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TEAM TEC CONSTRUCTION PTE LTD

HSE RISK & IMPACT ASSESSMENT FORM RM TEAM (Name and Designation) DOCUMENT REFERENCE NO.: RA/TTC-00

BU/DEPARTMENT: Team Tec Construction Pte Ltd RM LEADER: Maha REVISION NO.: 0

Civil works RA MEMBER 1: Raju APPROVED BY:

PROCESS/ACTIVITY LOCATION: Civil work for Fire water line repair works @ ARLANXEO RA MEMBER 2: Dinesh NAME: Malar

ORIGINAL ASSESSMENT DATE: 20/8/2020 RA MEMBER 3: Dev DESIGNATION: PM

LAST REVIEW DATE: 20/8/2020 SIGNATURE:

NEXT REVIEW DATE: 19/8/2023 DATE:

1. Hazard Identification 2. Risk Evaluation Risk control


1a. 1b. 2a. 2b. 2c. 2d. 3b. 3c. 3d. 3e. 3f. 3g

Likelihood

Likelihood
Risk and

Risk and
Target Date

Severity

Severity
Impact

Impact
Level
Level
Implemetation of
No. Work activity Hazard Possible Injury / Ill Health Existing Risk Controls Additional controls Remarks
on person Implementa
tion

Elimination: Not Possible


Vehicle trapped on site Vehicle mal-function property
due to muddy ground, Damage incident if vehicle hit
3 1 3
unsuitable ground property when driving into Substitution : Not Possible
condition the site
Engineering control :

1. Provide proper barrication and signages around the working


area.
2.Driver to verify with site contact the designated /allowed
internal road to drive in.If site access found unsafe,do not drive
into the site.
3.Seek the help of security or site
Pinch Point Hand Injury contact to inform or improve the access road condition. 3 1 3

4. Planning for designated area for storing of material and


Mobilisation of tools tools.
1 and materials via 10 5.Use proper access to enter and exit site. Site Supervisor Immediate
foot lorry Administrative control :
1. All the personnels should attend the inhouse SIC before prior
to mobilise
2. Ensure the workers placing the hand at the safe
location when handling the tools & materials.

back injure / minor cuts / 3. Daily toolbox


Trip / Fall meeting / pre-task briefing. 2 1 2
burns
4.Maintain good housekeeping.
5.Deployment of banksman.Banksman
should stand 4M away from the vehicle / out off the barricade
PPE : 6.Provide banksman
to Banksman
1. control the should
vechileware
movement.
the reflective vest to know the driver
property damage / hit clearly for proper communication.
serious injuries 2. Ensure the proper PPE to be worn when carry out work. 4 1 4
by lorry
3. use cut resistant level 3 gloves.

personal injury/ minor Elimination: Not Possible


Slip,trip & fall 3 1 3
fracture Substitution : Not Possible

Engineering control : NA
pinch point hand/ finger injury 3 1 3
site survey & Administrative control:
2 1. Apply valid PTW prior start work. Site Supervisor Immediate
Measurments
2. check and clear any obstruction in the access 3 1 3
noise pollution noise induced deficiency area.
PPE :
1. Use cut resistant level 3 gloves 3 1 3
2. All personal to wear basic PPE
personal injury/ minor
Slip,trip & fall
fracture

Page 1 of 9
TEAM TEC CONSTRUCTION PTE LTD

HSE RISK & IMPACT ASSESSMENT FORM RM TEAM (Name and Designation) DOCUMENT REFERENCE NO.: RA/TTC-00

BU/DEPARTMENT: Team Tec Construction Pte Ltd RM LEADER: Maha REVISION NO.: 0

Civil works RA MEMBER 1: Raju APPROVED BY:

PROCESS/ACTIVITY LOCATION: Civil work for Fire water line repair works @ ARLANXEO RA MEMBER 2: Dinesh NAME: Malar

