RISK ASSESSMENT FORM

Company AL-RAMALA AL-BIDAHAA CO. Conducted By Mohamed Roumieh

(ARABC)
Task Insulation installation services

Approved By (Date) Saleh Allawi Date 20/02/2017

1. Hazard Identification 2. Risk Evaluation 3. Risk Control

No. Task Step Hazard Possible Existing Risk Control Additional Risk Action Officer

Severity
d
Likelihoo

Risk Level
Accident/III Control Measure Follow-up Date)
Health &
Persons-at-
risk

1 Insulation -Pinch points -Hand/Finger -Maintain communication 2 4 M Pre-check by HSE supervisor

installation injuries among co workers supervisor
-Sharp edge -Hand / finger -Leather gloves 2 4 M Pre-check by HSE supervisor
injuries supervisor
-Flying of -Eye Injury -Eye protection (safety 2 4 H Pre-check by HSE supervisor
objects goggle supervisor

-Burnt -Burnt injuries -Long sleeve with leather 5 3 H Pre-check by HSE supervisor
on hand glove / foot protection supervisor
-Tripping -Sprained or -Housekeeping, 2 4 M Pre-check by HSE supervisor
hazard bruises. passageway clear supervisor

-Falling / -Fatal due to -Adapt 3 point contact 5 3 H Pre-check by HSE supervisor

Tripping falling while climbing ladder - supervisor
hazard Wear rubber boots

-Fire Explosion -Fatal Only explosion proof lighting 5 3 H Pre-check by HSE supervisor
can be use supervisor
-Electrical -Electrocution -Monthly Inspection 5 3 H Pre-check by HSE supervisor
hazard -Cable routing on ‘S’ Hook supervisor
Cable Rack / Housekeeping
 1. Hazard Identification 2. Risk Evaluation 3. Risk Control

No. Task Step Hazard Possible Existing Risk Control Additional Risk Action Officer

Severity

d
Likelihoo

Risk Level
Accident/III Control Follow-up Date)
Health Measure
& Persons-at-
risk

2 Scaffold Falling from Fatal injury Erection only done by 5 2 H Check Supervisor of
erection heights trained scaffold thoroughly the piping and as
Use of fall protection scaffold before well as
devices assign to Scaffolding
(harness,etc.) workers Supervisor

3 Collection Hand Hand hit by Wearing hand glove and 2 4 M Pre job briefing in Piping Supervisor
and injury falling of material beware of pinch point. morning and Lifting
mobilization and Fall Ensure no over loading Supervisor
of material’s objects and appropriate lifting
from gears
workshop
include tools
4 Lifting of -Caught In -Hand injury -Wear hand gloves 2 4 M -Competent & Lifting Supervisor
Materials using between -Secure properly of bundle trained person
yard cranes of pipes to do rigging
-Beware of pinch point -Check &
-Use proper lifting gears inspect of belts
condition (keep
clear of lifting
area)
5 Transfer the Falling Injury from falling -Selection of appropriate 4 3 H Barricade the area Piping Supervisor
tools and spool belts & chain blocks & display no
to install. -Proper secure points of entry sign
Location by chain block
chain blocks -Ensure to wear body
harness and hang on
secure place
 1
1. Hazard Identification 2. Risk Evaluation 3. Risk Control

No. Task Step Hazard Possible Existing Risk Control Additional Risk Action Officer

Severity

Risk Level
d
Likelihoo
Accident/III Control Measure Follow-up Date)
Health
& Persons-at-
risk

6 Removal of -Falling Injury caused by -Immediately remove 2 2 L Pre-check by HSE supervisor

tools and left objects from falling object excess materials, tools supervisor
over height and proper
materials and housekeeping
housekeeping

