NEOM-NLF-FRM-002.

01 NEOM Risk Assessment Form

Name of project
or activity:
Spine Earthworks, Lot 7B, Revised Alignment, WO # 21 NEOM code: AIC-RA-006
Component or
aspect of work:
Risk Assessment for Lifting Operation – Crane / Boom Truck Rev. 01 Sheet no. 1 of 14

Initial assessment Residual risk

Serial Who or what may be
Nature and possible effects of a hazard Likelih Ass'ed Risk control measures Likelih Ass’ed Comments
no. affected? Severity
ood risk
Severity
ood risk

 Obtain valid work permits (PTW), prior to

commencing any kind of work and completely filled
Workers, Foreman, with all the authorize signatures. A hard copy shall be
Failure to obtain an approved work
Engineers, kept at all times in the working location/site permit
permit - Damage to property,
1 Supervisor, 3 P AR 2 UL A
personnel injury and Procedural box.
Operators, Safety  Comply with work permit (PTW) requirements.
violation
officer and workers  All permits shall be closed & handed over to the
PTW holder for an official record

Health & safety severity: Likelihood: Assessed Severity Name & signature Date
1 = Very Low – no injury, 2-man days LTI R = Rare – unlikely to occur risk: 1 2 3 4 5 Emmanuel Lumain
2 =Low – minor ‘first aid’ injury, 2-4 days LTI UL = Unlikely – unlikely but possible R N N A A A 19-
Prep’d:
3 =–Medium several causalities that might require hospitalization with long term M = Possible – possible at some time UL N A A AR AR Nov-23
effect H =Likely – likely to occur several times P A A AR AR UA

Likelihood
5 to 15 man-days (LTI) AC = Frequent – likely to occur many times L A AR AR UA UA Khaled Mahmoud
4 =High – •Would cause serious causalities result in long term physical impairment of
personnel 19-
•Incident resulting in complete stop of work for more than 2 weeks Rev’d:
AC A AR UA UA UA Nov-23
5 =Very High – • Would cause serious causalities result in serious Injuries or
loss of lives.
NEOM-NLFPRC-003 FRM 001 – Acceptability of assessed risks: UA = Unacceptable (action essential) AR = Action required (if reasonably practicable) A = Acceptable (manage risk) N = Negligible
 NEOM-NLF-FRM-002.01 NEOM Risk Assessment Form

Name of project
or activity:
Spine Earthworks, Lot 7B, Revised Alignment, WO # 21 NEOM code: AIC-RA-006
Component or
aspect of work:
Risk Assessment for Lifting Operation – Crane / Boom Truck Rev. 01 Sheet no. 2 of 14

Initial assessment Residual risk

Serial Who or what may be
Nature and possible effects of a hazard Likelih Ass'ed Risk control measures Likelih Ass’ed Comments
no. affected? Severity
ood risk
Severity
ood risk

 Joint site inspection to be carried out by Supervisor

and Permit authorized person
/ Permit holder to address other and other relevant
issues regarding the tasks to be performed.
Workers, Foreman,  Method statement to be explained to all employees
Failure to communicate RAMS & and copy made available at the site.
Engineers,
necessary control measures - Injury
2 Supervisor, 4 P AR  The risk assessment shall be communicated to all 2 UL A
to personnel and damage to personnel involved in the job.
Operators and
property  The engineer/supervisor should communicate the
workers
work scope to be done. Outline the hazards & control
measures through comprehensive daily TBTs.
 Pre-Task Activity Briefing Shall be conducted by the
site supervisor prior to start any activity.

Health & safety severity: Likelihood: Assessed Severity Name & signature Date
1 = Very Low – no injury, 2-man days LTI R = Rare – unlikely to occur risk: 1 2 3 4 5 Emmanuel Lumain
2 =Low – minor ‘first aid’ injury, 2-4 days LTI UL = Unlikely – unlikely but possible R N N A A A 19-
Prep’d:
3 =–Medium several causalities that might require hospitalization with long term M = Possible – possible at some time UL N A A AR AR Nov-23
effect H =Likely – likely to occur several times P A A AR AR UA

