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General Construction Risk Assessment Guide

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100% found this document useful (1 vote)

67 views118 pages

General Construction Risk Assessment Guide

Uploaded by

neerajagarkar

We take content rights seriously. If you suspect this is your content, claim it here.

Available Formats

Download as PDF, TXT or read online on Scribd

General Risk Assessment

Table of Content

1 INTRODUCTION ............................................................................................................... 6

2 RISK ASSESSMENT DATASHEETS ............................................................................... 8

1. Asbestos removal
2. Dam proofing
3. Application of Termite Control Treatment
4. Borehole grouting
5. Earth works
6. Backfilling, Leveling and Compaction
7. Fire Assessment Office Buildings
8. Fire Assessment Labor camp.
9. Earthwork and construction operation
10. Climate and Natural Hazards
11. Ground Water Quality
12. Working at Surface
13. Site Road Traffic
14. General Construction Activity
15. Carpentry Shop
16. Site Excavations and Trenching
17. Site Facilities & Sanitation
18. Existing Above and Underground Utilities
19. Hand tools and Electrical Power Tools
20. Temporary and Permanent Electricity
21. Heavy Equipment’s
22. Tower Crane and Mobile Crane Critical Lifts
23. Scaffolding/ Working platform & Access Ladders

2
24. Site Road Construction traffic Control Re‐routing of Existing Roads
25. Site Welding, & Flame‐Cutting
26. Erection Works Hollow core slab & Concrete Pre cast
27. Steel Erection / Pipe Installation
28. Materials handling, Storage, & Disposal
29. Noise Management & Control
30. Compressed air for pipe gauging, jackhammer and sandblasting machine
31. Fire protection & Emergency Contact
32. Personal Protective Equipment (PPE)
33. Concrete and Masonry Works
34. Sling and Rigging Appliances Equipment
35. Confined Space Entry Work
36. Emergency Evacuation Assembly Plans
37. Office safety
38. Manual Lifting Procedures
39. Hand tools and Power Tools
40. Temporary / Permanent Electricity and (generator sets)
41. Heavy Equipment’s
42. Live Plant Operation
43. Overhead power line Obstructions
44. Using Gas, and Petroleum Liquid
45. Radiography test of welded joints
46. Pressurized Equipment and Systems
47. Hydro testing
48. Installation of Heat Shrink sleeve
49. Site Welding, Flame‐Cutting & Heating Operations
50. Cable Pulling Utilities
51. Hot Works
52. Mechanized Equipment & Other Machinery
53. Pipe Stacking (Materials Storages)

3
54. Chemical Storage handling and (MSDS)
55. Painting & Abrasive Blasting Operations

4
1 INTRODUCTION

5
1 INTRODUCTION
Health, Safety, and Environmental Risk Assessment Plan (HSERAP)

GENERAL STRATEGIC CONSTRUCTION PROGRAM

The entire three hazards are identified. Action that should be taken during the constructions
execution to minimize the risk from these hazards is recognized. A breakdown of the hazardous
areas, the constructions activities that are prone the potential risk and the type of hazard
associated into are as follows:

This plan outlines the commitment of Contractor to administer and constructs the project, and
other facilities in a safe manner. It is intended that this shall reduce the risk of injury or possible
death to contractor personnel’s, and its Sub-contractors. At the same time the equipment will be
minimized.

The definition of the noun ‘HAZARD” is a possibility of danger, harm, or possible exposure to risk,
loss or injury. Safety Organization of contractor identified locations of potential hazardous areas.
The following hazard is base in classes that have been identified:

Class: “A” Hazards A condition or practice likely to cause permanent disability, loss of life or body part and /or extensive loss
of structure equipment or materials,

Class: “B” Hazards A condition or practice likely to cause serious injury or illness (resulting in temporary disability) or property
damage that is disruptive, but less severe than Class “A”.

Class: “C” Hazards A condition or likely to cause minor (non-disability injury) or illness or non-disruptive property damage.

6
2 RISK ASSESSMENT
DATASHEETS

7
2 RISK ASSESSMENT DATASHEETS

8
EXPLANATION: - HAZARD EFFECT (HAZARD EFFECT x PROBABILITY = RISK) EXPLANATION: - PROBABILITY
A - Death HIGH = H
B - Permanent Disability
MEDIUM = M
C - LTA-Hospital Stay / Serious Injury
D - Minor Injury LOW = L
E - First Aid RA No. 0001

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Asbestoses removal AREA (S): DATE: TIME:
HAZARD RECOMMENDED ACTION TO CORRECT THE SPICIFIC RESIDUAL
POTENTIAL HAZARD EFFECT
PROBABILITY RISK
HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Potential expose while taking samples  Utilize appropriate Personal Protective Equipment.
of asbestos.  Respiratory protection,
C H 9  Coveralls, Gloves, E L 1
 Eye and foot protection.
Failure to properly identify Asbestos  For improved quality control,
C H 9 E L 1
Containing Material (ACM)  Consider duplicate test sent to separate labs.
Potential employee exposure while  Review asbestos survey.
working at the area  Follow site safety plan and hazard assessment
C H 9 recommendation. E L 1
 Utilize air monitoring equipment,
 trained personnel and appropriate PPE:
Potential public exposure  Security fencing to prevent unauthorized access to
removal area
E H 3  Provide and install safety signs post writing in E L 1
Arabic/ English “Caution asbestos hazard present
keep out”
Inadequate decon procedures.  Construction worker decon station provided
 Toolbox talk meeting to be done by Area
C H 9 Supervisor. E L 1
 Witness by HSE Senior Supervisor
Potential employee exposure while  Before leaving the asbestos work area use a
working physical hazards HEPA-equipped vacuum to remove contamination
C H 9 from the protective clothing and exposed body E L 1
parts
Plant and Equipment Hazards:  Use non-powered tool to cut and collect
Backhoe, and excavator C H 9 E L 1
Asbestos cement roof, Asbestos cement pipe,

.
Asbestos cement sheet, Vinyl tiles, Selenite
board, Pipe lagging, and Sprayed
Potential for release to Environmental E H 3  Seal off all outside opening (isolation/critical
during transportation barriers)
 Pre-clean work area
 Cover walls, floor, and ceiling with poly sheeting
 Conduct gross removal/1st Phase cleaning
 Conduct 2nd phase cleaning after required waiting
period
E L 1
 Conduct 3rd phase cleaning after required waiting
period
 Bag-out asbestos waste
 Conduct final inspection
 Conduct final clearance air sampling
 Encapsulate all surfaces in containment
 Dismantle containment
Potential to release ACM to  Remove and bag disposable.
E H 3 E L 1
Environmental, Health effect  PPE prior to leaving decon area.
Struck by, Pinch Point, Slip, Trip, and
C H 9  Safe Removal of Asbestos Cement Water Pipes; E L 1
Fall
Physical Hazards while removal of  P2 D i s p o s a b l e M as k ,
asbestos  Disposable Coveralls,
E H 3 E L 1
 Disposable Gloves,
 Gum Boots

CONDUCTED BY: RESPONSIBLE SUPERVISOR’S: APPROVED BY:

Area :
________________________ Name : ________________________
SENIOR HSE SUPERVISOR Signature : SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards
environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

.
EXPLANATION: - HAZARD EFFECT (HAZARD EFFECT x PROBABILITY = RISK) EXPLANATION: - PROBABILITY
A - Death HIGH = H
B - Permanent Disability
MEDIUM = M
C - LTA-Hospital Stay / Serious Injury
D - Minor Injury LOW = L
E - First Aid RA No. 0002

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Dam proofing AREA (S): DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Improper access, Pinch point, Struck  Engineering controls: Safety signage’s must be
by equipment, slip, trip, and fall available and in place at the visible area to
C H 9 warning unauthorized person, Remove E L 1
unwanted materials to avoid trip hazards,
accidentally struck by hard object,
Exposure to the employees,  All employees involved shall be provided with
Inhalation, Skin contact, and Eye complete personal protective equipment’s PPE,
D H 6 E L 1
irritation. and wearing properly, and Eyewash must be
provided
Lack of knowledge hazards present,  All employees must have safety induction and,
C M 6 E L 1
Incompetent of the worker. Toolbox talk prior to commencing to work
Improper use of equipment, tools,  Trained workers involve to this job
Unsafe posture while application D H 6  All workers shall be provided with proper tools E L 1
and equipment to execute the work safety
Improper handling of materials,  Follow safe material handling, arrangement,
D H 6 E L 1
Information and incorrect application. and correct application procedures

.
CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:
NAME:
AREA:
NAME: ______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major environmental
HIGH MEDIUM LOW Class “B” Hazards impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Application of Termite Control Treatment AREA (S): DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
 Engineering controls: Safety signage’s must be
available and in place to the visible area to
Improper access, Pinch point, Struck warning unauthorized person, Remove all
C H 9 E L 1
by equipment, slip, trip, and fall materials to avoid trip hazards, accidentally
struck by hard object
Chemical Exposure to the employees,  All employees involved shall be provided with
Inhalation, Skin contact, and Eye D H 6 complete personal protective equipment’s PPE. E L 1
irritation. And eyewash must be provided
Lack of knowledge and hazards  All employees shall attend safety induction and
present, training and Competency of C M 6 training course, Toolbox talk prior to E L 1
the worker commencing to work
Improper use of equipment, tools,  All workers shall be provided with proper tools
D H 6 E L 1
Employees posture, and and equipment to execute the work safety
Improper handling of chemical,  MSDS (Materials Safety Data Sheet) shall be
D H 6 E L 1
Information and incorrect application. displayed at work location as appropriate

.
CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:
NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: BOREHOLE GROUTING AREA (S): DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Improper access, Pinch point, Struck  Safe access must be available and secured
by equipment, slip, trip, and fall C H 9  Remove all unwanted materials to prevent trip, E L 1
slip, and fall hazards.
Unqualified Equipment Operator  Only qualified operator allowed to operate the
B H 12 equipment. Flagman shall be assigned to assist E L 1
the operator in reversing move
Heat stress.  Heat shade shelter, Drinking water with ORS,
C H 9 E L 1
and Ventilation fan provided.
Lack of training  All employees shall attend safety induction,
E H 3  Toolbox talk by Supervisor, and follow the E L 1
method statement RA & WMS
Incorrect Tools & Equipment  All workers shall be provided with proper tools
D H 6 E L 1
and equipment to execute the work safety
Improper Materials Handling  Educate workers for proper handling, lifting,
E H 3 E L 1
and proper body position

