Assessors Name: Assessors signature: Location of Date of Review date:

Method
task/operation being Task Carried assessment: Ongoing
Statement Action by
Sajimon KK assessed: out by? 15 January 09
by When?
Site
Ref No: Rev – 02 – RA – 2009 - Depa Cross reference to N.B. Residual risk:
SSOW/method Other on site The risk left
statement: (Highlight SSOW/Method statement control measures after all control
one below) Ref No: may be required measures have
Page No: due to weather been put in
YES NO M/S 001 conditions/other place – see
Risk Persons at risk reasons at time risk matrix at
severity of footer:
E C P Oth
(before task/operation:
Activity/ Significant ers
controls Control measures Work must not
Operation hazard
are in required: start until the
place) risks have
been assessed:

Fall of High Yes Yes Yes Prior to the Project Site Engineer
 Working near the
30 persons commencement Manager
of the activity edge will be done Supervisor
Construction
only by permit to
Manager Foreman
Working work system.
near the Site Manager Charge hand Medium
 Provide edge
Edge
protection Project Workers
Engineer
 Wear safety
Helpers
harness HSE Manager
 Place over head
protection
 Use proper PPE
Fall of High Yes Yes  Use vertical net
Materials
 Safety signage
Low
 TBT to be given to all
working near the
edge.

RISK RATING MATRIX 1 E = employees

C = contractors/subcontractors
Likelihood: 5 very likely 4 likely 3 fairly likely 2 unlikely 1 very unlikely P = Public
Severity: 5 catastrophic 4 major 3 moderate 2 minor 1 insignificant QMS – Rev – 02 – RA – 2009
Sajimon KK – January 09