Document ID No : MSSF-1-SF-0018

Power & Water Utility Company for Jubail and Yanbu (MARAFIQ)
Page 1 of 6

Rev. No.: 0
OHSMS FORMS
Date of issue: 10 Feb 2015

DYNAMIC RISK ASSESSMENT

SECTION 1- Marafiq Department /Contractor: Abdullah Falah AL Dossary Sons Contracting Co. Ltd . PO. #

Project Name: I & U (Yasref Housing) Date: 08-Dec-2019

Validity: Three year from the date of approval or till completion of the specified activity.

Facility / Job Specify Activity to be assessed: - Assessment team member Signature

Department: Location:

Project Al – Jaar Hot Works. 1 BALACHANDRAN NAGAIAH

Implementation District (Cutting and Grinding) (Construction Manager)
Department
2 NIKHIL G (Mechanical Engineer)

3 NAVEED GULL (Safety Officer)

Reviewed By (Marafiq Reviewed By (Marafiq OHS Approved By (Marafiq Operations Dept)

coordinating Dept) Section)
Name: Signature
Name: Name: Date: Time:
Signature: Signature:
Date: Date:
Time: Time:

Approved Safety:
Name: Naveed Gull Approval Number: 2019/26
OPRIETARY NOTICE IMPORTANT
THIS DOCUMENT CONTAINS INFORMATION PROPRIETARY TO MARAFIQ. ANY DISCLOSURE OR USE IS
EXPRESSLY PROHIBITED EXCEPT UPON WRITTEN PERMISSION BY MARAFIQ. Only document with stamps are considered official.
 Document ID No : MSSF-1-SF-0018
Power & Water Utility Company for Jubail and Yanbu (MARAFIQ)
Page 2 of 6

Rev. No.: 0
OHSMS FORMS
Date of issue: 10 Feb 2015

Sr. # JOB STEPS POTENTIAL HAZARD SEVERITY / CONSEQUENCES CONTROL MEASURE

(What can cause harm?) (What can go wrong to who?) (What can be done to prevent it from going wrong?)

Hot Work  Electrocutions. Personal Injury. (SHALL COMPLY WITH OHSMS-

1.  Fire hazard. Damage to property. 31HOT WORKS, 36 PPE, 48 HAND &
(Cutting Main Header  Tripping hazard (Materials, Damage to equipment. PORTABLE POWER TOOLS, 35
Line). Electrical cables). Environmental impact (soil). NOISE & VIBRATION )
 Failure of Equipment, 1. All Work permit requirements shall be
Respiratory Disorders.
(Cutting and Grinding). power tools. followed prior to start hot work activity.
 Electrocutions. 2. Assign certified/trained fire watch for the
 Dust. activity to be performed.
3. Fire blankets shall be used prior to start
any hot work activity.
3. All Equipment’s and power tools
shall be inspected by authorized
person before used
4. All Cable connections shall be routed
through GFCI/ELCB socket to prevent
employees from the electric shock.
5. Flammable and combustible materials
shall be removed prior to start hot work
activity.
6. Appropriate PPE shall be used
during hot work i.e. welding mask,
face shield, welding gloves and etc.
7. Adequate number of fire extinguishers
shall be used during the hot work
activity.
8. Proper material arrangement, cable
management and housekeeping shall
OPRIETARY NOTICE IMPORTANT
THIS DOCUMENT CONTAINS INFORMATION PROPRIETARY TO MARAFIQ. ANY DISCLOSURE OR USE IS
EXPRESSLY PROHIBITED EXCEPT UPON WRITTEN PERMISSION BY MARAFIQ. Only document with stamps are considered official.
 Document ID No : MSSF-1-SF-0018
Power & Water Utility Company for Jubail and Yanbu (MARAFIQ)
Page 3 of 6

