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Hirarc Form - Sample

This document is a hazard identification, risk assessment, and risk control form for a building, civil, and engineering project. It identifies several hazards associated with earthwork and infrastructure activities including: colliding with pedestrians while mobilizing equipment, working in poor visibility from mist or heavy rain, and risks from poor housekeeping or obstructed emergency exits. Controls are identified such as assigning experienced traffic controllers, prohibiting work during heavy rain, and designating areas for materials and the drinking station. The form also notes risks from buried utilities during manual excavation work.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
3K views11 pages

Hirarc Form - Sample

This document is a hazard identification, risk assessment, and risk control form for a building, civil, and engineering project. It identifies several hazards associated with earthwork and infrastructure activities including: colliding with pedestrians while mobilizing equipment, working in poor visibility from mist or heavy rain, and risks from poor housekeeping or obstructed emergency exits. Controls are identified such as assigning experienced traffic controllers, prohibiting work during heavy rain, and designating areas for materials and the drinking station. The form also notes risks from buried utilities during manual excavation work.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Form :

HAZARD IDENTIFICATION, RISK ASSESSMENT AND RISK CONTROL FORM (HIRARC FORM) Rev : 0

Page 1 of

Department : Project Function / Main Activity : Building, Civil & Engineering Date :

LEGAL SITUATION R, RISK ASSESSMENT EXISTING STATUS /


NO ACTIVITY / DESCRIPTION HAZARD RISK EXISTING OHS CONTROL ADDITIONAL OHS CONTROL PIC DUE DATE REMARKS
REQUIREMENTS (IF N or E S L SxL CONTROL EFFECTIVENESS
A.1 Earthwork & Infrastructure
Collide to pedestrian. Property damage / personnel injury Only competent driver and trained
A1.1 Mobilize equipment/ construction material with transport. N worker to handle the delivery 2 3 6 M Y

Usage of wrong/ unsuitable Property damage / personnel injury Study and assign the suitable
transportation and cause transportation to avoid incident
A1.2 Mobilize equipment/ construction material N 2 3 6 M Y
incident

Work activity at blind corner Collide with other vehicle / personal Assign experience traffic controller.
injury N 2 3 6 M Y

Mist/ heavy rain Injury due to Improver vision and No work activity allowed when heavy
A1.3 General construction activity Poor work condition N rain. Stop work policy 2 3 6 M Y

Poor housekeeping at Person injury FMA(BOWEC) Safety To arrange construction material at


workplace. Tripping, falling, Regulation 1986 designated area in neat and order.
slippery hazard Part II : General Provision Housekeeping activity.
Sec:
5,6,7,8,9,10,11,12,13,14,15, R 2 3 6 M Y
16,17,18,19,20,21,22,23,24,
25,26,& 27

The emergency exit obstructed Person injury FMA(BOWEC) Safety To arrange construction material at
Delay to emergency response. Regulation 1986 designated areas.
Part II : General Provision
Sec:
5,6,7,8,9,10,11,12,13,14,15, N 2 3 6 M Y
16,17,18,19,20,21,22,23,24,
25,26,& 27

Snake bites, insect Personnel injury To clear bush/ undergrowth nearby


N site area and maintain it. 4 1 4 M Y

Contaminated water due to Worker health FMA(BOWEC) Safety To designate the drinking station area
exposure to other solvents / Regulation 1986 in order to control potential
chemicals Part II : General Provision contamination of drinking water.
Poisonous if drunk Sec:
5,6,7,8,9,10,11,12,13,14,15, N 3 1 3 L Y
16,17,18,19,20,21,22,23,24,
25,26,& 27

Manual excavation work Exposing of buried services such Electrical short/ personnel injury. FMA BOWEC (Safety) E Location of underground services 5 2 10
as power cable/ gas pipelines. Regulation 1986 shall refer to site maps, get
Part XII - Excavation confirmation& permit approval
A1.4 Sec: M Y
111,112,113,114,115,116,1
17 & 118

Hoe swing to nearby personnel Personnel injury / fatal FMA BOWEC (Safety) E To barricade excavation area 4 3 12
Regulation 1986
Part XII - Excavation
Sec: M Y
111,112,113,114,115,116,1
17 & 119

Ergonomic Musculosketal disorder - back pain FMA BOWEC (Safety) N Advice/ trained good position when 4 3 12
Regulation 1986 perform manual excavation.
Part XII - Excavation
Sec: M Y
111,112,113,114,115,116,1
17 & 120

Soil collapse or slide may Personnel injury FMA BOWEC (Safety) N To provide proper timber shoring with 3 3 9
affected existing nearby Regulation 1986 vertical strut surrounding excavated
foundation / Trip to nearby Part XII - Excavation pit.
workers. Sec: The distance for keep material M Y
111,112,113,114,115,116,1 storage shall be more than 1 meter
17 & 118 from excavation edge.

Excavation work The workers surrounding may hit Personnel injury FMA BOWEC (Safety) N To barricade excavation area. 3 3 9
( Back Hoe) by swinging arm of excavator. Regulation 1986
Part XII - Excavation
A1.5 Sec: M Y
111,112,113,114,115,116,1
17 & 119

Others workers falling into Personnel injury FMA BOWEC (Safety) E To barricade excavation area. 4 1 4
excavation pit Regulation 1986
Part XII - Excavation
Sec: L Y
111,112,113,114,115,116,1
17 & 120
Form :

HAZARD IDENTIFICATION, RISK ASSESSMENT AND RISK CONTROL FORM (HIRARC FORM) Rev : 0

Page 1 of

Department : Project Function / Main Activity : Building, Civil & Engineering Date :

LEGAL SITUATION R, RISK ASSESSMENT EXISTING STATUS /


NO ACTIVITY / DESCRIPTION HAZARD RISK EXISTING OHS CONTROL ADDITIONAL OHS CONTROL PIC DUE DATE REMARKS
REQUIREMENTS (IF N or E S L SxL CONTROL EFFECTIVENESS
A.1 Earthwork & Infrastructure
Excavator not fully outrigger/ Excavator collapse FMA BOWEC (Safety) E Excavator shall place at least 1 meter 3 3 9
imbalance. Regulation 1986 away from excavated area.
Part XII - Excavation
Sec: M Y
111,112,113,114,115,116,1
17 & 118

Excavation work Collapsing of excavated Personnel injury ( temporary / FMA BOWEC (Safety) E Excavated soils/ any construction 4 3 12
( Back Hoe) sidewalls due to weight of permanent disability) Regulation 1986 materials shall be place at least
excavator. Part XII - Excavation 1meter away from excavated area.
Sec: M Y
111,112,113,114,115,116,1
17 & 119

