Code:

HAZARD IDENTIFICATION AND RISK ASSESSMENT MATRIX Version:

In effect:

Business name or designation

RUC Domicilio (dirección, distrito, departamento, provincia) Economic activity Project and/or Headquarters Number of workers in the project and/or headquarters
social
Maintenance and Operation of
HUARMEY ROAD CONSORTIUM 20604085188 Av. Las Americas n°1801 Pisco-Ica Conservation Service for the Recovery and/or Replacement of Road Infrastructure: package 3 Huarmey - Aija 96
Road Infrastructure
Area: Production - Explanations / compaction. Date of Preparation: 23/07/2019 Date of Update:

Operational Controls Risk Assessment

Incidence Potential Risk Assessment
Administrative (6) Residual

Related positions Deletion(3)

No. Process Activity Task Danger Evento Peligroso / Consecuencia Personal Protective Equipment
(GES)
y/o Engineering (5) Response Plan in Case of Emergency
Procedure (8) Instruction (9) Signaling and others (7)
Substitution (4) ten

Equipment replacement or Check List Condition Verification

Production Engineer, Supervisor of Runover - Collision - Crash vehicle out of standard SSOMA in Teams, Procedure
Defensive driving Work Area Signage
Explanaciones, Capataz, Operario, Circulación de maquinaria equipos / Overturning according to the instructions of safe operation work written
If If Yes 6 8 48 RNA Safe work permit, Use of equipment respect the maximum hours of Use of Basic PPE. 2 4 8 RA
Official, Machinery Operator / vehicles on site Carbon monoxide emissions Defensive driving, of Vehicles, Procedure of
personal protection driving, use zones of
Equipo, Ayudante (Peón), Vigía Decrease in hearing due to noise exposure Equipment with no age Recruitment of personnel and Training
adequate parking.
older than 5 years and development of Personnel;

Instruction Manual for Review and Use of Tools

Production Engineer, Supervisor of Recruitment Procedure
Manuals and portable equipment, Instruction
Explanaciones, Capataz, Operario, Injuries from Blows, Trapping - personal, Management Procedure of
Parts of Moving Equipment Yes Yes If 2 8 16 RM Defensive Driving, System of Work Area Signage Use of basic PPE. 2 4 8 RA
Official, Machinery Operator Imprisonment Purchases, response plan for
Guards for Equipment, Machinery and
["Team","Helper (Worker)","Lookout"] emergencies
Moving Parts.

Production Engineer, Supervisor of Use of personal protective equipment,

Explanations, Foreman, Worker, Jobs within excavations / Injuries from landslides, slides; falling of Emergency Response Plan Safe work analysis; Instructions for
Yes Yes If 6 8 48 RNA Signage of the Work Area Use of basic PPE. 2 4 8 RA
Official, Machinery Operator / Next to or on slopes. rocks; falls from heights of people, falling objects Safe work permit Slope safety and works of
["Team","Helper (Laborer)","Watchman"] excavation and trench

Production Engineer, Supervisor of Injuries caused by the projection of flying particles; Instruction for Review and Use of Tools
Explanaciones, Capataz, Operario, Uso de herramientas de impacto: Purchasing Management Procedure;
Injuries from blows with/against; Yes Yes Yes 6 8 48 RNA manuales y equipos portátiles, Uso de EPP Work Area Signage Use of basic PPE. 2 4 8 RA
Official, Machine Operator / hammers/drills Emergency Response Plan
hearing loss due to noise exposure basic, Safe Work Analysis
["Team","Helper (Labourer)","Lookout"]

Production Engineer, Supervisor of

Ergonomics;
Explanaciones, Capataz, Operario, Carguío manual/Movimientos Overexertion in the lumbar column/area, Lumbar pain
Emergency Response Plan
If Yes Yes 2 4 8 RA Order and cleanliness in work areas, Signage of the Work Area Use of basic PPE. 2 4 8 RA
Official, Machinery Operator / Abrupt/Prolonged Postures Safe work permit
Safe Work Analysis
{"Equipo":"Team","Ayudante (Peón)":"Helper (Worker)","Vigía":"Watcher"}

