You are on page 1of 11

RISK ASSESSMENT

Project / Contract Activity Assessment By: Reviewed By: Approved by.


Name
EXCAVATION
Date

Identified at Risk Initial Risk Residual Risk


No. Hazard Description Control Measures
(People / Property etc) L S R L S R
Cave-ins due to improper
A competent person must be assign to monitor and
1 shoring or protection against People & Property 2 3 6 1 2 2
inspect the work throughout the day.
collapse of soil.
Injury due to materials or
The type of soil and its stability must be the basis of
2 equipment falling onto the People & Property 2 3 6 1 2 2
the degree of the angle of slope or bench
hole.
Proper distance of materials and equipment from the
3 Unsafe access/egress People & Property 2 2 4 1 2 2
edge of the top of the trench must be strictly observed.
The area must be enclosed with warning signboards
1 2 2
posted.
All open excavations/trenches must be back filled
1 1 1
without delay practicable.

Risk Likelihood Risk Rating The above risk assessment has been briefed and fully understood.
Rating 3 2 1 Name Signature
Severity 3 Name Signature
3 9 6 3 3 Major Injury / Pollution / Damage Name Signature
Severity

2 6 4 2 2 Minor / Pollution / Damage / Loss Name Signature


1 3 2 1 1 Injury / Low Damage / Loss Name Signature
Likelihood 1 Name Signature
3 Likely Name Signature
4 or more = unacceptable Risk
2 Possible Name Signature
Risk Rating = S x L = R
RATING = 3 1 Never / Very Unlikely Name Signature

Name of Person Given Risk Assessment Briefing


Name Date:
Signature Time:
RISK ASSESSMENT

Project / Contract Activity Assessment By: Reviewed By: Approved by.


Name
WORK AT HEIGHT (above 2m height)
Date

Identified at Risk Initial Risk Residual Risk


No. Hazard Description Control Measures
(People / Property etc) L S R L S R
1 Falling of personal People & Property 2 3 6 Ladders must be used along with harness. 1 1 1
Ensure employees use proper fall arrest system such as
Falling of materials onto full body harness and hook the harnesses to a proper
2 People & Property 2 3 6 1 2 2
underneath. anchorage point wherever fixing handrails is not
practicable
Ensure safe working platform / scaffold with proper
1 1 1
handrails and intermediate rails.
Ensure a proper and safe access to the working area. 1 1 1
Train employees on work at height safety and the use
2 1 2
of fall arrest system (full body harness).
Ensure the width of the working platform is suitable for
1 1 1
the activity.
Fix toe-boards around all working areas where
materials and tool are likely to fall down onto 1 1 1
employees working underneath.

Risk Likelihood Risk Rating The above risk assessment has been briefed and fully understood.
Rating 3 2 1 Name Signature
Severity 3 Name Signature
3 9 6 3 3 Major Injury / Pollution / Damage Name Signature
Severity

2 6 4 2 2 Minor / Pollution / Damage / Loss Name Signature


1 3 2 1 1 Injury / Low Damage / Loss Name Signature
Likelihood 1 Name Signature
3 Likely Name Signature
4 or more = unacceptable Risk
2 Possible Name Signature
Risk Rating = S x L = R
RATING = 3 1 Never / Very Unlikely Name Signature

Name of Person Given Risk Assessment Briefing


Name Date:
Signature Time:
RISK ASSESSMENT

Project / Contract Activity Assessment By: Reviewed By: Approved by.


Name
BENTONITE WORKS
Date

Identified at Risk Initial Risk Residual Risk


No. Hazard Description Control Measures
(People / Property etc) L S R L S R
2 Injury to operatives (eye People A safe working or the equivalent must be provided to
2 3 6 1 2 2
and ear) operatives
3 Noise People 2 3 6
Ensure hand tools and power tool are in good working
1 1 1
order
4 Dust People 2 2 4 Ensure safe electrical connections 1 1 1
5 Electrocution People 2 2 4 Ensure eye and ear protection 1 1 1
2 3 6 Ensure training of all employees 1 1 1
To use of proper PPE must be strictly enforced. 1 1 1
Ensure the equipment 1 1 1

Risk Likelihood Risk Rating The above risk assessment has been briefed and fully understood.
Rating 3 2 1 Name Signature
Severity 3 Name Signature
3 9 6 3 3 Major Injury / Pollution / Damage Name Signature
Severity

2 6 4 2 2 Minor / Pollution / Damage / Loss Name Signature


1 3 2 1 1 Injury / Low Damage / Loss Name Signature
Likelihood 1 Name Signature
3 Likely Name Signature
4 or more = unacceptable Risk
2 Possible Name Signature
Risk Rating = S x L = R
RATING = 3 1 Never / Very Unlikely Name Signature

Name of Person Given Risk Assessment Briefing


Name Date:
Signature Time:
RISK ASSESSMENT

Project / Contract Activity Assessment By: Reviewed By: Approved by.