Person Injury & Property Only competent driver and trained


A1.6 Dump Tuck / Roller Collision N 4 2 8 M Y
damage worker to handle the vehicle

Ensure proper maintenance to


Emission Health concern R 1 5 5 M Y
reduce emission
Deafness (long term effect) Occupational Safety And Workers must wear ear protection.
Health Act 1994
Part VI - General duties of
Noise employees. R 2 5 10 M Y
(Sec:24, 25,26 & 27)
FMA ( Noise Exposure )
1989
Occupational Safety And
Health Act 1994 Obtain approval from local
Part VI - General duties of authorities. Permit required
A1.7 Rock Blasting Noise Hearing issue R 2 5 10 M Y
employees. before blasting. Noise under
(Sec:24, 25,26 & 27) control
FMA ( Noise Exposure )
1989 Only competent worker allowed to
Obtain approval from local
handle related job
Explosion Fatality NADAPOD E authorities. Permit required 5 2 10 M N
before blasting
Occupational Safety And
Health Act 1994 Ensure all worker aware of
Knocking / Struck by Person Injury Part VI - General duties of N blasting hazard. Briefing to 3 2 6 M
employees. workers before blasting process
(Sec:24, 25,26 & 27)
ensure all jobs followed client
A1.8 Construction of retaining wall ( RC wall, crib wall, RE wall etc ) Collapse of slope Fatality NADAPOD E requirements specially for the 5 2 10 M
strength of the wall
Personnel injury Occupational Safety And N Workers must wear full body harness 3 3 9 Only competent worker allowed to
Falling of person Health Act 1994 and hook anchor lanyard at secured M N handle related job
Part VI - General duties of point.
employees.
Occupational Safety And Obtain
Toolboxgrating
meetingopening permit/
provided. Ensure all
Health Act 1994 workers proper keep their tools to
Falling of object Person Injury Part VI - General duties of N avoid falling 3 2 6 M
employees.
(Sec:24, 25,26 & 27)

Ensure all drainage system are


Person Injury & Property
Flooding N effective to handle / manage the 3 2 6 M
damage
heavy rain
ensure all jobs followed client
A1.9 Construction of drainage ( main drain, culvert etc ) Collapse of slope Fatality NADAPOD E requirements specially for the 5 2 10 M
strength of the slope
Personnel injury Occupational Safety And N Workers must wear full body harness 3 3 9 Only competent worker allowed to
Water reticulation Falling of person Health Act 1994 and hook anchor lanyard at secured M N handle related job
Part VI - General duties of point.
employees.
Occupational Safety And Obtain grating
Toolbox meetingopening permit/
provided. Ensure all
Health Act 1994 workers proper keep their tools to
Falling of object Person Injury Part VI - General duties of N avoid falling 3 2 6 M
employees.
(Sec:24, 25,26 & 27)
ensure all jobs followed client
A1.10 Sewerage work Collapse of slope Fatality NADAPOD E requirements specially for the 5 2 10 M
strength of the wall
Personnel injury Occupational Safety And N Workers must wear full body harness 3 3 9 Only competent worker allowed to
Health Act 1994 and hook anchor lanyard at secured handle related job
Part VI - General duties of point.
Falling of person employees. Obtain grating opening permit/ M N
(Sec:24, 25,26 & 27) certificate when required to open
grating./ The gratings shall fully
secure before handover to others
Occupational Safety And Toolbox meeting provided. Ensure all
Health Act 1994 workers proper keep their tools to
Falling of object Person Injury Part VI - General duties of N avoid falling 3 2 6 M Y
employees.
(Sec:24, 25,26 & 27)

Ensure all drainage system are


Person Injury & Property
Flooding N effective to handle / manage the 3 2 6 M Y
damage
heavy rain
Form :

HAZARD IDENTIFICATION, RISK ASSESSMENT AND RISK CONTROL FORM (HIRARC FORM) Rev : 0

Page 1 of

Department : Project Function / Main Activity : Building, Civil & Engineering Date :

LEGAL SITUATION R, RISK ASSESSMENT EXISTING STATUS /


NO ACTIVITY / DESCRIPTION HAZARD RISK EXISTING OHS CONTROL ADDITIONAL OHS CONTROL PIC DUE DATE REMARKS
REQUIREMENTS (IF N or E S L SxL CONTROL EFFECTIVENESS
A.1 Earthwork & Infrastructure
Proper survey the land before
Toxic gas Fatality NADAPOD E 5 2 10 M Y
excavation
Occupational Safety And
Health Act 1994
Part VI - General duties of Ensure proper entry way for the
Trapped Person Injury N 3 2 6 M Y
employees. sewerage system
(Sec:24, 25,26 & 27)

Follow confined space


Vacuum Fatality NADAPOD E instruction. Only competent 5 2 10 M Y
personnel allow to work
Proper survey the land before
A1.11 LV, HT & Telephone Electrocution Fatality NADAPOD E 5 2 10 M Y
excavation

Proper survey the land before


Toxic gas Fatality NADAPOD E 5 2 10 M Y
excavation
Transport failure/ collide with Personnel injury/ property damage Occupational Safety And Encourage staff/ workers always
other transport/ vehicle. Health Act 1994 fasten seat belt ( driver/ passenger).
Part VI - General duties of Traffic controls, flagman, speed limit.
A1.12 Road safety of staff/ workers employees. N (20 KM/H or client requirement) 2 3 6 M Y
(Sec:24, 25,26 & 27)

Road and Gravel work Eye/ Face struck by flying wall/ Personnel injury Occupational Safety And Workers must wear proper PPE 3 3 9
existing road debris Health Act 1994
Part VI - General duties of
A1. 13 N M Y
employees.
(Sec:24, 25,26 & 27)

High noise Deafness (long term effect) Occupational Safety And R Workers must wear ear protection. 2 5 10
Health Act 1994
Part VI - General duties of
employees.
(Sec:24, 25,26 & 27) M Y
FMA ( Noise Exposure )
1989

Dust Eye irritant FMA(BOWEC) Safety R Workers must wear dust mask 1 5 5
Long term illness Regulation 1986 To wet the surrounding work area to
Develop Allergies Part II : General Provision reduce dust.
Sec:
5,6,7,8,9,10,11,12,13,14,15, M Y
16,17,18,19,20,21,22,23,24,
25,26,& 27

Diamond cutter sharp Hand injury Occupational Safety And Workers must be careful/ aware of 3 3 9
Health Act 1994 hand protection when carry this task.
Part VI - General duties of Training
N M Y
employees.
(Sec:24, 25,26 & 27)