Likelihood
5 to 15 man-days (LTI) AC = Frequent – likely to occur many times L A AR AR UA UA Khaled Mahmoud
4 =High – •Would cause serious causalities result in long term physical impairment of
personnel 19-
•Incident resulting in complete stop of work for more than 2 weeks Rev’d:
AC A AR UA UA UA Nov-23
5 =Very High – • Would cause serious causalities result in serious Injuries or
loss of lives.
NEOM-NLFPRC-003 FRM 001 – Acceptability of assessed risks: UA = Unacceptable (action essential) AR = Action required (if reasonably practicable) A = Acceptable (manage risk) N = Negligible
 NEOM-NLF-FRM-002.01 NEOM Risk Assessment Form

Name of project
or activity:
Spine Earthworks, Lot 7B, Revised Alignment, WO # 21 NEOM code: AIC-RA-006
Component or
aspect of work:
Risk Assessment for Lifting Operation – Crane / Boom Truck Rev. 01 Sheet no. 3 of 14

Initial assessment Residual risk

Serial Who or what may be
Nature and possible effects of a hazard Likelih Ass'ed Risk control measures Likelih Ass’ed Comments
no. affected? Severity
ood risk
Severity
ood risk


Provision of Pedestrian Walkways

Strictly implement ‘‘No Foot on the Ground” if
possible.
 Flagmen / Banks men shall be used in cases where
there is no alternative way to control the equipment
and people working nearby. The flagman position
must be barricaded with a double layer of concrete
barrier.
People on the  All moving equipment must be equipped with reverse
Man-Machine Interface - Serious alarm.
3 ground and 5 L UA 2 UL A
injury, fatality, property damage  All moving equipment must be fitted with appropriate
equipment’s
mirror.
 Supervision of competent supervisor
 If working near any moving equipment’s, work on
the “Green Zone” 10 meters more away from the
equipment. If not, temporarily stop all the equipment
near the work area and resume once the work is done.
 Maintain eye contact with the operator with
approaching any moving equipment.
 Obey site traffic and safety rules
Health & safety severity:  MEPI Training to workers and operators
Likelihood: at site.
Assessed Severity Name & signature Date
1 = Very Low – no injury, 2-man days LTI R = Rare – unlikely to occur risk: 1 2 3 4 5 Emmanuel Lumain
2 =Low – minor ‘first aid’ injury, 2-4 days LTI UL = Unlikely – unlikely but possible R N N A A A 19-
Prep’d:
3 =–Medium several causalities that might require hospitalization with long term M = Possible – possible at some time UL N A A AR AR Nov-23
effect H =Likely – likely to occur several times P A A AR AR UA

Likelihood
5 to 15 man-days (LTI) AC = Frequent – likely to occur many times L A AR AR UA UA Khaled Mahmoud
4 =High – •Would cause serious causalities result in long term physical impairment of
personnel 19-
•Incident resulting in complete stop of work for more than 2 weeks Rev’d:
AC A AR UA UA UA Nov-23
5 =Very High – • Would cause serious causalities result in serious Injuries or
loss of lives.
NEOM-NLFPRC-003 FRM 001 – Acceptability of assessed risks: UA = Unacceptable (action essential) AR = Action required (if reasonably practicable) A = Acceptable (manage risk) N = Negligible
 NEOM-NLF-FRM-002.01 NEOM Risk Assessment Form

Name of project
or activity:
Spine Earthworks, Lot 7B, Revised Alignment, WO # 21 NEOM code: AIC-RA-006
Component or
aspect of work:
Risk Assessment for Lifting Operation – Crane / Boom Truck Rev. 01 Sheet no. 4 of 14

Initial assessment Residual risk

Serial Who or what may be
Nature and possible effects of a hazard Likelih Ass'ed Risk control measures Likelih Ass’ed Comments
no. affected? Severity
ood risk
Severity
ood risk

 Pre -inspection must be done prior to mobilization of

any equipment at site.
Defective or damaged Workers, Foreman,
 Inspect as per the equipment checklist prior to work
equipment & No pre- Engineers,
start.
4. inspection Supervisor, 3 P AR 3 UL A
 Provide NEOM inspection sticker (QR Code) on the
Operators and
equipment.
workers
 The equipment must have valid third-party inspection
certificate.

