Page 1 of 9

Activity Based Risk Assessment

Activity: Who may be affected by this mark "X" all that apply
activity?
mark "X" one Routine Non-routine X Emergency Employees X Contractors X Other (list) X
Assessed by: Ganendra Date: 4/21/2025 Version: F
Review due
Approved by Last review date:
date:
Reference: RE-01-25-26 Last review by:

Category of Risk Risk Risk Level Weight

H = Health L = Likelihood High The activity must not progress until controls are put in place to adequately manage the risks. The activity may proceed when the residual risk level is reduced to "Medium." 7
S = Severity Work may proceed when the identified controls are in place. A safe system of work, method statement, safe working instruction, or equivalent, shall support these activities – see
S = Safety Medium 3
Standard "HSE&S Activity Based Risk Assessment" (SA-M-02-03) for more information.

E = Environment RL = Risk Level Low Work may proceed when the identified controls are in place. 1

HSE INDUCTION TRAINING -: MANDATORY CONTROL MEASURES -:

[Link] your nearest Safe Assembly Point before starting the work. Nearest Assembly Point No.03 & 04 . [Link] Take-5 meeting is conducted among work party by HEIL/Contractor Supervisor and to discuss about activities to be perfomed, associated risks and control measures as
[Link] shall enter inside company premises under the influence of Alcohol or drowsy drugs. per ABRA
[Link], Gambling and taking alcohol is not prohibited in company premises [Link] planned activity is not covered in the ABRA, then list down newly identified Risks and Controls and discuss among work party
[Link] and chewing tobacco is prohibited in company premises [Link], update existing ABRA to mention newly identified Activity, associated Risks and Control Measures with revision update. Updated ABRA will be shared to all and
[Link] case you observe any emergency and emergency siren will be sounded in wailing mode for 1 min. acknowledgement will be taken on last sheet of the updated ABRA.
•Report emergency through local land line phone on 4000/4002 with your location and type of emergency. [Link] of Mobile phone is not permitted during work.
•If dialing from mobile, pls dial: 0265 672 4000/4002 [Link] health checkup of all workmen.
•Keep away from emergencies like fire and explosion [Link] supervision till completion of work is ensured these activities
[Link] case of injury or ill health, first aid box is available in each shop. [Link] required PPEs - Safety Helmet (EN-397/IS-2925) and Safety Shoes with Composite/Steel Toe( EN-345/IS-15298), Reflective jacket are used, while at work location.
[Link]-fledged Occupational Health Centre with qualified nursing staffs and doctor is available at location Additionally, wearing of work specific PPE as identified against the Task of the ABRA is ensured.
8. Cool Drinking Water, Wash Rooms and Canteen facilities are available.
[Link] not try to tress passing in premises.
[Link] enter in premises through valid Entry Pass
[Link] with Visitor pass will not be allowing to perform any work
[Link] actions will be recommended to HR/IR/Admin on defaulter or those who refused to co-operate
[Link] you found any hazard, report to your immediate supervisor.
[Link] you meet with an incident, report immediately to your supervisor and to receive First aid and medical assistance, if require
[Link] can be stopped, if you /your company not observing HSE guidelines or penalty will be imposed as per Condition of Contract.
Category of Control Measures
Initial Risk Residual Risk
Task Step Risk Risk
H S E L S RL Must be implemented to reduce risk L S RL
As Low As Reasonably Practicable (ALARP).
Control Measures
Category of
Initial Risk Residual Risk
Risk
Task Step Risk
Must be implemented to reduce risk
H S E L S RL As Low As Reasonably Practicable (ALARP). L S RL

Always wear 6 no’s mandatory PPE’s whileentering the site.