Road and Gravel work- - Using of power tools. Electrocution Person Injury FMA(BOWEC) Safety To ensure the electrical cable in good 3 3 9
Regulation 1986 condition and no work when rain.
Part II : General Provision
Sec:
A1.14 5,6,7,8,9,10,11,12,13,14,15, N M Y
16,17,18,19,20,21,22,23,24,
25,26,& 27

A.2 Pilling
Piling Work - mobilization of Spun pile machine - Machinery/ Equipment failure Property damage/ Personal injury FMA(BOWEC) Safety N Machinery/ Equipment inspection. 3 2 6
Regulation 1986
Part XVI: Hand and Power
A2.1 M Y
Tools
Sec:147,148,149,150,151,1
52 & 153
Piling Work - Spun pile machine movement Pile machine toppling Personal Injury/Property damage FMA(BOWEC) Safety N Machinery/ Equipment inspection. 5 1 5
Regulation 1986
Part XVI: Hand and Power
A2.2 M Y
Tools
Sec:147,148,149,150,151,1
52 & 154
Piling Work - Mobile crane lifting and pitching of piling material. - Jack in Piling Crane topple Personnel injury/ property damaged. Industry Code Of Practice N Crane Operator is not allowed to 3 2 6
for Road Transport Activities operate crane at boom radius below
- 2010 45 degree
A2,3 M Y
Part - I,II,III & IV Only competent personnel to handle
the piling process
Form :

HAZARD IDENTIFICATION, RISK ASSESSMENT AND RISK CONTROL FORM (HIRARC FORM) Rev : 0

Page 1 of

Department : Project Function / Main Activity : Building, Civil & Engineering Date :

LEGAL SITUATION R, RISK ASSESSMENT EXISTING STATUS /


NO ACTIVITY / DESCRIPTION HAZARD RISK EXISTING OHS CONTROL ADDITIONAL OHS CONTROL PIC DUE DATE REMARKS
REQUIREMENTS (IF N or E S L SxL CONTROL EFFECTIVENESS
A.1 Earthwork & Infrastructure
Loosened pile fall Personnel injury FMA (BOWEC) (SAFETY) N Piling machine operator shall ensure 3 3 9
Regulation 1986 the pile pitching is secure before start
Part XIV - Pilling hammering the pile.
M Y
Sec:
124,125,126,127,128,129,1
30,131,132,133 & 134
Noise Deafness Occupational Safety And R Worker involved shall wear ear 3 3 9
Health Act 1994 protection.
Part VI - General duties of
employees. M Y
(Sec:24, 25,26 & 27)
FMA ( Noise Exposure )
1989

Piling Work - PDA load test. Hydraulic test pump for load test Personnel injury FMA (BOWEC) (SAFETY) N The testing equipment such as 3 3 9
failure Regulation 1986 hydraulic jack, pump, couplings and
Part XIV - Pilling etc must in good condition/ calibrated
A2.4 Sec: and capable of withstanding test M Y
124,125,126,127,128,129,1 pressure.
30,131,132,133 & 135

Piling Work -Cutting of pile Hand injury / Cut by cutting Permanent disability FMA(BOWEC) Safety N Ensure cutting machine in good 4 3 12
machine Regulation 1986 condition with guard.
Part XVI: Hand and Power Training
A2.5 M Y
Tools
Sec:147,148,149,150,151,1
52 & 153
Dust produce from cement ( Long term illness Occupational Safety And R Workers shall wear dust mask. 2 5 10
pile). Health Act 1994
Part VI - General duties of
M Y
employees.
(Sec:24, 25,26 & 27)

Spark from cutting machine Eye/ Face injury/ Fire Occupational Safety And N Worker to wear face shields. 3 3 9
Health Act 1994 To provide fire blanket.
Part VI - General duties of
M Y
employees.
(Sec:24, 25,26 & 27)

Noise generated from machine Deafness Occupational Safety And R Worker involved shall wear ear 2 5 10
Health Act 1994 protection.
Part VI - General duties of M Y
employees.
(Sec:24, 25,26 & 27)
FMA ( Noise Exposure )
Piling Work -Extension of piles Welding spark Eye/ Face injury/ Fire Occupational Safety And N To provide fire blanket. 3 3 9
Health Act 1994 Worker to wear welding shields
Part VI - General duties of PPE
A2.6 M Y
employees.
(Sec:24, 25,26 & 27)

Entangle/ trap between two piles Hand injury Occupational Safety And N Always alert with hand position when 3 3 9
Health Act 1994 adjust position of pile.
Part VI - General duties of M Y
employees.
(Sec:24, 25,26 & 27)

Piling Work - Work preparation above piling machine Fall from height Personnel injury Occupational Safety And E Work Supervisor to ensure working 4 2 8
Health Act 1994 platform/ scaffolding is secured and
Part VI - General duties of safe before start work.
A2.7 employees. Workers must wear full body harness M Y
(Sec:24, 25,26 & 27) and hook anchor lanyard at secured
point.

Piling Work - Work preparation under piling machine Piling machine hydraulic failure Piling machine topple FMA(BOWEC) Safety E Machinery/ Equipment inspection. 4 2 8
Regulation 1986 Ground conditions / mobility.
Part XVI: Hand and Power
A2.8 Tools M Y
Sec:147,148,149,150,151,1
52 & 153

The feet/base support piling Personnel injury due to trap between FMA (Safety And Welfare) E To kept good communication between 3 3 9
machine may hit workers who hydraulic foot/ base support. Regulation 1970 workers and piling machine operator.
M Y
work under piling machine.

A.3 Confined Space


Working without standby Person Personnel injury/ fatal Industry Code Of Practice E Subcontractor management has to 5 2 10
No communication between for safe working in a ensure Work Supervisor and Foreman
Work Supervisor and Foreman Confined Space - 2010 attends Daily Toolbox Meeting so that
A3.1 Confined space entry work. about work to be done. Part - I,II,III & IV they will aware the requirement of M Y
work in confined space brief by safety
personnel.