Health & safety severity: Likelihood: Assessed Severity Name & signature Date
1 = Very Low – no injury, 2-man days LTI R = Rare – unlikely to occur risk: 1 2 3 4 5 Emmanuel Lumain
2 =Low – minor ‘first aid’ injury, 2-4 days LTI UL = Unlikely – unlikely but possible R N N A A A 19-
Prep’d:
3 =–Medium several causalities that might require hospitalization with long term M = Possible – possible at some time UL N A A AR AR Nov-23
effect H =Likely – likely to occur several times P A A AR AR UA

Likelihood
5 to 15 man-days (LTI) AC = Frequent – likely to occur many times L A AR AR UA UA Khaled Mahmoud
4 =High – •Would cause serious causalities result in long term physical impairment of
personnel 19-
•Incident resulting in complete stop of work for more than 2 weeks Rev’d:
AC A AR UA UA UA Nov-23
5 =Very High – • Would cause serious causalities result in serious Injuries or
loss of lives.
NEOM-NLFPRC-003 FRM 001 – Acceptability of assessed risks: UA = Unacceptable (action essential) AR = Action required (if reasonably practicable) A = Acceptable (manage risk) N = Negligible
 NEOM-NLF-FRM-002.01 NEOM Risk Assessment Form

Name of project
or activity:
Spine Earthworks, Lot 7B, Revised Alignment, WO # 21 NEOM code: AIC-RA-006
Component or
aspect of work:
Risk Assessment for Lifting Operation – Crane / Boom Truck Rev. 01 Sheet no. 5 of 14

Initial assessment Residual risk

Serial Who or what may be
Nature and possible effects of a hazard Likelih Ass'ed Risk control measures Likelih Ass’ed Comments
no. affected? Severity
ood risk
Severity
ood risk

 The operator should possess valid operating license

for the operating Specific equipment.
 Provide trained flagman for controlling the traffic if
Workers, Foreman, needed with double hard barrier protection and shade.
Collision between equipment  Follow traffic rules and regulation on site.
Engineers,
and Blind spot - Damage to
5 Supervisor, 3 P AR  Follow speed limit 20 km/h inside the project site. 3 R A
property and injury or death  Reverse alarm and Revolving beacon Light in
Operators and
to personnel operable condition.
workers
 Operator must attend MEPI training prior to start
operation.
 Operator must maintain above 10 meters clear
distance around from every equipment.

Health & safety severity: Likelihood: Assessed Severity Name & signature Date
1 = Very Low – no injury, 2-man days LTI R = Rare – unlikely to occur risk: 1 2 3 4 5 Emmanuel Lumain
2 =Low – minor ‘first aid’ injury, 2-4 days LTI UL = Unlikely – unlikely but possible R N N A A A 19-
Prep’d:
3 =–Medium several causalities that might require hospitalization with long term M = Possible – possible at some time UL N A A AR AR Nov-23
effect H =Likely – likely to occur several times P A A AR AR UA

Likelihood
5 to 15 man-days (LTI) AC = Frequent – likely to occur many times L A AR AR UA UA Khaled Mahmoud
4 =High – •Would cause serious causalities result in long term physical impairment of
personnel 19-
•Incident resulting in complete stop of work for more than 2 weeks Rev’d:
AC A AR UA UA UA Nov-23
5 =Very High – • Would cause serious causalities result in serious Injuries or
loss of lives.
NEOM-NLFPRC-003 FRM 001 – Acceptability of assessed risks: UA = Unacceptable (action essential) AR = Action required (if reasonably practicable) A = Acceptable (manage risk) N = Negligible
 NEOM-NLF-FRM-002.01 NEOM Risk Assessment Form

Name of project
or activity:
Spine Earthworks, Lot 7B, Revised Alignment, WO # 21 NEOM code: AIC-RA-006
Component or
aspect of work:
Risk Assessment for Lifting Operation – Crane / Boom Truck Rev. 01 Sheet no. 6 of 14

Initial assessment Residual risk

Serial Who or what may be
Nature and possible effects of a hazard Likelih Ass'ed Risk control measures Likelih Ass’ed Comments
no. affected? Severity
ood risk
Severity
ood risk

 All movable equipment shall bear reverse

Workers,
alarm and must automatically engage when
Foreman,
Workers Crushed by reverse gear is selected
Engineers,
6 reversing Equipment - 4 P AR  No foot on ground policy if possible. 4 R A
Supervisor,
Serious injury, fatality  Spotter and Flagman must be placed to control
Operators and
traffic / equipment movement if needed.
workers
 Equipment’s are fitted with appropriate mirrors.

