ASSESSMENT AND ANALYSIS/‫تقييم المخاطر‬

(‫)رقم تقييم المخاطر‬: ‫المعدة‬/‫العملية‬/‫المهمة‬/‫الموقع‬ DEPARTMENT/AREA( ‫المنطقة‬/‫ )االدارة‬:

RA Number: WORKPLACE/TASK/ACTIVITY/PROCESS NAME
DATE( ‫)التاريخ‬ : 2017 /16/2

RA TEAM(Names) (‫)أسماء فريق التقييم‬:

NEXT REVIEW DATE(‫)تاريخ المراجعة القادم‬ : 16/2/2018
1
Backfilling, Leveling, Compaction & Screening APPROVED BY MANAGER/SUPERVISOR(‫)اعتمد من قبل‬:

Signature ( ‫)التوقيع‬

HAZARD IDENTIFICATION /‫تحديد الخطر‬ CONTROL‫وسائل التحكم‬ RISK ACTION PLAN/‫خطة العمل لتقليل الخطر‬
ASSESSMENT‫تقييم‬
‫المخاطر‬
Item Workplac Hazards/ Risks Issue Existing Controls / ‫وسائل‬ Cons Like ‫تصني‬ (Improve existing Follow Cont Con Like ‫تصن‬
# e/ ‫األخطار‬ (Possible ‫التحكم المتوفرة‬ eque liho ‫ف‬ controls / implement up by rols seq liho ‫يف‬
‫الرقم‬ Activity/P incident) nce / od/ ‫الخط‬ new controls)/‫وسائل‬ Whom Impl uen od/ ‫الخط‬
‫التسلس‬ rocess/Eq [What can go ‫الشدة‬ ‫ر االحتم‬Ri ‫التحكم والسيطرة االضافية‬ (name) eme ce / ‫االحتم‬ ‫ر‬Ri
‫لي‬ uipment/ wrong ‫الية‬ sk & By nted ‫الشدة‬ ‫الية‬ sk
Material (Accident/ill Ran When Yes/ Ra
‫موقع‬ health to kin (date)/ No/ nki
‫مهمة‬/‫العمل‬ persons, fire g ‫الجهة‬ ‫هل تم‬ ng
/‫المعدات‬/‫العمل‬ or property ‫المعنية‬ ‫التفيذ؟‬
‫المواد‬ loss)/ ‫المخاطر‬ ‫التار‬/‫بالتنفيذ‬ ‫ال‬/‫نعم‬
‫المحتملة‬ ‫يخ‬
1. Preparatio  Moving  Collision to  Attend the SSPP 2 3 6(L) Existing control is ok On Yes
n and Equipment. pedestrian, safety induction and next
mobilizatio vehicle or follow the traffic review /
n of equipment. control rules. Engr.
equipment  Personnel  Apply SSPP permit to Supvr.,a
on the injury (Minor / work prior to start nd
work area. major) such work. HSES
as small cut
 Only trained and
or laceration.
certified
driver/operator to
mobilize equipment at
site
 Inspect vehicle and
equipment prior to
HHI/HSE/RA -003 Rev-04 Page 1 of 6
 mobilize with daily
equipment inspection
checklist.
 Follow the road sign,
flag man and attend
the SSPP defensive
driving training.
 Escort vehicle will be
provided if required.
 Provide flag man.
 Backfilling Loose soil
should be covered
by plastic sheet,
should be secured
properly with rope or
lashing belt.
 Materials should be
 Poor  Injury to the arranged properly to
arrangeme personnel. prevent slip and
nt of tripping hazard.
materials.  During transport
material shall be
secured.
 Unsecured  Fall of  Watch your feet
materials materials. during moving,
while gently walk on rough
shifting to surface.
the working  Possible area proper
area using grader can be used
equipment. to make surface
smooth.