Miscommunication between Personnel injury/ fatal FMA Act 1967 & Regulation E All CSE personnel shall have CSE 5 2 10
Entrant and Standby Person Part III - Person in charge card. CSE Entry Supervisor briefing
and certificates of before start work.
A3.2 Confined space entry work. M Y
competency -In/Out Log record for Authorized
Sec: 26,27,28,29,29A & 31 Entrant
Form :

HAZARD IDENTIFICATION, RISK ASSESSMENT AND RISK CONTROL FORM (HIRARC FORM) Rev : 0

Page 1 of

Department : Project Function / Main Activity : Building, Civil & Engineering Date :

LEGAL SITUATION R, RISK ASSESSMENT EXISTING STATUS /


NO ACTIVITY / DESCRIPTION HAZARD RISK EXISTING OHS CONTROL ADDITIONAL OHS CONTROL PIC DUE DATE REMARKS
REQUIREMENTS (IF N or E S L SxL CONTROL EFFECTIVENESS
A.1 Earthwork & Infrastructure
Lack ventilation/ Lighting Heat stress / Industry Code Of Practice N To continuous ventilation in confined 2 3 6
Hazardous working environment for safe working in a space.
A3.3 Confined space entry work. e.g. vessel, tank, pit>1.5m, column. - general work Confined Space - 2010 Ensure sufficient lighting. M Y
Part - I,II,III & IV

Excavated Soil Collapse Personnel injury/ fatal Industry Code Of Practice E Proper shoring. 5 2 10
for safe working in a
A3.4 Confined space entry work.e.g. pits > 1.5m Confined Space - 2010 M Y
Part - I,II,III & IV

Suffocation Fatal Industry Code Of Practice E AGT to make gas test before start 5 2 10
for safe working in a work./ continuous ventilation/ wear
Confined Space - 2010 SCBA when required.
A3.5 Confined space entry work. e.g. vessel, tank, pit>1.5m, column.- catalyst loading M Y
Part - I,II,III & IV

Delay to emergency response Personnel injury Industry Code Of Practice N Ensure emergency equipment ready/ 4 2 8
for safe working in a stand by at confined space area.
Confined Space - 2010
A3.6 Confined space entry work. e.g. vessel, tank, pit>1.5m, column. - hotwork (welding) M Y
Part - I,II,III & IV

Inhalation of harmful gasses Personnel injury Industry Code Of Practice N To quick emergency response- clear 3 2 6
for safe working in a the chemical spillage with care.
Confined Space - 2010 -Gas Test by AGT
A3.7 Confined space entry work .e.g. vessel, tank, column. - chemical cleaning using acid M Y
Part - I,II,III & IV

Lack supervise from person in Personnel injury Industry Code Of Practice N Entry supervisor/ standby person 2 3 6
charge/ no safety watch for safe working in a must at confined space area while
Confined Space - 2010 authorized entrant enter CSE.
A3.8 Confined space entry work.e.g. vessel, tank, pit>1.5m, column. M Y
Part - I,II,III & IV

No ventilation provided inside Suffocated by smoke/ carbon Industry Code Of Practice N All welding and cutting operations in 3 3 9
confined space monoxide, ozone, and nitrogen for safe working in a confined spaces shall be adequately
oxides produce from welding work. Confined Space - 2010 ventilated to prevent the accumulation
A3.9 Confined space entry work.e.g. vessel, tank, pit>1.5m, column. - hotwork (welding, cutting, grinding) M Y
Part - I,II,III & IV of toxic materials -or possible oxygen
deficiency.
To continuous ventilation in confined
A.4 Lifting space.
Crane lifting/ sky lift/MEWP near to power lines Unsafe distance between crane Electric shock FMA Act 1967 & Regulation E Lifting Supervisor to ensure safe 5 2 10 Only competent crane operator PMT
and power line Part III - Person in charge distance between crane and allowed to handle crane / sky lift
and certificates of powerline. To get approval from local
A4.1 competency authority/ OWNER when required to M N
Sec: 26,27,28,29,29A & 31 work near power lines.

Sky lift / MEWP operation Malfunction of electrical switch Property damage FMA Act 1967 & Regulation N The electrical switch for hydraulic 3 3 9
for hydraulic control (upper/ Part III - Person in charge shall be clearly identified and only
lower) and certificates of trained workers allowed to operate it.
A4.2 competency M Y
Sec: 26,27,28,29,29A & 32

Crane lifting work - assemble pipe / steel structure member / other construction materials Crane may topple Property damage/ personnel injury Industry Code Of Practice E To place the steel plate padding for 5 2 10 Only competent crane operator
for Road Transport Activities the soft soil. allowed to handle crane / sky lift
- 2010
A4.3 M N
Part - I,II,III & IV

Improper rigging installation / Load swing/ drop during lifting FMA Act 1967 & Regulation N Ensure competent rigger execute the 3 3 9
Poor condition of rigging tools / Part III - Person in charge assembly pipe/ steel structure
Use of sling belt that does not and certificates of installation.
have the testing certificate. competency Use direct sling wire to hooked at
Sec: 26,27,28,29,29A & 33 lifting lug. M Y
Lifting Supervisor to ensure the sling
wire/ belt and others rigging
accessories inspected and in good
condition before use.

Lightning / wet conditions Personnel injury/ fatal E Minimize activity when heavy rain/ 5 1 5 No work activity allowed when heavy PMT Residual Risk = Severity (5) x Likelihood (2), Risk Score
bad weather. M N rain/ bad weather.
Stop work policy

Load/ equipment falling during Personnel injury/ fatal FMA Act 1967 & Regulation E Lifting gear check must be inspected 5 2 10 All lifting gear must being inspect PMT Residual Risk = Severity (5) x Likelihood (1), Risk Score (5)
lifting Part I and Part II for any damaged/ poor condition, if every time before lifting work by
found, it must be removed from site. work leader/supervisor
M N
-3rd party Load test certificate Rigger to ensure the correct lifting
gears SWL capacity with the lifting
load.
Crane lifting work- assemble pipe /steel structure member /other construction materials Load drop Personnel injury/ property damage FMA Act 1967 & Regulation N Do not misuse chain block as lifting 4 3 12 Only competent crane operator PMT
A4.4 -Using chain block Part I and Part II gear. M N allowed to handle the chain block
Form :

HAZARD IDENTIFICATION, RISK ASSESSMENT AND RISK CONTROL FORM (HIRARC FORM) Rev : 0

Page 1 of

Department : Project Function / Main Activity : Building, Civil & Engineering Date :

LEGAL SITUATION R, RISK ASSESSMENT EXISTING STATUS /


NO ACTIVITY / DESCRIPTION HAZARD RISK EXISTING OHS CONTROL ADDITIONAL OHS CONTROL PIC DUE DATE REMARKS
REQUIREMENTS (IF N or E S L SxL CONTROL EFFECTIVENESS
A.1 Earthwork & Infrastructure
Crane lifting work- assemble pipe /steel structure member /other construction materials Lifting failure Personnel injury/ property damage FMA Act 1967 & Regulation E Ensure Crane Operator have valid 5 1 5
Part III - Person in charge DOSH certificate.
and certificates of Ensure Rigger/ signal man assigned
A4.5 competency is trained/ skills. M Y
Sec: 26,27,28,29,29A & 31

Heavy lifting work for equipment using Mobile Crane Mobile crane hydraulic/ Property damage / personnel injury FMA Act 1967 & Regulation N Crane Operator must daily check 3 3 9
mechanical fail/ no inspection. Part I and Part II condition of crane and report for any
A4.6 M Y
repairs needs.

