IMS-FM013-02

Occupational Health Safety Environment (OHSE) Risk Assessment & Hazard Control Form
Department: Section:
Document No:OHSE-FM001-02 Initial Issue Date: Current Version Issue Date: Next Review Date:

Brief Description of Work Process: Risk Rating Scale

Frequency Probability Consequences
Rating (Exposure to The (Likelihood of incident) (Severity of Loss)
Hazard)

More than 1 hour

4 At least once a month Catastrophic
exposure / shift

3 At least once a day At least once a year Critical

2 At least once a week Possible in 1to 2 yrs Marginal

Greater Than once a

1 Not likely to happen Negligible
month

Risk/Impact Risk
Hazard Identification Existing Control Measures Level
Assessment
Low

Degree of Risk = a x b x c
(1-9)
Medium
(12-36)

Consequences (c)
Legal & Other High
Activity Hazard/Aspects Risk/Impact Requirments Elimination Substitution Engineering Admin PPEs

Frequency (a)

Probability (b)
(36-64)
(Yes / No)

Recommendations & Action Plan:

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 IMS-FM013-02

Significant Risk Risk Rating Recommendations Action by Target Date Target Status/Remarks

Assessed By: Process Actor Reviewed By: Section Incharge Approved By: Dept Head
Name/Desig Name/Desig Name/Desig
Signature: Signature: Signature:

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 Hazard Hazard
Hazard Type Hazard Type
Class Class
Sharp objects drinking water
Walking Surface washing facility
Working surface toilets
Welding work clothes lockers
Cutting Any Others
Machine tools
Hygeine racks/ bins
Falling object walk ways
Safety Foot hazard sufficient space to access items
Hazard Trenching removal of combustibles
Ladder /scaffolding regular removal of rubbish
Hand tools Non-insulated/Deteriorated wire
Shearing hazard Absence/ inadequate earthing
Working with electrical equipment on damped
Unguarded machines floor
Static electricity discharge (rubbing of non-
Emergency exits conductive material over stationary surface)
Friction between flowing liquid and solid
Chemical and hot metal splashes surface/ use of conducting ladders
Asbestos Absence of explosion/ fire proof devices
Solvents
Electrical Electrical hot work
Absence/ inadequate PPE during electrical
Chlorine work
Chemical Conductor carrying current in close proximity
Pesticides of flammable gases
Load factor balance including at the time of
Combustible/ flammables infrastructure development
Absence/ inadequate identification of switches,
Fumes breaker, distribution board
Any Others Hot work
HIV/AIDS Open fire
Tuberculosis Vehicle movement near flammable gases
Biological Staph-aureus Smoking
Hepatitis Use of mobile near flammable gases
Noise Weeds growth
Heat Static charge
Cold Open wiring
Ionized Radiation
Fire Oil spillage
Non-Ionized Radiation Leakage
Vibration Lightening
Physical Confined space Explosion
Pressure Vessel Use of fire arms
Steam Terrorist attack

Body contact with hot object/gases/ machine Improper storage of flammable materials
Pressure /compressed gases Presence of air-borne toxic substances
Spill from container or damage to a pipe
Workplace design carrying toxic liquid
Awkward posture Storage and handling
Leakage of oxygen diluting gases (N2, CO2,
ethane, H2, CH4, or anesthetics (acetone,
Ergonomics Toxic methyl ethyl ketone, acetyline, ether,
Lifting chloroform)
substances
Lack of ventilation in rooms containing toxic
Repetitive motion and substances
Explosives Uninsulated source carrying
Forceful motion current/charge/spark
Shift work Oil burners
Long hours Cleaning metal parts
Phsychol- Boring work I/C engines (fork lifters, lift trucks, vehicles)
social Harassment Static electricity
Any Others Any Others
 Rating Scale
Rating
Description
Scale

Frequency of Exposure (to the hazard)

4 More than 1 hr continous exposure per shift.
3 At least once a Day
2 At least once a Week
1 Greater than once a month
Incident Probability
(likelihood that exposure will result in loss)
4 Probable (expected to happen at least once a Month)
3 Occasional (will happen once a year)
2 Remote (not likely to happen, but possible once every 1 to 2 years)
1 Improbable (not likely to happen)
Potential Consequences
(severity of the resulting loss)
4 Catastrophic (death, serious injury/illness, permanent disability; extensive property damage)
3 Critical (lost time injury/illness, temporary disability; considerable property damage)
2 Marginal (medical aid injury, minor illness; minor property damage)
1 Negligible (first aid injury; limited property damage)

Criteria for selection of rating scale:

The team analyzes each identified hazard using their experience, related data/ information, training,
knowledge of the work site and existing protective measures to assign a realistic point value for
each of the three risk factors.

Degree of Risk
The degree of risk is determined by multiplying the values of the three factors together as per the
formula below: -
Frequency of Exposure x Incident Probability x Potential Consequence = Degree of Risk
Example: 4 x 3 x 4 = 48

Rating
Degree of Risk, Risk Classification/ Action
Scale

High Risk: Take immediate action; eliminate the risk or implement appropriate controls to lower
36 to 64 the degree of risk to a level as low as reasonably achievable.

Medium Risk: Take timely action; implement appropriate controls to lower or minimize the
12 to 32 degree of risk.

Low Risk: Continued operation is permissible with minimal controls; monitor the hazard and
1 to 9 take action if the degree of risk increases.