RISK ASSESSMENT FORM FOR POTABLE WATER WORKS

RISK ASSESSMENT FORM -
Date : 8/ 9 /2014
Potable Water Works

Who Might be
Harmed
Contractor
SR #
/

Excavated after
setting out
Setting up survey
equipment
12
Ensure applicable external excavation pe

concerned autority are received fo
construction of the Potable
Lack of applicable permits, Contractor,

instructions, as-built drawings, involved employees
cable detection etc.
12
Ensure availability of updated as-built d

underground utilities of the location .Re
identify approximate location and depth o
Use cable detectors to find out the route
Tripod falling over
Task to be done by a trained and c
work - without permit -(hot works,

Confined sapce legal noncompliance
Safety precautions needed to contro

Risk Rating
Hazard / Conditions that could

develop hazard

Initial Risk
Likelihood
Activity
person who is doing the task must be comp

the correct equipm
surveyor
surveying assistant knocking peg into

surveyor assistant
ground
HSEF 4.3.1-01-01 Issue: 1 Rev: 2 Issue Date: 20 Mar 2012
Description of work
Locations for attenuation tanks on site
Consequenc
es
Assessment location :
DN001-P01/CGC-SACYR/HSE/RKA/000
Roads and Infrastructure in Bani Hajer North. Phase 1 & 2
Project Name :
Ref No:
Page 1 of 9

Date : 8/ 9 /2014
Activity
Potable Water Works

develop hazard
Who Might be
Harmed
SR #
/

Setting up survey
equipment
surveyor assistant standing on edge

without any fall protection
Access for excavation

equipments, loading trucks etc.
-vehicle /equipment accidents
surveyor assistant
16
Drivers/operators
Inviolved peiople
Working inside
excavation
surveyor assistant should be provided with

paltform while work at
Provide entry gate at one location of pro

excavation; restricrted for construction
involverd in the Potable water work . Po
unauthorised entry of vehicles, people
3
Provide access ramp of enough wid

excavation for construction equipme
provided. Ensure edge protection fo
Falling of loose materials from the Workers
inside
sides - Injuries.
manhole`nch.
Lose Materials

Initial Risk

Risk Rating
Description of work
Likelihood
Consequenc
es
Project Name :
Ref No:
12
Clear loose materials including stones fro

Install green mesh at the walls of excava
Page 2 of 9

Date : 8/ 9 /2014
Activity
Potable Water Works

develop hazard
Who Might be
Harmed
SR #
/

Initial Risk

Risk Rating
Description of work
Likelihood
Consequenc
es
Project Name :
Ref No:
Lose Materials
*ALARP - As Low As Reasonably Practicable
Signature :
1
2
3
4
Date: 8/9/2014
Likelihood /
Severity /
Remote /
Unlikely /
Likely /
Frequent /
Minor /
Major /
Severe /
Fatality /
Reviewed by: Engr. Amir Iskander (Project Construc
:
:
Assessed By:
8/9/2014
Date:
Likelihood
Severity
Signature:
4
16
12
3
2
12
8
4
Page 3 of 9

Date : 8/ 9 /2014
Activity
Potable Water Works

develop hazard
Who Might be
Harmed
SR #
/

Pipeline, fitting and

Jointing Installation
Lifting injury,Swinging load
Equipment & Truck operations
Pipe Bedding

Initial Risk

Risk Rating
Description of work
Likelihood
Consequenc
es
Project Name :
Ref No:
12
Involved workers and

vicinity people
Operators, Involved
workers
3
Correct manual handling techniques,Use me

possible,Maintain control of loads when lifting
to ground while moving
Provide safe access for trucks, equipmen

Engage third party certified equipments
Assign trained Flagmen to guide equipm
workers
Ensure nobody inside trench while puttin
workers
Ensure nobody inside trench while puttin
workers,public
Reinstate edge protections of trenches e
Workers inside trench -Injuries

Workers inside trench -Injuries
Not reinstating edge protections
Using inadequate crane ,
incompetent operators, riggers.
Pipe unloading,
stacking at work site .
Involved workers ,
others in the
vicinity
Select cranes of appropriate capaci

inspection certificates of
cranes
and lif
Page
4 of 9
License of operator, third party certifica