Heavy lifting work for equipment using Mobile Crane- Grating installation activity Fall from height Personnel injury Occupational Safety And N Workers must wear full body harness 3 3 9 Only competent crane operator
Health Act 1994 and hook anchor lanyard at secured allowed to handle related job
Part VI - General duties of point.
employees. Obtain grating opening permit/
A4.7 (Sec:24, 25,26 & 27) certificate when required to open M N
grating./ The gratings shall fully
secure before handover to others
discipline.

Crane topple Personnel injury/ property damage FMA Act 1967 & Regulation E To make proper lifting plan, get 5 2 10 Only competent crane operator
Part I and Part II approval from AP, adhered to job allowed to handle related job
method statement and close M N
supervision needs.

Structure may topple. Personnel injury/ property damage FMA Act 1967 & Regulation N To make proper lifting plan, get 2 3 6 Only competent crane operator
Part I and Part II approval from AP, adhered to job allowed to handle related job
method statement and close M N
supervision needs.

Crane boom hydraulics failure Personnel injury/ property damage FMA Act 1967 & Regulation N To make proper lifting plan, get 3 3 9
Part I and Part II approval from AP, adhered to job
method statement and close
M Y
supervision needs.
Regular Inspections

Crane topple/ hit nearby facility Personnel injury/ property damage Occupational Safety And N Lifting supervisor to prepare lifting 3 3 9
Health Act 1994 checklist in order to ensure the safety
Part VI - General duties of precautions taken.
M Y
employees.
(Sec:24, 25,26 & 27)

Crane lifting operation No comply to the Permit To Crane topple FMA Act 1967 & Regulation N Safety factor for crane position such 3 3 9
Work instructions. Part I and Part II working radius and boom level shall
A4.8 comply as per work permit instruction. M Y

Crane topple( unstable outrigger) Personnel injury/ property damage FMA Act 1967 & Regulation N To ensure outrigger is fully extended 3 3 9 Only competent crane operator
Part III - Person in charge and press down. allowed to handle related job
and certificates of All tires must be off the ground.
M N
competency lifting Supervisor shall complete lifting
Sec: 26,27,28,29,29A & 31 Checklist before lifting work.
Brief Crane Operator/ Work Leader/
Crane topple( lifting without Personnel injury/ property damage FMA Act 1967 & Regulation N lifting Supervisor
Brief Crane for Crane
operator lifting
and Work 3 3 9 Only competent crane operator
proper padding. Part I and Part II Leader to follow all basic rules for allowed to handle related job
lifting such as usage of padding, lifting
M N
gear and fully extended outrigger.

The main wire slipped from Personnel injury/ property damage FMA Act 1967 & Regulation N Every crane must be have inspection 3 3 9
crane cable drum coil due to Part I and Part II and record of all maintenance in a
miss operation by crane crane log book.
M Y
operator. Crane Operator must visually check
crane condition everyday./ Crane
operator to be more alert when
performing the free load operation
A.5 Engineering, Structure & Civil
Occupational Safety And Ensure all worker aware of
A5.1 Concrete mixer Knocking / Struck by Person Injury Health Act 1994 N blasting hazard. Briefing to 3 2 6 M Y
Part VI - General duties of workers before job start
Sore throat employees.
FMA(BOWEC) Safety N Workers must wear dust mask 3 3 9
Dust health issue Regulation 1986 To wet the surrounding work area to M Y
Part II : General Provision reduce dust.
Deafness (long term effect) Sec:
Occupational Safety And R Workers must wear ear protection. 3 3 9
Noise Health Act 1994 M Y
Part VI - General duties of
Deafness (long term effect) employees.
Occupational Safety And R Workers must wear ear protection. 3 3 9
A5.2 Power Tool ( Drill, Grinder, Jack hammer, disc cutter, saw etc ) Noise Health Act 1994 M Y
Part VI - General duties of
employees.
Occupational Safety And Ensure all worker aware of
Knocking / Struck by Person Injury Health Act 1994 N hazard. Briefing to workers before 3 2 6 M Y
Part VI - General duties of job start
employees.
Occupational Safety And Ensure all worker aware of
Electrocution Person Injury Health Act 1994 N hazard. Briefing to workers before 3 2 6 M Y
Part VI - General duties of job start
employees.
Form :

HAZARD IDENTIFICATION, RISK ASSESSMENT AND RISK CONTROL FORM (HIRARC FORM) Rev : 0

Page 1 of

Department : Project Function / Main Activity : Building, Civil & Engineering Date :

LEGAL SITUATION R, RISK ASSESSMENT EXISTING STATUS /


NO ACTIVITY / DESCRIPTION HAZARD RISK EXISTING OHS CONTROL ADDITIONAL OHS CONTROL PIC DUE DATE REMARKS
REQUIREMENTS (IF N or E S L SxL CONTROL EFFECTIVENESS
A.1 Earthwork & Infrastructure
Filling diesel - diesel spillage / Personnel injury FMA(BOWEC) Safety To provide bonding system or stop
soil contamination. Fire Regulation 1986 machine/ stop hotwork activity nearby
Part XVI: Hand and Power before filling diesel.
A5.3 Welding set/ Generator set/ Compressor set operation Tools N 2 3 6 M Y
Sec:147,148,149,150,151,1
52 & 153

Equipment failure/ not function Personnel injury FMA(BOWEC) Safety Tool/ Machinery/ Equipment
smoothly. Overheat cause fire Regulation 1986 inspection.
Part XVI: Hand and Power -Certificate of fitness for Air
Tools N Compressor (PMT) 4 2 8 M Y
Sec:147,148,149,150,151,1
52 & 153
short circuit/ fire. Electrical Personnel injury FMA(BOWEC) Safety Tool/ Machinery/ Equipment
distribution board failure Regulation 1986 inspection.
Part XVI: Hand and Power Replace any damage tool/ machinery/
Tools equipment.
Sec:147,148,149,150,151,1 N Competent person 2 3 6 M Y
52 & 153 (Electrician/Chargeman).

