GUJARAT STATE PETROLEUM CORPORATION LIMITED

Document Title Hazard Identification and Risk Assessment

Hazard Identification Risk Evaluation Risk Con

1a. 1b 1c. 1d. 2a. 2b. 2c. 2d. 3a 3b

S/N Work activity Hazard Possible Accident/ Ill Existing Risk Severity Likelihood RPN* Additional Severity
health to persons, fire Control Risk Control
or property loss Measures
1

*RPN - Risk Prioritization Number

Document Number KG-COM-HSE-FR-015-
REV 00

Date 24/11/2016

Risk Control
3c 3d 3e

Likelihood RPN* Follow up by (name) &

date
Instructions for using the Risk Assessment form
Column 1b Describe the work activity to be carried out.
Please do not fill in names of machines/equipment to be used.
is not an activity, but working on a computer is

Column 1c Identify hazard(s) associated with the activity to be carried out.

Examples of hazards include chemical, biological, electrical, mechanical, physical,

Column 1d Identify possible accidents/ill health associated with each identified hazard.
possible accidents/ill health include fires, explosions, cuts, burns, frost bites, fractu

Column 2a Indicate risk control measures that are already in place to eliminate or minimise ris
control risks may be analysed according to the Hierarchy of Controls: Elimination, S
Administrative Controls and Personal Protective Equipment (PPE).
priority while PPE should be the last line of defence.
Elimination
Example: Use water based solvents instead o
Substitution
Example: Use a less toxic solvent
Engineering Controls
Example: Use of fume cupboard or gloves b
Administrative Controls
Example: Work instructions. Good laboratory prac
PPE
Example: Use of safety eyewear plus respiratory

Column 2b S=Severity
the degree or extent of injury or harm caused by the hazards, or as a result
severity from a value between 1 and 5, rather than the most extreme.
the severity table

Column 2c L=Likelihood
occurance of an accident, incident or ill health is defined as the probability t
health will happen. Choose the likelihood from a value between 1 and 5. Con
happening in the past when deciding on the likelihood.
likelihood table
Column 2d RPN=Risk Prioritisation Number
X Likelihood
be more than 6

Column 3a Additional risk control measures are required when the RPN indicated in colu
less, enter "NA" in the column

Column 3b S=Severity
may reduce upon introduction of additional control measures

Column 3c L=Likelihood
L may reduce upon introduction of additional control measures

Column 3d RPN=Risk Prioritisation Number

RPN will reduce upon introduction of additional control measures

Column 3e Enter the name of the person appointed to oversee the implementation of the addi
up date.

Column 3f Enter any remarks

 Note:
e used. Therefore, a computer

out.
mechanical, physical, ergonomics, psychosocial, slip & fall etc.

entified hazard. Examples of

burns, frost bites, fractures etc.

liminate or minimise risks. Methods to

Controls: Elimination, Substitution, Engineering Controls,
(PPE). Elimination of the hazard should take first

ased solvents instead of organic based solvents

c solvent

me cupboard or gloves boxes

s. Good laboratory practices. Training on proper use of chemicals

yewear plus respiratory protection, use of gloves

Severity is
azards, or as a result of an accident. Choose the most likely
most extreme. Refer to the Risk Matrix tab for

Likelihood of
ed as the probability that the said accident, incident or ill
between 1 and 5. Consider the records of such events
Refer to the Risk Matrix tab for the
 RPN=Severity
All RPNs should not

RPN indicated in column 2d exceeds 6. If the RPN is 6 or

S
asures

al control measures

ol measures

lementation of the additional control measures. Enter the follow-

Risk Assessment Matrix
Risk Prioritisation Number = Severity x Likelihood

Severity Table

Pt Severity level Workplace Safety Workplace Health Environment

Acute Poisoning,
Fatality,
Failure of Major Bodily Spills to Outside Campus
single or multiple
Functions
5 Critical
Permanent Body
Infection with No Infection - outside
Injury or Loss of Use
Known Cure Campus area
for more than 30 days

Moderate exposure,
Injury requiring 30 days
Reversible injury to
of hospitalisation and/or Spills to Outside Building
Bodily Functions on
medical leave
prolong recovery
4 Very Serious
Temporary Body Injury
Infection with Known Infection - outside
or Loss of Use for more
Cure but extensive Building area but within
than 10 days but not
treatment Campus
exceeding 30 days

Mild exposure,
Injury requiring 10 days Reversible injury to
Spills to Outside
of hospitalisation and/or Bodily Functions with
Laboratory/Room
medical leave less than 30 days
3 Serious recovery

Temporary Body Infection with Known Infection - outside

Injury or Loss of Use Cure but extensive Laboratory area but
for up to 10 days treatment within building

Very Mild exposure,

Injury requiring Reversible injury to Spills to Outside
maximum of 3 days of Bodily Functions with Workplace but within
medical leave only less than 3 days laboratory
recovery
2 Marginal

Temporary Body Infection with Known Infection - outside

Injury or Loss of Use Cure but treatment workplace but within
for 3 days or less needed Laboratory

