Risk assessment form

Name of assessor Your name Date Date of risk assessment

Time Time of risk assesment Work area BF-1 of B1A Bldg. having area of 768 sq. meter with 29 peoples.

Task being assessed Inspection of Concreting works in B1A Building Foundation

New risk
How might Existing Risk rating rating Action/ Action/
What is the Who might be Additional
people be risk control (Residual) monitored by monitored by
hazard? harmed? controls
harmed? measures whom? when?
L C R L C R
Inadequate Access Foreman (3), Inadequate access Flagman to be used 5 Provision of 3 Urgent Action 9 April and Daily
and Egress at site Mason /Concrete and egress can in work area. pedestrian Taken and regular monitoring
(Physical & Team (11), lead to injuries to Wearing PPE and access/lane. Use monitored by HSE
Mechanical Hazard) Steel fixer Team (8) persons and visibility best at all of hooter & Officer Supervisor/
Shuttering vehicles. Narrow time. 4 20 extreme driver 2 6 Manager
Carpenter Team access may caused caution. Vehicle to
(6), vehicular collision be driven no more
Myself (1) and traffic. than 20kph.

Delivery & Foreman (3), Reversing of No truck to be 4 Adequate 2 Action taken and 9-11 April and Daily
Discharging of Mason /Concrete Concrete truck may reverse without unobstructed monitored by or Weekly regular
concrete using Team (11), cause collision. Flagman. Full PPE access and egress HSE monitoring/
Pump/Chutes - Laboratory Tech (1) Persons can be to be worn at all to be maintained all Officer/Supervisor/
Collision, Site Engineer (1) concrete splashes times (rubber times. Assure Site Engineer &
4 16 2 4
Concrete splashes K&A Consultant (1) in face/body/hands gloves, Gum boots concrete truck with Chief Foreman.
(Physical Hazard , Myself (1) etc. Contamination and disposable reverse horn.
Mechanical & of ground from coveralls.) Concrete truck to
Environmental surplus of concrete wash out Polytene
Hazard) Heat Stress Lined skip
 Risk assessment form

New risk
How might Existing Risk rating rating Action/ Action/
What is the Who might be Additional
people be risk control (Residual) monitored by monitored by
hazard? harmed? controls
harmed? measures whom? when?
L C R L C R
Pouring and Foreman (3), Any Person contact Wearing Correct 4 Manual Handling 3 Action taken and 9 April and Daily,
vibrating of Mason /Concrete with concrete may PPE to worn at all Techniques. Ear monitored by Civil Weekly/ Monthly
concrete Team (11), caused stain, times Plug to be worn. Construction regular monitoring
Noise Carpenter Team bruises, burns from Wash any body Depatment Head /
Stain, bruises & (6), concrete. White parts with cement HSE Supervisor/
3 12 1 3
burns Myself (1) Knuckle effect, splashes Manager
(Physical Hazard & Noise hazards. immediately. All
Mechanical Hazard) Defective Tools & tools & equipments
Equipment may to be check prior to
lead to accident. work.

Concrete finishing Mason /Concrete Any Person contact Safety Gum boots, 3 Provide proper 2 Action taken and 11 April and Daily
by hand- Team (11), with concrete may Safety Rubber Manual handling monitored by Civil regular monitoring
Stain, Bruises and Foreman (2) cause Stain, Gloves. Full PPE to techniques. All Construction when ever
Burns from Myself (1) bruises, burns, be worn tools to be checked Depatment Head/ Concreting works
concrete dehydration. prior to work. Mason/Concrete are there.
Defective tools may 3 9 2 4
Defective tools Adequate Drinking Foreman / HSE
Heat Stress leads to accident. Station and ORS to Officer /Manager
(Physical Hazard, be provided & Heat
Mechanical & Stress Shelter
Environmental)

Review date 11 April 2019 Signature Your full name

Training Provider name HSEQ Professionals SMC-Pvt Ltd