Proper access, egress shall be arranged with help of customer.
Pedestrian walkway to be followed.
Proper barricading by tape with signage required at loading point .
Visiting site without proper PPE’s will lead to injury. Ensure that stable soil condition to be available where we need to place the Hydra( jcb) and Trailer, as well as Back filling
Preparation a. around the foundation and the area shall be inspected by the operator before positioning the Hydra (jcb).
Incomplete barricading may lead unauthorized entry.
Sitefor the job Site Inspection x 3 3 9 Ensure that there shall not be any movement of the hydra( jcb) beside any excavation pit. 2 1 2
Improper
Inspection Area to be restricted to entry to operation area and to be barricaded with caution tape for controlling the unauthorized entry.
levelling of ground may lead tilt of Hydra./(jcb)

Material loading & Engage the man power for work (Ph) Not aware about induction part Administrative Controls: Before starting the work complete the induction training , stop take 5 daily basic., medical
X 2 2 12 1 2 2
unloading and checkup to all workmen, PTW work.
shifting work by jointly inspection of area where unloading to be (PH) Slip trip and fall the person due to uneven & poor Administrative Controls: Material shifting route to be clearly identified and all obstacle to be remove from access area and
X 2 2 12 1 2 2
Jcb/Hydra done and ensure that the area is free from any access. provide the safe access.
obstruction or hazard. (PH) non restricted area due to not identified and Administrative Controls: Open store yard have developed with proper pipe barricading and with signages board for
barricading. materials stacking.
X 2 2 12 1 2 2

(PH)Collapse of Barricade due to uneven surface and Engineering Control: Area should be levelled and well compacted.
improper support. -
X 2 2 12 MS stand to be anchored or grouted with concrete properly. Horizontal pipe should be proper clamp 1 2 2

Place the transport vehicle at material storage (PH) hit to any person by vehicle Administrative Controls:
location by identified route. -Pedestrian have use the walk way.
-Vehicle condition to be checked as per HEIL vehicle checklist and it should be with valid documents RC book, Insurance
X 2 2 12 copy, PUC, Driver license, Fitness certificate etc. 1 2 2
-Do not allow Mobile for using and keeping during driving.
-Ensure the banksman availability for
vehicle reverse and traffic control with red and green flag.
-Allow only authorize/Trained person
 Page 2 of 9

Activity Based Risk Assessment

Place the transport vehicle at material storage
Who may be affected by this mark "X" all that apply
Activity: location by identified route.
activity?
mark "X" one Routine Non-routine X Emergency Employees X Contractors X Other (list) X
Assessed by: Ganendra Date: 4/21/2025 Version: F
Review due
Approved by Last review date:
date:
Reference: RE-01-25-26 Last review by:
(PH) Overspeed

X 2 2 12 1 2 2

(PH) Tilt the vehicle due to uneven access and ground. Administrative Controls: Before engage the transport vehicle identified the vehicle route and man movement route, access
X 3 2 18 area have clean and obstacle free. 1 2 2

(PH)Road incident due to poor physically condition of Engineering control : Ensure transport vehicle have back & front safety indicator horn when move reverse or front.
transport vehicle and noncompliance of legal X 3 3 27 1 3 9
documents. Administrative Controls:
Barricade to restrict the unauthorized (Ph) injury to unauthorized person -Vehicle condition to be checked as per ABB vehicle checklist and with valid documents RC book, Insurance copy, PUC,
Elimination-NA
X 1 2 2 Driver license, Fitness certificate etc. 1 2 2
movement in work area. Substitution-NA
Place the ladder to reach on vehicle to untie the (Ph)poor access for vehicle X 1 2 2 Elimination-NA 1 2 2
ms chain to lift the material. Substitution-NA
(Ph) Worker fall during the climb the ladder X 1 2 2 Elimination-NA 1 2 2
Substitution-NA
Check the size and weight of material like , (Ph)Over loading of material in tractor/trolly/hand cart. Engineering Control: Ensure the weight of materials before starting the loading activity if weight is more then don’t
brickes, RCC Block, and other construction manually load the material and use the other resources. -
materails etc. & Load/Unload the material required Trolley,hand cart should not be oveloaded and materials loading should be under capicty of trolley. and materials should not
for work in tractor/DIPPER/hand cart by X 2 2 12 come outside of tractor trollry and hand cart. 1 2 2
JCB/HYDRA