ORIGINAL ASSESSMENT DATE: 20/8/2020 RA MEMBER 3: Dev DESIGNATION: PM

LAST REVIEW DATE: 20/8/2020 SIGNATURE:

NEXT REVIEW DATE: 19/8/2023 DATE:

1. Hazard Identification 2. Risk Evaluation Risk control


1a. 1b. 2a. 2b. 2c. 2d. 3b. 3c. 3d. 3e. 3f. 3g

Likelihood

Likelihood
Risk and

Risk and
Target Date

Severity

Severity
Impact

Impact
Level
Level
Implemetation of
No. Work activity Hazard Possible Injury / Ill Health Existing Risk Controls Additional controls Remarks
on person Implementa
tion
personal injury/ minor
Slip,trip & fall Elimination: Not Possible
fracture
Substitution : Not Possible
3 1 3
Engineering control : Not Possible

Administrative control:
1. Apply valid PTW prior start work
3 Cable Detection Works noise pollution noise induced deficiency Site Supervisor Immediate
2. check and clear any
obstruction in the access area
3. Underground utility services detection to be conducted by
competent person. 3 1 3
4. Licensed cable detection worker
PPE :
1. ALL personal to wear basic PPE
2. use cut resistant level 3 gloves

Elimination: Not Possible

Substitution : Not Possible


Engineering control :
1.Slip, Trip & Fall
Bodily injury 1.use proper body posture for material handling
2. Pinch point
2.No more than 20 kg per
person to be lifted
3.
3 1 3
150mm raise above ground material will be placed only located
area
4.wooden blocks to
4 Manual Handling be placed on the ground before placing material. Site Supervisor Immediate

Administrative
5..Do notcontrol : access with any material.
block the
6. All the tools should tie
1. All the area should be in good condition.
with
2. lanyard
proper communication with co-workers.
3. Budy system in place all manual
Ergonomics Sprains handling
4. Before lift the load, check the wight of the load and clear the
path of any obstructions. 4 1 4
5. worker should know
about the Proper lifting method
PPE :
Personnel injury, Leg injure
Hit by vehicle
& Back pain/property damage 1. use cut resistant level 3 gloves.
2. Ensure the proper PPE to be worn when carry out work.

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TEAM TEC CONSTRUCTION PTE LTD

HSE RISK & IMPACT ASSESSMENT FORM RM TEAM (Name and Designation) DOCUMENT REFERENCE NO.: RA/TTC-00

BU/DEPARTMENT: Team Tec Construction Pte Ltd RM LEADER: Maha REVISION NO.: 0

Civil works RA MEMBER 1: Raju APPROVED BY:

PROCESS/ACTIVITY LOCATION: Civil work for Fire water line repair works @ ARLANXEO RA MEMBER 2: Dinesh NAME: Malar

ORIGINAL ASSESSMENT DATE: 20/8/2020 RA MEMBER 3: Dev DESIGNATION: PM

LAST REVIEW DATE: 20/8/2020 SIGNATURE:

NEXT REVIEW DATE: 19/8/2023 DATE:

1. Hazard Identification 2. Risk Evaluation Risk control


1a. 1b. 2a. 2b. 2c. 2d. 3b. 3c. 3d. 3e. 3f. 3g

Likelihood

Likelihood
Risk and

Risk and
Target Date

Severity

Severity
Impact

Impact
Level
Level
Implemetation of
No. Work activity Hazard Possible Injury / Ill Health Existing Risk Controls Additional controls Remarks
on person Implementa
tion

Hand Injury / personnel Elimination: Not Possible


Pinch Point
injury Substitution : Not Possible
Engineering control : 3 1 3

1.All joints and connection insulated.


