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Ref. No.: GPL F HS 02 Date: 10/20/2020

Rev.No.: 00 Page no. 01 of 01 GPL/HIRA/01
Hazard Identification & Risk Assessment Format

Activity: Survey Work

Risk
Assessment
Risk Assessment existing Control

Non-Significant (NS)
Measures additional

Ref. Of WI/ SOP :-

Legal Yes/No

Significant (S) /
Control
Measures
Sr.
Activity Hazard Issues (Internal/External) Risk ( Probable Outcome) Existing Control Additional Control Measure Opportunities & Action
No.

Probability(P)

Probability(P)
Severity(S)

Severity(S)
Risk Level

Risk Level
(H/M/L) :

(H/M/L) :
1. Ensure proper access for
1. Undulating Surface Internal 1. Personal Injury P2 S3 L 1. Ensure mandatory PPE's. P2 S3 L Nil
survey.

1. Barricade open edge to protect

1. Fall from height person from fall.
2. Open Edge Internal P2 S3 L 1. Follow work permit system P2 S3 L Nil
2.Personal Injury 2. Provide handrail to the
staircase.

1. Provide secure access.

3. Insecure access Internal 1. Fall of person 2. Inspect means of access before YES P3 S3 M S 1. Follow work permit system P2 S3 L Nil
1 Survey Work 2. Personal Injury getting in use.

1. Ensure adequate working

1. Fall of person platform.
4. Inadequate working platform Internal P2 S3 L 1. Carry work under supervision. P2 S3 L Nil
2. Personal Injury 2. Ensure hand rail to the working
platform.

RISK Calculation / Evaluatio

Probability (P) P/S S1 S2 S3 S4

P1: Improbable P1 L L M M

P2 : Remote P2 L M M H

P3 : Possible P3 M M H H

P4 : Probable P4 M H H H

A : Hazards must be avoided (or the level of risk reduced significantly and reliable by controls)
Severity (s)
B : Hazards should be avoided (or the level of risk reduced significantly and reliable by controls)
S1 : Negligible
C : Risk to be controlled as far as reasonably practicable
S2 : Minor
D : Risk is controlled as far as reasonably practicable .
S3 : Sever
-- : Acceptable risk
S4 : Extreme
LEGAL : If activity come under legal implecation (significant) than additional control measures is to be taken and has to be reviewed periodically.
S : Significant
NS : Non - Significant.

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Hazard Identification & Risk Assessment Format

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