Health & safety severity: Likelihood: Assessed Severity Name & signature Date
1 = Very Low – no injury, 2-man days LTI R = Rare – unlikely to occur risk: 1 2 3 4 5 Emmanuel Lumain
2 =Low – minor ‘first aid’ injury, 2-4 days LTI UL = Unlikely – unlikely but possible R N N A A A 19-
Prep’d:
3 =–Medium several causalities that might require hospitalization with long term M = Possible – possible at some time UL N A A AR AR Nov-23
effect H =Likely – likely to occur several times P A A AR AR UA

Likelihood
5 to 15 man-days (LTI) AC = Frequent – likely to occur many times L A AR AR UA UA Khaled Mahmoud
4 =High – •Would cause serious causalities result in long term physical impairment of
personnel 19-
•Incident resulting in complete stop of work for more than 2 weeks Rev’d:
AC A AR UA UA UA Nov-23
5 =Very High – • Would cause serious causalities result in serious Injuries or
loss of lives.
NEOM-NLFPRC-003 FRM 001 – Acceptability of assessed risks: UA = Unacceptable (action essential) AR = Action required (if reasonably practicable) A = Acceptable (manage risk) N = Negligible
 NEOM-NLF-FRM-002.01 NEOM Risk Assessment Form

Name of project
or activity:
Spine Earthworks, Lot 7B, Revised Alignment, WO # 21 NEOM code: AIC-RA-006
Component or
aspect of work:
Risk Assessment for Lifting Operation – Crane / Boom Truck Rev. 01 Sheet no. 7 of 14

Initial assessment Residual risk

Serial Who or what may be
Nature and possible effects of a hazard Likelih Ass'ed Risk control measures Likelih Ass’ed Comments
no. affected? Severity
ood risk
Severity
ood risk

 Equipment set – up shall be carried out under the

supervision of competent supervisor.
 Experienced and competent operators.
Workers, Foreman,  Proper foundation or ground for outrigger pads.
Failure equipment during set-up - Engineers,  Signal man to control the traffic if needed.
7 Serious injury, fatality and Supervisor, 4 P AR  Periodic inspection and maintenance of the 4 R A
damaged to property Operators and equipment
workers  Equipment’s are inspected and certified by an
approved third party.
 Periodic equipment inspection and maintenance as
per the manufacturer

Health & safety severity: Likelihood: Assessed Severity Name & signature Date
1 = Very Low – no injury, 2-man days LTI R = Rare – unlikely to occur risk: 1 2 3 4 5 Emmanuel Lumain
2 =Low – minor ‘first aid’ injury, 2-4 days LTI UL = Unlikely – unlikely but possible R N N A A A 19-
Prep’d:
3 =–Medium several causalities that might require hospitalization with long term M = Possible – possible at some time UL N A A AR AR Nov-23
effect H =Likely – likely to occur several times P A A AR AR UA

Likelihood
5 to 15 man-days (LTI) AC = Frequent – likely to occur many times L A AR AR UA UA Khaled Mahmoud
4 =High – •Would cause serious causalities result in long term physical impairment of
personnel 19-
•Incident resulting in complete stop of work for more than 2 weeks Rev’d:
AC A AR UA UA UA Nov-23
5 =Very High – • Would cause serious causalities result in serious Injuries or
loss of lives.
NEOM-NLFPRC-003 FRM 001 – Acceptability of assessed risks: UA = Unacceptable (action essential) AR = Action required (if reasonably practicable) A = Acceptable (manage risk) N = Negligible
 NEOM-NLF-FRM-002.01 NEOM Risk Assessment Form

Name of project
or activity:
Spine Earthworks, Lot 7B, Revised Alignment, WO # 21 NEOM code: AIC-RA-006
Component or
aspect of work:
Risk Assessment for Lifting Operation – Crane / Boom Truck Rev. 01 Sheet no. 8 of 14

Initial assessment Residual risk

Serial Who or what may be
Nature and possible effects of a hazard Likelih Ass'ed Risk control measures Likelih Ass’ed Comments
no. affected? Severity
ood risk
Severity
ood risk

 Levelled and compacted place for placing outrigger

Inadequate ground or
Workers, Foreman, pads
uncompacted ground for placing
Engineers,  Good outrigger pads for the out riggers
outrigger pads during set-up –
8 Supervisor, 4 P AR  The Machines Maximum possible loading is 4 R A
Equipment collapse, serious
Operators and displayed on its outriggers
injury, fatality and damaged to
workers  Engineer to ensure ground conditions at set-up
property
position are adequate for outrigger pads.