Name
LADDERS
Date

Identified at Risk Initial Risk Residual Risk


No. Hazard Description Control Measures
(People / Property etc) L S R L S R
1 Falls People & Property 2 3 6 Ladders must be free of defects. 1 1 1
Inspect ladders before and after use. 1 1 1
Ladders must be positioned on a 75 degree angle ( 1;4
1 2 2
ratio)
Must have non-slip footing. 1 1 1
Must be secured when used. 1 1 1
Always face the ladder when going up or coming down
1 1 1
and maintain free hands to have a good grip.

Risk Likelihood Risk Rating The above risk assessment has been briefed and fully understood.
Rating 3 2 1 Name Signature
Severity 3 Name Signature
3 9 6 3 3 Major Injury / Pollution / Damage Name Signature
Severity

2 6 4 2 2 Minor / Pollution / Damage / Loss Name Signature


1 3 2 1 1 Injury / Low Damage / Loss Name Signature
Likelihood 1 Name Signature
3 Likely Name Signature
4 or more = unacceptable Risk
2 Possible Name Signature
Risk Rating = S x L = R
RATING = 3 1 Never / Very Unlikely Name Signature

Name of Person Given Risk Assessment Briefing


Name Date:
Signature Time:
RISK ASSESSMENT

Project / Contract Activity Assessment By: Reviewed By: Approved by.


Name
CONCRETE CASTING WORKS
Date

Identified at Risk Initial Risk Residual Risk


No. Hazard Description Control Measures
(People / Property etc) L S R L S R
1 Eye/skin exposure People 2 3 6 The use of proper PPE must be strictly enforced. 1 1 1
Equipment used must be barricaded with warning
2 Falls People & Property 2 3 6 1 2 2
signboards in place.
3 Damage to equipment. Property 2 2 4 Outriggers must be fully extended with adequate pads. 1 2 2
Proper PPE must be worn by all operatives all the time
1 2 2
during work.
Training and education. 1 1 1

Risk Likelihood Risk Rating The above risk assessment has been briefed and fully understood.
Rating 3 2 1 Name Signature
Severity 3 Name Signature
3 9 6 3 3 Major Injury / Pollution / Damage Name Signature
Severity

2 6 4 2 2 Minor / Pollution / Damage / Loss Name Signature


1 3 2 1 1 Injury / Low Damage / Loss Name Signature
Likelihood 1 Name Signature
3 Likely Name Signature
4 or more = unacceptable Risk
2 Possible Name Signature
Risk Rating = S x L = R
RATING = 3 1 Never / Very Unlikely Name Signature

Name of Person Given Risk Assessment Briefing


Name Date:
Signature Time:
RISK ASSESSMENT

Project / Contract Activity Assessment By: Reviewed By: Approved by.


LIFTING,SLINGING AND HOISTING Name
OPERATIONS.. Date

Identified at Risk Initial Risk Residual Risk


No. Hazard Description Control Measures
(People / Property etc) L S R L S R
Ensure all cranes and lifting tackles are thoroughly
1 Crane tipping off 2 3 6 1 1 1
tested by an approved third party national regulations.
Brake/motion limit
Ensure that all operators are licensed trained and
2 switches/lifting 2 3 6 1 1 1
competent as per national regulations.
gear malfunction
3 Overhead power line disruption 2 3 6 Never swing loads overhead people. 1 2 2
Fire extinguisher unit must be at the cabin of the
4 Fire 2 3 6 1 1 1
Operator
Injury of operatives and the
5 2 2 4 Ensure competent and trained banks men. 1 1 1
other workers in the vicinity.
6 Fatality 2 2 4 Position the crane on a well compacted levelled ground 1 1 1
Area affected by the operations must be properly
7 Fall of loads 2 3 6 1 1 1
enclosed and warning signboards in place.
8 Failure of equipment 2 2 4 If possible the load must visible to the operator. 1 1 1
If visibility of the load and the rigger is not feasible,
1 1 1
then proper communication facilities must be provided.
Fire extinguisher unit must be at the cabin of the
1 1 1
operator.
The use of proper PPE must be strictly enforced. 1 1 1