High noise Hearing impact Occupational Safety And Workers affected surrounding
Health Act 1994 machines/ tools shall wear ear
Part VI - General duties of protection.
employees. R 1 5 5 M Y
(Sec:24, 25,26 & 27)
FMA ( Noise Exposure )
1989

Non compliance to the Chemical Personnel injury. Occupational Safety And N Obtain appropriate document from
Management Procedure Worker health Health (Use and standard of supplier before delivery of chemicals
exposure of chemical material to site
A5.4 Chemical management. hazardous) Regulation 2000 2 3 6 M Y
Part VI & VII

Chemical spillage due to Personnel injury. Occupational Safety And E User must check either container seal Secondary containment PMT
container seal not properly Worker health Health (Use and standard of is close properly or not before loading Spill kits available
closed. exposure of chemical and unloading activity.
hazardous) Regulation 2000 SDS available 4 3 12 M N
Part VI & VII
CLASS Regulation 2013

Misunderstanding chemical as Fatal Occupational Safety And E Obtain appropriate from OWNER
drinking water. Health (Use and standard of before delivery of chemicals material
exposure of chemical to site
hazardous) Regulation 2000 proper label the chemical 5 1 5 M Y
CLASS Regulation 2013 Segregate the drinking water storage
area

Chemical reaction Fatal or serious injury Occupational Safety And E Fire extinguisher Study SDS for chemical PMT
Mishandling / Spillage Health (Use and standard of Absorbent Pad incompatibility
exposure of chemical Secondary containment
Chemical Storage hazardous) Regulation 2000 5 2 10 M N
CLASS Regulation 2013

Non compliance to the LOTO Property damage/ personnel injury. Toyo LOTO Procedure N LOTO system must be applied when
Procedure work at substation area.
Miscommunication/ Mishandling/ Air Products and OWNER must have
their individual pad lock and key for
the LOTO system.
Physical checks and communications
A5.5 LOTO Application must be established between work 2 3 6 M Y
crew and substation.
To ensure the substation area are
restricted from any unauthorized
entry/ work.

Formwork pre-fabrication, installation and removal works Poor condition of hand tools/ Personnel injury FMA(BOWEC) Safety N Hand tools/ power tools inspection 1 3 3
power tools. Regulation 1986 before start work.
Part XVI: Hand and Power
A5.6 Tools L Y
Sec:147,148,149,150,151,1
52 & 153

Workers may fall due to Personnel injury FMA (Safety, health and N To ensure good housekeeping. 3 1 3
improper stock pile of formwork welfare) Regulation 1970
or during removal of formwork. Reg: 23 L Y

Timber dust spreading may Eye injury Occupational Safety And N Mandatory wearing of safety 2 3 6
cause eyes injuries due to saw Health Act 1994 spectacle at site.
cut of timber / plywood. Part VI - General duties of
M Y
employees.
(Sec:24, 25,26 & 27)
Form :

HAZARD IDENTIFICATION, RISK ASSESSMENT AND RISK CONTROL FORM (HIRARC FORM) Rev : 0

Page 1 of

Department : Project Function / Main Activity : Building, Civil & Engineering Date :

LEGAL SITUATION R, RISK ASSESSMENT EXISTING STATUS /


NO ACTIVITY / DESCRIPTION HAZARD RISK EXISTING OHS CONTROL ADDITIONAL OHS CONTROL PIC DUE DATE REMARKS
REQUIREMENTS (IF N or E S L SxL CONTROL EFFECTIVENESS
A.1 Earthwork & Infrastructure
Electrical shock during usage of Personnel injury FMA(BOWEC) Safety N Hand tools/ power tools inspection 3 3 9
electric saw or electric drill. Regulation 1986 before start work.
Part XVI: Hand and Power
Tools M Y
Sec:147,148,149,150,151,1
52 & 153
May cause fingers and foot Finger/ Hand injury Occupational Safety And N Workers must wear hand glove when 3 3 9
injuries by protrusion nail, wood Health Act 1994 executed carpentry work.
splinter, sharp point object/ hit by Part VI - General duties of M Y
hammer. employees.
(Sec:24, 25,26 & 27)

Electrical cutter wheel sharp / no Hand / body injury FMA(BOWEC) Safety N Ensure electrical cutter in good 3 3 9
guards Regulation 1986 condition with guards.
Part XVI: Hand and Power
Tools M Y
Sec:147,148,149,150,151,1
52 & 153

Rebar fabrication and fixing Poor condition of rebar bending/ Personnel injury. FMA(BOWEC) Safety R Machinery/ Equipment inspection. 3 3 9
cutting machine Regulation 1986
Part XVI: Hand and Power
A5.7 Tools M Y
Sec:147,148,149,150,151,1
52 & 153

Installation wedges to rebar Broken timber Personnel injury. FMA (Safety, health and E Workers to use steel wedges instead 3 3 9
welfare) Regulation 1970 of timber.
A5.8 Reg: 32 M Y

Installation the rebar to formwork Sharp edge - from wire and edge Finger injury Occupational Safety And N Workers must wear hand glove when 3 3 9
of rebar Health Act 1994 install rebar.
Part VI - General duties of
A5.9 M Y
employees.
(Sec:24, 25,26 & 27)

High pressure water discharge Personnel injury - potential Occupational Safety And E Barricade the work area when 3 3 9
permanent disability Health Act 1994 hydrojet activities is on going/Workers
Part VI - General duties of must wear face shield.
employees. M Y
(Sec:24, 25,26 & 27)

Concreting work - site concrete mixing (manually) Expose to cement dust Eye irritant / prolonged illness Occupational Safety And R Workers to wear dust mask when 3 2 6
Health Act 1994 carry out cement mix works.
Part VI - General duties of SDS
A5.10 employees. M Y
(Sec:24, 25,26 & 27)

Concreting work - site concrete mixing / pump truck Rotating machinery/ concrete Personnel injury FMA(BOWEC) Safety R Workers shall always alert with hand 3 2 6
( concrete mixture truck) mix Regulation 1986 position when execute concrete
A5.11 Part III: Concrete Work mixing works. M Y
Sec: 28,29,30,31 & 32

Concreting work - concrete casting Overturn truck mixer/ crane Property damage/ personnel injury FMA(BOWEC) Safety N The position of crane, truck mixture 3 2 6
during lifting concrete Regulation 1986 and concrete to be place must be
A5.12 Part III: Concrete Work reachable and safe. M Y
Sec: 28,29,30,31 & 32

Slippery/ Wet surface Personnel injury Occupational Safety And N Workers to wear safety boot. 3 2 6
Health Act 1994
Part VI - General duties of
employees. M Y
(Sec:24, 25,26 & 27)

Concreting work - concrete vibration Vibration from vibrator or poker Personnel injury. (Long term effect Occupational Safety And R Workers to wear hand glove. 3 2 6
vibrator due to vibration) Health Act 1994
Rotation of employee Part VI - General duties of
A5.13 M Y
employees.
(Sec:24, 25,26 & 27)

Concreting work - concrete chipping, hacking and grinding. Cement dust/ bit splash to eye/ Eye/ face injury Occupational Safety And N Workers to wear face shield. 3 2 6
face. Health Act 1994
Part VI - General duties of
A5.14 M Y
employees.
(Sec:24, 25,26 & 27)

