HAZARD REPORT FORM

COMPANY: Putrajaya holdings sdn bhd Plastering work/exterior wall PROCESS/LOCATION: Mr.lew been hong (site manger) Approved by: (Name,designation) Date : 25 september 2010 Review date: Date:( from.to..) Conducted by: (name, designation) Mr.rahman(supervisor).MR.ravy & mr. hadi (plasterer) 24 august 2010 to 25 september 2010

1. Hazard identification
No. Work activity Erect working platform Hazard Which can cause/ effect Head/ injury/ fatal

2. Risk analysis
Existing risk control (if any) Safety helmet, housekeeping likelihood severity risk

3. Risk control
Recommended control measures 1) Fence upper floor exposed edges 2) Establish safe work procedure use JSA Put plank on floor, anti slip mat PIC (due date/status)

Unguarded floor

20 (high)

1) Rahman/ 20 august 2010 completed 2) Ali / 2 September 2010 completed

Loading concrete onto platform

Uneven floor

Fall of person / broken leg Muscular strain/ back pain Fall form height / fatal

Housekeeping, safety shoes

12 (medium)

Rahman 2 september 2010 completed

Heavy load

Manual lifting procedure

3 (low)

Use small container

Rahman 2 september 2010 completed

Plastering

Defective platform

Safety belt

20 (height)

1) Install handrail 2) Use new plank as platform Use leather glove, use tool

Rahman 2 september 2010 completed Ahmad to purchase / 16 October 2010 in progress

Clearing unused material

Sharp object

Finger cut

nil

3 (low)