Risk Assessment/Management Form

Ref:
Section / Dept: civil Activity: Risk Assessment -Access Preheater
Contractor :- from 5th floor to 6th floor

Sl Basic Job Potential Consequ Current control measure

Proba
Init Ad

Proba

Resid
Risk rating Ri

risk
ual
bility

bility
No. Steps Hazard ence ial diti sk
Ris on ra
k al ti
P E A R P E A R
con n
Deployment only experienced workmen g
trol
Shifting of Slip of
1
materials man/Materials
Injury Use of safety shoes,Helmet with chin strap & Hand 1 0 0 0 2 2 me
gloves
asu
Daily safety briefing required re
Get Deployment only skill workmen
Slip/Fall Injury/Fatalit Area should be properly barricaded and nobody allow 2 0 0 1 2 4
y under the suspended load
Only authorised persons are allowed for working at
height
Lifting of pipe
2 ,clamp,planks Proper working platform with standard hand rails &
etc.Tower crane Get Toe guard required
Working at
height
Injury/Fatalit Use of safety shoes,Helmet with chin strap & Hand 2 0 0 1 2 4
y gloves
Use of double rope safety harness & and anchor it to a
fixed structures above the head height
Tools box talk required
All the planks should be tied up in properly
Toe guard to be provided at each landing

Fixing of Materials should not be shifted through the

3 Slip/Fall Get injury ramp 1 0 0 1 2 2
Planks
Both of the hands should be free while
ascending and descending through out the
ramp

Prepaired by: Approved by: Reviwed by:

Contractor Contractor
Date Date Date
Prepaired by Approved By Reviewed By

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