 Uneven
ground,  Slip and
road. tripping

2. Backfill,  Unloading  Injury  Ensure that work 4 3 12(H)  Flagman assigned Mr. Yes 3 2 6(L)
Leveling & truck and /Hitting a co- permits are provided. to give signal. Walter
Compactio backing worker(Majo  Trained and  Ground condition (HHI
n. equipment/d r injury). competent license is level and firm civil
umper. operator utilize for during unloading. Enginee
 Turn over & work.  Must check that r) /
HHI/HSE/RA -003 Rev-04 Page 2 of 6
 accident.  Ensure vehicles back flap of truck 18/3/20
involved are equipped is opening properly 17
with functioning during hydraulic
safety devices such extension, if not
as reverse lights, discontinue and
reverse alarm, brakes recheck.
and signal lights.  No one is allowed
 Driver operator has to stand near the
attended SSPP dump truck during
defensive driving unloading. Keep
training. desistance of
 Flagman and co- atleast 14 to 16
workers away from feet away from
equipment and its side.
blind spot.  TBM to all dump
 Operator has clear truck operators.
view of unloading
area.
 Unloading must be
done after the truck
stop completely.
 Employee is way from
the loading area.
 Truck hydraulic jack
is good in condition.
 Daily inspection of
equipment is done.
 Constant supervision.
 Proper PPE shall be
worn.

 Operator using ear

plug.
 Hand gloves worn.
 Hand/Arm  Dust mask provided.
 Exposed to
vibration  To reduce dust
noise, dust
syndrome / sprinkle water.
and
body pain.  Unauthorized
vibration.
employee kept away
(using
from the backfilling
compactor) area.

 Operator using ear

plug.
HHI/HSE/RA -003 Rev-04 Page 3 of 6
  Signage and
 Hearing barricade provided.
loss.  Work break and
stretching shall be
 Back pain done to reduce
prolonged exposure
 Backfilling work not
allowed in night.

 Cool water station for

operator and flag
man.

 Heat stress
awareness. (Tool box
 Hot weather  Heat
Talk).
stress/dehyd
ration.

HHI/HSE/RA -003 Rev-04 Page 4 of 6

 Severity /consequence (Impact / Hazard Effect)
(where an event has more than ‘Loss type’, Choose the ‘Consequence’ with the highest rating)

Loss Type Additional ‘Loss types” may Exist for

1 Insignificant 2 Minor 3 Moderate 4 Major 5 Catastrophic
an Event: Identify & rate accordingly
(S/H) Harm to People (Safety / Health) First aid case / Exposure to Medical Treatment Lost time Injury / Single fatality or Multiple fatalities
minor health risk case / Exposure to Reversible impact on loss of quality of life / Impact on
major health risk health / Irreversible Impact health ultimately
on health fatal
(EI) Environmental Impact Minimal environmental harm Material Serious Major environmental Extreme
incident within workplace environmental environmental harm incident’ (RLT) environmental
harm’(RST) incident’ (RMT) harm-incident
irreversible
(BI/MD) Business Interruption / Material/Fire No disruption to Brief disruption to Partial shutdown Partial loss of Substantial or
Damage & Other Consequential Losses operation /R 1000k to less operation /R 10k to /R100k to less than R operation /R 1M to total loss of
than R 10k less than R 100k 1m less than R 10M operation / R
10M and more
Likelihood Example (consider near hits as
Risk Rating
well as actual events)
5 Almost The unwanted event has occurred
Certain frequently: occur in order of one
5 (L) 10 (M) 15 (H) 20 (Ex) 25 (Ex)
or more times per year & is likely
to reoccur within 1 year
4 Likely The unwanted event has occurred
Infrequently: Occur in order of
4 (L) 8 (M) 12 (H) 16 (Ex) 20 (Ex)
less than once per year & is likely
to reoccur within 5 years
3 Possible The unwanted event has
happened in the business at
3 (L) 6 (L) 9 (M) 12 (H) 15 (H)
some time or could happen within
10 years
2 Unlikely The unwanted event has
happened in the business at
2 (L) 4 (L) 6 (L) 8 (M) 10 (M)
some time; or could happen
within 20 years
1 Rare The unwanted event has never 1 (L) 2 (L) 3 (L) 4 (L) 5 (L)
known to occur in the business;
or it is highly unlikely that it will

HHI/HSE/RA -003 Rev-04 Page 5 of 6

 occur within 20 years

(RST) Remedial Short Term (RMT) Remedial Medium Term (RLT)Remedial Long Term

HHI/HSE/RA -003 Rev-04 Page 6 of 6