Rev. No.: 0
OHSMS FORMS
Date of issue: 10 Feb 2015

Sr. # JOB STEPS POTENTIAL HAZARD SEVERITY / CONSEQUENCES CONTROL MEASURE

(What can cause harm?) (What can go wrong to who?) (What can be done to prevent it from going wrong?)
be done before, after and in between
Housekeeping Slips. Personal injury. the job.
2. Trips. Damage to the tools and
Debris accumulation. equipment’s. (SHALL COMPLY WITH OHSMS-54,
Unplanned maintenance Environmental impact. GOOD HOUSE KEEPING)
1. Adequate number of garbage
bin/receptacles shall be made available
for trash, debris, and unwanted
materials.
2. Garbage bins shall be cleaned on daily
basis.
3. Materials, tools, and equipment shall be
store in a safe and approved location.
4. Segregate and separate the materials
properly.
5. Materials, tools shall not be kept in
location where they obstruct ramps,
ladders, walkways etc. the path of travel
shall be kept clean.
6. All power cords, ropes shall be
secured overhead, where possible, to
avoid tripping hazard.
7. Any potentially hazardous
atmospheric conditions shall
regularly be monitored as per work
permit requirements to ensure that
workers will not be exposed to a
hazardous environment.
OPRIETARY NOTICE IMPORTANT
THIS DOCUMENT CONTAINS INFORMATION PROPRIETARY TO MARAFIQ. ANY DISCLOSURE OR USE IS
EXPRESSLY PROHIBITED EXCEPT UPON WRITTEN PERMISSION BY MARAFIQ. Only document with stamps are considered official.
 Document ID No : MSSF-1-SF-0018
Power & Water Utility Company for Jubail and Yanbu (MARAFIQ)
Page 4 of 6

Rev. No.: 0
OHSMS FORMS
Date of issue: 10 Feb 2015

Sr. # JOB STEPS POTENTIAL HAZARD SEVERITY / CONSEQUENCES CONTROL MEASURE

(What can cause harm?) (What can go wrong to who?) (What can be done to prevent it from going wrong?)

3. Fire. Fatality.
Emergency Explosion. Personal injury. (SHALL COMPLY WITH
Medical. Damage to the property. OHSMS 43 EMERGENCY
Natural Disaster. EVACUATION)
1. Safe Evacuation should be established
2. Action to be taken
a) All work to be stopped
b) All Equipment to be stopped.
c) All men are evacuated to the
assigned assembly Point.
d) A roll call is taken and headcount
will be done.
3. No one will be return back to work
until the clearance notification.

H elp in Emergency:

1) Marafiq # 0142966333
2) Royal Commission # 1911

OPRIETARY NOTICE IMPORTANT

THIS DOCUMENT CONTAINS INFORMATION PROPRIETARY TO MARAFIQ. ANY DISCLOSURE OR USE IS
EXPRESSLY PROHIBITED EXCEPT UPON WRITTEN PERMISSION BY MARAFIQ. Only document with stamps are considered official.
 Document ID No : MSSF-1-SF-0018
Power & Water Utility Company for Jubail and Yanbu (MARAFIQ)
Page 5 of 6

Rev. No.: 0
OHSMS FORMS
Date of issue: 10 Feb 2015

SECTION 2-List of Materials

(Tools, work equipment, safety and emergency items)

Job should be started only after making provision of suitable and safe tools, work equipment, safety and emergency items on site as
stated in risk assessment.
Sr. Tools and other work equipment Qty Sr. Safety and Emergency items Qty

1 Tool Kits. 5 1 First Aid Kit. 3

2 Hand Tools (Pickaxe, Shovel...) 10 2 Barricades and Signage. EA
3 Portable Generator. 1 3 Communicating Device 3
4 Grinding Machine. 4 4 Warning Tape
5 5 Fire Extinguishers 5
6 6 Fire Blanket 4
7 7
8 8
9 9
10 10
11 11
12. 12

OPRIETARY NOTICE IMPORTANT

THIS DOCUMENT CONTAINS INFORMATION PROPRIETARY TO MARAFIQ. ANY DISCLOSURE OR USE IS
EXPRESSLY PROHIBITED EXCEPT UPON WRITTEN PERMISSION BY MARAFIQ. Only document with stamps are considered official.
 Document ID No : MSSF-1-SF-0018
Power & Water Utility Company for Jubail and Yanbu (MARAFIQ)
Page 6 of 6

