RISK ASSESSMENT
TITLE OF THE ACTIVITY: Shutter fixing for Slab, Column and wall
RISK ASSESSMENT REFERENCE NUMBER: SA-K/HSE/RA/SUP/001
ASSESSOR: Risk Assessment Committee Assessed Date: 23.04.2010 Reviewed Dated:
RISK RATING SCORE Risk After Action Remarks
HAZARD Likelihood Severity Risk taking By Whom
HAZARDS CONTROL MEASURES
EFFECT Rating Control
measures
Fall of Fatality 5 6 30 Refer method of statement 1x6=6
Person or Body Deploy competent person for form
Material injury, work scaffold.
Fracture. Use sound Planks should be used and tied
during scaffold erection and decking.
Provide proper access to reach the scaffold
platforms.
Provide lifeline at the edge; minimum
8mm wire rope should be tied and the
person to hook the safety harness on the
rope while working at the edges.
Clean water / oil spillages, Saw dust
immediately after work is over .
Keep the edge clear.
Ensure condition of the PPEs (Shoes,
helmet) is proper before start the job.
Provide planks on formwork for walking.
Plywoods and other materials should be
unloaded on the safe accessible place.
Workers supplying the plywoods should
not go to the edge other wise they should
use safety harness.
Train all the concern person about the
hazards related to formwork.
Ensure proper edge protection -
immediately after placing the plywood.
(Hand rail, mid rail and toe guards)
Avoid using loose clothes.
Page 1 of 4
RISK ASSESSMENT
TITLE OF THE ACTIVITY: Shutter fixing for Slab, Column and wall
RISK ASSESSMENT REFERENCE NUMBER: SA-K/HSE/RA/SUP/001
ASSESSOR: Risk Assessment Committee Assessed Date: 23.04.2010 Reviewed Dated:
RISK RATING SCORE Risk After Action Remarks
HAZARD Likelihood Severity Risk taking By Whom
HAZARDS CONTROL MEASURES
EFFECT Rating Control
measures
No work to be carried out below the area
& area must be cordoned off.
Manual Fracture, 4 4 16 Avoid manual handling during wall and 1X4=4
Handling Cut column shuttering.
during /Crush Follow kinetic method of material
Shuttering. injury, handling .
Eye Conduct training on material handling .
injury, Use PPE’s such as (Hand gloves, helmet
muscular safety shoe, goggles)
disorders. Ensure thorough housekeeping and proper
material stacking throughout the
workplace.
Provide adequate manpower.
Poor/No Fatality, 5 6 30 1x6=6
Illumination Injury, Ensure adequate lighting arrangements
Fracture, (Minimum 50 Lux as per D.M) .
Eye stress
Tie rod Body/eye 4 4 16 Ensure proper communication while 1X4=4
piercing Injury inserting tie rods between the workmen
while fixing Engage workmen on top who can observe
both sides so that injury due piercing
should be avoided.
Sliding of Fatality, 4 6 24 Stack on the leveled and firm surface. 1X6=6
shuttering injury, Avoid over stacking (max-3 levels)
material fracture Ensure stacking doesn’t obstruct the
(from access.
stacks) Ensure safe distance is maintained for
lifting by proper means.
Page 2 of 4
RISK ASSESSMENT
TITLE OF THE ACTIVITY: Shutter fixing for Slab, Column and wall
RISK ASSESSMENT REFERENCE NUMBER: SA-K/HSE/RA/SUP/001
ASSESSOR: Risk Assessment Committee Assessed Date: 23.04.2010 Reviewed Dated:
RISK RATING SCORE Risk After Action Remarks
HAZARD Likelihood Severity Risk taking By Whom
HAZARDS CONTROL MEASURES
EFFECT Rating Control
measures
Stack shuttering material considering the
size i.e. do not stack big items on small
items.
During lifting from stacks, provide
adequate manpower and tag line to control
the movement of shuttering material being
lifted.
Crane
Please refer to RA for tower/ mobile
related
cranes.
hazards
Continuous
working in Refer to RA for Working in Hot
hot Environment..
environment
Improper
handling of
Please refer to RA for ‘Power tools’.
portable
power tools
Signature: ___________ Signature:___________
Safety Engineer Project Manager (ASCON)
Likelihood ( L) Severity ( S) Risk Rating ( Lx S)
1 Very unlikely 1 Negligible 1–7 Low
2 Unlikely 2 First-aid (Acceptable)
Risk Likelihood
Injury Rating 1 2 3 4 5 6
3 May happen 3 Minor injury 8 – 16 Medium 1 1 2 3 4 5 6
2 2 4 6 8 10 12
Severity
4 Likely 4 Major (Unacceptable)
3 3 6 9 12 15 18
5 Very likely 5 Severe 17- High 4 4 8 12 16 20 24
5 5 10 15 20 25 30
6 Certain or imminent 6 Fatality 36
Page 3 of 4 6 6 12 18 24 30 36
RISK ASSESSMENT
TITLE OF THE ACTIVITY: Shutter fixing for Slab, Column and wall
RISK ASSESSMENT REFERENCE NUMBER: SA-K/HSE/RA/SUP/001
ASSESSOR: Risk Assessment Committee Assessed Date: 23.04.2010 Reviewed Dated:
RISK RATING SCORE Risk After Action Remarks
HAZARD Likelihood Severity Risk taking By Whom
HAZARDS CONTROL MEASURES
EFFECT Rating Control
measures
Page 4 of 4