2.Power source to be
Dust generation Lungs Disease
disconnected before changing take place.
3.While drilling on the
concrete floor the worker should keep the hand away from
Hacking of existing rotating part. 4 1 4
fire water line pit wall Administrative control :
using electrical
5 1.Wash hand & face before consume beverages Site Supervisor Immediate
breaker/Drill the
2. Daily toolbox meeting / pre-task briefingMonthly
exsiting concrete wall Electrocution Serious injury inspection by LEW and ensure in good condition
using eletrical drill.
3. All joints and connection insulated
4. Visual checking for
abnormal condition before start work
4 1 4
Daily
PPE : toolbox meeting.

1.Wear face shield and safety goggle while using drilling


noise hazard loss of hearing machine.
2.Wear N95 dust mask and double hearing protection.
3. use cut resistant level 3 gloves. 3 1 3

Elimination: Not Possible

Substitution : Not Possible


Engineering control : 3 1 3

flying objects / particles 1. All the rotating parts should be covered with guard
cuts / burns / multiple injuries 2. double hearing protection.
during cutting of rebar
Existing rebar cutting Administrative control :
6 by using electrical 1. All the electrical tools should be inspected by licensed LEW Site Supervisor Immediate
cutter worker.

2. Fire watchman shall be deployed.


3.provide the fire extinguisher.
4 1 4
Electrocution Serious injury PPE :
1.Wear face shield while using drilling machine.
2.Wear N95 dust mask
3. use cut resistant level 3 gloves.

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TEAM TEC CONSTRUCTION PTE LTD

HSE RISK & IMPACT ASSESSMENT FORM RM TEAM (Name and Designation) DOCUMENT REFERENCE NO.: RA/TTC-00

BU/DEPARTMENT: Team Tec Construction Pte Ltd RM LEADER: Maha REVISION NO.: 0

Civil works RA MEMBER 1: Raju APPROVED BY:

PROCESS/ACTIVITY LOCATION: Civil work for Fire water line repair works @ ARLANXEO RA MEMBER 2: Dinesh NAME: Malar

ORIGINAL ASSESSMENT DATE: 20/8/2020 RA MEMBER 3: Dev DESIGNATION: PM

LAST REVIEW DATE: 20/8/2020 SIGNATURE:

NEXT REVIEW DATE: 19/8/2023 DATE:

1. Hazard Identification 2. Risk Evaluation Risk control


1a. 1b. 2a. 2b. 2c. 2d. 3b. 3c. 3d. 3e. 3f. 3g

Likelihood

Likelihood
Risk and

Risk and
Target Date

Severity

Severity
Impact

Impact
Level
Level
Implemetation of
No. Work activity Hazard Possible Injury / Ill Health Existing Risk Controls Additional controls Remarks
on person Implementa
tion

Elimination: Not Possible


3 1 3
Substitution : Not Possible
workers may hit by hoe. Bodily injury. Engineering control :

1. Ensure that workers maintain a safe distance. 3 1 3


2. Rotation basis to do
excavation. 3.
Supervisor to review the underground services drawing or cable
Personnel engaging in manual detection report.
excavation operations may be 4. If you see any slab/ red tiles stop work immediately and
Musculoskeletal
subject to strains and inform the Supervisor or Arlanxeo rep.
sprains. 5. Provide barricade all around the
pits. Barricade should provide 1M away from the excavation pit. Site Supervisor Immediate
6. Display warning signage to avoid unautorized entry.
7 7.provided the drink water point for our temporary
4 1 4
storage area.
Manual Excavation 8.Whenever feel thirsty take sufficient break to drink
works plenty of water.
9.Only the drinking water point provided as this
Damage to underground particular specific activity.
Serious injury
services /Electrocution
Administrative control :

1.Daily toolbox meeting/PTS Briefing.


2. Use trained workers to perform the works.
3. encourage 3 1 3
work force to drink more water at shelter area
4. to take rest if
weather
PPE : is too hot/extreme
3 1 3
1.use cut resistant level 3 gloves
Fall in the pits Bodily injury.