Manual lifting/ handling material for steel structure work preparation. Ergonomic Pain back FMA Act 1967 & Regulation N Workers shall be trained to lifting in 3 2 6
A5.15 Part I and Part II proper posture. M Y

Civil and structure work Fall from height Personnel injury FMA(BOWEC) Safety E Supervisor and safety personnel must 3 3 9
Regulation 1986 be check the activity before start
Part IV - Structural Steel work. Fall protection
A5.16 and Precast M Y
Sec:147,148,149,150,151,1
52 & 153
Form :

HAZARD IDENTIFICATION, RISK ASSESSMENT AND RISK CONTROL FORM (HIRARC FORM) Rev : 0

Page 1 of

Department : Project Function / Main Activity : Building, Civil & Engineering Date :

LEGAL SITUATION R, RISK ASSESSMENT EXISTING STATUS /


NO ACTIVITY / DESCRIPTION HAZARD RISK EXISTING OHS CONTROL ADDITIONAL OHS CONTROL PIC DUE DATE REMARKS
REQUIREMENTS (IF N or E S L SxL CONTROL EFFECTIVENESS
A.1 Earthwork & Infrastructure
Grinding/ Cutting/ Welding work to join the steel structure Spark Face/ eye injury Occupational Safety And R Workers to wear safety glass and 3 3 9
-Fire Health Act 1994 face shield.
Part VI - General duties of -Use fire blanket
A5.17 M Y
employees.
(Sec:24, 25,26 & 27)

Welding low quality / spark not Personnel injury/ property damage/ FMA Act 1967 & Regulation R Ensure Authorized Welder executed 3 3 9
control accordingly fire Part III - Person in charge Welding Work
and certificates of Ensure trained fire watch standby with
competency fire extinguisher. M Y
Sec: 26,27,28,29,29A & 31 -Use fire blanket.
- Keep away combustible material

Insufficient fire blanket used/ Fire FMA(BOWEC) Safety E Monitoring gas test shall be 3 3 9
No gas test check./ Regulation 1986 conducted by Authorized Gas
Depletion oxygen Part II : General Provision Test(AGT).
Sec: Hot Work Checklist to be completed
5,6,7,8,9,10,11,12,13,14,15, prior to start any hotwork. M Y
16,17,18,19,20,21,22,23,24, Ensure sufficient ventilation to avoid
25,26,& 27 depletion of oxygen. To ensure
sufficient fire blanket is installed
before carry our hotwork.
High speed rotating disc. Body part, hand injury FMA(BOWEC) Safety E -Trained personnel to fix/remove the 3 3 9
Regulation 1986 grinding disc. To ensure proper guard.
Part XVI: Hand and Power
Tools M Y
Sec:147,148,149,150,151,1
52 & 153

Alightment, bolt tightening and fixing work for steel structure Fall from height Personnel injury FMA(BOWEC) Safety E Work supervisor/ Work Leader to 3 3 9
Regulation 1986 ensure ladder is secured before
Part VII - Chutes, Safety workers used. Workers must wear
Belts and Nets full body harness with double lanyard
A5.18 Sec: and hook anchor lanyard at secured M Y
46,47,48,49,50.51.52.53.54. point.
55.56 & 57 Lifeline to be install for hook lanyard if
there is no anchored point available.

Fall of tools use for tightening Personnel injury FMA(BOWEC) Safety R To use a safety pin for the box socket 3 3 9
Regulation 1986 -Tool lanyard
Part IV - Structural Steel
and Precast M Y
Sec:147,148,149,150,151,1
52 & 153

Steel structure members topple Personnel injury FMA(BOWEC) Safety R To ensure temporary steel structure 3 3 9
Regulation 1986 members assembly secure before
Part IV - Structural Steel lifting off.
and Precast M Y
Sec:147,148,149,150,151,1
52 & 153

Tightening tools/ bolt drop/ fall Personnel injury FMA(BOWEC) Safety N The tightening tools/ bolt must kept in 3 3 9
Regulation 1986 box/bag to avoid drops.
Part IV - Structural Steel Place barricade and signage at
and Precast vicinity underneath work area.
Sec:147,148,149,150,151,1 Tools must be attached to the strap
52 & 154 lanyard/ wrist lanyard (tag line).
Alightment, bolt tightening and fixing
work for steel structure must be
executed by competent/ skill workers.
To cover the grating either with M Y
canvas or gunny sack to prevent
loose item drop.
JSA Briefing/ short brief to be conduct
by supervisor before start work.
-work to be avoided
-Simultaneous work to be avoided

Painting work for steel structure Smelly odor Headache, dizziness, eye sore FMA(BOWEC) Safety R To follow MSDS and proper PPE to 3 3 9
Exposure to chemical Regulation 1986 be worn.
Part XVI: Hand and Power
A5.19 Tools M Y
Sec:147,148,149,150,151,1
52 & 153

Drilling of pavement and insert a rod by hammer to check the depth of existing foundation of the Dust Sore throat FMA(BOWEC) Safety N Workers must wear dust mask 3 3 9
plant . (If Required) Lung cancer (long term) Regulation 1986 To wet the surrounding work area to
Allergic (short term) Part II : General Provision reduce dust.
Sec:
A5.20 5,6,7,8,9,10,11,12,13,14,15, M Y
16,17,18,19,20,21,22,23,24,
25,26,& 27

Cutting concrete Slab using Diamond Cutter (Diesel Driven) Eye/ Face struck by flying Eye/ face injury E Workers must wear face shield. 3 3 9
A5.21 concrete debris M Y
Form :

HAZARD IDENTIFICATION, RISK ASSESSMENT AND RISK CONTROL FORM (HIRARC FORM) Rev : 0

Page 1 of

Department : Project Function / Main Activity : Building, Civil & Engineering Date :

LEGAL SITUATION R, RISK ASSESSMENT EXISTING STATUS /


NO ACTIVITY / DESCRIPTION HAZARD RISK EXISTING OHS CONTROL ADDITIONAL OHS CONTROL PIC DUE DATE REMARKS
REQUIREMENTS (IF N or E S L SxL CONTROL EFFECTIVENESS
A.1 Earthwork & Infrastructure
High speed rotary disc Personal injury Occupational Safety And N Machine guarding, PPE 3 3 9
Health Act 1994
Part VI - General duties of
employees. M Y
(Sec:24, 25,26 & 27)