(PH)Collision/Collapse due to long length of steel Administrative Controls: Before handling the long item site team have check the materials shifting route and turning point
structure material and Cable Drum. X 2 2 12 and engage one person for traffic movement controller with signage boards. 1 2 2

PH) Back pain due to continues manually Substitution: Use the hand trolley for material handling instead of manual shifting if possible.
Loading/unloading Administrative Controls: If activity will continues then rotate the workers daily basic.
X 3 2 18 2 2 12

(Ph) Cut injury due to not wear the PPE. PPE: During the manual materails handling person is worn the Class B hand gloves .
X 2 2 12 1 2 2

All materials will be stored in open store yard with (PH) Collapse the materials stack due to over height Engineering Controls:- All construction materials have stocked properly size and item wise and don’t height more than 5
stack in proper place and proper manner size and and not proper sequence. X 2 2 12 feet. and provide the sufficient space between materials stack. 1 2 2
items wise. Administrative Controls- During the materials removing from stack proper sequence have maintained.
- Provide the barricading and signage board in store yard.
Handling and loading and unloading the Small (PH- injury due sharp edges and not proper handling Engineering control: provide the proper ladder for ascending and descending on trailer and truck. Loose materails should be
structure ,RCC Block etc X 3 2 18 proper storege free from collapse , do not stack in vertical stack postion. PPE: Provide the Class B hand gloves and Class B 2 2 12
hand sleeve during the materials handling.
After unloading and shifting work check and (PH) Poor Housekeeping Administrative Control:- Housekeeping is done before leaving the site.
ensure the housekeeping and all man & materials
to be remove form work place area.
X 2 2 12 1 2 2

Making pipe Pipe barricading is to be done as per requirement (PH)Collapse of Barricade due to uneven surface and Engineering Control: Area should be levelled and well compected.
barricading. by fixing MS stand of 1.20 mt height with anchor improper support. -
fastener or by grouting with concrete. MS stand to be anchored or grouted with concrete properly. Horizontal pipe should be proper clamp
X 2 1 2 1 1 1

Anchor fastener will fix by drill machine in RCC (Elec)Electric shock due to improper electrical system Engineering Control:
floor for vertical post. -Power supply is used through 30 mlA ELCB /RCCB & overhead double insulated cable and with metallic extension board
X 3 3 27 male female weatherproof socket IP-67 and no any joint in cable. 1 3 9
-All power cable is overheard min 2 mtr height with insulated hook.
Making pipe
barricading.

