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Risk Assessment Format for Construction

Format for Simple RA
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0% found this document useful (0 votes)
59 views3 pages

Risk Assessment Format for Construction

Format for Simple RA
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

RISK ASSESSMENT

Project Name: Construction of Proposed G+M+6 Office Building (#2) Plot No. B-19 & B-20 Project Code: N/A
Description of Task / Activity:
Risk Assessment No. RA Rev No. 00
Task Site Location:

RISK/LOSS POTENTIAL ASSESSMENT MATRIX


PROBABILITY of recurrence?
SEVERITY of occurrence Severity Almost Certain Very Likely Likely Unlikely Very Unlikely
1 or more times a Once every 10 Once in a lifetime/ 100
Rating week
Once per month Once per year
years years
Catastrophic
Multiple Fatalities / High High High Med Low
5
Environmental release with detrimental effects requiring external emergency services/ 25 20 15 10 5
>10m AED
Major
High High High Med Low
Single Fatality/Multiple LTI’s/ Major Illness or Injury, disability/ 4
Environmental release with minimal off site impact/ 1-10m AED
20 16 12 8 4
Moderate
Single LTI/ Serious but non-permanent injury or ill health High High Med Med Low
3
Work days lost/ Restricted Workday 15 12 9 6 3
On site release requiring environmental emergency plan to be activated/ 100k-1m AED
Minor
Corrective Medical Treatment. Med Med Med Low Low
2
No work restrictions/ 10 8 6 4 2
Local on-site environmental release treated locally/ 10-100k AED
Negligible
First Aid Case/ Minor cuts & bruises or sickness/Preventive OR Diagnostic Medical Low Low Low Low Low
1
Treatment. 5 4 3 2 1
Nuisance release with no adverse impact/ 1-10k AED
Probability Rating 5 4 3 2 1
RISK ASSESSMENT
Description of Task / Activity:
Risk Assessment No: RA Rev No. 00
Leg
Hazard Details al
Risk Risk Responsible
SI No. Task Step Consequence Details P S Current Control Measures Req P S
Rank Rank Person
People at Risk .
Y/N
 All Visitors, Subcontrators, Operatives must complete HSE
Hazard:
inductions.
 Unauthorized entry
 All should enter to the site with the Mandatory & Job specific
 Unaware of site
PPEs. Mandatory – Helmets, Goggles, Safety Shoes.
locations and controls
 DSTI to be conducted by supervisor near to the work spot prior
 Entry to the edges,
to start any activity.
potholes, exclusive
 Supervisor to visually inspect their work area, equipment,
zones.
plants, materials etc. prior to start their activity.
Site preparatory  Slips, trips, falls.
 Ensure that all tools have been inspected and color PM, PE,
Works –
01 3 3 9 coded/tagged to ensure that the plant department inspected Y 1 3 3 HSEO, SS,
Operatives Consequence:
them prior to issue. Foreman
Mobilization  Injury to workers
 Supervisor to brief operatives about access / egress, Vehicle
 Property Damage
routes.
 Stop unauthorized people entry.
People at Risk
 Barricade the area, communicate the adjacent work hazards,
 Workers
plant movements.
 Staffs
 Ensure effective lighting requirements installed. Min 50 Lux
 Visitors
 All vehicle movement in construction area either with revolving
 Sub-contract labours
amber light or under the control of flagman when reversing.
Assessor’s Name: Position: Signature:
Reviewed By: Position: Signature:
Approved By: Position: Signature:
Date of Next
Risk Assessment Date: Review Period: 3 months
Review:
PM – Production / Project Manager
PE – Engineer
SS – Senior Supervisor
RISK ASSESSMENT
HSEO – Health safety environment officer

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