: :

Incompetent operators, drivers Involved workers,

others in vicinity
4 4 16 1 1 1
Site Engineer,
Gen.Foreman
Truck /Equipment
operation.
Unprotected work area for truck
and equipment operation
Involved workers,
others in vicinity
4 3 12 1 1 1
Site Engineer,
Gen.Foreman
Site Engineer,
Gen.Foreman
3 Putting backfill
materials into
excavations
Workers taking unsafe positions
inside excavation
Involved workers 4 3 12 1 1 1
*ALARP - As Low As Reasonably Practicable
: :
Date: 8/2/2014 : Date: :
Signature : : :
Likelihood / Severity /
1 Remote / Minor /
2 Unlikely / Major /
3 Likely / Severe /
4 Frequent / Fatality /
Ensure the crane, mobile and trucks equipments are in good
mechanical and operating conditions.
Using trucks, mobile
equipments and
crane for backfilling
Involved workers.
Operators,drivers,.
Others in vicinity
4 4 16
1
RISK ASSESSMENT FORM -
Assessment location :
Stormwater and foul sewer manholes on site.
:
SR #
Activity
Hazard / Conditions that could
develop hazard
Who Might be
Harmed

Initial Risk

Safety precautions needed to control the Risk to ALARP *

RESIDUAL
RISK
Responsible Person
:

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Date : 8-2-2014
Description of work :
Roads and Infrastructure in Al Kheesa North and East
RA/AK/15
Project Name :
Ref No:
Backgfilling around stormwater and foul sewer manholes.

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Signature:
Assign competent operators having valid license and third party
certificate . Ensure truck drivers have valid license.
Unsafe condition of crane
excavators,JCB, truck etc.
Reviewed by: Engr. Radi Shunnar (Operations Manager)
2 1 2
Site Engineer, Equipment
Supervisor
Site Engineer, Equipment
Supervisor
Involved workers.
Operator, Others
in vicinity
4 4 16
Improper lifting tackles and
bucket
2 1

/

"
Assessed By: Mr. Aaron Aaloosi (HSE Manager)
Ensure the crane and mobile equipments have valid registration,
Third party inspection certificates.
Ensure the lifting chains / slings, shackles are of proper load
bearing capacity and have valid third party certificate.
Ensure the lifting bucket to be used with crane for backfilling
have proper load bearing capacity and have valid third party
inspection certificate. Ensure the safe condition of lifting hooks.
Provide safe access for trucks to the site. Provide enough space
for reversing and unloading activities.
Cordon the equipment operation area . Post sign boards and
prevent unauthorised entry.
2
Ensure no workers inside the trench while putting backfill
materials into the trench/ excavation.
Site Engineer,
Gen.Foreman
Assign flagman to guide reversing and uinloading activities by
trucks. Ensure no people in the vicinity
Improper access,unguided
reversing,unloading activities
2
Involved
workers,driver
others in vicinity
4 3 12 1 1 1
4
3
2
1
16
6
Likelihood
4 3 2 1
12
8
4
12
9
3
8
6
4
2
4
3
2
1
HSEF 4.3.1-01-01 Issue: 1 Rev: 2 Issue Date: 20 Mar 2012 Page 1 of 3
: :
:

RISK ASSESSMENT FORM -

Assessment location :
Stormwater and foul sewer manholes on site.
:
SR #
Activity
Hazard / Conditions that could
develop hazard
Who Might be
Harmed

Initial Risk

Safety precautions needed to control the Risk to ALARP *

RESIDUAL
RISK
Responsible Person
:

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Date : 8-2-2014
Description of work :
Roads and Infrastructure in Al Kheesa North and East
RA/AK/15
Project Name :
Ref No:
Backgfilling around stormwater and foul sewer manholes.

