Document Ref: MUL-EHS-FO-003

Issue Date: 10-jan-20

Risk Assessment Form Version No.: 01
Next Revision Date : 09-jan-2023

Activity : Cable laying,Dressing,Mesh & Tray installation,Panel Installation Reason for the Risk Assessment
Department : Watt N Volt Electrical & Automation Company Proactive risk assessment as a result of near miss. As a result of new PepsiCo standard.
Process Hall,Packaging Hall(Old & New),Barrel Washer(Intake)
Location : Area,Walkable Ceiling Area & Roof,Utility Area,RPM & RPM Roof,VO Proactive risk assessment (new equipment, process, activi As a result of new legal or other requirements
Area,LV Room,Contractor yard
Activity Frequency : PC 50 Line Installation As a result of an accident risk assessment Risk Assessment against Method Statement
As a result of non conformity / non compliance resulting
Date : 8/2/2022
from and inspection or audit
Risk Rating With No Current Control Additional Control
Control
(considering failure (considering (considering
Description of Job /Task Hazard Description & its Associate Risk of all controls) current controls additional control
Sr # Current Controls Additional Control Responsibility
(What needs to be done?) L S R= L x S L S R= L x S L S R= L x S

- Area should be properly barricaded with

1 Area Barricading with Unauthorised entry, 2 3 6 warning tape to avoid unauthorised entry. 2 2 4 Person outside barricaded area will 1 2 2 Project Team
barricading tape ensure to avoid unattended entry

Hand Trolly will be used.Walk ways will be

Manual handling may cause the low made clear for the movement of TBT will be conducted before starting
2 Material shifting to site back pain ,Minor Injury due the sharp 2 3 6 material.Proper PPEs(Cotton 2 2 4 the job 1 2 2 Project Team
edges and Minor cuts. Gloves,Saftey Shoes,Saftey
Helmet,Facemask) must be ensured.

Area should be properly barricaded to

Fall from height (person)
During Erection of Scaffolding
avoid un-authorised entry. Workers will be
used Safety Helmet with chin Strip, safety
Shoes.
Fall prevention system will be applied
3 4 12 (safety harness lanyard with double life 2 3 6 Scaffolders will be TUV Certified Holder 2 2 4 Project Team
line),
Trained/3rd Party certified scaffolders will
perform the job.Use 3rd Party Certified
safety harness.

• Permit to work protocol.

3 Erection of Scaffolding up to
30ft to 35ft
Fall from height objects (Scaffolding
Couplers/Planks) on (Scaffolders)
While erecting scaffolding
• Periodic / continual housekeeping.
• Keep site clean from all unnecessary
material/obstructions.
• Area barricading only competent Scaffolders will perform
3 3 9 • No unauthorised entry 2 3 6 the job 2 2 4 Project Team
Workers are use to Safety Helmet with
chin Strip, safety Shoes. Only trained and
medically fit scaffolders shall be allowed to
Erection of Scaffolding.