Workers, Foreman,
Insufficient stability of equipment -  Equipment operator shall ensure that outriggers are
Engineers,
Serious injury, damaged to fully extended to the appropriate position
9 Supervisor, 3 UL AR 3 UL A
property due to Equipment Over  Ensure adequate equipment space is available for the
Operators and
turn full deployment of its Outriggers.
workers

Health & safety severity: Likelihood: Assessed Severity Name & signature Date
1 = Very Low – no injury, 2-man days LTI R = Rare – unlikely to occur risk: 1 2 3 4 5 Emmanuel Lumain
2 =Low – minor ‘first aid’ injury, 2-4 days LTI UL = Unlikely – unlikely but possible R N N A A A 19-
Prep’d:
3 =–Medium several causalities that might require hospitalization with long term M = Possible – possible at some time UL N A A AR AR Nov-23
effect H =Likely – likely to occur several times P A A AR AR UA

Likelihood
5 to 15 man-days (LTI) AC = Frequent – likely to occur many times L A AR AR UA UA Khaled Mahmoud
4 =High – •Would cause serious causalities result in long term physical impairment of
personnel 19-
•Incident resulting in complete stop of work for more than 2 weeks Rev’d:
AC A AR UA UA UA Nov-23
5 =Very High – • Would cause serious causalities result in serious Injuries or
loss of lives.
NEOM-NLFPRC-003 FRM 001 – Acceptability of assessed risks: UA = Unacceptable (action essential) AR = Action required (if reasonably practicable) A = Acceptable (manage risk) N = Negligible
 NEOM-NLF-FRM-002.01 NEOM Risk Assessment Form

Name of project
or activity:
Spine Earthworks, Lot 7B, Revised Alignment, WO # 21 NEOM code: AIC-RA-006
Component or
aspect of work:
Risk Assessment for Lifting Operation – Crane / Boom Truck Rev. 01 Sheet no. 9 of 14

Initial assessment Residual risk

Serial Who or what may be
Nature and possible effects of a hazard Likelih Ass'ed Risk control measures Likelih Ass’ed Comments
no. affected? Severity
ood risk
Severity
ood risk

 Daily Activity Briefing must be conducted by

competent supervisor prior to any lifting operation to
discussed the hazard identified.
 Equipment set up by trained and competent operator.
Overturning during lifting  Outriggers in place in stable ground for all operations.
Workers, Foreman,
operation - Personal injury  Operation within equipment operating parameters.
Engineers,
 Supervision of competent and trained supervisor
10 or death, loss of Supervisor, 3 P AR 3 R A
 Follow SWL of the equipment.
component or Operators and
 Follow load chart capacity (boom angle and boom
equipment. workers
length) of the equipment.
 Only one rigger to communicate the operator during
lifting operation.
 Stop the lifting operation if the wind speed exceeds
38 KPH.

Health & safety severity: Likelihood: Assessed Severity Name & signature Date
1 = Very Low – no injury, 2-man days LTI R = Rare – unlikely to occur risk: 1 2 3 4 5 Emmanuel Lumain
2 =Low – minor ‘first aid’ injury, 2-4 days LTI UL = Unlikely – unlikely but possible R N N A A A 19-
Prep’d:
3 =–Medium several causalities that might require hospitalization with long term M = Possible – possible at some time UL N A A AR AR Nov-23
effect H =Likely – likely to occur several times P A A AR AR UA

