Use the Step Back 5x5 for Dynamic Risk Review

Figure 1 – TRIC Page 1

Procedure Reference HAZARDS CON CONTROL SHEET
_______________________________________ Use this section to breakdown the job into steps, identify the hazards
_______________________________________ and controls and assign responsibilities for the controls.
Job Description: Manual and Mechanical
Task: Hazards:
Break the job down into a logical What hazards did your find for each
sequence of steps task?
 Site –Per  Miscommunication
 PPE'S not available
 Slip, trip and fall
 Unaware about the hazard at work
site, muster points, and protocols
 Assessing work areas prior  Existing hazard or new hazard not
commence activities identified
 Access and egress not available
 Slip, trips and fall
 Manual Excavation Casting
concrete and by using Cutter
machine  Poor hand tools and damage
 Install PVC P equipment
 Body injuries
 Dust accumulation
 Falling of personnel
 Noise
 Damage equipment
 Effected Eye, Skin Contact,
Inhalation and Ingestion
 Skin irritation to hands
 Contamination of clothing
Debrief: use this space to record any comments or new learning from the job
____________________________________________________________________________________________________________________________________________
Life Saving
Rules
Tick & discuss
rules that apply
Figure 2 – TRIC Page 2
Job Card/Permit #/HAZ-ID# 3179
___________________________________
___________________________________
excavation at Fuel station
Controls: Responsibilities: Are controls
What controls are in place or will you put in place? Who will be responsible in place?
each of those controls? Yes No
 Identify hazards in the site
 Full PPE'S all times
 Housekeeping before state the job Site Supervisor
 TBT and Muster point
 Ensure that all hazard exist on the area are noted and discussed. Site Supervisor
 Ensure that good housekeeping maintained, safe access and egress provided.
 Ensure that everybody assessing the area are wearing complete and Standard
PPE’s.
 Ensure that all workers are wearing complete and standard PPE’s such as; Dust
Mask, Hardhat, working gloves, safety shoes, safety glass, and coveralls.
 Ensure that PTW and ERW certificates are approved and available.
 Ensure that all workers attended HSE induction and ERW training
 Supervisor available at all times
 Check hand tools and equipment before start the working
 We are must be wearing full PPE'S in the site
 Ensure that all workers area wearing complete and standard PPE’s such as;
Dust Mask, Hardhat, working gloves, safety shoes, safety glass, and coveralls
 Barriers and safety sings available and posted Site Supervisor
 Unauthorized personnel not allowed entering within the work areas
 Unfinished work must be fully barricaded
 Ensure that safe access and egress are available
 Ear plug Check the equipment before start the work
 Follow the MSDS attach in the permit First aide
 Wash exposed areas thoroughly with soap and water after handling.
 Do not wash skin or hands with concrete, use hand cleaner.
 Wear gloves that are impervious to concrete
 Wash work clothes separately from other clothing; rinse washer after thoroughly
after use