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Risk Assessment/Management Form

Section / Dept: / civil Activity: Risk Assessment- Location/Area:-
Contarctor :- Scaffolding CONCRETE PUMP
TOWER work
Sl N. Basic Job Potential Consequence Current control measure


Steps Hazard Risk rating Risk rating

tial Additional
Ris control

P E A R k measure P E A R

All the scafold should be

checked before installation

At the time of erecting and

Failure of removal of scaffolding,the area
scaffolding/ muat be barricaded and
Injury/Fatality 2 0 1 0 2 4
concrete restricted for any other operation
All the scaffolds vertical should
be installed on a firm base
Scaffolds suitably braced
diagonal(Ledger) bracing on
alternate parts
All the coupler must be 'OK' in
Failure of Get Proper inspection should be nt only
3 0 1 3 2 6 2 0 0 0 2 4
coupler Injury/Fatality skill
required by site engineer on workmen
daily basis and record should be
kept in file
Erection of
1 concrete
pump tower Using hammer to loosen or
Slip of tools Get Injury tighten nuts are to be required in 1 0 0 0 2 2
OK' condition and all the work
should be done with utmost care
Only authorised persons are
allowed for working at height
Use full body harness with
double lanyard and anchord it
above the head height
Deploy only skill workmen

Working at Get
Injury/Fatality Take' WAH'permit before starting
2 0 0 2 2 4
the working at height activity
Enlist the name of work men at
daily attachment sheet befor
starting the activity
Proper inspection should be
required by site engineer on
daily basis
To stop the work and reassess
the condition
Avoiding high tonnage
erection(>5T) during night
Natural High wind
2 Injury/Fatality 0 0 0 0 5 0
Calamity velocity
Any work stopped due any
reason in the late night more
than 1/2 hr.idle people should
not rest in the work area.They
should come back to site
office to relax.
Prepared by Approved by Reviewed by
Contractor Contractor
Date Date Date


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