Heat Stress 3 1 3 Site Supervisor Immediate


Dehydration Heart Stroke
Heart Cramps

Page 4 of 9
TEAM TEC CONSTRUCTION PTE LTD

HSE RISK & IMPACT ASSESSMENT FORM RM TEAM (Name and Designation) DOCUMENT REFERENCE NO.: RA/TTC-00

BU/DEPARTMENT: Team Tec Construction Pte Ltd RM LEADER: Maha REVISION NO.: 0

Civil works RA MEMBER 1: Raju APPROVED BY:

PROCESS/ACTIVITY LOCATION: Civil work for Fire water line repair works @ ARLANXEO RA MEMBER 2: Dinesh NAME: Malar

ORIGINAL ASSESSMENT DATE: 20/8/2020 RA MEMBER 3: Dev DESIGNATION: PM

LAST REVIEW DATE: 20/8/2020 SIGNATURE:

NEXT REVIEW DATE: 19/8/2023 DATE:

1. Hazard Identification 2. Risk Evaluation Risk control


1a. 1b. 2a. 2b. 2c. 2d. 3b. 3c. 3d. 3e. 3f. 3g

Likelihood

Likelihood
Risk and

Risk and
Target Date

Severity

Severity
Impact

Impact
Level
Level
Implemetation of
No. Work activity Hazard Possible Injury / Ill Health Existing Risk Controls Additional controls Remarks
on person Implementa
tion

4 1 4

Elimination: Not Possible

Oxygen deficiency Fatigue Substitution : Not Possible


Engineering control : 4 1 4

1.Workers are rotated for the repetitive actions of work. Site Supervisor Immediate
2. Workers are advised to have a
comfortable body posture while working.
work activities in
8 Presence of toxic gases amputation
confined space Administrative control :
1.Confined space entry permit is in place.
2.Manhole watcher to monitor with 4-in-1 gas monitor. 4 1 4
3.Manhole watcher to check
O2 level inside sump and record every hourly. Maintains personal
log - personal entering /leaving trench.
4.Evacuate workers if conditions are
Flammable gases or occupational cancer, acute
unsafe.
PPE : eg. O2 is less than 19.5%. or more than 23.5%.
vapors poisoining

1.use cut resistant level 3 gloves 3 1 3

Elimination: Not Possible

Pinch point Hand injuiry Substitution : Not Possible 3 1 3


Engineering control :

1.Finger to be kept away from the plywood joints. Site Supervisor Immediate
2.To keep safe distance from
Install & remove Trip&Fall Bodily injuiry exposed formwork.
9 3.No more than 20kg per person to be lifited.
shoring work
4.wooden blocks to be placed on the ground before
placing material.
3 1 3
5.Do not block the
access with any material.
Administrative control : 6. GI
pipes will fixed for shoring by using Monkey ramp
1.Material to be stroed in proper storage area.
Workers hit by 2.To
Bodily injuiry
formwork supports remove unwanted materials from site.

3. provide Proper PE design for shoring

4. shoring props and supports should fallow as per the PE


Design

Page 5 of 9
TEAM TEC CONSTRUCTION PTE LTD

HSE RISK & IMPACT ASSESSMENT FORM RM TEAM (Name and Designation) DOCUMENT REFERENCE NO.: RA/TTC-00

BU/DEPARTMENT: Team Tec Construction Pte Ltd RM LEADER: Maha REVISION NO.: 0

Civil works RA MEMBER 1: Raju APPROVED BY:

PROCESS/ACTIVITY LOCATION: Civil work for Fire water line repair works @ ARLANXEO RA MEMBER 2: Dinesh NAME: Malar

ORIGINAL ASSESSMENT DATE: 20/8/2020 RA MEMBER 3: Dev DESIGNATION: PM

LAST REVIEW DATE: 20/8/2020 SIGNATURE:

NEXT REVIEW DATE: 19/8/2023 DATE:

1. Hazard Identification 2. Risk Evaluation Risk control


1a. 1b. 2a. 2b. 2c. 2d. 3b. 3c. 3d. 3e. 3f. 3g

Likelihood

Likelihood
Risk and

Risk and
Target Date

Severity

Severity
Impact

Impact
Level
Level
Implemetation of
No. Work activity Hazard Possible Injury / Ill Health 1.Material to be stroed in proper
Existing storage
Risk area.
Controls Additional controls Remarks
Workers hit by on person Implementa
Bodily injuiry 2.To
formwork supports tion
remove unwanted materials from site.