.
CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:
NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: EXCAVATION FOUNDATION EARTH WORK AREA (S): DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE SPICIFIC RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Work Permit System  Obtain required work permit “Excavation Permit,
A H 15 and Confined Space Permit” C L 1
Digging with the possibility of striking  Tool box talk meeting prior to excavating
foreign underground utilities and  Verify the equipment operator training
pipelines.  Utilize a qualified spotter with a probe bar,
 Potential for fires, spills, and A H 15 D L 2
 Utilize appropriate PPE: hard hat, safety glasses,
damaged underground utilities. steel toe shoes,
High noise
 Coveralls, ear plugs, and gloves as necessary.
Employees working in the ditch  Have a certified competence person to evaluate
 Potential for cave-in the ditch
 Potential for atmospheric hazards  Excavations over 5 foot deep shall be sloped or
 Striking personnel within radius of shored.
boom  Excavations 4 foot deep requires confined space
C H 9 permit C L 1
 Utilities a 4 way calibrated monitor at all times
while employees are in the ditch
 Only one person in to act as signalman; however
anyone can call emergency STOP.
Equipment Damage  Verify all location of all power lines. If lines cannot
 Excavation left open and be shut-in maintain a minimum of 10 feet
unattended near roadways & clearance from equipment. Verify and increase
walkways D H 6 distance (per approach charts) for lines in excess E L 1
 Equipment roll over hazard of 50,000 volts.
 High Noise  Maintain spotter with no other duties than
 Airborne Dust watching for interference,

.
 If power lines are within swing radius.
 Inform local operations & any remote operations of
activities.
 Do not use cell phones while operating equipment.
 Tape and /or barricade unattended excavations.
Bad weather  If rain and /or lighting start, stop all activities and
E M 2 E L 1
reassess the situation
Incident or Accident  Watch out for stinging insect and notify your
supervisor if anyone is allergic to bees.
D M 4 D L 2
 Report all accidents immediately and make sure
you know who to contact, if an emergency occurs
Equipment Hazards, Noise, Impact,  No riders allowed on equipment or on tailgates
etc.  Ensure back up alarms on equipment are working
properly
C H 9  Use spotters for all backing vehicles; C L 3
 Eliminate blind corners
 And enforce speed limits onsite (5 MPH Max.).
Potential for crushing injury, Foot  Keep all personnel safe distance from moving
injury, eye injuries, hand injuries equipment.
 Monitor atmospheric conditions.
A H 15  Follow safe lifting practices A L 5
 Use correct lifting postures
 Get help for large or awkward items.
 Use two men on large loads.
Slips  Avoid wet or oily floors/decks, highly waxed and
polished floor
 Removed any spilled liquid from the ground
immediately
E M 2 E L 1
 Good traction helps prevent slipping
 The soles of some boots may increase the change
of slipping, therefore, wear boots that provide
good traction
Trips, and Fall  When exerting extreme force on tools, make sure
that footing is stable in case the tools slips or
release quickly
E M 2  Ensure a good working surface. E L 1
 Good housekeeping helps prevent tripping.
 Keep tools and others equipment’s out of
walkways and working surfaces.

.
 In addition to tools used in day-to-day operations,
many items can cause tripping.
 Be alert for tripping hazards such as garden
hoses, shovels, rakes, concrete bumpers in
parking lots, uneven grating in catwalks, extension
cords, loose shoe laces, etc.
 Take action to prevent tripping hazards where
possible.
Heat stress  Ventilation / A/C system in vehicles shall be used
 Reduce the physical work load
 Provide access to Shelter shade
B M 10  Drinking Water with Oral Dehydration must be B L 4
available in the vicinity of work area
 Provide potable Water with drinking cups
Materials  Follow proper distance (2m) away from the edges of
E M 2 E L 1
excavation

CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:

NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Backfilling, Leveling and Compaction AREA (S): DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Potential for personnel to be run over  Ensure equipment is operated by qualified
with equipment operator
 Ensure all personnel working on or near
roadway wear reflective vest
A H 15  Ensure equipment back-up alarms area A L 5
working properly
 Always make eye contact with equipment
operators prior to approaching
Strains and Sprains  Think about your body position, avoid over-
reaching, hyper-extending, location / position of
E M 2 E L 1
extremities, are you in the best position for
leverage?
Equipment Hazards, Noise, Impact,  No riders allowed on equipment or on tailgates
etc.  Ensure back up alarms on equipment are
working properly
C H 9  Use spotters for all backing vehicles; C L 3
 Eliminate blind corners
 And enforce speed limits onsite (5 MPH Max.).
Potential for crushing injury, Foot  Keep all personnel safe distance from moving
injury, eye injuries, hand injuries equipment.
 Monitor atmospheric conditions.
A H 15  Follow safe lifting practices A L 5
 Use correct lifting postures
 Get help for large or awkward items.
 Use two men on large loads.

.
Trips, and Fall, Slips  When exerting extreme force on tools, make
sure that footing is stable in case the tools slips
or release quickly
 Ensure a good working surface.
 Good housekeeping helps prevent tripping.
 Keep tools and others equipment’s out of
walkways and working surfaces.
E M 2  In addition to tools used in day-to-day E L 1
operations, many items can cause tripping.
 Be alert for tripping hazards such as garden
hoses, shovels, rakes, concrete bumpers in
parking lots, uneven grating in catwalks,
extension cords, loose shoe laces, etc.
 Take action to prevent tripping hazards where
possible.
Heat stress  Ventilation / A/C system in vehicles shall be
used
 Reduce the physical work load
B M 10  Provide access to Shelter shade B L 4
 Drinking Water with Oral Dehydration must be
available in the vicinity of work area
 Provide potable Water with drinking cups
CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:
NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Fire Assessment Office Buildings AREA (S): DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Stored Materials (contributing to fire  Storage procedure, segregation, approved
spread) A H 15 storage areas, approved materials, Fire C L 3
detection, fire attack, Safety Notices,
Compressed gas canisters  Safety notices, limited use, Storage procedure,
C M 6 E L 1
approved storage areas, Fire attack,
Smoking materials  Smoking procedure, patrolled areas, Safety
C M 6 E L 1
signs,
Electrical hot plates  Safety notices, Approved installation, attended
C H 9
at all times, Off when not in use. D L 2

Poor Housekeeping resulting trip  Maintain proper fillings of unused materials, daily
hazards disposal of rubbish, and keep clear of
C M 6 E L 1
obstruction materials from exit, catwalk, and
hallways.
Electrical fire hazards  Ensure that all utility electrical outlet, extension
C H 9 cord are in good condition. All damage tool must D L 2
be repair or remove from the site
Parked Vehicles  Maintenance program, never leave running,
C M 6 E L 1
Approved parking, registered vehicles only,
Unobstructed fire Growth  Closed door policy, closed window policy,
A H 15 detection systems, maintained alarm to C L 3
occupants, Fire drills, Security inspections,
Construction materials ( Contributing  Compartmentation, Fire detection, Fire attack,
to fire spread) A H 15 Trained personnel, Craftsmanship, Safety C L 3
signs,
Office furnishings (Contributing to fire  Compartmentation, Fire Detection, Fire attack,
A H 15 C L 3
spread) Trained personnel, Craftsmanship, safety Signs
Electrical appliances  Certified equipment, appliance check list,
A L 5 Craftsmanship, Correct electrical ratings, E L 1
approved installation, Safety Notices
.
 Certified craftsman, approved installation
Electricity A M 10 materials, regular supply check list, safety E L 1
Inspections

CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:

NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Fire Assessment Labor camp. AREA (S): DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Electricity  Approved installations, certified craftsmen,
A H 15 maximum use of circuitry, protected circuits, E L 1
Safety Notices.
Electrical equipment  Approved installation, certified craftsmanship,
A H 15 restricted use, off when not in use policy, E L 1
maintenance schedule.
Smoking Materials  No smoking policy, Fire detection, Fire attack,
C H 9 D M 4
trained personnel.
Flammable materials (contributing to  Safe storage, regular safety checks, approved
fire) C H 9
materials, C L 3

Cooking materials  NO cooking allowed notices, regular room

A H 15 inspections, areas supplied for personal use, E L 1
Safety Notices

CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:

NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1
.
EXPLANATION: - HAZARD EFFECT (HAZARD EFFECT x PROBABILITY = RISK) EXPLANATION: - PROBABILITY
A - Death HIGH = H
B - Permanent Disability
MEDIUM = M
C - LTA-Hospital Stay / Serious Injury
D - Minor Injury LOW = L
E - First Aid RA No. 0009

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Earthwork and construction operation AREA (S): DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Erosion as a result of earthworks and  Need development to avoid steep slopes,
A H 15 E L 1
construction operations Implementation of Construction Planning
Slump of sloped ground  Access control, limit unauthorized workers
A H 15 E L 1
Implementation of company rules
Workers exposure  Provide and install sufficient barrier protection,
C H 9 and Safety warning sign must be place in E L 1
visible place
Equipment operator  Operator must be qualified and have SAG
C H 9 E L 1
License
Crushing B H 12  Secured by Installing safety warning barricade E L 1
Pinch point  Maintain proper distances from sharp object
D M 4 E L 1
and use required personal protective gloves
Access and ladder  Build proper access and ladder must be
E H 3 E L 1
provided

.
CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:
NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Climate and Natural Hazards AREA (S): DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Weather- storms and flooding  Locate construction as far as practicable outside of
A H 15 flood affected areas E L 1
 Sun shade shelter, and
Seismic activity  Construction in accordance with appropriate
A H 15 E L 1
standards procedure. And WMS, & RA
Workers exposure  Provide and install sufficient barrier protection,
and Safety warning sign must be place in
C H 9 E L 1
visible location
 Use required personal protective equipment
Thunderstorm  Stop work and all worker proceed to safest area
A H 15 E L 1

Heavy rain and Flash flood A H 15  Evacuate and go to the nearest safe area E L 1
Earthquake A H 15  Evacuate and go to the nearest safe area E L 1

.
CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:
NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Ground Water Quality AREA (S): DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Interaction with Ground water during  Implementation of storage, handling and spill
excavations B H 12 management plan for all potentially contaminating E L 1
substances
Seismic activity  Construction in accordance with appropriate
C H 9 E L 1
standards
Workers exposure  Provide and install sufficient barrier protection,
C H 9 and Safety warning sign must be place in E L 1
visible place

CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:

NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Working at Surface AREA (S): DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Sediment and pollution laden runoff Construction methods and works to minimize erosion and
A H 15 ensure bank stability, implementation of the Construction E L 1
Plan.
Liquid waste and chemical spillage Development to avoid steep slopes, implementation of
A H 15 E L 1
Construction Plan
Sediment and pollution laden runoff into Implementation of storage, handling and spill
artificial water bodies management plan for all potentially contaminating
C H 9 substances E L 1
Spills of and other hazardous substances
fuels, oils, nutrients
Heat stress Sun shade shelter must be provide, and Drinking water
C H 9 with ORS available for use E L 1

CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:

NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Site Road Traffic AREA (S): DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Traffic Incidents C H 9  Implementation of traffic management controls. E L 1
Changed traffic conditions D M 4  Safety inductions for the drivers and workers. E L 1
Local informal traffic – trail and quad  Implementation of Speed controls. Obey road
bikes
C H 9
traffic signs, and drive defensively
E L 1

Dusty / muddy/ slippery  Water spray must be apply to eliminate and

control dust
E M 2 E L 1
 Use wheel loader to collect mud, to
eliminate slippery condition
Equipment’s movement  Qualified operator and assign helper to
E M 2 assist the operator in reversing move and E L 1
maneuvering

CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:

NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: General Construction Activity AREA (S): DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Workplace behavior  Fall from heights controls.
A H 15 E L 1

Loss of control of energy  Closely monitored by experienced supervision.