Page 3 of 9

Activity Based Risk Assessment

Activity: Who may be affected by this mark "X" all that apply
activity?
Anchor fastener
mark "X" one will fix by drill Routine
machine in RCC Non-routine X Emergency Employees X Contractors X Other (list) X
Assessed by: floor for vertical post.
Ganendra Date: 4/21/2025 Version: F
Review due
Approved by Last review date:
date:
Reference: RE-01-25-26 Last review by:
(PH) Injury due to use nonstandard power tools. EngineeringControl:
X 2 2 12 -All power tools is in good condition and double body earthing if it is not double insulated. 1 2 2
(CH)Inhalation / ingestion of dust Engineering control ; All machinery should be with proper maintenance and good condition.
X 2 2 12 1 2 2
After fixing MS stand place the barricading pipe in (PH)Iinjury by damage hand tools. EngineeringControl: All hand tools are in good condition and damage free.
X 2 1 2 1 1 1
MS stand by clamping the pipe with each other at PPE: Cut level 2 hand gloves are used during work
about 0.5m to 0.6m and 1.0m to 1.10m height with (PH)Fall of Barricade pipe. Engineering Control: All horizontal pipe are properly clamped with vertical post.
X 2 2 12 1 2 2
orange net.
Remove the barricading after completion of job (PH)Obstacle of anchor bolt and removed materials in Engineering Controls:Remove anchor bolt immediatly after removing MS stand.
and cut the anchor bolts by grinder machine. passage X 2 2 12 1 2 2
-All materails are stocked properly in store area.
Use the electrical operated grinder machine for (Elec) Electrical shock and spark due to wrong and Engineering Control:
cutting the anchor fastener after dismantling of loose connection. X 3 3 27 -Power supply is used through 30 mlA ELCB /RCCB & overhead double insulated cable and with metallic extension board 1 3 9
barricading. male female weatherproof socket IP-67 and no any joint in cable.
(Elec ) Electrical shock due to damage condtion of EngineeringControl:
grinder machine.
X 3 2 18 -All power tools is in good condition and double body earthing if it is not double insulated. 1 2 2
-Grinder
machine is with safety cover and operating handle.
(Ph) Eye injury while cutting if not wear the proper PPE:-
PPEs. During the grinder operating face shield with attached safety helmet and, leather body apron , lclass B hand gloves are
used.

X 2 2 12 1 2 2

(Mech) Unguarded Rotating part Engineering Control: All Rotating part is covered by safety cage/ guard as per manufacturer recommended.
X 3 2 18 2 2 12
(PH) Fire due to fire particles during the cutting. -Wheel RPM is
Elimination- Allhigher from machine
flammable materialsRPM. Ensure from
are removed do not use
hot expire
work wheel check the both things before use and purchase
area.
X 2 2 12 (RPM or expire date). During the replacement of wheel machine should be disconnected permanently from socket. and 1 2 2
After completing the job shift all the material to (PH) poor houskeeping -during the lunch Control:-Proper
Fire extinguisher
Administrative andarebreak time at
available also machine
work should
location.
housekeeping to be be disconnected
done from socket.
after completion of work.
store. X 2 1 2 1 2 2

###

Seve
###
rity

Criti
Very Minor (1) Minor (2) Moderate (3) Major (4) cal ###
(5)

Occurs frequently,
expected Almost Certain (5) 15 30 105 140 175 ###
(e.g., daily) High
elihood
 Page 4 of 9

Activity Based Risk Assessment

Activity: Who may be affected by this mark "X" all that apply
activity? High
mark "X" one Routine Non-routine X Emergency Employees X Contractors X Other (list) X
Assessed by: Ganendra Date: 4/21/2025 Version: F
Review due
Approved by Last review date:
date:
Reference: RE-01-25-26 Last review by:
Occurs often,
common Likely (4) 12 24 84 112 140 ###
(e.g., weekly)

Likely, Medium
Likelihood

probable Possible (3) 3 18 27 84 105

(e.g., annually)

Unlikely,
un-common Unlikely (2) 2 12 18 56 70
(e.g., once in business) Low

Extremely unlikely, rare

Rare (1) 1 2 9 12 35
(e.g., never realized in business)

Short-term Illness which Illness, rendering Debilitating, terminal and/or lasting ill health issues. Ter
symptoms requires them unfit for normal min
(illness) or medical duties (UNABLE TO al
Health
condition treatment or WORK). Reversible hea
which does attention, but effects but severe in lth
not result in still fit for nature. con
lost
Verytime.
minor normal duties.
Minor injury, Basic medical Broken bones, musculoskeletal injury, significant burns; significant absence from work. ditio
Fat
Safety
injury, non- first aid treatment (no ality
professional
Minimal, provided
Minor, by
short- amputations(weeks)
Short-term or Serious, medium-term (months) environmental damage and/or local offsite impact. or
Ver
first aid only.
short-term trained
term (days) broken bones); lost
environmental disa
y
(hours) environmental damage, contained seri
Greater than
environmental Greater
damage,than Greater
within thethan
site1 kg Greater than 42 kg SF6 emission. Gre
ous
10 g SF6 0.1 kg SF6 SF6 emission. ater
emission. emission. tha
n
85
kg
SF6
emi
ssio
n.