4 LOTO Applied
5 Snorkel & MEWP movement
parking area to site
Access to height on
(Scaffolding,Platform,Snorkel,ME
6 WP) 30ft to 35ft For Installation
of Cable Mesh & Cable Tray or
Cables laying, dressing.
7 Confined Space Entry
During erection scaffolding can be
collapse, Hit with structure, live
cables.
Short circuit, Severe Burns
Unattended and card borad stocks,
others utilities line alongs with
road,snorkel hit for pools.
Fall from height of Person can cause
Serious personnel injury
Scaffolding collapse while workers are
working on it.
Untrained/Unfamiliar
entrants/attendants with
procedure/processes.
Entrapment/affrication, injury/loss of
conscience, dangerous/toxic or
explosive atmosphere.
Proper erection of scaffolding by trained
scaffolders. Maintain distance from live
cables.
3 4 12 EHS scaffolding protocol including 2 3 6 Scaffolding pipes will be good condition 2 2 4 Project Team
scaffolding check list Shall be Inspection.
Scaffolding will be used green tag.
Trainded Electricians will be performed LOTOTO must be applied before start
3 4 12 this job. Must be used Electrical gloves for 2 3 6 the job. No allowed work on live cables, 1 2 2 Project Team
termination of panels. circuit.
Snorkel operator must be 3rd party
certified,snorkel speed must be 10 km/h
3 4 12 while moving from snorkel parking area to 2 3 6 TBT be conducted before start the job 2 2 4 Project Team
site,banks man also be there while moving
snorkel,snorkal route should be clear from
un attendent card bord stocks.
Trainded Electricians will be performed
this job. Fall prevention system will be
applied (safety harness, with double life
3 4 12 line).Trained workers are allowed to 2 3 6 Electricians will be competent and 2 2 4 Project Team
conduct TBT.
perform work at height. Inspected Harness
will be use and Valid Inspection tag are
displayed at the safety harness
Proper erection of Scaffolding by trained
scaffolders.
Scaffolding will be inspected by Shift EHS
officer and Tag is displayed for safe use of Scaffolding will be Properly erected by
3 4 12 scaffolding. 2 3 6 TUV Holder Scaffolders. Ensure the 2 2 4 Project Team
pipes are not hit out from the structure.
Scaffolding will not be over loaded.Only
green tagged platform will be used.
Review and make sure only trained
personal are entering/attending the entry.
Rescue at maintain Record of time and persons
2 3 6 location and in good working order. 2 2 4 entering and Leaving from confined 1 2 2 Project Team
space

7 Confined Space Entry
8 Emergency Response
Welding, Cutting,
9 Grinding,Drilling of supports,
mesh & tray Installation(Panel
installation)
Slip, Trip and fall hazards. Striking
Hazard, Dropped objects,
improper confined space equipment
set up .
Low/high oxygen content can lead to
Asphyxiation. LEL can lead to
explosion or fire hazard. Presence of
toxic atmosphere. Presence of
hazardous or toxic substances or
materials, product or other material
introduced into the space from other
point not the entry way. fire from
welding, cutting, grinding burning
if an incident happened injury or
minor Cut May cause a big problem
(Death or Disability)
Cutting, Grinding ( Flying object
causing eye injury, personnel injury
due to Disk Breaking and equipment
mishandling)
Ensure proper access and egress to site.
Maintain
good housekeeping on site to avoid slip
trip hazards.
Maintain Distance from
each other while working in confined Use proper PPEs (cotton gloves, safety
3 3 9 space 2 2 4 shoes, safety helmet, Face mask) 1 2 2 Project Team
Don't exceed load
limits i.e. 100kg/m2. Don't step on Area
which are covered by metallic sheets.
.
Assure air monitor devices are calibrated
and current, all personal monitors
are functioning properly.
Attendant and entry
supervisor take air sample reading starting
at the space and record results onto
confined Space Permit. Review results Fire extinguisher must be at site, all
3 3 9 with entry crew. 2 3 6 sources of ignition are removed from 1 2 2 Project Team
Ventilated the space as required the space. proper lighting is supplied
per standard/procedure until reading are
within LEL and oxygen limits for entry.
all sources of ignition are
removed from the space. proper lighting is
supplied and all sources
-Untrained/Unfamiliar -No alone working to be practiced
entrants/attendants with
procedure/processes.
3 4 12 -Fall from height 2 3 6 -Two way communication will be 2 2 4 Project Team
ensured the person with Standby man
-Conduct TBT and train regarding and Workers by walkie talkie or mega
-Fall from height and emergency response phones
procedure
work will be done according to FM
approved hot work system after taking
necessary arrangements according to Hot
work permit. Inspected equipments will be
used, with hot work (Cutting) PPEs safety
3 4 12 shoes, hard hat, eye protection( face 2 3 6 Traind Fire watch for this job 2 2 4 Project Team
shield )cotton gloves leather gloves.
Fire watcher present all time in hot area
with DCP fire extinguisher.