Very Mild exposure,

Reversible injury to
Spills within Workplace
First aid treatment only Bodily Functions with
only
less than 3 days
1 Negligible recovery

No Infection or infection
No or superficial injury No Exposure with no effects within
workplace

Likelihood Table
Pt Likelihood level Likelihood of Occurrence / Exposure Criteria

5 Frequent Likely to occur many times per year

4 Moderate Likely to occur once per year
3 Occasional Might occur once in three years
2 Remote Might occur once in five years
 1 Unlikely Might occur once in ten years

Risk level Determination - 5 x 5 Matrix

SEVERITY
Critical Very Serious Serious Marginal
(5) (4) (3) (2)

25 20 10
Frequent 15
Operation not Operation not Review at
(5) High priority
permissible permissible appropriate time

20 16 8
Moderate 12
Operation not Operation not Review at
(4) High priority
permissible permissible appropriate time
LIKELIHOOD

9
Occasional 15 12 6
Review at
(3) High priority High priority Risk acceptable
appropriate time

10 8
Remote 6 4
Review at Review at
(2) Risk acceptable Risk acceptable
appropriate time appropriate time

Unlikely 5 4 3 2
(1) Risk acceptable Risk acceptable Risk acceptable Risk acceptable

Review the risk assessment records every year or whenever there are changes in processes, work activities or upon any inciden
whichever is earlier.

Action Table
Colour Score Risks Action

Operation not Permissible

16 - 25 High
Stop operation & review controls. If necessary
experimentation.

High priority remedial action

12 - 15 Warning Proceed with extreme caution with PI present at a

Implement additional (secondary) controls immedia
within 7 days. Emergency control measures shall b

Take remedial action at appropriate time

8 -10 Medium
Proceed with care. Additional control is advised. Rev
implemented within 30 days.
 Risk acceptable: Residual risk

If possible, risk reduction should be further considered

1-6 Warning severity.

There are no imminent dangers. Frequent review sha

especially changes in procedures, materials or env
ia
 Negligible
(1)

5
Risk acceptable

4
Risk acceptable

3
Risk acceptable

2
Risk acceptable

1
Risk acceptable

or upon any incident occurrence,

ion

t Permissible

ontrols. If necessary abort

ntation.

emedial action

n with PI present at all times.

y) controls immediately. Review
rol measures shall be in place.

at appropriate time

ntrol is advised. Review shall be

within 30 days.
e: Residual risk

be further considered, particularly

rity.

Frequent review shall be in place

es, materials or environment.
 GUJARAT STATE PETROLEUM CORPORATION LIMITED

Document Title Hazard Identification and Risk Assessment

Hazard Identification Risk Evaluation

1a. 1b 1c. 1d. 2a. 2b. 2c. 2d.

S/N Work activity Hazard Possible Accident/ Ill Existing Risk Severity Likelihood RPN*
health to persons, fire Control
or property loss

Exposed to UV & permanent eye damage Admin control & 2 2

IR ray PPE Training,
Briefing &
Face Shield 4

Exposure to Skin burnt Admin control & 3 2 6

welding spark PPE Training,
Briefing, Protective
clothing, hand
glove & face shield

Electrocution Fatality /body injuries Admin control & 3 3

PPE Training,
Briefing, Protective
clothing & hand
glove.
9

Welding, grinding & oxy-

 Exposure to Irritation of respiratory Admin control & 3 2
welding fume tract PPE Training,
Briefing & 6
Face mask

Minor fire accident Skin burnt Admin Control & 2 2

PPE -
Briefing,Protective
clothing, hand glove
& face shield
4
Welding, grinding & oxy-
cutting

Leakage of oxy- Fatality /body injuries Engineering & 3 4

acetylene hose- Admin. Control -
Flash Back Arrestor,
fire or explosion
Training, Briefing &
Hot work permit

12

Inhalation of dust Irritation of respiratory Engineering, admin 2 3

tract control & PPE -
Welding Sheild,
Face mask and
training 4

Flying of particles Eye or body injuries Admin control & 3 2

PPE Training,
Briefing, Welding
sheild, Protective
clothing & hand 6
glove.
*RPN - Risk Prioritization Number
TION LIMITED Document Number KG-COM-HSE-FR-
015-REV 00

essment Date 24/11/2016

Risk Control
3a 3b 3c 3d 3e

Additional Risk Control Measures Severity Likelihood RPN* Follow up by

(name) & date

1. Electrical Hand Tool must be in good 3 2

condition. 2.
Monitoring and analyze the potential of
hazard.
3. Briefing/Toolbox Talk before start work.
6
4. Competent/Training.
5. Proper PPE must be provided.
6. Random check before start work.
1. Cartridge must be stored in proper 3 2
place and secure.
2. The cartridge must have a bucket c/w
standby fire extinguisher.

3. Only the hose with flash back

arrestor allowed to be used.
4. Only the competent/train workers can
operate the welding equipment. 6
5. Working permit
needed before start hot work.

6. Safety briefing and workplace

monitoring by supervisor in charge