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Activity-Based Risk Assessment Form

The document is an activity-based risk assessment form for concreting activities at a construction site in San Juan, Manila conducted by MVI Construction Company. It identifies hazards like skin irritation from exposure to concrete. The initial risk is rated as medium. Additional controls are added like supervising PPE compliance to reduce the residual risk to low. The risk owner is designated to follow up on implementing the controls.

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Sherly Magat
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26 views1 page

Activity-Based Risk Assessment Form

The document is an activity-based risk assessment form for concreting activities at a construction site in San Juan, Manila conducted by MVI Construction Company. It identifies hazards like skin irritation from exposure to concrete. The initial risk is rated as medium. Additional controls are added like supervising PPE compliance to reduce the residual risk to low. The risk owner is designated to follow up on implementing the controls.

Uploaded by

Sherly Magat
Copyright
© All Rights Reserved
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

ACTIVITY-BASED RISK ASSESSMENT FORM

Activity /
COMPANY MVI CONSTRUCTION COMPANY Concreting Location of Work San Juan, Manila
Process:
Name Designation Date Name Designation Date Name Designation Date
CONDUCTED BY (RA
[Link] Team Leader 05/26/21 Reviewed By: [Link] Safety Engr. Approved By: C. Cruz Safety Engr.
Team Members)
W. Canete T. Member 05/26/21 [Link] Safety Engr. JP. Sison Safety Engr.
Last Review Date 05/26/21 Next Review Date 07/26/21
Hazard Identification Risk Evaluation Risk Control
Initial Risk Index Additional Residual Risk Index Risk Owner (Action Officer)
Description of Hazards Existing Control
S/NO Risk Control
Work Activity Identified Measures Follow-up
F S R Measures F S R Name Designation
Period
M. Monte Supervisor 07/12/2021

> Wear rubber


> Supervisor to
gloves, safety
check on PPE
Exposure to Skin boots, safety
1 Concreting II II A compliance III IV C
concrete irritation goggles and mask.
everyday before
> Brief workers
starting of work.
on TBM

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