Welding, Cutting,
Grinding,Drilling of supports,
9 mesh & tray Installation(Panel Welding (Fire break out, eye
installation)
Mobilization of Crane (capacity
10 25 tons) at the site off loads Untrained operator can cause
Panels wheight Max.400 kg)
Lifting Operation with Crane.
(Sling Shackle Lifting Belts).
11 Shifting & Off Load Panels (400
kg Max.) and with Crane
(capacity Max.25 tons)
irritation, personnel injury)
Electric shock
accident at site.
Hitting the fixed structure or moving
objects or person hitting.
Equipment failure and lifting
equipments fall on the workers
FM approved hot work permit system is in
place, work will be done according to FM
approved hot work system after PTW.
Taking necessary arrangements according It will be done by responsible and
3 4 12 to hot work permit. Inspected equipments 2 3 6 trained welders. 1 3 3 Project Team
will be used, with hot work PPEs safety
shoes, hard hat or welding helmet, eye
protection. Area cover by fire blanket.
Electrical appliance must be inspected by
competent PepsiCo Electrical person. Valid Electrical Tools will be inspected and
3 4 12 Inspection by contractor HSE officer. 2 3 6 tagged. 2 2 4 Project Team
Proper earthing. ELCB must be used for
extension board.
Trained operator to operate the crane
3 4 12 with valid Driving licence and 3rd party
certified. Walk way should be cleared for 2 3 6 Rigger will be TUV Certified for Rigging
Job 1 3 3 Project Team
Mobilization of Crane.
• Only authorised operator operate the
crane.
• Lighting condition will be improved
through temporary flood lights if required.
Crane and lifting Equipment must be
certified from 3rd party (TUV).
Trained operator to operate the crane
3 4 12 Daily inspection by contractor HSE Officer 2 3 6 with valid Driving licence and 3rd party 2 2 4 Project Team
according to PepsiCo approved checklist. certified.
(No one will be allowed to stand under the
Lifting load).
Area will be barricaded properly.
Unauthorised person not allowed during
the crane activity.
 Trained Riggers and TUV Holder, Area will
be barricaded during the lifting
operation.Lifting Belts to be 3rd party
Untrained operator can cause certified/daily inspection of lifting gears TBT will be conducted before starting
3 4 12 before use. No person to pass under 2 3 6 2 2 4 Project Team
accident at site. suspended load. Ground condition to be the job
ensured. Trained operator to operate the
Forklifter with valid Driving licence and 3rd
party certified. Insured trained riggers.
Mobilization of Forklifter
12 (capacity 10 tons) Weight of
equipment ( 2 tons) at the site

• Only authorised operator operate

Forklifter.
• Lighting condition will be improved
Hitting the fixed structure or moving through temporary flood lights if required TBT will be conducted before starting
objects or person hitting. 3 4 12 work in the night shift. Insured no any 2 2 4 the job 1 2 2 Project Team
other work during lifting activity.Forklifter
inspection checklist should be on daily
basis.

Hand lifter will be good condition. Shifting

Hand trolley failure and lifting panel for should be trained riggers. Proper Rigger will be TUV Certified for Rigging
equipment fall on the workers. 3 3 9 PPE’S use during the panel shifting. 2 2 4 Job 1 2 2 Project Team
Physically trolley condition is good.
Shifting of panel from site with
hand lifter ( panel weight
13 Maximum 400 KG) and hand
lifter capacity (5000 kg) Area will be Barricaded During Shifting
Panels.Riggers and other workers must be
trained.
Struck against with fixed objects, and 3 3 9 Temporary lights will be aranged at work 2 2 4 Rigger will be TUV Certified for Rigging 1 2 2 Project Team
moving objects Job
place to increase the lighting condition (if
poor lighting)

Only Authorised Electrician allow to come

on roof. Building Door To roof are access
controled.Sky Lights having clear marking
14 Access to Roof top Unauthorized Access,Fragile roof,Fall 3 3 9 and Barricaded.Hazardous Fall protections 2 3 6 TBT will be conducted before starting 2 2 4 Project Team
Hazard should must placed as PPE's.Weather the job
condition also evaluated before work
start.Lifline's must be available on roof
and also used 3rd party certified Harness.