Risk Likelihood Risk Rating The above risk assessment has been briefed and fully understood.
Rating 3 2 1 Name Signature
Severity 3 Name Signature
3 9 6 3 3 Major Injury / Pollution / Damage Name Signature
Severity

2 6 4 2 2 Minor / Pollution / Damage / Loss Name Signature


1 3 2 1 1 Injury / Low Damage / Loss Name Signature
Likelihood 1 Name Signature
3 Likely Name Signature
4 or more = unacceptable Risk
2 Possible Name Signature
Risk Rating = S x L = R
RATING = 3 1 Never / Very Unlikely Name Signature

Name of Person Given Risk Assessment Briefing


Name Date:
Signature Time:
RISK ASSESSMENT

Project / Contract Activity Assessment By: Reviewed By: Approved by.


WELDING, BURINING AND FAS/TORCH Name
CUTTING. Date

Identified at Risk Initial Risk Residual Risk


No. Hazard Description Control Measures
(People / Property etc) L S R L S R
Not hot works around combustible / explosive
1 Fire and explosion People & Property 2 3 6 1 2 2
atmospheres
Injury to operatives and others
2 People 2 3 6 Proper training for operatives 1 1 1
working nearby.
3 Electrocution people 2 3 6 Electrical safety must be observed for electric welding 1 2 2
Proper handling and storage for gas bottles must be
1 1 1
strictly adhered to.
Hot work permit must be enforced where applicable. 1 1 1

Risk Likelihood Risk Rating The above risk assessment has been briefed and fully understood.
Rating 3 2 1 Name Signature
Severity 3 Name Signature
3 9 6 3 3 Major Injury / Pollution / Damage Name Signature
Severity

2 6 4 2 2 Minor / Pollution / Damage / Loss Name Signature


1 3 2 1 1 Injury / Low Damage / Loss Name Signature
Likelihood 1 Name Signature
3 Likely Name Signature
4 or more = unacceptable Risk
2 Possible Name Signature
Risk Rating = S x L = R
RATING = 3 1 Never / Very Unlikely Name Signature

Name of Person Given Risk Assessment Briefing


Name Date:
Signature Time:
RISK ASSESSMENT

Project / Contract Activity Assessment By: Reviewed By: Approved by.


Name
CONCRETE CHIPPING WORKS
Date

Identified at Risk Initial Risk Residual Risk


No. Hazard Description Control Measures
(People / Property etc) L S R L S R
A safe working or the equivalent must be provided to
1 Fall from height People & Property 2 3 6 1 2 2
operatives
Injury to operatives ( eye and Ensure hand tools and power tool are in good working
2 People 2 3 6 1 1 1
face) order
3 Noise People 2 2 4 Ensure safe electrical connections 1 1 1
4 Dust People 2 2 4 Ensure eye and face protection 1 1 1
5 Electrocution People and Property 2 3 6 Ensure training of all employees 1 1 1
To use of proper PPE must be strictly enforced. 1 1 1
Ensure the equipment

Risk Likelihood Risk Rating The above risk assessment has been briefed and fully understood.
Rating 3 2 1 Name Signature
Severity 3 Name Signature
3 9 6 3 3 Major Injury / Pollution / Damage Name Signature
Severity

2 6 4 2 2 Minor / Pollution / Damage / Loss Name Signature


1 3 2 1 1 Injury / Low Damage / Loss Name Signature
Likelihood 1 Name Signature
3 Likely Name Signature
4 or more = unacceptable Risk
2 Possible Name Signature
Risk Rating = S x L = R
RATING = 3 1 Never / Very Unlikely Name Signature

Name of Person Given Risk Assessment Briefing


Name Date:
Signature Time:
RISK ASSESSMENT

Project / Contract Activity Assessment By: Reviewed By: Approved by.


Name
ELECTRICAL WORKS
Date

Identified at Risk Initial Risk Residual Risk


No. Hazard Description Control Measures
(People / Property etc) L S R L S R
Only competent and qualified electrician shall
1 Electrocution People 2 3 6 1 2 2
commission / decommission the plant.
Earth leakage relays must be incorporated on circuits,
2 Fire People & Property 2 3 6 1 1 1
powering portable electrical tools.
Connection boxes must be all weather proof sheltered
3 Fatality People 2 3 6 1 1 1
and elevated.
Cable must be routed properly and safely so as not to
1 2 2
pose tripping and slipping hazards.
Electrical circuit must be de-energized, lock –out and
tagged “danger – do not energized” before working on 1 1 1
the circuit.