Likelihood
5 to 15 man-days (LTI) AC = Frequent – likely to occur many times L A AR AR UA UA Khaled Mahmoud
4 =High – •Would cause serious causalities result in long term physical impairment of
personnel 19-
•Incident resulting in complete stop of work for more than 2 weeks Rev’d:
AC A AR UA UA UA Nov-23
5 =Very High – • Would cause serious causalities result in serious Injuries or
loss of lives.
NEOM-NLFPRC-003 FRM 001 – Acceptability of assessed risks: UA = Unacceptable (action essential) AR = Action required (if reasonably practicable) A = Acceptable (manage risk) N = Negligible
 NEOM-NLF-FRM-002.01 NEOM Risk Assessment Form

Name of project
or activity:
Spine Earthworks, Lot 7B, Revised Alignment, WO # 21 NEOM code: AIC-RA-006
Component or
aspect of work:
Risk Assessment for Lifting Operation – Crane / Boom Truck Rev. 01 Sheet no. 10 of 14

Initial assessment Residual risk

Serial Who or what may be
Nature and possible effects of a hazard Likelih Ass'ed Risk control measures Likelih Ass’ed Comments
no. affected? Severity
ood risk
Severity
ood risk

 Ensure that load to be lifted is not exceeding the

allowable capacity of the equipment.
 Competent selection of lifting equipment and lifting
Workers, Foreman,
accessories, assessment of load position and distance
Overloading during lifting Engineers,
to equipment position.
11 operation – Equipment failure, Supervisor, 3 P AR 3 R A
 Adequate SWL for objects to be lifted.
drop load, property damaged Operators and
 Trained, experienced and competent work force,
workers
competent supervision, time to time calibrated limit
switches/safety devices.
 Follow lift plan for low and critical lift activities.

 All equipment to be certified in date and checked

Workers, Foreman,
before use.
Equipment failure during lifting Engineers,
 Equipment thorough inspection to be in date and
12 operation – dropped load, property Supervisor, 4 P AR 4 R A
equipment operating criteria known and load sensor
damaged Operators and
operational.
workers
 Do not override the equipment computer program.

Health & safety severity: Likelihood: Assessed Severity Name & signature Date
1 = Very Low – no injury, 2-man days LTI R = Rare – unlikely to occur risk: 1 2 3 4 5 Emmanuel Lumain
2 =Low – minor ‘first aid’ injury, 2-4 days LTI UL = Unlikely – unlikely but possible R N N A A A 19-
Prep’d:
3 =–Medium several causalities that might require hospitalization with long term M = Possible – possible at some time UL N A A AR AR Nov-23
effect H =Likely – likely to occur several times P A A AR AR UA

Likelihood
5 to 15 man-days (LTI) AC = Frequent – likely to occur many times L A AR AR UA UA Khaled Mahmoud
4 =High – •Would cause serious causalities result in long term physical impairment of
personnel 19-
•Incident resulting in complete stop of work for more than 2 weeks Rev’d:
AC A AR UA UA UA Nov-23
5 =Very High – • Would cause serious causalities result in serious Injuries or
loss of lives.
NEOM-NLFPRC-003 FRM 001 – Acceptability of assessed risks: UA = Unacceptable (action essential) AR = Action required (if reasonably practicable) A = Acceptable (manage risk) N = Negligible
 NEOM-NLF-FRM-002.01 NEOM Risk Assessment Form

Name of project
or activity:
Spine Earthworks, Lot 7B, Revised Alignment, WO # 21 NEOM code: AIC-RA-006
Component or
aspect of work:
Risk Assessment for Lifting Operation – Crane / Boom Truck Rev. 01 Sheet no. 11 of 14

Initial assessment Residual risk

Serial Who or what may be
Nature and possible effects of a hazard Likelih Ass'ed Risk control measures Likelih Ass’ed Comments
no. affected? Severity
ood risk
Severity
ood risk

Workers, Foreman,  Ensure that working radius is properly isolated by

Unsecured lifting area / working
Engineers, installing barricade.
radius during lifting operation -
13 Supervisor, 4 P AR  Signage in place (Lifting operation in progress, only 4 R A
Serious injury, fatality due
Operators and authorized person allowed in lifting area)
accidental released of load
workers  No one is allowed under/passing the suspended load

Workers, Foreman,  Competent Lifting supervisor to ensure that two

Sight block / obstructed by
Engineers, riggers communicated and have same understanding
structures during lifting operation
14 Supervisor, 3 P AR of hand signal. 3 UL A
- Serious injury, fatality, damaged
Operators and  Competent Lifting supervisor to ensure Critical lift
to property
workers plan is being followed by the operator and riggers.