No. Task Step Hazard Possible Existing Risk Control Additional Action Officer

y
Severit
d
Likelihoo

Risk Level
Accident/III Risk Control Follow-up Date)
Health & Measure
Persons-
atrisk
7 Remove pipe -Falling object -Hit by object -Cordon off 2 2 L Pre-check by HSE supervisor
insulation supervisor
Working at Body injury Proper platform 2 2 L Pre-check by HSE supervisor
height supervisor
Contact with Skin irritation Protective clothing 2 2 L Pre-check by HSE supervisor
insulation supervisor
8 Dismantle bolt – -Contact with -Burn -Shut off system 3 1 L Pre-check by HSE supervisor
nut and clamp hot water -Drain the system supervisor
Strike by Finger injury -Use proper tools 3 3 M Pre-check by HSE supervisor
hammer -Use chisel with cap supervisor
-Hand gloves
-Adequate lighting
 1. Hazard Identification 2. Risk Evaluation 3. Risk Control

No. Task Step Hazard Possible Existing Risk Control Additional Action Officer

y
Severit
d
Likelihoo

Risk Level
Accident/III Risk Control Follow-up Date)
Health & Measure
Persons-at
risk
9 Transport to -Forklift -Struck by -Qualified operator 4 2 M Pre-check by HSE supervisor
supervisor
workshop operation moving -Forklift checklist
vehicle -Observe speed limit
-Loose Object -Secure object by web 2 2 L Pre-check by HSE supervisor
supervisor
material slip from fork sling
10 Fabricate in -Hot work -Fire PTW system 3 1 L Pre-check by HSE supervisor
supervisor
workshop Valid hot work tools

Electrocutio Burn -Proper insulation of 3 1 L Pre-check by HSE supervisor

electrical tools supervisor
n
-Ensure body not wet
Flying Eye injury Eye protection 3 2 M Pre-check by HSE supervisor
supervisor
particles -Proper eye protection
Radiation Arc Eye Eye protection 2 2 L Pre-check by HSE supervisor
supervisor
-Proper eye protection
Strike by Finger injury Proper tools - 3 2 M Pre-check by HSE supervisor
supervisor
Hand gloves
-Loose -Object slip -Secure object by web 4 2 M Pre-check by HSE supervisor
supervisor
material from fork sling
11 Box up -Falling tHit by object -Cordon off 2 2 L Pre-check by HSE supervisor
supervisor
Insulation object
Falling from Body injury Proper platform 2 2 L Pre-check by HSE supervisor
supervisor
height
-
 Contact with Skin Protective clothing 2 2 L Pre-check by HSE supervisor
supervisor
insulation irritation

1. Hazard Identification 2. Risk Evaluation 3. Risk Control

No. Task Step Hazard Possible Existing Risk Control Additional Action Officer

Severity

Likelihood

Risk Level
Accident/III Risk Control Followup Date)
Health Measure
& Persons-at-
risk

12 Removal -Falling -Falling from -Highlighted in VSCC 4 1 M -Proper -Piping Supervisor

of Insulation height meeting supervision -Contracts
from -Falling objects -Certified working platform and Supervisor
Existing Pipes - (OK monitoring of
-
Tag) workers
-Do no keep any loose throughout
materials work process
on scaffolds
Health Inhalation of fiber -Proper briefing to 4 1 M -Proper -Piping Supervisor
particles employees on the activity supervision -Contracts
-Provision of PPE’s and Supervisor
monitoring of
workers
throughout
work process
13 Proper securing -Falling -Falling from -Using of certified lifting 4 1 M -Close -Piping Supervisor
of pipe heights gears -Liaise with monitoring and -Contracts
vessel’s C/E to ensure supervision of Supervisor
the strength of securing work force
point
Caught in -Finger/hand -PPE’s 4 1 M -Close -Piping Supervisor
between injuries monitoring and -Contracts
supervision of Supervisor
work force
14 Removal of -Falling -Falling from -Using proper tools and 4 1 M -Close -Piping Supervisor
bolt and height equipment monitoring and -Contracts
nuts (cold - -Safe work platform supervision of Supervisor
works) work force
 -Highlighted in VSCC
Strike Hand/finger -PPE’s - 4 1 M -Close -Piping Supervisor
against injuries Proper monitoring and -Contracts
tools supervision of Supervisor
work force