 Safety management systems.
 Equipment inspection and selection.
 Formal design safety practices.
D H 6 E L 1
 Welding safety practices.
 Contractor and supplier selection.
 Personal Protective Equipment (PPE).

.
CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:
NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Carpentry Shop AREA (S): DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Poor Housekeeping D H 6  Maintained a Good Housekeeping E L 1
Fire Control C H 9  Fire Extinguisher shall be available on the work site E L 1
area

Protection of Workers A H 15  Personal Protection equipment shall be available E L 1

 Safety Signage posted
 Follow Codes of Practice

Electrical hazards B H 12  All electrical outlet/extension cord must have sleeve E L 1

protection
Sip, and Trip Hazards B H 12  All unwanted materials must segregated and arrange E L 1
in proper way to avoid trip hazards

CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:

NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Site Excavations and Trenching AREA (S): DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Collapse of excavation side wall.  Employees working inside excavations more than
A H 15 four (4) feet deep shall be effectively protected when E L 1
unsuitable ground conditions exist.
Falls into excavation by personnel or B H 12  Keep traffic away from the edge of the trench by E L 1
machinery providing safety warning signs boards and barrier
tapes.
Confined space when excavation deeper B M 8  Work permits will be obtained from ABV RG Safety E L 1
more than 4 feet. Organization and other related agencies as required
Buried Utilities: Damage to buried B H 12  Existing underground facilities will be located using
E L 1
utilities hand shovel to expose them for safely excavation
Proper stacking of excavated materials D M 4  Excavated materials shall be placed at least 0.6 E L 1
meter (2 feet) distance from the edge of the
excavation area.
Damages to underground electrical cable B M 8  Identify the buried line or utilities by using cable E L 1
and other existing utility metal detector or coordinate with the authorities
concerned to locate or relocate the existing facility
prior to work
Damage to underground telephone cable B M 8  Secure works permit from the responsible
department i.e. Saudi Electricity, and E L 1
Telecommunication, etc as required
Damage to underground pipelines B M 8  Follow the standard procedures as per Safety E L 1
utilities lines Operational Manual System
Electrical shock B H 12  Secure the area by installing warning signs and E L 1
barriers.

.
CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:
NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Site Facilities & Sanitation AREA (S): DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Drinking water with disposable paper  Provide water igloo, paper cups & trashcans
cups & trash bag.\ hand soap C H 9 with lids for disposal of used paper cups in field E L 1
areas
Toilets / Hygienic  Follow the ABV RG Sanitary Code
requirements. One Toilet for every 15
C H 9 E L 1
employees shall be provided or 1 Toilet closet
with running water for 30 employees
Eating facility  Eating facility shall be provided for breaks and
lunch. Hand soap and hand wash basin
C H 9 stations supplied with potable water shall be E L 1
provided for employees/hire manpower & sub-
cons
Rubbish containers  Provide rubbish containers with proper marking
and self-closing lids, daily cleaning required,
C H 9 and Periodic environmental monitoring and bio- E L 1
surveillance will be used to help and protect all
employees against exposure of Health hazards
Health and hygiene  Regular disposal of waste, debris and scrap
materials, and Provided Metal containers for
waste.
 Wash basin, toilets, locker room, and lunch
facilities adequately clean. Lunchroom or facility
C H 9 E L 1
are separated from where possible exposure to
toxic fumes and materials substances, etc
 Drinking containers sanitize, tightly capped,
clearly marked for drinking use only and cup
dispensers provided

.
Lighting and ventilation E H 3  Adequate lighting and ventilation at shelter area E L 1

CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:

NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Existing Above and Underground Utilities AREA (S): DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Cables. Unknown /suspended  Locate, identify all the underground cable with
A H 15 E L 1
the Cable detector
Piping unknown / suspended  Locate identify and clear marked all
D H 6 underground utilities or hazards with spray E L 1
paint or another visible method
Cables existing & marked  Closely monitored by experienced supervision.
 Review plant drawings for location of known
utilities obtain excavation permit from plant
 Place all materials to normal slope from the
A H 15 ground E L 1
 Use mechanical aids for any heavy lifting
operation
 Create bund at top of trench as a barrier if any
high pressure testing is required.

.
CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:
NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Hand tools and Electrical Power Tools AREA (S): DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
PPE provided  PPE Safety glasses face shield, hearing
E H 3 protection, hand gloves shall be provided for E L 1
workers protection.
Safe operating procedures  Employees shall have proper training to
operate equipment and must be physically fit
D H 6 and have full use of both hands and eyes. Only E L 1
qualified and competent electrician will be
allowed to perform electrical work.
Electrical shock  All power tools should be double insulated
connection and shall conform to the National
A H 15 E L 1
Code. G.F.C.I. Extension cord shall be three-
wire conductor prongs type.
Protective guards shall be properly  Ensure the protective guards are available and
installed and maintained in good C M 6 in place on all portable electrical power tools. E L 1
condition’s
Cartridge operated tools  Only personnel trained by a manufacturer
representative shall operate cartridge-operated
A H 15 E L 1
tools. Training records shall be maintained in
the ABV safety field office.
Defective or damages tools  Tag worn, damaged or defective tools "Mark
A H 15 E L 1
them Out of Service"
Broken handle  Do not use a tool if its handle has splinters, burrs,
cracks, splits or if the head of the tool is loose.

All rotating disc and blades shall be  Check that the protective guards are in place
properly matched to equipment on all power tools with rotating parts. Inspect all
A H 15 portable electric equipment for frayed or broken E L 1
electric cords and other visible damage. The
proper size and type of wheel should be fitted
.
to the tool so that the maximum permissible
running speed of the spindle does not be
exceed the maximum periphery speed
displayed on the blades or disc.
Power tool lock-on devices disabled  No lock-on power switches will be allowed on
B H 12 the job, strictly only a dead-man switch will be E L 1
use
Hazards of the operation  Safe working procedures should be follow to
B H 12 E L 1
minimize injury
Protection from wear and tear  New cables shall be protected from damages of
welding and cutting operations, Cables and
B H 12 E L 1
extension cords shall not be tied off with a guy
wire

CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:

NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Temporary and Permanent Electricity AREA (S): DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Electrical shock to personnel G.F.C.I. shall be used for the protection of
A H 15 E L 1
personnel’s
Grounding of equipment Grounding cable shall be provided on all equipment
D H 6 use at site E L 1

Use of lockout & hold tags Use of lockout & hold tags as necessary as per
A H 15 E L 1
ABV S.O.M
Qualified electricians Only qualified electricians shall allow to maintain
A H 15 temporary and permanent electrical cords and E L 1
wiring
Hazards of the operation Review the hazards of operating with all personnel.
Use proper PPE, Tools to be inspected prior to the
A H 15 E L 1
start any job. Properly barricaded the working area
and use safety warning signs

.
CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:
NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Heavy Equipment’s AREA (S): DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Access to site  Ensure of safe and expeditious movement of
D H 6 pedestrians and vehicles. Gates loading and E L 1
unloading shall be strictly monitored
Traffic flow coordination and routing  Submit a well-planned traffic route to Client.
D H 6 The plan is to be reviewed by site Safety E L 1
Engineer.
Specific equipment operations  Take all necessary safety precautions to avoid
hazards A H 15 personnel injury or damage to the vehicles and E L 1
properties
Reversing alarm on all heavy  Back up alarm shall be provided for all heavy
equipment D H 6 and light equipment as per ABV Safety Manual E L 1
Handbook
Riders  No riders will be allowed on the all heavy
B H 12 E L 1
equipment’s
Equipment condition  Daily check by operator is highly important ,
D H 6 and Preventive Maintenance by mechanic will E L 1
be strictly followed
Bumping hazard from protruding  Warning flag to any protruding loads /
loads / materials D H 6 materials. Tail and brake light will be affixed to E L 1
the rear of overhanging loads
Qualified operators  Heavy equipment operators must have a
current Saudi Arabian Government Operators E L 1
license or DOC permit
Over loading  Materials haul trucks will be provided with
saddle pipe supports and secured with heavy-
D H 6 E L 1
duty strap with properly identified their Safe
Working Load

.
Hand signal during operations  Operators and spotter must be familiar with
D H 6 standard hand signals for the equipment they E L 1
are assigned
Equipment working and during  Spotters will be assigned during excavation and
Maneuvers D H 6 during maneuvering to minimize damage any E L 1
existing facilities
Working with labor force around the  Workforce will be fully aware of the hazards
area around of heavy equipment, and HE operators
shall also aware of his responsibilities during
E L 1
working around the general labor force as
relating to safe operation standard of the
equipment.
Operators visibility  Operators must have 360 degrees of clear view
D H 6 E L 1
from the operator seat.
Equipment condition  Operators will be performing a pre-start check
E L 1
prior to start the machine.
Warning signs  Warning sign will be posted, and all those signs
to be use shall be fully indicate the hazards and
D H 6 E L 1
a detail of safety instructions. Example:
“Danger Heavy Lift in Progress. Keep distance,”
Equipment Parking  All equipment will be properly parked in
approved parking areas. All hydraulic operated
parts in free; i.e. bucket of front-end loader on
D H 6 the ground, dump truck bed has lowered E L 1
position. All diesel power vehicles will apply
their parking brakes to secure and the
transmission is set in neutral.