3. provide Proper PE design for shoring 3 1 3


PPE :
4. shoring props and supports should fallow as per the PE
1.use cut resistant level 3 gloves
Design
Elimination: Not Possible 3 1 3
Pinch points Hand injury
Substitution : Not Possible
Engineering control : Site Supervisor Immediate
2 1 2
Workers hit by 1.Finger to be kept away from the plywood joints.
Bodily injury
formwork supports 2.To keep safe distance from
exposed formwork.
3.Exposed rebar to be covered with rebar caps / Plywood
Install & remove 3 1 3
10 4. Hold the nail with plier to nailing on
formwork & Rebar
Trip & Fall Bodily injury the formwork.
Administrative control :
1. To remove unwanted materials away from site
2. Material to be stored in proper storage area.
PPE : 3 1 3
Expose to protruding
Bodily injury
rebar’s
1.use cut resistant level 3 gloves

Worker being splashed Skin contact with cement/ Elimination: Not Possible
by cement Dermatitis
Substitution : Not Possible
Engineering control : Site Supervisor Immediate

1.Provide barricade with warning signs to alert others. 3 1 3


2. Ensure that workers maintain a safe
distance.

11 Casting of concrete
Worker being hit by Bodily injury / Damage to Administrative control :
concrete truck property
1.Provide banksman to guide the concrete the truck
2. Banksman should ware the
PPE :
reflective vest to know the driver clearly for proper
communication
1. Use Rubber gloves / Rubber boots while concreting
2.Use faceshield during concrete works. 3 1 3
3. use cut resistant
level 3 gloves, apron.
workers may hit by Elimination: Not Possible
plate compactor / Bodily injury Substitution : Not Possible
Engineering control :
Jumping rammer
1.Provide barricade with warning signs to alert others.
2. Ensure that workers maintain a safe
distance. 3.Dust suppression control by Site Supervisor Immediate
continuous Spray water.

Compaction using 3 1 3
plate Administrative control :
12
compactor/jumping
rammer Noise hazard Loss of hearing 1. Operator must be trained person.Daily Toolbox meeting/ Pre -
Task Briefing
2.To ensure compliance to
the inspection regime Page 6 of 9
3.Pre-check the machine before use.
4. Competent person to perform the repair work for the
equipment
TEAM TEC CONSTRUCTION PTE LTD

HSE RISK & IMPACT ASSESSMENT FORM RM TEAM (Name and Designation) DOCUMENT REFERENCE NO.: RA/TTC-00

BU/DEPARTMENT: Team Tec Construction Pte Ltd RM LEADER: Maha REVISION NO.: 0

Civil works RA MEMBER 1: Raju APPROVED BY:

PROCESS/ACTIVITY LOCATION: Civil work for Fire water line repair works @ ARLANXEO RA MEMBER 2: Dinesh NAME: Malar

ORIGINAL ASSESSMENT DATE: 20/8/2020 RA MEMBER 3: Dev DESIGNATION: PM

LAST REVIEW DATE: 20/8/2020 SIGNATURE:


Site Supervisor Immediate
NEXT REVIEW DATE: 19/8/2023 DATE:

