Doc. No.

: RMDJV-PJ74-HIRADC-SUBC 02
Rev. No. : 1

HAZARD IDENTFICATION, RISK ASSESSMENT AND DETERMINING CONTROL FORM

Likelihood 1 2 3 4 5 Prepared by Verified by
Severity 1. Mohd Suffian Mohamad Shiger
5 5 10 15 20 25 2. Syamaizar Namrun
4 4 8 12 16 20 3. Ahmad Syurki Ramli
3 3 6 9 12 15 4. Dzul Fadhli Kasa
2 2 4 6 8 10 5. Jaikisan
1 1 2 3 4 5 Project Manager/ Chairman

JOB TITLE : SURVEY WORKS

IDENTIFY ASSESSMENT CONTROL

Activities R/NR Hazard Consequences Current Risk Control Likelihood Severity Risk Type of Further Action / PIC
Control Control (Due Date)
Lightning
Bad Weather Stop work 1 4 4 (L)
strike/ sick
Standby of drinking
Heat stress Dehydration 2 2 4 (L)
water
Preparation work
Moving Struck by To follow site speed
and check profile 2 2 4 (L)
R vehicle machinery limit 20Km/h
re-survey and peg
Sharp
Hand Injury Wear cotton gloves 1 4 4 (L)
edge/object
Material Arrangement
Slip, trip & Fall Minor Injury 3 1 3 (L)
/ Housekeeping

LIKELIHOOD SEVERITY RISK = LIKELIHOOD X SEVERITY

The most likely result of the hazard / event being realized Numerous fatalities, irrecoverable property damage
Most Likely (5) Catastrophic (5) 1-4 : LOW RISK
and productivity
Has a good chance of occurring and is not unusual (within 5 Approximately one single fatality and major property
Possible (4) Fatal (4) 5 - 12 : MEDIUM RISK
years) damage if hazards is realized
Conceivable (3) Might be occur at sometime in future (within 5-10 years) Serious/Major (3) Non fatal injury, permanent disability 15 - 25 : HIGH RISK
Remote (2) Has not been known to occur after 10 years Minor (2) Disabling but not permanent injury
R = Routine NR = Non-Routine
Inconceivable (1) Is practically impossible and has never occurred Negligible (1) Minor abrasions, bruises, cut, first aid type injury