RISK ASSESSMENT FORM -
Date : 15/03/2015
Ref No:
AK/IR/36
Project Name : Roads and Infrastructure in Al Kheesa North and East
SR #
Initial Risk
Safety precautions needed to control the Risk to ALARP *
Access for excavation
Drivers/operators
equipments, loading trucks etc. - Inviolved peiople
vehicle /equipment accidents
1
Working inside
excavation
"
Provide entry gate at one location of protection barrier around
the excavation; restricrted for construction equipments and
trucks involverd in the Potable water work . Post sign boards to
prevent unauthorised entry of vehicles, people. Assign gate
keeper.
RESIDUAL
RISK
Responsible Person
Risk
Rating
Who Might be
Harmed
Likelihood
Hazard / Conditions that could
develop hazard
Consequen
ces
Activity
Dewatering works
Risk
Rating
Likelihood
Description of work
Locations for dewatering at site.
Consequen
ces
Assessment location :
Site Engineer,
Gen.Foreman
Site Engineer, Foreman
Provide access ramp of enough width and slope into the
excavation for construction equipments and vehicles to be
provided. Ensure edge protection for ramp as required.
Falling of loose materials from
the sides - Injuries.
2
12
Clear loose materials including stones from the edges
excavation. Install green mesh at the walls of excavation..
Lose Materials
*ALARP - As Low As Reasonably Practicable
Assessed By: Eng.Enrique Fajardo (HSE Manager)
Date:
15/03/2015
Likelihood /
Severity /
Remote /
Unlikely /
Likely /
Frequent /
Minor /
Major /
Severe /
Fatality /
3
hose and other
fittings unloading,
stacking at work site .
:
:
Likelihood
Severity
4
3
2
1
Unsafe hose stacking at site .- Involved workers
Falling of pipe : Injuries and
Damages. Tripping hazard.
HSEF 4.3.1-01-01 Issue: 1 Rev: 2 Issue Date: 20 Mar 2012
:
:
Reviewed by: Eng.Salameh Haddadin (Project Manager))
Date: 15/03/2015
Signature :
1
2
3
4
Workers inside
manhole`nch.
Signature:
3
16
12
12
9
6
3
4
2
8
4
hoses should be kept at least 1 mtr away from trench edges and
perendicular to the trench. Do not overstack hoses. All hoses
and other fittings should be stored in deisgnated storage araea.
Gen.Foreman, Foreman
1
Page 1 of 9
RISK ASSESSMENT FORM -
:
Date : 15/03/2015
Ref No:
AK/IR/36
Project Name : Roads and Infrastructure in Al Kheesa North and East
Lifting operations
during installation of
dewatering pumps,
tanks and other
items.
Unsafe Equipment / incompetent Operator involved
Operations - accidents ,injuries.
workers and
anybody in the
vicinity
Improper locating of crane - Operator involved
Colapse
of
excavation
workers
and
edges,overturning of crane - anybody in the
injuries and damages
vicinity
lifting excess load more than
safe load - Fall oF materials,
crane overturning etc.
unprotected lifting area unauthorised entry,injuries
Operator,Involved
workers
workers
,
unauthorised
peiople
Undesired movement of load - Involved workers,
accidents,Injuries
anybody in vicinity
1
2
3
4
5
Likelihood /
Remote /
Unlikely /
Likely /
Frequent /
Hose, fitting and
Jointing Installation
Severity /
Minor /
Major /
Severe /
Fatality /
Likelihood
4
3
2
1
Involved workers
mishandling
HSEF 4.3.1-01-01 Issue: 1 Rev: 2 Issue Date: 20 Mar 2012
Safety precautions needed to control the Risk to ALARP *
12
"
Ensure crane / lorry crane of of appropriate lifting capacity and
in good working condiction. Ensure valid third party inspection
certificates of crane/lorry crane, slings and lifting tackles.
Site Engineer, Garage
Foreman
Site Engineer,
Foreman,
crane operator,Rigger
Foreman,
Operator,Rogger
Foreman, Operator
Rigger
Foreman,
operator,Rigger
Ensure crame / lorry crane operators have valid license.
Operators and riggers should have valid third party certificate.
12
12
Out riggers of the crane should be fixed at least one meter away
or more from the excavation edges which should be decided as
per the ground condition against collapse of the edges. . Where
collapse of ground is suspected do not carry out lifting. Load
indicator should be checked at each location, as perload,boom
extension and boom angle.
Load indicator should be checked at each location, as per
load,boom extension and boom angle.Only safe load shall be
lifted at each position.
Ensure nobody under lifting load,especially inside the excavation
/ tank construction area. Barricade lifting area , Post NO
ENTRY signs and prevent unauthorised entry.
Use taglines to control the undesired movement of lifted up item
and to place it at desired location. .