1. Hazard Identification 2. Risk Evaluation Risk control


1a. Compaction
1b. using 2a. 3
2b. 1 2d.
2c. 3 3b. 3c. 3d. 3e. 3f. 3g
plate

Likelihood

Likelihood
12

Risk and

Risk and
Target Date

Severity

Severity
compactor/jumping

Impact

Impact
Level
Level
Implemetation of
No. rammer
Work activity Hazard
Noise hazard Possible
Loss Injury / Ill Health 1. Operator must be Existing
of hearing trained person.Daily Toolbox meeting/ Pre -
Risk Controls Additional controls Remarks
Task Briefing on person Implementa
2.To ensure compliance to tion
the inspection regime
3.Pre-check the machine before use.
4. Competent person to perform the repair work for the
equipment

Page 7 of 9
TEAM TEC CONSTRUCTION PTE LTD

HSE RISK & IMPACT ASSESSMENT FORM RM TEAM (Name and Designation) DOCUMENT REFERENCE NO.: RA/TTC-00

BU/DEPARTMENT: Team Tec Construction Pte Ltd RM LEADER: Maha REVISION NO.: 0

Civil works RA MEMBER 1: Raju APPROVED BY:

PROCESS/ACTIVITY LOCATION: Civil work for Fire water line repair works @ ARLANXEO RA MEMBER 2: Dinesh NAME: Malar

ORIGINAL ASSESSMENT DATE: 20/8/2020 RA MEMBER 3: Dev DESIGNATION: PM

LAST REVIEW DATE: 20/8/2020 SIGNATURE:

NEXT REVIEW DATE: 19/8/2023 DATE:


Compaction using
plate 1. Hazard Identification 2. Risk Evaluation Risk control
12
1a. 1b.
compactor/jumping 2a. 2b. 2c. 2d. 3b. 3c. 3d. 3e. 3f. 3g
rammer

Likelihood

Likelihood
Noise hazard Loss of hearing

Risk and

Risk and
Target Date

Severity

Severity
Impact

Impact
Level
Level
Implemetation of
No. Work activity Hazard Possible Injury / Ill Health Existing Risk Controls Additional controls Remarks
on person Implementa
tion

PPE :
1. Workers wearing double hearing protection while using plate
compactor / roller for compaction. 4 1 4

2.Use cut resistant level 3 gloves

3 1 3
Site Supervisor Immediate

4 1 4

Elimination: Not Possible

13 House kepping 2 1 2 Individual Immediate


Substitution : Not Possible

Engineering control :

Tripping Hazards Physical injury Administrative control :


1.Ensure barricade and warning signs are removed as soon as
the work completed.
2.Task
supervisor to be inspect the area after completion of work.
PPE :
1. Use cut resistant level 3 gloves.

Page 8 of 9
TEAM TEC CONSTRUCTION PTE LTD

HSE RISK & IMPACT ASSESSMENT FORM RM TEAM (Name and Designation) DOCUMENT REFERENCE NO.: RA/TTC-00

BU/DEPARTMENT: Team Tec Construction Pte Ltd RM LEADER: Maha REVISION NO.: 0

Civil works RA MEMBER 1: Raju APPROVED BY:

PROCESS/ACTIVITY LOCATION: Civil work for Fire water line repair works @ ARLANXEO RA MEMBER 2: Dinesh NAME: Malar

ORIGINAL ASSESSMENT DATE: 20/8/2020 RA MEMBER 3: Dev DESIGNATION: PM

LAST REVIEW DATE: 20/8/2020 SIGNATURE:

NEXT REVIEW DATE: 19/8/2023 DATE:

1. Hazard Identification 2. Risk Evaluation Risk control


1a. 1b. 2a. 2b. 2c. 2d. 3b. 3c. 3d. 3e. 3f. 3g

Likelihood

Likelihood
Risk and

Risk and
Target Date

Severity

Severity
Impact

Impact
Level
Level
Implemetation of
No. Work activity Hazard Possible Injury / Ill Health Existing Risk Controls Additional controls Remarks
on person Implementa
tion

Page 9 of 9

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