.
CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:
NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Tower Crane and Mobile Crane Critical Lifts AREA (S): DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Lifting procedures/Lifting Plans  Lifting plan shall be approved by a certified
submitted to Client for approval A H 15 Rigger -1 and submitted to Client for approval D L 2
of critical lifting operations
No certified riggers  Provide certified riggers for all cranes lifting
D H 6 work, and Crane operators will follow only the E L 1
certified rigger for swing of load direction
Operator’s not certified  Provide certified operator for each specific type
of crane, and Crane operator must have a valid
B H 12 D L 2
SAG license and Certified by ABV Safety
Manager
Incorrect use of Crane and No  Arrange with SGS complete testing of the crane
inspections/ load testing & A H 15 and must have valid SGS sticker or equivalent C L 3
Certification prior to use
Uncontrolled the loads  Required tag lines for any lifting operation to
A H 15
control movement of the suspended load
Hazards of the equipment operation  Safety warning sign and barricades tape shall
B H 12 be place around the crane lifting operation C L 3
area.
Crane working around energized  Install earth ground when lifting work near
power lines. overhead power line. “tell tales” sign or goal
post shall be provided at the vicinity of
overhead power lines to warn cranes operators
A H 15 C L 3
of the danger or accident once contact with
high voltages lines, Materials will not be
unloaded underneath or within a minimum
distance of 25 feet’s of power line.

.
Crane working in close proximity to  Stop all none-related work in the critical crane
suspend load over vessels, piping or lifting area. Operating radius cleared of all non-
equipment containing hydrocarbon B H 12 essential personnel’s, and prepare a lifting plan C L 3
for critical lifting operation. Pre-lift operation
checklist must be complied.
Visibility  Operators cab should be clear on all sight
C H 9 obstruction. Use hand held portable two-way E L 1
radios, if required
Pinch point  Hands off from pinch points. No peoples or
C H 9 standby worker anytime under the suspended E L 1
load
Erection  Proper lifting procedures and rigging safely
B H 12 C L 3
practice will be followed
Materials handling  Materials will be handled properly; Sling
C H 9 softeners / protection for sharp edges must be E L 1
used
Sling and shackles  Sling shackles should be Safety approved, and
have “SWL” marked to all lifting Equipment
B H 12 D L 2
accessories. A pre-inspected should be done,
and No aluminum ferule sling shall be used
Anti two blocking C H 9  Anti two blocking devices installed D L 2
Reversing cranes  Spotter shall be assigned on reversing mode of
B H 12 D L 2
the cranes
Overhead hazards  Overhead hazard identified and safe Distance
B H 12 must be established prior to crane lifting D L 2
operation
Safety tool box talk meeting  Conducts a tool box talk meeting prior the lifting
D H 6 operation. All parties involved in the lifting E L 1
operation will be present
Fall  Never suspend lifts over personnel. Avoid
B H 12 D L 2
personnel ride on the suspended load
Man basket and lifting beams  Man basket and lifting beams to be used must
B H 12 be having valid Safety Inspection sticker Safe E L 1
Working Load
Wind velocity  Wind velocity at 20 mph no lifting. Visible
D H 6 contact between rigger and operator must be E L 1
maintained
SWL and Load Moment Indicator  Safe Working Load marks or Load Moment
D H 6 E L 1
(LMI) Indicator (LMI) will be in good operational

.
Stability during lifting  The outriggers shall be full extended; tire of
B H 12 ground at two (2) Inches when lifting loads. D L 2
Area must be compacted and use float pads.

CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:

NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

Scaffolding/ Working platform & Access
JOB DESCRIPTION: AREA (S): DATE: TIME:
Ladders
HAZARDS RECOMMENDED ACTION TO CORRECT THE SPICIFIC RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Collapse of scaffolding  All scaffolding shall be erected in accordance
with safe engineering practice, and Metal
A H 15 E L 1
scaffolding equipment’s shall erected in
accordance with manufacturer’s instructions
Insufficient Stability  Scaffolding shall rest on firm and stable ground,
A H 15 where there no risk of settlement when subjected E L 1
to load and vibration
Wrong Position Timber sole plate  Ground shall be leveled and timber sole plates
D H 6 laid to support the base plate for the standard E L 1
post
Wrong Position of Tube and Fittings  All tube fittings shall be in good condition and
D H 6 E L 1
tubes ends shall be cuts square.
Wrong Fitting of Couplers  All couplers shall be in serviceable condition no
D H 6 E L 1
any defect or damages
Sub-standard Materials Not ANSI  Ladders shall be maintained in good condition at
approved all times, Joints shall be tightened; all hardware
D H 6 and fitting shall be securely attached. Movable E L 1
part shall operate freely without binding or undue
play
Not Proper angle set  Only ANSI approved ladders shall be used. Use
only the approved angle as per the height of the
B H 12 D L 2
ladder. Set the ladder at a safe ratio by 1:4 at
slope ratio of ‘75’ percent
Ladders not properly tied off.  All access ladders shall be properly tied off to
C H 9 E L 1
avoid sway
Improper Ladders extended to proper  Ladder extent to the minimum distance of three
D H 6 E L 1
distance above the roofline (3) ft above the roof level

.
Incorrect Position Base foundation.  Compact and level surface required for all base
D H 6 E L 1
foundation
Not Follow Loadings Limit Capacity  Only one person is allowed on the ladder at
B H 12 D L 2
anytime
Incorrect Erection plumbs and  To be erected plumb & square for level and
B H 12 D L 2
squares steady
Scattered Loosen Materials in  Work decks are to be clear of unnecessary tools
C H 9 E L 1
Decking. & materials
Missing Handrails and toe boars in  Scaffold has install complete guardrail system &
C H 9 E L 1
place toe boards
Incorrect Position Access ladders C H 9  Ladder shall be installed in a safe location E L 1
Mobile scaffolding comply the  Apply all the requirements for mobile scaffolding
B H 12 D L 2
allowed height requirement per scaffold Safety Handbook ABV RG LTD
Incompetent person  Only trained and qualified craftsmen shall
perform scaffolding erection work and only
B H 12 certified scaffold supervisor shall fully supervise D L 2
the erection, alteration and dismantling of
scaffolds.
Unsecured Hazard of the operation  Barricades and warning signs shall be placed on
B H 12 C L 3
the ground prior to erection
No Inspections by Qualified Person  Only Certified Scaffold Inspector and Certified
Scaffold Supervisor shall inspect scaffolds and
B H 12 D L 2
sign Inspection tags before hang beside the
access point
Erection of scaffold  All Scaffolding erected on site should be
complying with the requirements and scaffold
C H 9 E L 1
safety handbook. Review hazards of the
operation with all involved personnel
Personnel’s Protection  Scaffolding crews are required to use safety belt
C H 9 E L 1
or body harness full arrest.

.
CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:
NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

Site Road Construction traffic Control Re-
JOB DESCRIPTION: AREA (S): DATE: TIME:
routing of Existing Roads
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Not Review and follow the standard  Review the traffic control plan and follow safe
procedures B H 12 road traffic procedures E L 1

Violating Traffic flow  Follow site road traffic flow and obey all
C H 9 signage’s posted at site E L 1

Reckless and Over Speeding.  Ensure safe movement of Pedestrians &

A H 15 Vehicles. Ensure the protection of workers E L 1
performing road construction works
Workers  Restore the roadway to its original condition.
Ensure proper operation of traffic control
C H 9 devices and warning devices. E L 1
 Warning sign/flagman shall be posted to
control/re-route traffic
Safety Warning signs (installed)  Use proper signboards to lower the speed of
vehicle near the working areas and Right of
C H 9 E L 1
Ways.
 Manual of Uniform Traffic Control Devices.
Warning lights.  Wearing of orange visible vest to all involved
C H 9 E L 1
workers and use paddle signs with flagman.
Detour roads.  Barricades and warning sign displayed around
D M 4 the working area. E L 1
 Manual of Uniform Traffic Devices.
Traffic hazards  Warning light will be used at night to minimize
the hazard
C M 6 E L 1
 Approved drawing to scale and construction by
roads and Heavy Equipment Department

.
Traffic rules.  Assign flagman and install proper road sign at
critical crossing and diversion road areas
C H 9 E L 1
 Local vehicle laws and Traffic regulations will
be observed
Dust control  Provide adequate dust control at worksite area
D M 4 E L 1

CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:

NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Site Welding, & Flame-Cutting AREA (S): DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Improper Oxy-Acetylene storage area  Grease and oil are never be used near oxy-
acetylene. All compressed gas cylinders should
be chained in vertical position and when not in
use should be capped, and store in a vertical
A H 15 C L 3
position. Implement color-coding of cylinders to
easy recognize by the welder and other
workers

Not Comply Properly distances  Store oxidizer away from flammable cylinders
A H 15 at least twenty 20 ft E L 1

Bottles not secured  Provide warning signs and all electric and gas
welding equipment shall be examined
C H 9 E L 1
immediately before use

No Protective equipment is in place  All welding and cutting equipment shall be in

accordance with ABV RG, Approved with latest
safety procedures. Provide a 10-kg. Fire
extinguisher with each welding /cutting
B H 12 C L 3
equipment set. Provide a qualified standby man
or fire watch men during welding /cutting
operations

Gases properly separated  Cover all operating process valves and drains
in the vicinity with (non-asbestos) fire blanket
C H 9 and use water deluge or spray water on the E L 1
area to quench sparks that may land. At the
end of every shift the hoses of open flame

.
cutting equipment should be rolled up back to
the bottle, and then turned off the cutting
machine bled to purge any gases which remain
in the lines.

Competent Fire watch assigned  To leave a welding rods or stubs in the welding
holder unattended are prohibited even if the
D H 6 E L 1
machine is turned off

Proper grounding of weld leads as  Maintain all the grounding cables connections
well as welding machine frame. C H 9 in proper place and good condition E L 1

Proper using for the equipment being  When welding job is on the scaffolding which
operated have a wood decking, should be covered it with
a fire resistance non-asbestos blanket and all
hot stubs of welding rods should be deposited
in a tin receptacle and do not discarded onto
B H 12 D L 2
the decking or dropped to the scaffolding.
When welding in existing structures verifies
coating make sure free of heavy metals, lead
chromium.

Personal protective  Follow ABV Safety Procedures standard for

D M 4 PPE E L 1

Ventilation  Mechanical ventilation and fumes extraction

D M 4 shall be provided E L 1

Correct regulator pressures  Make sure the acetylene maximum working

determined pressure is less than 15 PSI and oxygen is less
C H 9 E L 1
than 50 PSI.

Equipment in good condition  Maintain the equipment in good working

C H 9 condition E L 1

Flame-Cutting Operations  Welder using flame-cutting equipment shall be

fully trained to use the equipment and be aware
B H 12 D L 2
of the hazards present

Grounding cable in place  Equipment and pipe shall be installing

C H 9 grounding cable E L 1

.
Personal protection  Workers must wear the required personal
C H 9 protective equipment E L 1

Proper Barricades  Install curtain or barricades around the welding

area to avoid eyes radiation to the others
C H 9 E L 1
worker

Secured area from molten slag  Flammable materials around the welding area
must be removed or covered it or continuously
D M 4 E L 1
spray of water during cutting and welding.