All circuits must be provided with overload protection. 1 1 1


Proper fire extinguisher shall be placed near to the
1 1 1
distribution boards.
Defects must be repaired as soon as they are detected. 1 1 1
The use of non-conductive PPE is a must. 1 1 1
Industrial sockets/plugs must be only used. 1 1 1

Risk Likelihood Risk Rating The above risk assessment has been briefed and fully understood.
Rating 3 2 1 Name Signature
Severity 3 Name Signature
3 9 6 3 3 Major Injury / Pollution / Damage Name Signature
Severity

2 6 4 2 2 Minor / Pollution / Damage / Loss Name Signature


1 3 2 1 1 Injury / Low Damage / Loss Name Signature
Likelihood 1 Name Signature
3 Likely Name Signature
4 or more = unacceptable Risk
2 Possible Name Signature
Risk Rating = S x L = R
RATING = 3 1 Never / Very Unlikely Name Signature

Name of Person Given Risk Assessment Briefing


Name Date:
Signature Time:
RISK ASSESSMENT

Project / Contract Activity Assessment By: Reviewed By: Approved by.


Name
GRINDING
Date

Identified at Risk Initial Risk Residual Risk


No. Hazard Description Control Measures
(People / Property etc) L S R L S R
Injury to eyes/ hearing other
1 People 2 3 6 Only trained personnel are allowed to operate a grinder 1 2 2
body parts.
Grinders to be maintained in good condition and
2 Fire / explosion People & Property 2 3 6 1 1 1
inspected prior to use
3 Wheel burst People & Property 2 3 6 Guards to be fitted to grinders 1 1 1
changing of abrasive wheels to be carried out by
1 trained and authorized personnel using proper disc 1 1 1
spanners.
Personnel carrying out grinding work will wear
1 2 2
suitable eye protection and hearing protection.
Grinding operations will be controlled in order to
prevent the risk of injury to other personnel from 1 1 1
sparks /metal splinters.
Housekeeping in the areas at grinding operations to be
1 1 1
maintained to a high level.
Grinding in the presence of any type of flammable
material the use of fire blankets with a fire extinguisher 1 1 1
is compulsory.

Risk Likelihood Risk Rating The above risk assessment has been briefed and fully understood.
Rating 3 2 1 Name Signature
Severity 3 Name Signature
3 9 6 3 3 Major Injury / Pollution / Damage Name Signature
Severity

2 6 4 2 2 Minor / Pollution / Damage / Loss Name Signature


1 3 2 1 1 Injury / Low Damage / Loss Name Signature
Likelihood 1 Name Signature
3 Likely Name Signature
4 or more = unacceptable Risk
2 Possible Name Signature
Risk Rating = S x L = R
RATING = 3 1 Never / Very Unlikely Name Signature

Name of Person Given Risk Assessment Briefing


Name Date:
Signature Time:
RISK ASSESSMENT

Project / Contract Activity Assessment By: Reviewed By: Approved by.


POOR HOUSEKEEPING AND Name
PROTRUDING NAILS Date

Identified at Risk Initial Risk Residual Risk


No. Hazard Description Control Measures
(People / Property etc) L S R L S R
Allocate adequate resources( personnel and equipment)
1 Fire . People & Property 2 3 6 1 1 1
for continuous housekeeping
2 Slips. People & property 2 3 6 Train employees on housekeeping 1 1 1
3 Trips. People &Property 2 3 6 Ensure an appropriate housekeeping level at all times 1 1 1
4 Falls. People & Property 2 3 6 Clean up spills instantly 1 1 1
5 Nail punctures. People & Property 2 2 4 Route cables and extension cords safely 1 2 2
6 health. People 2 2 4 Do not leave tools scattered around the work place. 1 1 1
Minimize the quantities of combustible materials kept
7 Environmental pollution. People & Property 2 3 6 on site, stack materials properly and post adequate fire 1 1 1
fighting equipments
Ensure instant and regular waste removal from site. 1 1 1
Allocate an adequate number of dumpsters and trash
1 1 1
bins.

Risk Likelihood Risk Rating The above risk assessment has been briefed and fully understood.
Rating 3 2 1 Name Signature
Severity 3 Name Signature
3 9 6 3 3 Major Injury / Pollution / Damage Name Signature
Severity

2 6 4 2 2 Minor / Pollution / Damage / Loss Name Signature


1 3 2 1 1 Injury / Low Damage / Loss Name Signature
Likelihood 1 Name Signature
3 Likely Name Signature
4 or more = unacceptable Risk
2 Possible Name Signature
Risk Rating = S x L = R
RATING = 3 1 Never / Very Unlikely Name Signature

Name of Person Given Risk Assessment Briefing


Name Date:
Signature Time:

You might also like