Production Engineer, Supervisor of

Transit in means of transportation
Explanaciones, Capataz, Operario, ["Runover","Collision","Crash"] Preventive maintenance Emergency Response Plan Defensive driving, Job Analysis
towards the work point and vice versa Yes Yes Yes 5 8 40 RNA Signage of the Work Area Use of basic PPE. 2 4 8 RA
Official, Machinery Operator Overturning of Vehicles and equipment Safe work permit Sure, use of protection equipment
(In Itinere Journey)
Team, Helper (Laborer), Lookout personal

Production Engineer, Supervisor of

Order and cleanliness in work areas.
{"Explanaciones":"Explanations","Capataz":"Foreman","Operario":"Worker"} Emergency Response Plan
Irregular floors Falls at the same level / slips. Yes Yes If 5 8 40 RNA Use of personal protective equipment, Signage of the Work Area Use of basic PPE. 2 4 8 RA
Official, Machinery Operator Safe work permit
Safe work analysis
["Team","Helper (Laborer)","Lookout"]

Asphalt Folder - Folder Placement Order and cleanliness in work areas.

Compaction Production Engineer, Supervisor of
1 Tiredness, fatigue. Sleepiness and lack of coordination. Lack Use of personal protective equipment,
Compaction Hot Asphalt Explanaciones, Capataz, Operario, Uso de objetos o herramientas punzo Emergency Response Plan
concentration due to exposure hours If Yes Yes 2 4 8 RA Safe work analysis, review and use Work Area Signage Use of basic PPE. 2 4 8 RA
Official, Machinery Operator / cutting or abrasive Safe work permit
prolonged. of hand tools and equipment
Equipo, Ayudante (Peón), Vigía
laptops,

Production Engineer, Supervisor of Signage of the Work Area,

Extended overtime / work Ergonomics
{"Explanaciones":"Explanations","Capataz":"Foreman","Operario":"Worker"} fatality due to exhaustion, fatigue; lack of sleep; lack Staff rotation of Emergency Response Plan Drowsiness and fatigue plan,
holidays / night work If Yes Yes 6 8 48 RNA Safe work analysis Basic use of PPE. 2 4 8 RA
Official, Machinery Operator / lack of coordination; lack of concentration. work shifts. Safe work permit Training on Ergonomics
Disease / alcohol/drugs .
["Team","Assistant (Worker)","Lookout"] Active breaks.

Production Engineer, Supervisor of

Jobs exposed to lighting Glare / Glimpse (lack of light). Safe Work Analysis, Use of Equipment
Explanaciones, Capataz, Operario, Emergency Response Plan
insufficient/ excessive/ poorly located Decrease in visual capacity due to exposure to If If Yes 2 4 8 RA Personal Protection, Program of Work Area Signage Use of basic PPE. 2 4 8 RA
Official, Machinery Operator / Safe work permit
reflections inadequate lighting. Inspections.
Equipo, Ayudante (Peón), Vigía

Production Engineer, Supervisor of

Adverse Weather Conditions: Analysis of Safe Work, Use of Equipment
Explanaciones, Capataz, Operario, Emergency Response Plan
Rain, thunderstorms, heat Colds / Sunstroke / Skin cancer Yes Yes Yes 2 4 8 RA Personal Protection, Program of Signage of the Work Area Use of basic PPE. 2 4 8 RA
Official, Machinery Operator Safe work permit
extreme Inspections.
Team, Assistant (Worker), Watchman

Production Engineer, Supervisor of

Safe Work Analysis, Use of Equipment
Explanations, Foreman, Worker, Vehicle Transit: Own and ["Runover","Collision","Crash","Rollover"]
Yes Yes Yes 2 16 32 RNA Emergency Response Plan of Personal Protection, Handling to the Work Area Signage Use of basic PPE. 2 4 8 RA
Official, Machinery Operator / private Cuneteos
Defensive
["Team","Helper (Laborer)","Lookout"]