Trainded Electricians will be performed

15 Termination Short circuit, Severe Burns 3 4 12 this job. Must be used Electrical gloves for 2 3 6 LOTOTO must be applied before start 1 2 2 Project Team
the termination job.
termination of panels.
 Remove of LOTO when complete electrical
termination with assistant of PepsiCo Authorized persons for the
16 Testing & Commissioning Short circuit, Severe Burns 3 4 12 electrical artisan. Protection through Fuses 2 3 6 commissioning job 2 2 4 Project Team
Breakers, Isolators will be ensured .

1-Fire Incase of any incident call emergency

17 Emergency response 2-Spillage 3 3 9 helpline 6633.Awareness about first aid 2 2 4 Ensure Trained man power for job.PPE's 1 2 2 Project Team
kit.Ensure TBT before job Start.Ensure the must be worn.
3-Natural disaster presence of Emergency vehicle

–Ensure Entry Examination.

–Fever. –Ensure Mask & Hand Sanitize.
–Cough.
18 COVID-19: –Running floued from Ear, Nose, Eyes. 3 3 9 –Maintane Social Distance. 1 3 3 N/A Project Team
–Avoid crowded places & close contact
–Muscullar Pain & Short of Breath. with any one that has fever or Cough.

'-House Keeping will be performed after

every job Use proper gloves when shifting
19 Closing site Injury or minor Cut due to sharp edge 2 3 6 material Proper management of material 1 2 2 TBT will be conducted before starting 1 2 2 Project Team
in work area and clear walkway PPEs the job
( safety shoes, safety helmet, cotton
gloves).

Risk Assessment Team

-Follow COVID-19 precaution of social distancing and face mask compliance
-Communicate any observation to area in charge regarding Loose joint and physical condition of panel boards
Name Title Signature Date

Prepared By:

Reviewed By EHS

Approved By
Relevant Manager/
HOD:

Note: if more this page is not enough or more hazards area associated with the activity or area being assessed, use another page and sign each of them by the whole team members.
 Hazard/Aspect Risk/Impact
1 Chemical Storage and Management 1 Personal Injury
2 Noise Control and Hearing Protection 2 Property Damage
3 Asbestos Management 3 Env. Contamination of Atmosphere
4 Ammonia Risk Management 4 Env. Contamination of Land
5 Equipment Preventive Maintenance and Inspections 5 Env. Contamination of Aquatic Environment
6 Discharge of Wastewater 6 Env. Effects on Community
7 Storm water Management 7 Env. Effects on Ecosystem
8 Spill Prevention and Response 8 Env. Use of Raw Materials and Natural Resources
9 Waste Management 9
10 Resource Conservation 10
11 Potable Water Management 11
12 Air Quality Management 12
13 Farm Safety and Environmental Protection 13
14 Machine and Equipment Safety 14
15 Commercial Vehicle Safety 15
16 Hazardous Energy 16
17 Walking and Working Surfaces 17
18 Fire Protection and Prevention 18
19 Confined Spaces 19
20 Electrical Safety 20
21 Ergonomics 21
22 Personal Protective Equipment 22
23 Lifting Equipment and Lifting Operations 23
24 Occupational Violence 24
25 Industrial Hygiene 25
26 Explosion Prevention 26
27 Automobile and Motorcycle Safety 27
28 Working at Height 28
29 Powered Industrial Trucks 29
30 Process Safety Management 30
31 Radiate Safety 31
32 Automated Guided Vehicles 32
33 Traffic Management 33
34 34
35 35