Rev. No.: 0
OHSMS FORMS
Date of issue: 10 Feb 2015

SECTION 3-Information to Employees

(Details of job, hazards, risks and safety precautions)

Prior to commencement of job, Authorized Permit Receiver / Supervisor must give information on details of job, hazards, risks and
safety precautions to all personnel involved in the job and obtain their signatures on the form to acknowledge the same .
Sr. Name of the employee Profession ID No. Signature of the employee
I am informed of job details, hazards,
risks and safety precautions in order to
perform above job safely.
1 Balachandran Nagaiah Construction Manager 2392768566
2 Nikhl G Mechanical Engineer 2336670472
3 Debabrata Jana Mechanical Supervisor 2455833026
4 Naveed Gull Safety Officer 2410966044
5 Mohammad Anwar Mechanical Plumber 2442935173
Hussain
6 Budhraj Kedem Mechanical Plumber 2290336888
7 M. Ashfaq Mechanical Plumber 2430866026
8 Sanjeev Kumar Pipe Fitter 2469407882
9 Mahesh Fabricator 2240421905

10 Chinni Naidu Pipe Fitter 2393061086

11
OPRIETARY NOTICE IMPORTANT
THIS DOCUMENT CONTAINS INFORMATION PROPRIETARY TO MARAFIQ. ANY DISCLOSURE OR USE IS
EXPRESSLY PROHIBITED EXCEPT UPON WRITTEN PERMISSION BY MARAFIQ. Only document with stamps are considered official.
 Document ID No : MSSF-1-SF-0018
Power & Water Utility Company for Jubail and Yanbu (MARAFIQ)
Page 7 of 6

Rev. No.: 0
OHSMS FORMS
Date of issue: 10 Feb 2015

Sr. Name of the employee Profession ID No. Signature of the employee

I am informed of job details, hazards,
risks and safety precautions in order to
perform above job safely.
12

1.0 Form Guidance

The purpose of this form is to enable the significant findings of dynamic risk assessments to be recorded and communicated. Note that this risk
assessment form does not include a section for recording an evaluation of the level of risk for prioritization purposes. The reason for this is that
control measures are selected for this unique situation to reduce the level of risk for each hazard to an acceptable level of risk, failing that, to a
tolerable level of risk. Under no circumstances may the activity proceed where there is an unacceptable level of risk.

Section 1

 Name of Marafiq Department / contractor – who intends to undertake work activity in Marafiq areas
 Date – on which it is prepared
 Facility / Department – Area in which the intended work activity will be performed
 Job Location – Exact workplace where the intended work activity will be performed
 Specify Work Activity to be assessed - Actual work
 Assessment team member – Team comprising of competent personnel from management, supervisor and employee intending to undertake
work activity
 Signature – signatures of team members
 Job steps involved in the work activity –should be listed
 Potential hazard –should be identified against each job step and recorded
 Severity / consequences –which are likely to occur should be specified
 Control measures –to eliminate or reduce the risks associated with identified hazards should be specified clearly

OPRIETARY NOTICE IMPORTANT

THIS DOCUMENT CONTAINS INFORMATION PROPRIETARY TO MARAFIQ. ANY DISCLOSURE OR USE IS
EXPRESSLY PROHIBITED EXCEPT UPON WRITTEN PERMISSION BY MARAFIQ. Only document with stamps are considered official.
 Document ID No : MSSF-1-SF-0018
Power & Water Utility Company for Jubail and Yanbu (MARAFIQ)
Page 8 of 6

Rev. No.: 0
OHSMS FORMS
Date of issue: 10 Feb 2015

Risk Assessment Review and Approval

Marafiq Department or the contractor who intends to undertake activity on completion of Section 1 and 2 of the risk assessments shall:
 get it reviewed by Marafiq coordinating department and Marafiq OHS Section on first page in Section 1 and
 further approved by Marafiq operations department

Marafiq coordinating department who is either directly undertaking the activity, or coordinating with the contractor assigned to undertake the activity,
shall review the risk assessment, give comments accordingly and ensure the following:
i. job steps involved in the work activity – are identified and correctly listed
ii. potential hazard –against each job step is identified and recorded
iii. severity / consequences – likely to occur on exposure are specified
iv. control measures –to eliminate or reduce the risks associated with identified hazards are specified clearly
v. List of material – All tools, work equipment, safety and emergency items are listed

Marafiq OHS Section shall: -

i. Review the risk assessment against each job step with respect to identified hazards, severity /consequences, risk control measures and list
of material and
ii. suggest any additional risk control measures

Marafiq Operations department / BU Owner (Manager or superintendent or lead engineer) shall approve the risk assessment and acknowledge the
same.