Health & safety severity: Likelihood: Assessed Severity Name & signature Date
1 = Very Low – no injury, 2-man days LTI R = Rare – unlikely to occur risk: 1 2 3 4 5 Emmanuel Lumain
2 =Low – minor ‘first aid’ injury, 2-4 days LTI UL = Unlikely – unlikely but possible R N N A A A 19-
Prep’d:
3 =–Medium several causalities that might require hospitalization with long term M = Possible – possible at some time UL N A A AR AR Nov-23
effect H =Likely – likely to occur several times P A A AR AR UA

Likelihood
5 to 15 man-days (LTI) AC = Frequent – likely to occur many times L A AR AR UA UA Khaled Mahmoud
4 =High – •Would cause serious causalities result in long term physical impairment of
personnel 19-
•Incident resulting in complete stop of work for more than 2 weeks Rev’d:
AC A AR UA UA UA Nov-23
5 =Very High – • Would cause serious causalities result in serious Injuries or
loss of lives.
NEOM-NLFPRC-003 FRM 001 – Acceptability of assessed risks: UA = Unacceptable (action essential) AR = Action required (if reasonably practicable) A = Acceptable (manage risk) N = Negligible
 NEOM-NLF-FRM-002.01 NEOM Risk Assessment Form

Name of project
or activity:
Spine Earthworks, Lot 7B, Revised Alignment, WO # 21 NEOM code: AIC-RA-006
Component or
aspect of work:
Risk Assessment for Lifting Operation – Crane / Boom Truck Rev. 01 Sheet no. 12 of 14

Initial assessment Residual risk

Serial Who or what may be
Nature and possible effects of a hazard Likelih Ass'ed Risk control measures Likelih Ass’ed Comments
no. affected? Severity
ood risk
Severity
ood risk

 All accessories shall be accompanied by in date

Workers, Foreman, inspection certification issued by a certified testing
Lifting Accessory failure during Engineers, facility approved by NEOM.
15 lifting operation - Serious injury, Supervisor, 4 P AR  Periodic inspection of lifting accessories prior to its 4 R A
property damage. Operators and usage.
workers  All damaged lifting accessories must not be used and
must be disposed immediately.

Workers, Foreman,  Competent arrangements for signalling between

Engineers, equipment operator and rigger using commonly
Lack of communication during
16 Supervisor, 4 UL AR understood hand signals 4 R A
lifting operation - Serious accident.
Operators and  Competent, trained and 3rd party certified rigger and
workers operator.

Health & safety severity: Likelihood: Assessed Severity Name & signature Date
1 = Very Low – no injury, 2-man days LTI R = Rare – unlikely to occur risk: 1 2 3 4 5 Emmanuel Lumain
2 =Low – minor ‘first aid’ injury, 2-4 days LTI UL = Unlikely – unlikely but possible R N N A A A 19-
Prep’d:
3 =–Medium several causalities that might require hospitalization with long term M = Possible – possible at some time UL N A A AR AR Nov-23
effect H =Likely – likely to occur several times P A A AR AR UA

Likelihood
5 to 15 man-days (LTI) AC = Frequent – likely to occur many times L A AR AR UA UA Khaled Mahmoud
4 =High – •Would cause serious causalities result in long term physical impairment of
personnel 19-
•Incident resulting in complete stop of work for more than 2 weeks Rev’d:
AC A AR UA UA UA Nov-23
5 =Very High – • Would cause serious causalities result in serious Injuries or
loss of lives.
NEOM-NLFPRC-003 FRM 001 – Acceptability of assessed risks: UA = Unacceptable (action essential) AR = Action required (if reasonably practicable) A = Acceptable (manage risk) N = Negligible
 NEOM-NLF-FRM-002.01 NEOM Risk Assessment Form

Name of project
or activity:
Spine Earthworks, Lot 7B, Revised Alignment, WO # 21 NEOM code: AIC-RA-006
Component or
aspect of work:
Risk Assessment for Lifting Operation – Crane / Boom Truck Rev. 01 Sheet no. 13 of 14