Cutting & welding tools inspection  Oxygen-acetylene cutting equipment will be in

D M 4 good operable condition. E L 1

Gas flash back arrestor (reverse flow)  Provide a flash back arrestor between torch
for gas cutting torch and regulator of both oxygen and fuel gas to
stop gas reverse flow. Always bleed each hose
B H 12 E L 1
separated by alternatively opening and closing
the each torch.

Fire Hazards  Assign certified fire watcher, ABCD fire

B H 12 E L 1
extinguisher must be available
Procedures D M 4  Obtain required Work Permit “HOT WORK” E L 1

CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:

NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

Erection Works Hollow core slab & Concrete
JOB DESCRIPTION: AREA (S): DATE: TIME:
Pre cast
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Erection work procedures  Full details of safety erection plans including
safe system of work shall be verified by Site
A H 15 E L 1
Management before any erection work is
allowed to commence on site
Obstruction, and congested access  Safe access shall be provided for delivery
vehicles, Cranes, and other equipment required
for the work. The access route and laydown
A H 15 E L 1
area shall be carefully checked to ensure that
there is no danger of contact with overhead
power lines, risk or damage to buried utilities.
Injury to personnel  No unauthorized persons shall be allowed at
the erection area, and no any allowed to pass
A H 15 or work under where lifting operations or E L 1
overhead work is in progress on open steelwork
erection
Toolbox talk meeting prior to work  Supervisor in charge must conduct toolbox talk
commence meeting before steelwork erection start, and
C H 9 E L 1
any correction shall be done prior to erection
commence
Personal Protective Equipment’s  Workers are advise to wear personal protective
D H 6 equipment “Safety Helmet” and use hand held E L 1
radio as required
Equipment  Use the Correct equipment for lifting operation
C H 9 E L 1
Operator must be certified and well trained
Pinch Point & Struck by D H 6  Supervisor must Initiate toolbox talk meeting E L 1
Slip, Trip, and Fall  Follow safety precaution written in the work
D H 6 E L 1
permit

.
Operator D H 6  Certified operator only with SAG License E L 1
Materials Handling  Follow correct materials manual handling
C H 9 E L 1
procedure
Area Congested Secured the area install warning tape barricades
C H 9 E L 1
and signage’s

CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:

NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Steel Erection / Pipe Installation AREA (S): DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Structural Steel pipe Racks and  A Fall body arrest system shall be implemented
A H 15 E L 1
Support need to prevent fall and strictly adhered to
Improper erected  Full details of safety erection plans including
safe system of work shall be adhered before
A H 15 E L 1
any erection work is allowed to commence on
site
Failure to follow precaution for lifting  Safe lifting practice should be followed in any
A H 15 E L 1
equipment erection jobs
Unsecured permanent and temporary  Bolting connections and methods shall be as
connections which can allow B H 12 per ABV Standards. E L 1
materials to fall unexpectedly
Qualified supervisors carrying out the  Only qualified personnel shall be assigned to
B H 12 E L 1
work. steel erection activities

.
CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:
NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Materials handling, Storage, & Disposal AREA (S): DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Properly maintained /Organized  Monthly inspection of the storage yard.
Warehouse. B H 12 Segregates type of materials stored based of D L 2
usage and combustibility
Qualified operators  Provide classification for fork lift truck
A H 15 D L 2
operators.
Proper equipment  Forks lift truck as per the marked capacity of
A H 15 E L 1
the equipment
Improper use of forklifts with sling or  Use equipment only in accordance with the
B H 12 D L 2
chains on tins manufacturer’s recommendations.
Damage of equipment or Personal  Only trained personnel are performing to work
C H 9 E L 1
injury. at the area.
Pipe transportation.  Pipe haul truck will be saddle pipe supported
B M 8 and secured with heavy-duty straps properly D L 2
identified with “SWL”
Materials damage.  .Construction consumables items such as
bottled gasses, oil, paints, cleaners, welding
B M 8 D L 2
supplies, and hardware shall be properly stored
in an isolated area
Traffic Hazard.  Tail and brake lights will be affixed to the rear
D H 6 E L 1
overhang loads.
Incorrect stack of materials  Timber and other wood products shall be stored
C H 9 on open spaces far from any flammable E L 1
materials
Proper grounding of flammable  Fuel container shall be clearly marked, with
materials. B M 8 protective barriers installed, and properly E L 1
grounded.

.
Injury to personnel.  Workers will wear personal protective
D H 9 equipment. A weekly “Toolbox” safety meeting D L 2
shall be held.
Equipment failure.  Daily check for heavy equipment. Preventive
B H 12 maintenance by mechanic will be necessary D L 2
and closely observed.
Sling failure.  Lifting attachment must be in good order
C H 9 E L 1
condition.
Backing alarm with equipment.  Equipment must have back up alarm. Spotter or
D H 6 banks man will be provided to assist the E L 1
operator during the operation.
Poor Housekeeping  All stairways, passageways, gangways, and
E H 3 access ways shall be kept free of obstruction at E L 1
all times
Fire hazard/Protection  ABC type of Fire extinguisher readily available
D H 6 E L 1
on site

CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:

NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Noise Management & Control AREA (S): DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Hearing loss (causing deafness)  Maintenance Supervisor should ensure that all
engineering control measures are performing
efficiently and Ensuring mandatory hearing
B H 12 E L 1
protection measures are correctly identified and
use by personnel involved

Warning signs  Safety warning signs should be displayed at

relevant area entrances and on individual
D H 6 E L 1
machines or plant

Using mandatory PPE  Personal Protective Equipment must be used

as appropriate, the earplugs and earmuffs
C H 9 should be matched to the noise to select the E L 1
mostly protection

Lack of information & training  Adequate training & information should be

given to personnel (e.g. A Cause of noise
induced hearing loss, Method of prevention,
C H 9 Inspection, Fitting and maintenance of hearing E L 1
protectors, and Policy – where hearing
protection is mandatory and advised.

Lack of assessment and Monitoring  Correct assessments should be repeated

C H 9 annually E L 1

Work Permit System  Obtain required work permit prior commencing

C H 9 E L 1
job.

.
Information  Toolbox talk meeting must delivered by area
D H 6 E L 1
supervisor and supervise by Field HSE Officer

CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:

NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

Compressed air for pipe gauging, jackhammer
JOB DESCRIPTION: AREA (S): DATE: TIME:
and sandblasting machine
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
High pressure air.  Comply with ABV SOM Construction Safety
A H 15 D L 2
Manual Section (Compressor)
Noise effect exposure  Affected personnel will shall be wear the
B H 12 necessary hearing protection E L 1

May cause minor or major injury  Personnel engage in this activity will wear
A H 15 D L 2
working gloves and face shields
Hose rapture or disconnection B H 12  Air hoses properly fixed with hose clamps E L 1
Personal protection  Warning sing / notice installed at compressors
D H 6 E L 1
units i.e. “Hearing Protection Required”.

CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:

NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Fire protection & Emergency Contact AREA (S): DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Not publish Site Office – ECC  Emergency contact Numbers and evacuation
Emergency phone Numbers D H 6 plans shall be available on site and posted at E L 1
visible safe area.
No set up ABV employees  Educate workers how to use emergency
organization telephone numbers in case of accident or
emergency (ECC Telephone number and
D H 6 E L 1
others support groups are located inside
Conference Room, Substation, and jobsite
offices Building)
Proper Testing of Generator set.  Generators set shall be grounded. Provide fire
A H 15 extinguisher as per ABV SOM Standards and E L 1
protect from weather
Inadequate amount of fire  Provide portable fire extinguisher and auxiliary
extinguisher firefighting equipment for plant, industrial area,
D H 6 E L 1
service building area where require as per ABV
SOM Standard.
No Proper Training of Employees.  All employees shall be provided with ongoing
D H 6 Safety training and develop skills of the workers E L 1
concerning emergency practices.
Fire watch assign  Fire watch personnel shall be assigned where
welding, cutting & grinding work is being done.
C H 9 E L 1
Fire watch is to assign for fire watch purposes
only.
Emergency actual drill  Set up emergency drill to test the ability of all
D H 6 ABV employees including sub-contractors on E L 1
site
Safety & Fire Equipment Correct maintenance and required inspection
C H 9 E L 1
Maintenance plus testing to all fire & safety equipment
.
CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:
NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Personal Protective Equipment (PPE) AREA (S): DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Hard Hats.  All employees and hire manpower must be
D M 4 E L 1
wear hard hats to protect the head
Safety Shoes /Boots  Only steel toe safety shoes / boots are allowed
D M 4 to use on site E L 1

Glasses  Safety glasses shall meet ANSI & Z-87

C M 6 E L 1
standard
Body harnesses fall arrest system  Body harness is required when working at
B H 12 heights above 1.82 meter. (6 feet) or during E L 1
steel erection, and re-enforcements works.
All PPE items shall meet ANSI/OSHA  All personal protective equipment shall comply
E H 3 with ANSI standards Ref. ABV RG Construction E L 1
safety Manual
Hearing protection  Adequate hearing protection shall be available
B H 12 on site especially on Power Generator area, E L 1
LV/HE workshop

.
CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:
NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Concrete and Masonry Works AREA (S): DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Proper work procedure  Review hazard of the operation of all involved
A H 15 D L 2
personnel
Erection of formwork  Formwork and shoring should be designed,
A H 15 D L 2
erected, supported braced and maintain.
Removal of formwork  Removed and stockpile form work promptly
A H 15 D L 2
after stripping
Working over rebar protrusions  Workforce shall not be permitted to work above
vertically protruding reinforcing steel unless it
B H 12 E L 1
has been bent over or capped or otherwise
protected
Hazard of the operation  Use ANSI approved personal protective
B H 12 equipment as per the ABV RG Construction E L 1
Safety Manual.\
Reinforcing steel  Reinforcing bar cutting and bending machines
C H 9 shall be placed in a safe location away from E L 1
traffic access route
Equipment’s safety procedure  Guarding protection shall be provided on
exposed parts of moving machinery and safety
B H 12 tagging enforced to insure the power is isolated E L 1
while employees are carrying out maintenance
or repair work on cement pumps and conveyors
Personal Protective Equipment’s  Eye and /or Face protection shall also be used
D H 6 when tying steelwork owing to the hazards of E L 1
flying particles.
Poor housekeeping and hazards  Good housekeeping in work areas shall be
D M 4 maintained at all time to reduce tripping,/ E L 1
slipping,

.
CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:
NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Sling and Rigging Appliances Equipment AREA (S): DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Wire rope, Sling properly identified  Wire rope sling shall be provided properly
B M 8 E L 1
identified for SWL and manufacturer with logo
Regular inspection performs on all  Inspection shall be done by authorized
slings. D H 6 personnel and Safety Dept. shall keep the E L 1
records for reference
Sling log book records maintenance  Sling log book records shall be maintained by
B M 8 E L 1
the Safety Dept. on monthly basis
Shackles properly maintained  Maintained and inspected regularly by the
D H 6
Safety Dept.
SWL shall stamp on all lifting gears  Safe working load stamp shall be provided by
B M 8
Mfg.

CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:

NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Confined Space Entry Work AREA (S): DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Emergency procedures  Atmospheric testing shall be conducted prior to
B H 12 D L 2
commence special work.
Rescue training and equipment’s  Confine space procedures shall be developed
B M 8 D L 2
and approved by ABV RG Safety Organization.
Heat stress  Emergency rescue and assistance procedures
shall be developed and followed if required by
Issuing Org Personnel shall be trained in the
confined space entry procedures. Rotation of
B H 12 E L 1
personnel assigned to high heat jobs is
required. Specific limitations on the amount of
time spent in high heat locations need to be
determined and the maximum limits adhered to.
Qualified Standby man  Competent person assign to manning the
C H 9 E L 1
record entry of the workers
Area to be protected from by passers  Warning Signs i.e.” Authorized Personnel
C M 6 E L 1
Only”, shall be displayed at the entry point area
Work Permit Procedures  Obtained required work permit and strictly
B M 8 E L 1
follow safety precaution written in JSA
Isolation Lock out/ Tag out  Implement the isolation procedures to control
A M 10 E L 1
energy and avoid accidentally start up
Oxygen deficiency  Mechanical Ventilation must be provided to
A M 10 have a sufficient oxygen during working in E L 1
confined space
Improper Risk Assessment  A qualified person Gas Tester must be
B M 8 assigned to get proper testing of oxygen, toxic, E L 1
and flammability status
Poor Housekeeping  Maintain a good housekeeping inside the
C M 6 E L 1
confined space.

.
 Removal of redundant materials to make clear
the area and ensure there is no any obstruction
materials in the access.

CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:

NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Emergency Evacuation Assembly Plans AREA (S): DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Accounting of personnel’s  Designated contractor assembly areas and
D H 6 a special work plan shall be developed. E L 1

Visible location  The evacuation plan is to be posted and

D H 6 taught to all workers entering the E L 1
construction and accommodation area
Emergency Drill  Drills shall be conducted to ensure
employee fully understand the approved
D H 6 safety program. Practice emergency drills E L 1
shall be done on the first day of each month
in this area.
Poor Housekeeping B M 8  E L 1
Improper Communication D H 6  E L 1
No Transportation Plan B M 8  E L 1

.
CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:
NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Office safety AREA (S): DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Trip / Slips hazards and Obstructions Follow the safety rules and Regulations for offices
 Clean up spills or leaks immediately by using a
paper towel, rag or a mop and bucket.
 Do not kick objects out of your pathway; pick them
up or push them out of the way.
 Do not throw matches, cigarettes or other smoking
materials into trash baskets.
 Keep floors clear of items such as paper clips,
pencils, tacks or staples.
 Do not block your view by carrying large or bulky
items; use a dolly or hand truck or get assistance
from a fellow employee.
 Store sharp objects, such as pens, pencils, letter
A H 15 openers or scissors in drawers or with the points E L 1
down in a container.
 Carry pencils, scissors and other sharp objects with
the points down.
 Use a ladder or step stool to retrieve or store items
that are located above your head.
 Do not store or leave items on stairways or
walkways.
 Do not run on stairs or take more than one step at
a time.
 Do not jump from ramps, platforms, ladders or step
 Keep doors in hallways fully open or fully closed.
 Use handrails when ascending or descending
stairs.

.
May cause minor or major injury  Obey all posted safety and danger signs.
A H 15 E L 1

Fire Hazards  Ensure the availability and good condition of

firefighting equipment’s
 Trained and assigned Floor warden
 Obey and Observed “NO SMOKING” policy
A H 15 E L 1
 Maintain good housekeeping all the time
 Ensure all electrical equipment’s, extension
cord, utility outlet, and main breaker are
inspected as per schedule

CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:

NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Manual Lifting Procedures AREA (S): All jobsite areas DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Back pain  Test the weight of the load before lifting by pushing
the load along its resting surface.
D H 6 E L 1
 Never lift anything if your hands are greasy or wet.

Ergonomic C H 9  If the load is too heavy or bulky, use mechanical E L 1

lifting or carrying aids such as hand trucks, dollies,
pallet jacks and carts, or get assistance from your
co-worker.

Crush injury E H 3  Follow safe manual lifting procedures E L 1

 Face the load, Position your feet 6"-12" apart

with one

 Foot slightly in front of the other.

 Bend your knees, not the back, Keep your back

straight.

 Get a firm grip on the object with your hands

and fingers. Use the handles when present.

 Hold objects as close to your body as possible,

 Perform lifting movements smoothly, gradually;

and don’t jerk the load.
 Set down objects in the same manner as you
picked them up, except in reverse.
.
Hand injury Wear protective gloves when lifting objects with a E L 1
D H 6
sharp corners or jagged edges

CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:

NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Temporary / Permanent Electricity AREA (S): All jobsite areas DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Electrical shock to personnel.  G.F.C.I. shall be used for the protection of
A H 15 D L 2
personnel.
Grounding of equipment  Grounding cable shall be provided on all
C H 9 D L 2
equipment
Use of lockout & hold tags  Use of lockout & hold tags as necessary per
A H 15 E L 1
ABV S.O.M
Qualified electricians.  Only qualified electricians shall maintain
temporary and permanent electrical cords and
B H 12 wiring Inspections of tools and equipment shall D L 2
be done on a weekly basis, and kept all the
record for references
Coordinating of tie-ins to existing or  Coordination of tie-ins work shall be properly
new facilities with other contractors C H 9 scheduled and have approval from the D L 2
concerned Representative Client
Hazards of the operation.  Review the hazards of operating with all
personnel. Use proper PPE, Tools to be
C H 9 inspected prior to the start any job. Properly E L 1
barricaded the working area and use warning
signs
Fire hazards  ABC class of fire extinguisher readily available.
C H 9 E L 1
Work Permit System  Obtained required work permit and strictly
D M 4
follow all the precaution written on the permit E L 1

No Electrical Sticker “Danger Sign”  Electrical sticker DANGER SIGN must be place
D M 4 in all electrical panel, main circuit breaker, sub-
E L 1
station, and temporary blue box

.
CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:
NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Heavy Equipment’s AREA (S): Fabrication and Laydown area DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Insufficient Access to site  Ensure of safe and expeditious movement of
A H 15 pedestrians and vehicles. Gates loading and E L 1
unloading shall be monitored
No Traffic flow plan coordination and  Submit a well-planned traffic route to Client. The
routing A H 15 plan is to be reviewed by Safety Engineer. E L 1

Unguarded Trench/Excavation  Provide a flagman to control the movement of

traffic as required. No equipment is allowed any
A H 15 closer than 1.2 meter to the edge of an E L 1
excavation or trenches.

Specific equipment operations hazards  Take all necessary safety precautions to avoid
personnel injury or damage to the vehicles and
B H 12 property. D L 2
 Review hazards of the operation with all involved
personnel.
No Reversing alarm on all heavy  Back up alarm shall be provided for all heavy
equipment and light equipment as in the Safety Manual
C M 6 Handbook. E L 1

Riders, and Personal protection.  No riders will be allowed on the heavy

equipment.
B M 8  Workers must wear personal protective D L 2
equipment

Equipment condition  Daily check by operator is important , and

D H 6 E L 1
Preventive

.
 Maintenance by mechanic will be observed.
 Operators will be performing a pre-start check
prior to start the machine
During Lifting and **Bumping hazard  Wind strength about 20 mph has no lifting
from protruding allowed. Visible contact between rigger and
loads / materials operator must be maintained. No using of
aluminum ferule wire rope sling. Equipment
operation shall follow ABV Safety Operation
B M 8 Manual D L 2

 **Warning flag on protruding loads / materials.

Tail and brake light will be affixed to the rear of
overhanging loads.

No training and Unqualified operators.  Heavy equipment operators must have a current
B M 8 Saudi Arabian Government Operators license or D L 2
DOC permit.
Unsecured and Over loading.  Equipment’s Haul trucks will be provided with
saddle pipe supports and secured with heavy-
duty strap properly identified with their “SWL D L 2
“.Safe Working Load

No Flagman assign during operations.  Operators and spotter must be familiar with
D H 6 standard hand signals for the equipment to E L 1
which they are assigned.
Equipment working and during  Spotters will be assigned during excavation and
Maneuvers during maneuvering close to any existing
facilities. Spotters will also be used at any time
when visibility of the operator is obstructed.
B M 8 Operators are instructed to obey the signals from D L 2
the spotter or rigger. Vehicle and equipment with
obstructed view will be provided with back-up
alarm and or spotter in place during vehicle
backing operation
Working with labor  Workforce will be fully aware of the dangers
force around the area around of working heavy equipment, and Heavy
equipment operators shall also aware to their
D H 6 E L 1
responsibilities when working around the
general labor force as relating to safe operation
of the equipment.
Operators visibility, and  Operators must have 360 degrees of clear view
B M 8 D L 2
Warning signs from the operator seat.

