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Hazard Identification & Risk Assessment and Control Measure Worksheet (HIRA)

FORMAT NO:
JOB TITLE : BACK FILLING
Sl ACTIVITY (JOB STEPS IN HAZARDS/RISK CONSEQUEN PROBABIL SEVERITY RISK PRESENT CONTROL MEASURE PROBABILI SEVERITY RISK CONTROLLED FINAL RESPONSIBI
No SEQUENCE) CES ITY TY RISK RATING ASSESSMENT LITY

1 Clearing of site Tripping and cut injury 1. The area should be surveyed for
during housekeeping tripping hazards and workers shall be
Body injury/ briefed for the hazard.
Property 2 2 4 1 2 2 TOLERABLE ACCEPTABLE
damage 2. All persons working shall use PPE's
like helmet, shoes etc.
2 Backfilling by mechanical m/c & 1. Injury due to tools and 1. Experienced persons shall be
manualy tackles. deployed who are aware of handling
Body injury/ backfilling tools.
Property 5 5 25 2 2 4 TOLERABLE ACCEPTABLE Site Engineer /
damage 2. All persons working shall use PPE's Foreman
like helmet, shoes etc.

2. Fall of person into the 1. Proper barricading with warning


pit. Body injury 4 4 16 signs to be put. 2 2 4 TOLERABLE ACCEPTABLE

3. Caught in between/ hit 1. Maintaine safe distance from m/c.


by the machine 2.Supervision require in case of
Body injury 4 4 16 working in dense area. 2 2 4 TOLERABLE ACCEPTABLE

Prepared By

Name:
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