You are on page 1of 2

Risk Analysis 1 (2)

Site Risk Assessment / Hazards Indentification

Form 1 (2)
Important Note: This form must be assessed carefully according to job type, any marked questions with "Unsafe", you should go to form 2/2 named "Residual risk register" to re-assess the
uncontrolled identified hazards, where additional control measures must be in place prior starting the job. This document should be completed by a trained and competent person only. This
document is only for the guidance of the assessor
ASP/Company Assessment Date/Time Site ID & Name
Site Type Roof Top Monopole Palm Tree Mobile Shelter GF Tower Camouflage Lattice/Truss Other
Assessor Name Job Role Signature
Name Sign Name Sign Name Sign Name Sign
Participants:
Status
Category Potential Hazards
Safe Unsafe NA Comments
People 1. Person(s) who carry the job:
2. Are all team members are trained as per the job, competent, certified, and authorized to do the job?
3. Are all team members are medically fit with valid medical fitness certificate?
4. Is a competent supervisor(Person In charge of Work-PICW ) available on site?
5. For high risk activity, Is minimum two persons attending (with PICW) and at least one of them are
trained on emergency procedures; (e.g. WAH rescuer, Electrical safety, first aid, firefighting …etc.? No
lone work for high risk activities?
General 1- Is the site housekeeping in good condition? No slip, trip and fall hazards on floor/Site
2. Is the site secured and has limited access? And are all the warning and safety signage in place (e.g.,
Electrical, limited access, climbing, radiation …etc.?
3. Is Tower structure is safe to climb, ladder rungs are complete and rust free, secured and free from
obstacle, not wet or slippery?
4. Is the site & surrounding area free from flammable, combustible liquids, or gases, explosive agents,
vapors, fumes, dusts, and mists?
5. Are all the means (e.g., doors, road, stairs etc.) allow safe access and egress?
6. Is there a safe distance from overhead electrical cables?
7. Is the site free of animals, snake, and other harmful attacks?
8. Is electromagnetic risk controlled?
9. Are all electrical conductors and apparatus passed visually inspection "isolated and working properly"
(e.g. wires, cables, switches, controls, generator, transformers, lamps, batteries, fuses, D.B protection,
earth means installed ..etc.)?
10. Is there any further unsafe condition observed in site?
11. Is Weather condition safe to work.i.e. No high winds, rain, snow, dust storm, etc.
12. In case the activity in night time or during dark hours(Only in case when not possible to work in day
light), Is the specific (separate) risk assessment in place? Is the illumination level is enough/safe to
work? Persons show no signs of fatigue? Proper planning and permission in place ?
13. Is the work on road side, area is properly secured / barricaded, safety signs installed
Activity 1.Is manual lifting used in accordance with safe practices "e.g. approved, appropriate pulley's system
used, sling and ropes are safe, drop zones marked, secured and done under supervision etc. ?
2. Are lifting operations(Mechanical/Manual) planned before being undertaken and using suitable
equipment, competent crew who has a valid license, training and applying safe work practices ?
3. Are appropriate controls for WAH applied (e.g. only by trained and physically proven, two riggers
minimum, using fall arrestor or fall restraint system properly ..etc.?
4. Is the rooftop site safe (e.g. roof edge protected, no skylight, no fragile roof, no weak points, no roof
opening, no slip and trip hazards )? Is the ladder going to the rooftop site is safe to climb ?
5. Safe load limits are calculated prior to start the work? i.e. Crane , MEWP, Pulley system, etc.
6. Is the area under loading clear, working radius is barricaded ? Is drop zone marked and barricaded?
7. Rigging equipment for material Lifting/lowering is certified & inspected prior to use for each activity?
8. Are all Hot Works controls are applied (e.g. planned, person trained, safe techniques, using proper
PPEs, Fire extinguisher, Fire blanket, rescue and emergency plan developed and in place etc.?
9. Are electrical work controls applied (e.g. no live electrical activity, proper PPEs, Lockout/ Tagout,
portable hand tools grounded and double insulated, earth means, permanent wiring used instead of
extension cords etc.
PPE & 1. Are all work related PPEs are available and Inspected prior to use?
Tools 2. Are fall protection PPEs and tools are inspected, calibrated and in a good safe working condition (e.g.
harness, lifelines and double lanyards)?
3. Foot, hand, head & eye protection PPEs are in a good safe working condition?
4. Are tools and equipment subject to appropriate system of pre-use/after use checks, visual inspection
and are thy maintained in a safe condition, neatly stored, safely carried?
Vehicle 1. Are vehicles used for project comply with Ericsson driving standards and fit to use (e.g. airbag, ABS,
Safety seatbelts, equipped with emergency kit, emergency triangle, first aid kit & fire extinguisher etc.) ?
2. Is the vehicle driver trained on Defensive driving course and medically Fit ?
3. Is there a daily vehicle inspection checklist filled by the driver and signed by the PICW?
4. Are the vehicle regular preventive / corrective maintenance in place i.e. service report/tag ?
5. Is the weather safe to drive i.e. heavy raining, Fog, Sand storm, snowing, etc.
6. Is the Journey management plan ( JMP) is prepared and available for long journey? (above 400 KMs
or 4hrs of continuous driving)
Emergency 1. Is an emergency response plan prepared and available on site ?
Response 2. Are all team members well trained on the emergency plan?
3- Is the first aid kit available and fully equipped? Min two trained & certified first aider available per
4.Is there a minimum one trained and certified fire fighter available at the site per team?
5. Is there appropriate fire extinguisher available with the team on site and properly maintained?
6. Is there a trained and certified working at height rescuer available at the site per team?
7. Is there an inspected/calibrated recuse kit available on site and prepared to use?
RF/EMF 1. Persons are trained on RF/ EMF when required (i.e. working near live telecom equipment's)
2. Is RF/ EMF Monitors are available with person working near live telecom equipment's?
3. Is RF/ EMF emergency procedure is part of Site emergency response plan?
Any Other
Hazard on
site

Prepared: EABBTAI Taimoor Abbas Date: 2021-10-17 DocNo: GCC-EHS-21-003


Approved: Sheet: Sheet1 Rev.:
Ericsson Internal Reference:
Risk Analysis 2 (2)
Site Risk Assessment / Hazards Indentification

Residual Risk Register


Form 2 (2)

Risk Evaluation
Identified Hazard
Additional Control Measures
( Uncontrolled ) Likelihood Severity Risk Rating Risk Level

Assessor Name Job Role Signature

Site ID/Name Date Time

Prepared: EABBTAI Taimoor Abbas Date: 2021-10-17 DocNo: GCC-EHS-21-003


Approved: Sheet: Sheet1 Rev.:
Ericsson Internal Reference:

You might also like