16
12
9
6
3
4
3
12
8
4
6
4
2
12
Responsible Person
Risk
Rating
SR #
Likelihood
Who Might be
Harmed
RESIDUAL
RISK
Consequen
ces
Hazard / Conditions that could
develop hazard
Initial Risk
Risk
Rating
Activity
Dewatering works
Likelihood
Consequen
ces
Assessment location :
Description of work
Locations for dewatering at site.
2
1
Correct manual handling techniques,Use mechanical aids where
possible.
Foreman
Page 2 of 9
RISK ASSESSMENT FORM -
:
Date : 15/03/2015
Ref No:
AK/IR/36
Project Name : Roads and Infrastructure in Al Kheesa North and East
:
:
Dewatering works
Dewatering
Slip / Trip and Fall.
Electric shock / Over Heated
Machineries.
1. Area to be barricaded and signs to be displayed
2. Sides of excavation to be stepped or protected against
collapse while doing dewatering.
3. Ensure proper illumination during night
4. Ensure operators are trained and work is under close
supervision.
5. Proper usage of PPES
6. Good house keeping.
Foreman
1. Close supervision
2. PTW system / obtain NOC from relevant authorities.
3. PPES (Proper usage)
4. Proper ear thing of machineries/ usage of ELCB
5. Effective maintenance of machinery
Foreman
1. Proper usage of PPES( i.e hand gloves, eye glasses etc)
2. Close supervision of the job
3. Trained people to work in dewatering job
4. Proper maintenance / replacement of damaged
Hoses.
5. Follow PTW system
Foreman
Foreman
Foreman
Site Engr, Gen.Foreman
Site Engr, Gen.Foreman
workers
3
Laying of water discharge hose workers
through hazardous areas.
Leaking of hose water line
Operator involved
workers and public
Hold of pipe with hand
workers
Low light/Darkness
Operator involved
workers
and
anybody in the
vicinity
Public
Unwanted people
HSEF 4.3.1-01-01 Issue: 1 Rev: 2 Issue Date: 20 Mar 2012
Responsible Person
Involved workers
RESIDUAL
RISK
Risk
Rating
Safety precautions needed to control the Risk to ALARP *
Likelihood
SR #
Initial Risk
Consequen
ces
Who Might be
Harmed
Risk
Rating
Hazard / Conditions that could
develop hazard
Likelihood
Activity
Consequen
ces
Assessment location :
Description of work
Locations for dewatering at site.
"
All water lines should be light , no water should leak from pipe.
12
12
Tie the pipe with rope and 2 persons to hold it to keep vertical
1. Proper lighting arrangement should be done, suitable for night
work
No unauthorized / job related personnel should be on site, pulic
protection fencing shlould be provided with gates.
Page 3 of 9
Dewatering
RISK ASSESSMENT FORM -
:
Date : 15/03/2015
Ref No:
AK/IR/36
Project Name : Roads and Infrastructure in Al Kheesa North and East
:
:
Dewatering works
Water / Mud sticking to boots
workers
Safety precautions needed to control the Risk to ALARP *
"
Proper PPES like , boots suitable for water like
gum boots should be used for this purpose
Risk
Rating
SR #
Likelihood
Who Might be
Harmed
RESIDUAL
RISK
Consequen
ces
Hazard / Conditions that could
develop hazard
Initial Risk
Risk
Rating
Activity
Likelihood
Description of work
Locations for dewatering at site.
Consequen
ces
Assessment location :
Responsible Person
Site Engr, Gen.Foreman
and HSE officer.
*ALARP - As Low As Reasonably Practicable
Assessed By: Eng.Enrique Fajardo (HSE Manager)
Date:
15/03/2015
Signature :
Likelihood /
Severity /
Remote /
Minor /
1
Unlikely /
Major /
2
Likely /
Severe /
3
Frequent /
Fatality /
4
*ALARP - As Low As Reasonably Practicable
HSEF 4.3.1-01-01 Issue: 1 Rev: 2 Issue Date: 20 Mar 2012
:
:
Reviewed by: Eng.Salameh Haddadin (Project Manager)
Date: 15/03/2015
:
Likelihood
Severity
4
3
2
1
Signature:
4
16
12
9
6
3
12
8
4
:
:
4
3
6
4
2
2
1
Page 4 of 9
HSEF 4.3.1-01-01 Issue: 1 Rev: 2 Issue Date: 20 Mar 2012
Page 5 of 9
HSEF 4.3.1-01-01 Issue: 1 Rev: 2 Issue Date: 20 Mar 2012
Page 6 of 9
HSEF 4.3.1-01-01 Issue: 1 Rev: 2 Issue Date: 20 Mar 2012
Page 7 of 9
HSEF 4.3.1-01-01 Issue: 1 Rev: 2 Issue Date: 20 Mar 2012
Page 8 of 9
