Task Risk Assessment Form

Scope and/or Task Description RA Number

CPT operation [Project No.]
Site and/or Location Project No

PPE Required (additional equipment to be detailed as controls where required)

✘ Overalls Face shield Auto inflation life jacket
✘ Safety shoes and/or boots Safety harness Foam life jacket or buoyancy aid
✘ Safety helmet (with chin strap) Self-contained breathing apparatus (BA) Other: (Please specify below)
Ear defenders and/or disposable ear plugs Fume, particulate or vapour respirator
✘ Gloves (Specify type) Dust respirator
Safety goggles High visibility jacket or tabard
Safety glasses Personal locator beacon (PLB)

Additional Comments

Assessed By (Name) Position Signature Date

Andy Nguyen Engineering Manager

Reviewed By (Name) Position Signature Date

Glenmore Mariano Site Manager

Authorised By (Name) Position Signature Date

Cesar Garcia Project Manager

APAC-10623 QHSSE | Task Risk Assessment Form | IFU Rev 1

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Task Risk Assessment Form

Team Members Present During TRA Review and Development

Name Position Signature

APAC-10623 QHSSE | Task Risk Assessment Form | IFU Rev 1

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Task Risk Assessment Form

Assessment
Steps Hazard Initial Risk Control Measures Residual Risk
Category
Population Likelihood Likelihood and
Job steps for task Hazard description and effect P, E, A, R List all controls required
at risk and severity severity
Could suffer injury e.g. sprains and  Work areas should be kept clear of
fractures if they trip and fall as a result of: obstructions.
 Obstructions, trailing cables, spillages, worn  Any spillages should be cleaned
or raised floor coverings etc on walkways. up immediately.
 Poor office layout and storage arrangements  All areas should be well lit,
resulting in insufficient circulation space. Staff and especially stairs.
p C2 B2
1. Slips, trips and visitors  Any hazards such as torn carpets,
falls trailing cables, defects to floor
coverings, faulty lighting etc.
should be reported immediately
to the line manager or local
person responsible for safety.
 A risk assessment must be
Could suffer from back pain and work completed for lifting heavy and
related upper body disorder (WRULD) due to: bulky loads that present a risk of
injury e.g. stretching, stooping,
 Using incorrect handling techniques when twisting).
handling office items (deliveries, boxes, filing
 A trolley should be used to
etc).
transport boxes of paper or other
2. Manual  Poor workstation layout and insufficient
Staff p C3 heavy items. B2
Handling working space resulting in poor posture.
 Using low shelves for storing
 Individuals with health conditions, previous heavy items and only using high
back injuries etc affecting ability to safely shelves for light items only.
handle items
 Training in lifting techniques
 New and expectant mothers may be more should be provided for anyone
susceptible to injury. who undertakes lifting of heavy
loads.
3. Computer WRULD could develop as a result of: Staff P C3  Where desktops, laptops and B3
workstation use  Inappropriate layout or lack of awareness notebooks are used as a
resulting in poor posture being adopted significant part of day-to-day
when using Display Screen Equipment (DSE) work, a Computer Equipment
 Working for prolonged periods without assessment must be carried out.
change of posture or sufficient break.  Work should be planned to
include regular breaks from the

APAC-10623 QHSSE | Task Risk Assessment Form | IFU Rev 1

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Task Risk Assessment Form

Assessment
Steps Hazard Initial Risk Control Measures Residual Risk
Category
Population Likelihood Likelihood and
Job steps for task Hazard description and effect P, E, A, R List all controls required
at risk and severity severity
computer.
 HSE leaflet “Are you keying safely”
may be issued to DSE users.
 If software proficiency is required,
IT services offers training on
general office applications
 All portable electrical equipment
must be tested for electrical safety
at correct intervals and labelled
with the date of the test.
 Electrical cables and plugs should
be regularly visually inspected by
Could suffer electrical shock or burns if using the user for damage.
 Damaged portable electrical appliances, their  Any defective equipment should
4. Electrical safety cables, plugs e.g. lamps, fans, photocopier, Staff P B4 be reported immediately to the A3
extension leads, PC etc. responsible person e.g. line
manager or local safety
coordinator, then suitably labelled
and taken out of use until the
repair has been carried out.
 Electrical equipment must always
be operated in accordance with
manufacturers' instructions.
 The storage of empty cardboard
Could suffer from smoke inhalation or burns if boxes should be kept to an
trapped in office. absolute minimum.
 Combustible materials coming into contact  Equipment should be switched off
5. Fire with or in close proximity to heat sources. Staff P B5 when not in use for long periods. A3
 Portable heaters in unsafe condition and/or  All portable electrical equipment
inappropriately located. must be tested for electrical safety
at appropriate intervals.

Hazard Reputation Asset Environment People Likelihood

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Task Risk Assessment Form

A – Very B – Unlikely C – Possible D – Likely E – Very likely

unlikely (rare combination (could happen (not certain to (almost inevitable
of factors would when additional happen but an that an incident
Severity (freak combination
of factors required be required for an factors are present addition factor would result)
for an incident to incident to result) but otherwise may result in an
result) unlikely to occur) accident)

1. Slight Slight 1 – Slight Little or no actual or 1 – Slight health

impact damage, less potential for damage effect/injury A1 B1 C1 D1 E1
than €25,000 (first aid)
2. Minor Limited 2 – Minor Within site boundary, 2 – Minor health
impact damage, short term impact effect/injury
A2 B2 C2 D2 E2
€25,000 to recoverable by the work (RWDC/MTC)
€100,000 site
3. Major Considerable 3 – Major Beyond the boundary 3 – Major health
impact damage, unlikely to last beyond 1 effect/injury
A3 B3 C3 D3 E3
€100,000 to month. Recovery may (LWDC)
€500,000 require external aid
4. Severe National 5 – Severe Beyond the boundary 4 – Permanent
impact damage, unlikely to last beyond total disability
A4 B4 C4 D4 E4
€500,000 to 12 months. Recovery or single fatality
€1,000,000 requires external aid
5. Catastrophic International 6 – Extensive Massive uncontrolled 5 – Multiple
impact damage, release with significant fatalities or
greater than impact extending well serious/life A5 B5 C5 D5 E5
€1,000,000 beyond the site threatening
boundary injuries

Green A1-A4, B1-B3,

Manage for continuous improvement – May be acceptable; however, review task to see if risk can be reduced further
(Low) C1-C2, D1, E1
Incorporate risk reduction measures – Task should only proceed with appropriate management authorisation after consultation with specialist
Yellow A5, B4-B5, C3-
personnel and assessment team. Where possible the task should be redefined to take account of the hazards involved or the risk should be reduced
(Medium) C4, D3, E2
further prior to task commencement
C5, D4-D5, Intolerable – Task must not proceed. It should be redefined or further control measures put in place to reduce risk. The controls should be re-assessed
Red (High)
E3-E5 for adequacy prior to task commencement.

APAC-10623 QHSSE | Task Risk Assessment Form | IFU Rev 1

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