Initial assessment Residual risk

Serial Who or what may be
Nature and possible effects of a hazard Likelih Ass'ed Risk control measures Likelih Ass’ed Comments
no. affected? Severity
ood risk
Severity
ood risk

 Engage only trained personnel

 Wear appropriate PPE for the job.
 Engage two or more persons where ever required
Improper manual handling - Back Workers, Foreman,
 As a guideline do not lift a weight that is more than
pain, back injury, Hand and foot Engineers,
25kgs by an individual or individual capacity
17 Supervisor, 3 P AR 3 UL A
injury  Precautionary measures to be taken while lifting
Operators and
material
workers
 Daily Activity Briefing before start the work
 For heavy loads never try manually, use mechanical
or hydraulic forks.

Health & safety severity: Likelihood: Assessed Severity Name & signature Date
1 = Very Low – no injury, 2-man days LTI R = Rare – unlikely to occur risk: 1 2 3 4 5 Emmanuel Lumain
2 =Low – minor ‘first aid’ injury, 2-4 days LTI UL = Unlikely – unlikely but possible R N N A A A 19-
Prep’d:
3 =–Medium several causalities that might require hospitalization with long term M = Possible – possible at some time UL N A A AR AR Nov-23
effect H =Likely – likely to occur several times P A A AR AR UA

Likelihood
5 to 15 man-days (LTI) AC = Frequent – likely to occur many times L A AR AR UA UA Khaled Mahmoud
4 =High – •Would cause serious causalities result in long term physical impairment of
personnel 19-
•Incident resulting in complete stop of work for more than 2 weeks Rev’d:
AC A AR UA UA UA Nov-23
5 =Very High – • Would cause serious causalities result in serious Injuries or
loss of lives.
NEOM-NLFPRC-003 FRM 001 – Acceptability of assessed risks: UA = Unacceptable (action essential) AR = Action required (if reasonably practicable) A = Acceptable (manage risk) N = Negligible
 NEOM-NLF-FRM-002.01 NEOM Risk Assessment Form

Name of project
or activity:
Spine Earthworks, Lot 7B, Revised Alignment, WO # 21 NEOM code: AIC-RA-006
Component or
aspect of work:
Risk Assessment for Lifting Operation – Crane / Boom Truck Rev. 01 Sheet no. 14 of 14

Initial assessment Residual risk

Serial Who or what may be
Nature and possible effects of a hazard Likelih Ass'ed Risk control measures Likelih Ass’ed Comments
no. affected? Severity
ood risk
Severity
ood risk

 State your name clearly.

 State type of injury.
 State the location clearly of accident or incident.
 Use spotter to direct response team to scene of
accident or incident.
 Report the emergency to the emergency team
Unclear information, Unclear member immediately.
direction during Emergency
18 Injured Person 5 P UA  Qualified people to assist the victim. 2 UL A
Response - Personal Injuries,  Emergency vehicle & certified first aider will be
Serious cases, and Fatality. readily available in site while lifting activity in
progress.
 First aid kit should be available with sufficient
materials.
 All person should be trained on the emergency
response Procedure. (Calling NEOM-911 and Site
Clinic Emergency Number)

Health & safety severity: Likelihood: Assessed Severity Name & signature Date
1 = Very Low – no injury, 2-man days LTI R = Rare – unlikely to occur risk: 1 2 3 4 5 Emmanuel Lumain
2 =Low – minor ‘first aid’ injury, 2-4 days LTI UL = Unlikely – unlikely but possible R N N A A A 19-
Prep’d:
3 =–Medium several causalities that might require hospitalization with long term M = Possible – possible at some time UL N A A AR AR Nov-23
effect H =Likely – likely to occur several times P A A AR AR UA

Likelihood
5 to 15 man-days (LTI) AC = Frequent – likely to occur many times L A AR AR UA UA Khaled Mahmoud
4 =High – •Would cause serious causalities result in long term physical impairment of
personnel 19-
•Incident resulting in complete stop of work for more than 2 weeks Rev’d:
AC A AR UA UA UA Nov-23
5 =Very High – • Would cause serious causalities result in serious Injuries or
loss of lives.
NEOM-NLFPRC-003 FRM 001 – Acceptability of assessed risks: UA = Unacceptable (action essential) AR = Action required (if reasonably practicable) A = Acceptable (manage risk) N = Negligible