.
 Warning sign will be posted, and those signs
shall be indicate the hazards and a full detail of
safety instructions. Example: “Danger Heavy Lift
in Progress. Keep distance,”
Equipment Parking.  All equipment will be properly parked in
approved parking areas. All hydraulic operated
parts in free; i.e. bucket of front-end loader on
D H 6 the ground, dump truck bed has lowered E L 1
position. All diesel power vehicles will apply their
parking brakes to secure and the transmission is
set in neutral.
Limited slope.  Tracked heavy equipment must not work on side
D H 6 E L 1
slope with exceed 45 degrees.
Fire hazard.  ABC class of Fire extinguisher is readily
C M 6 E L 1
available on site

CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:

NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Sandblasting AREA (S): All jobsite areas DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Physical injury of employees during  Safety meeting with all the involved employees
operation to discuss hazards on the job and review up-to-
A H 15 D L 2
date procedures to prevent possible injury or
accidents
Incorrect work permits use i.e. hot  The work permit system shall be used and gas
work, confined space, etc C H 9 test shall be carried out in the area to be E L 1
abrasive blast cleaned
Deaf due high noise and wearing  A Proper hearing protection shall be used when
proper hearing protection noise level exceeded 90 dBA, the ear-plug or
B H 12 D L 2
earmuff and warning sign shall read “Ear
Protection Required
Operator not trained and unqualified  All operators of abrasive blast cleaning
personnel equipment shall be instructed and trained in the
D H 6 correct work methods and hazards associated E L 1
with abrasive blast and cleaning equipment and
materials
Defective Protective guards of the  All protective guards and controls in place and
equipment D H 6 working properly in accordance with the E L 1
manufacturers recommendations
Area not secured and not barricaded.  Suitably barricade the area to keep
D H 6 unauthorized personnel loitering of the danger E L 1
zone
Not using required full protection. i.e.  Body harness required when working at the
body harness D H 6 height above 1.82 meters. (6 ft.) as per E L 1
procedures
Physical condition of employees  Pre-placement professional medical
including chest x-rays B H 12 examination including chest x-rays and a D L 2
pulmonary function study

.
Using unapproved supplied air  Provide air supplied hood type “CE” and
respirator B H 12 supplied air respirator approved by ABV RG D L 2
LTD
Sub-standard supplied breathing air  Air breathing apparatus shall meet the
D H 6 requirements and be tested in accordance with E L 1
SOM Breathing apparatus
Equipment not properly bonded  Equipment shall be properly bonded or connect
E L 1
cable ground for personal protection
“Deadman” switch not in good  “Deadman” switch shall be in operable
operable condition condition. The blasting nozzle will have a “Dead
D H 6 E L 1
Man” switch and is properly grounded to the
earth
Insufficient ventilation in all confined  The recommended ventilation requirement for
D H 6 E L 1
spaces various vessel capacities are shown in SOM
Inappropriate residue disposed by  Advance approval for disposal of residue are
area Industrial Hygiene services. very important
Not qualifying the air from breathing  Air quality test breathing apparatus to be
air compressor submitted to industrial hygiene. An air filtering
system in the equipment that separates oil mist,
water vapor and
 Particular matters from breathing air supply
shall be provided to ensure a safe breathing air
C H 9 for the operation. Air receivers shall be pre- E L 1
tested, Air filter cartridge will be replaced every
three months or when any of the following
deficiencies are detected, objectionable odor.
Filter begins to pass moisture through the
outlets, The outlet pressure falls below 85 psi or
as per manufacturer’s specification.
Operator’s not trained (Unqualified)  Authorized / competent sandblaster shall be
D H 6 wear a shot resistant apron and approved air E L 1
supplied hood.
Deaf due to high Noise by machine  The operator and attendant shall be wear
hearing protection. All other personnel in the
close proximity to the area such as hose
B H 12 D L 2
handling materials, inspectors, etc. will wear
hearing protection whenever sandblasting
activities takes place.
Hose not secured resulting  Hoses will be properly fixed by means of
accidentally disconnected. appropriate hose clamps, doubly secure with
D H 6 E L 1
safety wire in their connection and free of
physical damage.

.
No safety signage’s posted in the  Warning Signs i.e.” Authorized Personnel
Area to warning observer personnel. D H 6 Only”, shall be displayed at each entry point E L 1
area
Lack of Preventive maintenance for  The competent mechanic will maintain
D H 6 E L 1
air compressor. preventive maintenance of air compressor.
Incompetent person  Will trained standby man shall be assign during
A H 15 D L 2
the working times
Fire hazards  Adequate type of fire extinguisher shall be
D H 6 E L 1
available at the job site area

CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:

NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Live Plant Operation AREA (S): DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Ignored Specific work permit The work permit receiver must be obtained an
requirement A H 15 appropriate work permit from the Operations D L 2
Supervisor before starting any work.
Operation has no knowledge of If the job involves on equipment that is in service, a
present hazards specific set of written procedures will have to be
B H 12 C L 3
prepared and approved in advance by the
Operation Safety Personnel.
Personal Protective Equipment not Suitable protective equipment shall be wear to all
provided D H 9 personnel’s involve and must take extra precaution E L 1
during the work
Fire hazards Suitable total number of fire extinguisher shall be
D H 9 provided and assign competent person as fire E L 1
watcher during work
No specific warning signs posted E H 3 Install warning signs in visible place E L 1

.
CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:
NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Overhead power line Obstructions AREA (S): All jobsite areas DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE SPICIFIC RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Employees not following Special  Overhead power line is usually not insulated.
precautions Therefore any kind of metallic object coming near
to contact with them can cause a hazardous
situation, always keep the considerable distance
A H 15 D L 2
from the power line minimum of 20 ft. Use the
warning sign “DANGER OVERHEAD
POWERLINE” to minimize the hazards and warn
the workers

Personal Protective Equipment’s not  Required Personal Protective Equipment shall

D H 9 E L 1
provided comply during the work near overhead power line

Fire Hazards  Suitable fire extinguisher should be available at

D H 9 E L 1
the site

Ignored the limit distances  Always keep the considerable distance from the
power line minimum of 20 ft. Use the warning
B H 12 D L 2
sign “DANGER OVERHEAD POWERLINE” to
minimize the hazards and warn the workers

Lack of communication D H 9  Seek the advised of competence person E L 1

.
CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:
NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Using Gas, and Petroleum Liquid AREA (S): DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Improper Storage of Gas Cylinder.  Cylinder shall be stored only in a safe, dry, well-
C H 9 E L 1
ventilated location
Warning sign not in visible place.  Warning sign and barricade around the storage
D H 6 area. E L 1

Gas Bottle left unattended inside  Keep away the gas cylinder out of the
B H 12 D L 2
excavations and confined spaces. excavations and confined spaces.
Special Precaution not implemented  Safety signs and barricades shall posted and
install around the storage area, and naked
D H 6 E L 1
flames or smoking is highly prohibited beyond
the petroleum, / Gas location
Personal Protective Equipment’s not  During the work all personnel’s involve should
D H 6 E L 1
provided/not wearing properly follow the minimum PPE requirements
Fire Hazards  Adequate fire extinguisher shall be available at
D H 6 E L 1
site, and remove all flammable materials

.
CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:
NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Radiography test of welded joints AREA (S): All jobsite areas DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Radiation hazards to the employees a) Follow work permit procedures/precaution
from weld x-ray  Comply with ABV RG HSE Manual (Ionizing
Radiation Protection).
 NDT personnel shall bear ABV valid “Permit to
use Material / Equipment Producing Ionizing
radiation.
 Radiographers are have available direct reading
C H 9 E L 1
dosimeter and an integrating permanent
dosimeter (Film Badge) or Thermo luminescent
dosimeter(LTD)
 Survey meter are available and used to
determine safe distance for non-radiation
personnel,
 Radiation dose records kept available on site.
Incompetent person  Only competent person and well-trained
C M 6 personnel are involve with radiographic work E L 1

Warning signage’s not install in  Radiation area is barricaded with black-yellow

visible place warning tapes, adequate warning notice, i.e.
C M 6 E L 1
“Danger Radiation” sign should be installed and
warning light provided at night.
No standby man assign to monitor  Standby man provided at possible entry points to
unauthorized personnel’s prevent accidental entry, Radiation doses to
C M 6
workers shall be kept as low as reasonably
achievable play. (ALARA)

.
CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:
NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Pressurized Equipment and Systems AREA (S): DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Improper Supervisory during using of  Any pressurized equipment shall be operated
Compressed Air or Gas Equipment & A H 15 and maintained only by qualified and designated D L 2
System personnel.
Noise exposure.  Affected personnel shall wear hearing
B H 12 protection. D L 2

May cause minor or major injury.  Personnel engage of this activity should be
C H 9 E L 1
wear working gloves and face shields.
Hand injury  Wear protective gloves when lifting objects with
D H 6 E L 1
a sharp corners or jagged edges
Hose rapture or disconnection. D H 6  Air hoses properly fixed with hose clamps. E L 1
Fire hazard.  ABC class of Portable fire extinguisher available
D M 4 E L 1
on site.
Personal protection, Warning sign not  Warning signs shall be installed at compressors
D M 4 E L 1
in place units “Caution Hearing Protection Required”.

.
CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:
NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Hydro testing AREA (S): All jobsite areas DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Employees has no training  Any pressurized equipment shall be operated
and maintained only by qualified and
B H 12 E L 1
designated personnel.

Noise exposure  Affected personnel shall wear hearing

B M 9 protection. E L 1

May cause minor or major injury  Personnel engage of this activity should be wear
D H 6 working gloves and face shields. E L 1

Hose rapture or disconnection.  Air hoses properly fixed with hose clamps.
D H 6 E L 1
Back pain  Test the weight of the load before lifting by pushing
the load along its resting surface.
D H 6 E L 1
 Never lift anything if your hands are greasy or wet.

Ergonomic  If the load is too heavy or bulky, use mechanical

lifting or carrying aids such as hand trucks, dollies,
D H 6 pallet jacks and carts, or get assistance from your E L 1
co-worker.

Personal protection.  ABC class of Portable fire extinguisher available

E H 3 on site. E L 1

Hand injury  Wear protective gloves when lifting objects with

E H 3 a sharp corners or jagged edges E L 1

.
CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:
NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Installation of Heat Shrink sleeve AREA (S): All jobsite areas DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Back pain  Test the weight of the load before lifting by pushing
D H 6 the load along its resting surface. E L 1
 Never lift anything if your hands are greasy or wet.
Ergonomic  If the load is too heavy or bulky, use mechanical
lifting or carrying aids such as hand trucks, dollies,
D H 6 E L 1
pallet jacks and carts, or get assistance from your
co-worker.
Crush injury  Follow safe manual lifting procedures
 Face the load, Position your feet 6"-12" apart
with one
 Foot slightly in front of the other.
 Bend your knees, not the back, Keep your back
straight.
E H 3  Get a firm grip on the object with your hands E L 1
and fingers. Use the handles when present.
 Hold objects as close to your body as possible,
 Perform lifting movements smoothly, gradually;
and don’t jerk the load.
 Set down objects in the same manner as you
picked them up, except in reverse.
Hand injury  Wear protective gloves when lifting objects with
E H 3 a sharp corners or jagged edges E L 1

Fire Hydrant a) Proper handling of LPG cylinder.

 Gas hose must be properly fixed by means
E H 3 E L 1
of hose clamps.
 Regulator shall be disconnected after use.