Customer Single Some customers Several customers leaving. Bla

complaints. customer leaving. ckli
leaving. ste
Environment d.

Costs greater Costs greater Costs greater than Costs greater than $100,000 USD. Cos
than $100 than $1,000 $10,000 USD. ts
USD. USD. gre
ater
tha
n
$1,
000
,00
0
Neighbor National media International media. US
complaints, campaign.
one article.

RISK ASSESSMENT ACKNOWLEDGEMENT

 Page 5 of 9

Activity Based Risk Assessment

Activity: Who may be affected by this mark "X" all that apply
activity?
mark "X" one Routine Non-routine X Emergency Employees X Contractors X Other (list) X
I agree that the
Assessed by: Ganendra Date: 4/21/2025 Version: F
work Review due
Approvedwill
described by Last review date:
date:
Reference:
proceed in RE-01-25-26 Last review by:
accordance
with the
controls/preca
utions
specified in
Activity Based
Risk
Assessment
Name and
of Member Name of Company Date Sign of Member Name of Member Name of Company Date Sign of
associated Memb
documentatio er
n.
 Page 6 of 9

Activity Based Risk Assessment

Activity: Who may be affected by this mark "X" all that apply
activity?
mark "X" one Routine Non-routine X Emergency Employees X Contractors X Other (list) X
Assessed by: Ganendra Date: 4/21/2025 Version: F
Review due
Approved by Last review date:
date:
Reference: RE-01-25-26 Last review by:

Training
given by-

Duration -

APPENDI
X1
 Page 7 of 9

Activity Based Risk Assessment

Activity: Who may be affected by this mark "X" all that apply
activity?
mark "X" one Routine Non-routine X Emergency Employees X Contractors X Other (list) X
Assessed by: Ganendra Date: 4/21/2025 Version: F
Review due
Approved by Last review date:
date:
Reference: RE-01-25-26 Last review by:

I confirm
that the
proposed
actions
have
been
Expected risk after complete
completion of actions d and that
Proposed actions/ risk reduction measures Actual the
Action Owner completion expected
(hazard being reduced) date risk
Risk reduction
Likelihood Severity
Level has been Name Signature
achieved.
↓
Re-assess risks to show how proposed actions will be effective in reducing the risk.

↓
Also consider whether any new hazards will be introduced.
↓ ↓ ↓ ↓ ↓ ↓ ↓ ↓
 Page 8 of 9

Activity Based Risk Assessment

Activity: Who may be affected by this mark "X" all that apply
activity?
mark "X" one Routine Non-routine X Emergency Employees X Contractors X Other (list) X
Assessed by: Ganendra Date: 4/21/2025 Version: F
Review due
Approved by Last review date:
date:
Reference: RE-01-25-26 Last review by:

(Example)
Ensure suitable firefighting equipment (e.g., extinguisher) is made available (Fire if there is an 1 2 2 A. Smith 01/25/20 F. Bloggs Fred Boggs
explosion).
↓

1
Re-assess risks to show how proposed actions will be effective in reducing the risk.

2
Also consider whether any new hazards will be introduced.
↓ ↓

3
↓ ↓

4 Date
↓

5 ###
↓ ↓

6
↓

have been identified (but not yet completed) which will reduce risks and improve the process.
Revision
History

Revision
Rev. No. Rev. Date
details
 Page 9 of 9

Activity Based Risk Assessment

Activity: Who may be affected by this mark "X" all that apply
activity?
mark "X" one Routine Non-routine X Emergency Employees X Contractors X Other (list) X
Assessed by: Ganendra Date: 4/21/2025 Version: F
Review due
Approved by Last review date:
date:
Reference: RE-01-25-26 Last review by: