must be fully functional
at all times.
a) Flooding of 1. Fully operational dewatering system to be provided in any
Dewatering of excavation excavations where groundwater is present.
4 2 4 8 1 4 4
excavation  Major bodily 2. Daily monitoring of any dewatering systems by a
injury supervisor/foreman.

Impact Assessment Key Likelihood Key Severity Key

Likelihood score Score Likelihood Score Severity
Severity Score
1 2 3 4 5 1 Unlikely 1 Negligible
1 2 May Happen 2 Minor
2 3 Likely 3 Major
3 4 Very Likely 4 Serious
4 5 Certain 5 Catastrophic
5
 DOC. REF. NO. YL-HSE-RIA-00
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ASPECT IDENTIFICATION / IMPACT ASSESSMENT FORM
DATE 10-10-2017
PAGE Page 8 of 8

Assessed By: Reviewed By: Approved By:

Name Wan Ahmad Syahmi Name Tan Zi Yang Name Yap Eng Hong

Designation Safety Supervisors Designation Project Manager Designation Project Director

Signature Signature Signature