.
 LPG valve shall be immediately closed when
not in use.
Minor or major burn injury to Only competent person and authorized personnel
personnel will apply heat shrink sleeve. Only the involved
D H 6 E L 1
personnel will be allowed to stay at the working area.
and wear appropriate personal protective devices

CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:

NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

Site Welding, Flame-Cutting & Heating
JOB DESCRIPTION: AREA (S): DATE: TIME:
Operations
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Improper handling and storage of  Grease and oil are never be used near oxy-
Oxy-Acetylene acetylene. All compressed gas cylinders should
be chained in vertical position and when not in
A H 15 use should be capped, and store in a vertical D L 2
position. Implement color-coding of cylinders to
easy recognize by the welder and other
workers.
Incorrect distances of cylinder bottle in B H 12  Store oxidizer away from flammable cylinders
storage area. at least twenty 20 ft D L 2

Bottles secured. B H 12  Provide warning signs and all electric and gas
welding equipment shall be examined D L 2
immediately before use
Crushing D H 6  Follow correct lifting procedures and materials E L 1
handling
Minor or major burn injury to  Only competent person and authorized E L 1
personnel personnel will apply heat shrink sleeve. Only
the involved personnel will be allowed to stay at
the working area. and wear appropriate
personal protective devices
Back pain D H 6  Test the weight of the load before lifting by pushing the
load along its resting surface. E L 1
 Never lift anything if your hands are greasy or wet.
Ergonomic D H 6  If the load is too heavy or bulky, use mechanical lifting E L 1
or carrying aids such as hand trucks, dollies, pallet jacks
and carts, or get assistance from your co-worker.
Crush injury D H 6  Follow safe manual lifting procedures E L 1
 Face the load, Position your feet 6"-12" apart with
one
.
 Foot slightly in front of the other.
 Bend your knees, not the back, Keep your back
straight.
 Get a firm grip on the object with your hands and
fingers. Use the handles when present.
 Hold objects as close to your body as possible,
 Perform lifting movements smoothly, gradually;
and don’t jerk the load.
 Set down objects in the same manner as you picked
them up, except in reverse.

CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:

NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Cable Pulling Utilities AREA (S): All jobsite areas DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Back pain  Test the weight of the load before lifting by pushing
the load along its resting surface.
D H 6 E L 1
 Never lift anything if your hands are greasy or wet.

Ergonomic  If the load is too heavy or bulky, use mechanical

lifting or carrying aids such as hand trucks, dollies,
D H 6 pallet jacks and carts, or get assistance from your E L 1
co-worker.

Crush injury  Follow safe manual lifting procedures

 Face the load, Position your feet 6"-12" apart
with one
 Foot slightly in front of the other.
 Bend your knees, not the back, Keep your back
straight.
 Get a firm grip on the object with your hands
C H 9 E L 1
and fingers. Use the handles when present.
 Hold objects as close to your body as possible,
 Perform lifting movements smoothly, gradually;
and don’t jerk the load.
 Set down objects in the same manner as you
picked them up, except in reverse.

Hand injury  Wear protective gloves when lifting objects with

D H 6 a sharp corners or jagged edges E L 1

Equipment Operator No Training and  All employees who operate mechanized

C H 9 E L 1
No SAG License equipment shall be in possession of SAG

.
Driving License valid for the type of equipment
they are operating.

Heat Stress  Provide sunshade shelter, Drinking water with

C H 9 E L 1
ORS, and Portable ventilation fan
No Flagman to assist the operator  A will trained flagman must assigned to assist
D H 6 E L 1
operator in maneuvering, reversing move

CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:

NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Hot Works AREA (S): All jobsite areas DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Work Permit Requirement not  Obtain work Permit and comply all the
B H 12 D L 2
followed precaution required prior to commence the jobs
Fire hazards prevention ignored  ABC class of fire extinguisher shall be available
D H 6 on site, and removed all combustible materials. E L 1

Personal Protective Equipment’s  All personnel involved in hot work job shall
D H 6 E L 1
wear required personal protective equipment
Warning signs not in place D H 6  Provide warning sign or barricades the area E L 1
Equipment’s condition  Welding equipment, hot surfaces and other
C H 9 possible sources of heat / ignition will be D L 2
segregated from combustible materials.
Workforce and Firewatcher No  Hot work crew shall take extra pre-caution in
training performing hot works and monitoring for
C H 9 D L 2
possible ignition sources such as: hot slag from
welding / cutting and grinding operations.

.
CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:
NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Mechanized Equipment & Other Machinery AREA (S): All jobsite areas DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Operators.  All employees who operate mechanized
equipment shall be in possession of SAG Driving
C H 9 License valid for the type of equipment they are E L 1
operating.

Uncertified Operator’s a) Strictly follow the safe operation procedures

 Before any mechanized equipment is placed in
use, It shall be inspected and tested by a
competent mechanic the records of tests and
inspection shall be maintained at the site
 The mechanized equipment such as
Teleporters, Fork Lift Trucks, Combi Platforms,
Scissor Lift and Sky Lift used for lifting
B H 12 D L 2
employees and /or materials shall be tested by a
qualified person from an approved testing
agency every 6 month
 Test shall be made at the beginning of each shift
during which the equipment is to be used to
determine that the brakes and operating
systems are in proper working condition

Crush injury  Keep safe distance from the equipment’s and

A H 15 wear visible high vest D L 2

Not wearing mandatory PPE  Wear protective gloves when lifting objects with
a sharp corners or jagged edges
C H 9  Wearing eye glasses protection for flying E L 1
object, and UV protection
 Hard hat for head protection
.
 Safety steel toe shoes for foot protection

No barrier around the equipment  Provide and install required safety signage’s to
radius C H 9 warned unauthorized employees E L 1

No flagman A certified or trained flagman must be assigned to

C H 9 E L 1
assist the movement of the equipment’s

CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:

NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Pipe Stacking (Materials Storages) AREA (S): DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Pipe roll over down  No personnel allowed climbing on the top of
stacked pipes, or materials maintain standard
C H 9 E L 1
high 2m height.

Material damage  Sufficient sandbags or sand barrier will be

E H 3 provided to prevent pipes from rolling down E L 1

Personal injury  Adequate barriers will be put around the

stacking area to avoid injury to personnel and
D H 6 E L 1
damage to equipment

Traffic hazard  Warning signs will be posted to warn

employees when pipe handling is in progress.
Flagging will be adopted to warn traffic.
D H 6 Stacking shall be away from ROW and E L 1
highway. Flashing lights will be used during
nighttime

Slips / Strips  No one will be allowed to stand or walk on the

C H 9 top of pipes E L 1

Incorrect stack of materials  Pipes and other similar products shall be stored
on open spaces far from any flammable
D H 6 E L 1
materials

.
Poor Housekeeping  All stairways, passageways, gangways, and
access ways shall be kept free of obstruction at
D H 6 E L 1
all times

Fire Hazards  ABCD type of fire extinguisher must be

available
D H 6 E L 1
 Follow NO SMOKING policy

CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:

NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Chemical Storage handling and (MSDS) AREA (S): All jobsite areas DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
Improper Storage.  Proper storage locations shall be provided
and it is required to clearly marked and
C H 9 D L 2
barricaded

Maintenance and MSDS available  A list of hazardous chemical should be

keep indicating the type and quantity of
C H 9 D L 1
material, and hazard classification.

No Training of employees  Hazcom training should be given to all

employees engage in chemical use and
C H 9 E L 1
store man

Hazard of the Operation  Chemical warning labels or chemical

D H 6 hazard bulletins shall be used to learn what E L 1
type of chemicals hazards present

Not wearing required PPE  Chemical Goggle, Gloves, or Respirators

D H 6 must be wearing by all employees involved E L 1
in handling chemical

Incorrect Signage’s/Label Name  All chemical container must have correct

D H 6 label name, and required safety sign must E L 1
be install.

.
Fire Hazards  Follow NO SMOKING policy, No naked
D H 6 E L 1
flame, No hot work allowed.

No safety eye wash station D H 6  Provide eyewash bottle, and first kit E L 1

CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:

NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

WORK PLACE RISK ASSESSMENT

JOB DESCRIPTION: Painting & Abrasive Blasting Operations AREA (S): DATE: TIME:
HAZARDS RECOMMENDED ACTION TO CORRECT THE RESIDUAL
POTENTIAL HAZARD PROBABILITY RISK
EFFECT SPICIFIC HAZARDS IDENTIFIED EFFECT PROBABILITY RISK
No Work permit The operator is required to have a Hot Work Permit for
A H 15 D L 2
the operation of his equipment
Improper using of equipment a) Painting operations shall be conducted in
accordance with specific work procedures.
 The tip guards shall always be in position when
airless spray gun are in use
 The operator shall always pay attention and
ensure that his hands, fingers and limbs are kept
A H 15 D L 2
clear of the paint jet as the jet can easily pass
through and cause serious injury which can result
in an amputation of a hand, fingers or limbs
 The trigger safety catch shall always be engaged
whenever an airless spray gun is left unattended

MSDS not available on site for  A material Safety Data Sheet shall be supplied
guidance for each product and used by the Site Safety
C H 9 E L 1
Department to evaluate general and specific
requirements for the products concerned
Not Personal Protective Equipment  Use adequate PPE including respiratory
C H 9 protection for the employees involved in painting E L 1
operation
Inadequate ventilation  Use adequate force ventilation and extraction
system for enclosed areas and, where
C H 9 E L 1
applicable, confined spaces

.
Poor housekeeping may cause of  Maintaining good housekeeping practice in
injury work areas including the removal of waste
C H 9 E L 1
product and other materials

Operator not trained  Blasting operator using spray paint must have
training certificate, and physically health
B H 12 D L 2
condition

Slip, Trip Hazards  Remove all unwanted materials to minimize or

D H 3 eliminate the possible employees injury E L 1

CONDUCTED BY: RESPONSIBLE SUPERVISOR Approved by:

NAME:
AREA:
NAME: _______________________
SIGNATURE:
SIGNATURE: SAFETY MANAGER

HAZARDS EFFECT RISK - LIKELYHOOD Class “A” Hazards A condition or practice likely to cause loss of life and / or Massive loss of structure equipment or materials and Environment
SEVERITY A condition or practice likely to cause Permanent disability or Major property damage that is disruptive and Major
HIGH MEDIUM LOW Class “B” Hazards environmental impact but less severe than Class “A” Hazards
A 15 10 5 Class “C” Hazards A condition or likely to cause Serious injury Moderate property damage and Minor Environmental Effect
B 12 8 4 Class “D” Hazards A condition or likely to cause minor injury or nondestructive property damage and Minor Environmental Effect
C 9 6 3 Class “E” Hazards A condition or likely to cause first aid only, negligible to property damage or Slight Environmental Effect
D 6 4 2
E 3 2 1

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