Edge object/ wire Hand injury FMA(Safety,Health and N Workers who carried out
Welfare) housekeeping shall wear hand glove
A5.22 Housekeeping 1 3 3 L Y
Regulation 1970 and work in safe manner.
Reg: 23 & 32
Falling , tripping Personnel injury Occupational Safety And N Workers must wear full body harness 3 3 9 Only competent worker allowed to
Health Act 1994 and hook anchor lanyard at secured handle related job
A5.23 Roof M N
Part VI - General duties of point.
employees. Obtain grating opening permit/
Falling , tripping, Personnel injury (Sec:24, 25,26Safety
Occupational & 27) And N certificate
Workers mustwhenwear
required to open
full body harness 3 3 9 Only competent worker allowed to
Health Act 1994 and hook anchor lanyard at secured handle related job
A5.24 Brickwork & Plastering M N
Part VI - General duties of point.
employees. Obtain grating opening permit/
Dust Sore throat (Sec:24, 25,26 &
FMA(BOWEC) 27)
Safety N certificate
Workers mustwhenwear
required to open
dust mask 3 3 9
health issue Regulation 1986 To wet the surrounding work area to
M Y
Part II : General Provision reduce dust.
Sec:
Collapse Personnel injury 5,6,7,8,9,10,11,12,13,14,15, Ensure all jobs followed client
requirements specially for the
NADAPOD E 5 2 10 M N
strength of the brickwork &
Plastering
Dust Sore throat FMA(BOWEC) Safety N Workers must wear dust mask 3 3 9
health issue Regulation 1986 To wet the surrounding work area to
A5.25 Tilling, Marble & Parquet M Y
Part II : General Provision reduce dust.
Sec:
Noise Deafness (long term effect) 5,6,7,8,9,10,11,12,13,14,15,
Occupational Safety And R Workers must wear ear protection. 3 3 9
Health Act 1994
Part VI - General duties of
employees. M Y
(Sec:24, 25,26 & 27)
FMA ( Noise Exposure )
1989

Chemical in used Health issue USECHH 2000 N Training to staff for chemical handling 3 3 9
CLASS 2013 Worker wear proper PPE according to
M Y
SDS

Falling , tripping Personnel injury Occupational Safety And N Workers must wear full body harness 3 3 9 Only competent worker allowed to
Health Act 1994 and hook anchor lanyard at secured handle related job
A5.26 Ceiling M N
Part VI - General duties of point.
employees. Obtain grating opening permit/
Collapse (Sec:24, 25,26 & 27) certificate when required to open
Ensure all jobs followed client
Fatality NADAPOD E requirements specially for the 5 2 10 M Y
strength of the ceiling
Dust Sore throat FMA(BOWEC) Safety N Workers must wear dust mask 3 3 9
health issue Regulation 1986 To wet the surrounding work area to
M Y
Part II : General Provision reduce dust.
Sec:
Chemical in used Health issue 5,6,7,8,9,10,11,12,13,14,15,
USECHH 2000 N Training to staff for chemical handling 3 3 9
CLASS 2013 Worker wear proper PPE according to
A5.27 Painting & Vanishing M Y
SDS

Fume Health issue USECHH 2000 N Workers must wear dust mask 3 3 9
CLASS 2013 To wet the surrounding work area to
M Y
reduce dust.

Falling , tripping Personnel injury Occupational Safety And N Workers must wear full body harness 3 3 9 Only competent worker allowed to
Health Act 1994 and hook anchor lanyard at secured handle related job
M N
Part VI - General duties of point.
employees. Obtain grating opening permit/
To reduce / avoid hazard To protect the workers (Sec:24, 25,26 & 27) R certificate
Enforcement when required to open
of implementation 4 5 20
A5.28 Issue of Work permit ( Benefit ) H Y

To reduce / avoid hazard To protect the workers R Enforcement of implementation 4 5 20


A5.29 Conduct JSA / JHA and toolbox meeting ( benefit ) H Y

To reduce / avoid hazard To protect the workers R Proper maintain the safety valve. 4 5 20 Establish procedure for Permit issue SHO
Regular inspection the functionality handling
A5.30 Maintain machineries / equipment safety valve ( benefit ) H Y

Provide suitable, sufficient PPE to worker ( benefit ) To reduce / avoid hazard To protect the workers R Ensure toolbox box meeting [provided 2 6 12 Y
and ensure all workers were suitable
A5.31 PPE during hazard job M

Prepared By, Reviewed By, Approved By, Additional Reviewer

No. Name Designation Company Signature Date


Form :

HAZARD IDENTIFICATION, RISK ASSESSMENT AND RISK CONTROL FORM (HIRARC FORM) Rev : 0

Page 1 of

Department : Project Function / Main Activity : Building, Civil & Engineering Date :

LEGAL SITUATION R, RISK ASSESSMENT EXISTING STATUS /


NO ACTIVITY / DESCRIPTION HAZARD RISK EXISTING OHS CONTROL ADDITIONAL OHS CONTROL PIC DUE DATE REMARKS
REQUIREMENTS (IF N or E S L SxL CONTROL EFFECTIVENESS
A.1 Earthwork & Infrastructure

Name : Name : Name :


Designation : Designation : Designation :
Date : Date: Date:

HAZARD IDENTIFICATION, RISK ASSESSMENT AND RISK CONTROL FORM (HIRARC FORM)
Form : 
Rev : 0
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Department : Project
Fu
HAZARD IDENTIFICATION, RISK ASSESSMENT AND RISK CONTROL FORM (HIRARC FORM)
Form : 
Rev : 0
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Department : Project
Fu
HAZARD IDENTIFICATION, RISK ASSESSMENT AND RISK CONTROL FORM (HIRARC FORM)
Form : 
Rev : 0
Page 1 of 
Department : Project
Fu
HAZARD IDENTIFICATION, RISK ASSESSMENT AND RISK CONTROL FORM (HIRARC FORM)
Form : 
Rev : 0
Page 1 of 
Department : Project
Fu
HAZARD IDENTIFICATION, RISK ASSESSMENT AND RISK CONTROL FORM (HIRARC FORM)
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Department : Project
Fu
HAZARD IDENTIFICATION, RISK ASSESSMENT AND RISK CONTROL FORM (HIRARC FORM)
Form : 
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Department : Project
Fu
HAZARD IDENTIFICATION, RISK ASSESSMENT AND RISK CONTROL FORM (HIRARC FORM)
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Department : Project
Fu
HAZARD IDENTIFICATION, RISK ASSESSMENT AND RISK CONTROL FORM (HIRARC FORM)
Form : 
Rev : 0
Page 1 of 
Department : Project
Fu
HAZARD IDENTIFICATION, RISK ASSESSMENT AND RISK CONTROL FORM (HIRARC FORM)
Form : 
Rev : 0
Page 1 of 
Department : Project
Fu
HAZARD IDENTIFICATION, RISK ASSESSMENT AND RISK CONTROL FORM (HIRARC FORM)
Form : 
Rev : 0
Page 1 of 
Department : Project
Fu

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