Production Engineer, Supervisor of

Explanaciones, Capataz, Operario, Desorden público, protestas, actos
Aggressions, Damage to Equipment Yes If Yes 2 8 16 RM Emergency Response Plan Use of Personal Protective Equipment Signage of the Work Area Use of basic PPE. 2 4 8 RA
Official, Machinery Operator / delinquent
{"Equipo":"Team","Ayudante (Peón)":"Helper (Laborer)","Vigía":"Lookout"}

Production Engineer, Supervisor of

Occupational Health, Use of Equipment
Explanaciones, Capataz, Operario, Ingesta de alimentos: Bacterias,
Stomach diseases If Yes Yes 2 4 8 RA Emergency Response Plan Personal Protection, Program of Signage of the Work Area Use of basic PPE. 2 4 8 RA
Official, Machinery Operator / parasites
Inspections.
Equipo, Ayudante (Peón), Vigía

Production Engineer, Supervisor of

Occupational Health, Use of Equipment
Explanaciones, Capataz, Operario, Condiciones de Orden y aseo: virus,
Skin infections Yes Yes Yes 2 4 8 RA Emergency Response Plan Personal Protection, Order and Cleanliness in Signage of the Work Area Use of basic PPE. 2 4 8 RA
Official, Machinery Operator / mushrooms, fluids or excrement
["Team","Helper (Laborer)","Watchman"]
the areas of work.

Production Engineer, Supervisor of

Proximity of Animals: Occupational Health, Use of Equipment
Explanaciones, Capataz, Operario,
perros/serpientes/arácnidos/insectos/ Exposure to Bite / Sting / Charge Yes Yes Yes 2 8 16 RM Fumigation of Environments Emergency Response Plan Personal Protection, Order and Cleanliness in Signage of the Work Area Use of basic PPE. 2 4 8 RA
Official, Machinery Operator
others the work areas.
["Team","Helper (Laborer)","Lookout"]

Production Engineer, Supervisor of

{"Explanaciones":"Explanations","Capataz":"Foreman","Operario":"Worker"} Occupational Health, Use of Equipment Signage in accordance with Legislation
UV rays Exposure to UV Rays Yes Yes Yes 2 4 8 RA Emergency Response Plan Use of basic PPE. 2 4 8 RA
Official, Machinery Operator Personal Protection. about exposure to UV rays.
Equipo, Ayudante (Peón), Vigía
 Production Engineer, Supervisor of
Explanaciones, Capataz, Operario, Fenomenos Naturales: Sismos, Trapping
Yes Yes Yes 2 8 16 RM Emergency Response Plan Use of Personal Protective Equipment Signage in the work areas Use of basic PPE. 2 4 8 RA
Official, Machinery Operator / tsunamis, mudslides, avalanches Defective evacuation
Team, Helper (Laborer), Watchman

Production Engineer, Supervisor of

Explanaciones, Capataz, Operario, Uso de Celular operando / manejando Runover / Collision / Crash Mobile phone user guide, Analysis of
Yes Yes Yes 5 8 40 RNA Emergency Response Plan Signage in the work areas Use of basic PPE. 2 4 8 RA
Official, Machinery / equipment / vehicles Operator Overturning Work, Defensive Driving.
Equipo, Ayudante (Peón), Vigía
Risk assessment is obtained by multiplying severity and probability.
(2) The risk is classified as RA: Acceptable Risk, RM: Medium Risk, and RNA: Unacceptable Risk
(3) The elimination refers to the risk no longer existing in the way it was originally analyzed, potentially causing other risks. EXAMPLES: elimination of a machine that, by its principle of operation, emits noise. Another case is the mechanization of an activity originally performed by workers. (This type of control reduces the severity score)
(4) Substitution consists of replacing sources of risk with others that have less adverse potential. EXAMPLES: replacing a solvent-based paint with a water-based one, replacing kerosene in the cleaning of parts with a biodegradable detergent. (This type of control reduces severity scores)
(5) Engineering controls require making structural changes to the working environment, work systems, tools, or equipment to make them safer and not reliant on the behavior of the worker or third parties. EXAMPLES: the implementation of protection for moving parts, presence sensors, drainage channels, automated treatment systems, enclosures, railings, baseboards, etc. (This type of control reduces the score of probability/frequency)