Section 2 – List of Materials

List of materials should be listed in two columns detailing following:

I) Tools and other work equipment used in conducting the intended activity. Examples include lifting equipment, pneumatic equipment (air
compressor and accessories for abrasive blasting, painting), scaffolding, welding and gas cutting sets, hand and portable power tools, etc.

II) Safety and emergency items used for protection of employees against hazards or mitigating effects from tolerable residual risks. Examples
include:

OPRIETARY NOTICE IMPORTANT

THIS DOCUMENT CONTAINS INFORMATION PROPRIETARY TO MARAFIQ. ANY DISCLOSURE OR USE IS
EXPRESSLY PROHIBITED EXCEPT UPON WRITTEN PERMISSION BY MARAFIQ. Only document with stamps are considered official.
 Document ID No : MSSF-1-SF-0018
Power & Water Utility Company for Jubail and Yanbu (MARAFIQ)
Page 9 of 6

Rev. No.: 0
OHSMS FORMS
Date of issue: 10 Feb 2015

 Personal protective equipment – helmets, safety shoes, goggles, face shields, full body harness, respirators, special clothing, etc.
 Emergency items – Emergency rescue arrangement – tripod and winch assembly, firefighting equipment, etc.

Section 3 – Information to Employees

On review and approval of risk assessment, Authorized Permit Receiver / Supervisor of Marafiq department or the contractor intending to perform
the activity in Marafiq areas, shall:
i. Give information on details of job, hazards, risks and safety precautions to all personnel involved in the job, and

ii. Acknowledge the same with Name of the employee, Profession, ID No, Signature prior to obtaining Permit to Work Certificate.

Submission of Risk Assessment

Prior to obtaining Permit to Work Certificate, Marafiq Department or the contractor shall:
i. Ensure that all the control measures identified in the risk assessment and safe method of work are in place before work commences.
ii. Arrange, inspect and ensure that all tools, work equipment, safety and emergency items are in a safe working condition before bringing them
to the workplace
iii. Ensure personnel who will be performing work are trained and competent to do the job safely using listed tools, work equipment, safety and
emergency items
iv. Submit all copies of risk assessment to operations department / Area owner

Compliance with the Risk Assessment

Authorized Permit Controller / Authorized Permit Issuer should ensure that: -

i. Risk assessment are obtained for all works that are inherent with significant risks and repeated whenever there are likely changes in
intended work activity / location / work environment, etc.

ii. The Marafiq Department or the contractor, (whoever submits the reviewed and approved risk assessment) has all specified risk control
measures in place prior to issue of Permit to Work Certificate

OPRIETARY NOTICE IMPORTANT

THIS DOCUMENT CONTAINS INFORMATION PROPRIETARY TO MARAFIQ. ANY DISCLOSURE OR USE IS
EXPRESSLY PROHIBITED EXCEPT UPON WRITTEN PERMISSION BY MARAFIQ. Only document with stamps are considered official.
 Document ID No : MSSF-1-SF-0018
Power & Water Utility Company for Jubail and Yanbu (MARAFIQ)
Page 10 of 6

Rev. No.: 0
OHSMS FORMS
Date of issue: 10 Feb 2015

iii. Risk control measures specified in risk assessment are in place and utilized while performing the intended activity

OPRIETARY NOTICE IMPORTANT

THIS DOCUMENT CONTAINS INFORMATION PROPRIETARY TO MARAFIQ. ANY DISCLOSURE OR USE IS
EXPRESSLY PROHIBITED EXCEPT UPON WRITTEN PERMISSION BY MARAFIQ. Only document with stamps are considered official.