RISK AND IMPACT ASSESSMENT CRITERIA

FMS-HOS-F-023 ver01

Engr. Emmnauel B. Apilan

Author/ Originator
Safety Officer DATE

Reviewed and Concurred by:

NAME AND TITLE/ POSITION SIGNATURE DATE
Engr. Roger Carmelo M. Mayol/ EHS Manager

Approved by:
NAME AND TITLE/ POSITION SIGNATURE DATE
Engr. Ferdei Bartolabac/ AVP-Operational Excellence

Revision History:
Version Date Section(s) Bried Description of the Author/ Effectivity
Number Revised Revised Changes Originator Date

Engr. Emmanuel Oct 10,

01 NA NA New Document
Apilan 2017

RISK AND IMPACT ASSESSMENT CRITERIA For CHH Internal Use Only Page 1 of 3
(FMS-HOS-F-023) ver01_Oct 10, 2017
 RISK AND IMPACT ASSESSMENT CRITERIA

FMS-HOS-F-023 ver01

FORM CONTENT

RISK AND IMPACT ASSESSMENT CRITERIA For CHH Internal Use Only Page 2 of 3
(FMS-HOS-F-023) ver01_Oct 10, 2017
 RISK AND IMPACT ASSESSMENT CRITERIA

FMS-HOS-F-023 ver01

A. SEVERITY
RATING Risk Description Injury Ill Health

1 First Aid Minor irritation/ discomfort/ First Aid Discomfort/ Temporary illness/ Potential infection

2 Medical Medical Treatment/ Hospitalization/ Non dis-abling Medical Treatment/ Hospitalization/ Mild Infection

Death/ Permanent disability such as; loss of body parts, loss of senses Death/ Permanent disability such as; loss of body parts, loss of senses
3 Fatal
etc. etc./ Severe Infection

Consumption of Water
Electricity (KWh/ day)

Release to Water/ Air

Consumption of Fuel
Consumption of Bond

Chemical Spillage
Chemicals (L/Day)
Consumption of

Consumption of

Waste Diposal
(cubic meters/day)

(L/Day)

(Liters)
paper (pcs/day)
RATING Impact Description

Minor environmental impact, affects an area(s) within the 5KWh and Non-Hazardous
1 5 and Below 50 and Below 2 and Below 5 and Below Not Regulated Waste
4 and Below
facility, reversible damage Below

Local environmental impact, affects nearby community,

2 6 KWh to 50Kwh 6 to 50 51 to 500 3 to 4 5 to 50 … … 5 to 9
reversible damage

Major environmental damage, global environmental impact, 51 Kwh and

3 51 and above 501 and Above 5 and above 50 and Above Regulated Hazardous Waste 10 and Above
irreversible damage above

B. OCCURRENCE
RATING LEVEL Probability to occur

1 Low Occurrence From No possibility to occur to once in a year occurrence

2 Moderate Occurrence Possibly once in 6 months

3 High Occurrence Daily to Monthly/ When accident occurs within the year

C. CONTROLS
I. Hazard
Engineering Administrative Total Control Value
RATING Effectivity Description PPE (10%)
(70%) (20%) (Eng'g+Admin+PPE)

• Appropriate with consistent monitoring, usage and

application.
High/ Not Applicable
1 • Not applicable due to nature of work, activity, or 0.7 0.2 0.1 1 to 1.4
Total Control Value is equal to 1 up to 1.4
process.

Low • Appropriate but inconsistent in monitoring, usage/

2 1.4 0.4 0.2 1.5 to 2.4
Total Control Value is equal to 1.5 to 2.4 application.

• In-appropriate
Not effective/ No control measure • Not used or applied
3 2.1 0.6 0.3 2.5 to 3
Total Control Value is equal to 2.5 to 3 • No monitoring
• No control measure in- place

II. Aspect
RATING ASPECT CONTROLS
• Daily or Monthly monitoring or maintenance
• Consistently meet DENR requirements or guidelines
1 • Consistently meet company environmental preservation procedure or policy
• Consistent on efficient utilization of resources
• With consistent application of Pollution Control measures

• Annual monitoring or maintenance

• Inconsistently meet DENR requirements or guidelines
2 • Inconsistently meet company environmental preservation procedure or policy
• Inconsistent on efficient utilization of resources
• With inconsistent application of Pollution Control control measures

• No monitoring or inspection
• Failed to meet DENR requirements
3 • Not in-line with company environmental preservation procedure or policy
• Inefficient utilization of resources
• No Pollution Control measures

D. RISK/IMPACT CLASSIFICATION
RISK LEVEL Classification Control Measures

1 to 6 Low Risk May require consistent monitoring or regular inspection depending on the extent of controls

Efforts are required to reduce the risk (ie., additional control, monitoring, etc.) Considerable/reasonable resources may have to be allocated to
7 to 12 Medium Risk
reduce the risk.

Requires establishment of Management Programs

13 to 27 High Risk
- Must have immediate interim actions before work is permitted to start or continued to reduce the risk.