Administrative controls are to establish appropriate procedures such as policies, guidelines, standardized operating procedures, records, work permits, signage, job rotation, work shifts, routine maintenance, training, order, and cleanliness.
(7) Personal protective equipment (PPE) must be provided in the appropriate sizes and in good condition, along with training in their use. It is considered the last barrier of protection and should not be the only control measure.
It mentions the SIG procedures that are necessary to maintain controlled operation.
The SIG guidelines that are necessary to maintain controlled operation are mentioned.
It is necessary to know if there is a response plan in case the hazardous event occurs.

Prepared by the SSOMA supervisor: Reviewed by the SSOMA Project/Central manager: Approved Manager / Project Manager

Company: Company: Company:

Date: Date: Date:

Table 1. Severity Index Table 2. Criteria for calculating Health-related Probability Table 03 - Probability Index

SEVERITY PROBABILITY (HEALTH) = L1*L2*L3 PROBABILITY

Value
Value of the Index delete
L2 Frequency L3 Duration Index P(Salud) =
S (Security) Health P (Security)
L1 Exhibition L1*L2*L3
Sporadic and maximum by
1 1 1 hour/shift
3 consecutive days Evento:
Mild signs and symptoms
With Remote Possibility of
1 MINIMUM Incident transitory without rest Monthly 1 VERY UNLIKELY <25
1 It fully meets the standard 2 2 2 hours/shift occurrence
doctor Up to 11 times a year Never experienced
Mild signs and symptoms Event that may occur
Almost reaching or equal to the standard (Limit Monthly
2 MINOR Minor accident transitory with rest 3 3 3 4 hours/shift 2 IMPROBABLE at least 25-48
maximum, minimum, etc. 1 to 3 times a month
doctor once a year
Event that can occur when
Temporary incapacity with Weekly
Temporary Incapacitating Accident (DM up to 10) less
3 MEDIUM signs and symptoms 4 Does not meet the standard 4 Up to 5 days each/ 4 30 minutes/hour / shift
days 4 POSSIBLE Once every 90 days 48-63
Moderate week

5 Diary 5 Permanent Once per project

Event that can occur at
Temporary Incapacitating Accident (DM between 11 and Temporary incapacity with less
4 SIGNIFICANT
30 days severe signs and symptoms 8 PROBABLE Once every 30 days 64-80
Twice per project

Common event with

Temporary Disability Accident (DM greater than 30) repetitive occurrence
5 SEVERE Permanent disability
days) or Permanent
Matrix 01 - Severity vs. Probability Matrix 16 VERY PROBABLE Once every 7 days >80
Three times or more by
6 CATASTROPHIC Fatal Accident Deadly disease Catastrophic 6 6 12 24 48 96
project
Severe 5 5 10 20 40 80

Table 04 - Classification of Potential/Residual Risks Significant 4 4 8 16 32 64

UNACCEPTABLE RISK Medium 3 3 6 12 24 48

31-96 The level of risk is not tolerated by the organization. Activities will be suspended until Minor 2 2 4 8 16 32
implement control measures that allow reducing risks to acceptable levels. Minimum 1 1 2 4 8 16

MEDIUM RISK SEVERITY 1 2 4 8 16

10-30 It may require further consideration. It is advisable to apply risk reduction measures and/or
application of a contingency plan Very unlikely Improbable Possible Probable Very likely
ACCEPTABLE RISK PROBABILITY
01-09
The risk is minimal and operations can proceed without additional controls.