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Lack of guiding / monitoring lifting
operation
Involved workers
and others in vicinity
4 4 16 2 1 2
Site Engineer,
Gen.Foreman
*ALARP - As Low As Reasonably Practicable
: :
Date: 8/2/2014 : Date: :
Signature : : :
Likelihood / Severity /
1 Remote / Minor /
2 Unlikely / Major /
3 Likely / Severe /
4
Frequent / Fatality /
People workers taking unsafe
positions under crane / inside
excavation
Ensure the right type of lifting tackles are used.
Excess loading of gravel / backfill
material in bucket.
Involved workers
Assessed By: Mr. Aaron Aaloosi (HSE Manager) Reviewed by: Engr. Radi Shunnar (Operations Manager )
Ensure qualified rigger guide and monitor the lifing operations
Barricade lifting area ,prevent unairthorised entry into lifing area.
Ensure no workers inside the excavation while lowering the backfill
material with bucket. They shall go inside only after the bucket reach the
bottom of the excavation.
Ensure the weight of gravel / backfill material in lifting bucket comply
with the lifting capacity of the bucket.
Ensure the crane is located at safe distance from excavation
Ensure the workers use leather hand gloves safety shoes and safety
helmet and cover all.
Signature:
Ensure wooden pads are put under the ourtriggers.
Ensure the positioning of crane is safe for the load to be lifted / lowered
into trench.Cross check with safe load indicator/load chart.
Conduct TBT to aware the workers regading injuries to hands by
entrapment and to other body parts while unloading the backfill from the
bucket inside excavation.
1 2
Site Engineer,
Gen.Foreman
Injuries to workers while unloading
backfill from bucket.
2 4 8 Involved workers 1 1 1
Site Engineer,
Gen.Foreman
Unsafe positioning of crane Backfilling operations
using crane and bucket
4
4
Involved workers
and others in vicinity
4 16 2 1 2
Site Engineer,
Gen.Foreman
4 4 16 1 1 1
Site Engineer,
Gen.Foreman
Involved workers
and others in vicinity
4 4 16 2
Use tag lines to monitor the movement of bucket
4
3
2
1
16
6
Likelihood
Severity
4 3 2 1
12
8
4
12
9
3
8
6
4
2
4
3
2
1
HSEF 4.3.1-01-01 Issue: 1 Rev: 2 Issue Date: 20 Mar 2012 Page 2 of 3
: :
:

RISK ASSESSMENT FORM -

Assessment location :
Stormwater and foul sewer manholes on site.
:
SR #
Activity
Hazard / Conditions that could
develop hazard
Who Might be
Harmed

Initial Risk

Safety precautions needed to control the Risk to ALARP *

RESIDUAL
RISK
Responsible Person
:

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Date : 8-2-2014
Description of work :
Roads and Infrastructure in Al Kheesa North and East
RA/AK/15
Project Name :
Ref No:
Backgfilling around stormwater and foul sewer manholes.

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Unsafe access into excavation
Involved workers 3 4 12 1 1 1
Site Enginneer,
Gen.Foreman
Lack of using PPE for manual
works - Injuries, dust inhalation,
noise
Involved workers 2 4 8 1 1 1
Site Enginneer,
Gen.Foreman
Improper hand tools
Involcved workers 2 4 8 1 1 1
Site Enginneer,
Gen.Foreman
Heat stress due to long term
work inside excavation
Involoved workers 3 4 12 2 1 2
Site Enginneer,
Gen.Foreman
*ALARP - As Low As Reasonably Practicable
: :
Date: 8/2/2014 : Date: :
Signature : : :
Likelihood / Severity /
1 Remote / Minor /
2 Unlikely / Major /
3
Likely / Severe /
4 Frequent / Fatality /
Assessed By: Mr. Aaron Aaloosi (HSE Manager)
Provide safe access for workers to go into the trench.Provide
cage ladder with intermediate landing platform if the excavation
is more than 6 mtr depth.
Compaction works 5
2
Involoved workers Assign competent workmen to operate plate compactor
Ensure safe working condition of plate compactor.
Compaction work with plate
compactor / manually operated
rollers - Injuries to workers
3 4 12 1 2
Site Enginneer,
Gen.Foreman
Reviewed by : Engr.Radi Shunnar (Operations Manager)
Signature:
Ensure workers use Leather hand gloves, safety shoes, safety
helmet, cover all, ear plugs and dust mask.
2
Site Enginneer,
Gen.Foreman
Compaction work with
mechanical rollers - Injuries
Ensure proper and safe tools are provided for manual works for
backfilling
Ensure competent and certified operators. Safe condition of
equipments
Operator
3 4 12 2 1
Ensure safe access for the rollers to go inside or follow safe
lifting operations as stated above to lower the roller into the
excavation
Provide job rotation to minimise long term work inside the
excavation. Provide rest shade and Drinking water.
4
3
2
1
16
6
Likelihood
Severity
4 3 2 1
12
8
4
12
9
3
8
6
4
2
4
3
2
1
1
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