Date : 8/ 9 /2014
Activity
Potable Water Works

develop hazard
Who Might be
Harmed
SR #
Pipe unloading,
stacking at work site .
Using inadequate crane ,

incompetent operators, riggers.
Involved
workers ,

Initial Risk
Signature :
Severity /
Remote /
Minor /
Unlikely /
Major /
:
:
Select cranes of appropriate capaci

inspection certificates of cranes and lif
License of operator, third party certifica
Likelihood
Severity
Pipes should be kept at least 1 mtr aw

perendicular to the trench. Do not o
fastening on a bundle of pipe is remove
down to ground level to prevent rolling an
Date: 8/9/2014
Likelihood /
others in the
vicinity
Unsafe Pipe
stacking at site Involved workers
.-Rolling, Falling of pipe : Injuries
and Damages.
Assessed By: Mr. V.Jacob (HSE Manager)

8/9/2014
Date:

Risk Rating
Description of work
Likelihood
Consequenc
es
Project Name :
Ref No:
Signature:
4
16
12
12
Page 5 of 9

Date : 8/ 9 /2014
Activity

Potable Water Works
develop hazard
Who Might be
Harmed
Likely /
Severe /
4
3
Frequent /
Fatality /
12
SR #

Initial Risk

Risk Rating
Description of work

3
1
Likelihood
Consequenc
es
Project Name :
Ref No:
12
Pipe Installing

8/9/2014
Date:
:
:

Date: 8/9/2014
Page 6 of 9

Date : 8/ 9 /2014
Activity
Potable Water Works

develop hazard
Who Might be
Harmed
SR #
Signature :
:
Likelihood
Severity
Signature:
4
16
12
12
Severe /
Fatality /
Likelihood /
Severity /
1
2
Remote /
Unlikely /
Minor /
Major /
Likely /
4
4
Frequent /
Hazard of newly laid

pipeline
network becoming live with
Connecting existing hazardous gases when only one Worker going inside
resident's internal drainage line is
live manhole
live water mains
connected to one n

Initial Risk

Risk Rating
Description of work
Likelihood
Consequenc
es
Project Name :
Ref No:
16
2. The time for fixing pipe at the bottom

manholes inside the manhole will be high w
exposure to hazardous gases/lack of oxygen
Page 7 of 9

Date : 8/ 9 /2014
Activity
Potable Water Works

develop hazard
Who Might be
Harmed
SR #

Initial Risk

Risk Rating
Description of work
Likelihood
Consequenc
es
Project Name :
Ref No:
3.Hazard of not having a secured platform fo

said pipe fitting job inside the manhole
avoided.
4. Pressure /leak proofness testing of th
manhole shall be completed before it becom
Page 8 of 9

Date : 8/ 9 /2014
Activity
Potable Water Works

develop hazard
SR #
5
Who Might be
Harmed

Initial Risk

Risk Rating
Description of work
Likelihood
Consequenc
es
Project Name :
Ref No:

8/9/2014
Date:
Signature :
1
2
3
4
Likelihood /
Remote /
Unlikely /
Likely /
Frequent /

Date: 8/9/2014
:
:
:
Severity /
Minor /
Major /
Severe /
Fatality /
Likelihood
Severity
4
3
2
1
Signature:
4
16
12
12
8
4
9
6
3
4
2
2
1
Page 9 of 9

Date : 8/ 9 /2014
Activity
Potable Water Works

develop hazard
Who Might be
Harmed
SR #
/

Lifting operations
Unsafe Equipment / incompetent
during construction of Operations - accidents ,injuries.
attenuation tank.Steel /shutter and
other construction
materials.
Operator involved
workers and
anybody in the
vicinity
Improper
locating
of
crane Operator
-Colapse
of
excavation workers
edges,overturning of crane - anybody
injuries and damages
vicinity

Initial Risk

Risk Rating
Description of work
Likelihood
Consequenc
es
Project Name :
Ref No:
12
involved
and
in the
4
12
Ensure crane / lorry crane of of approp

good working condiction. Ensure vali
certificates of crane/lorry crane, slings an
Ensure crame / lorry crane operators ha

and riggers should have valid third party
Out riggers of the crane should be fixed

more from the excavation edges which
the ground condition against collapse
collapse of ground is suspected do n
indicator should be checked at each
extension and boom angle.
Page 10 of 9

Ref No:

Potable Water Works

Initial Risk
Who Might be
Harmed
SR #
/

lifting excess load more than safe Operator,Involved

load - Fall oF materials, crane workers
overturning etc.
unprotected
lifting
area
unauthorised entry,injuries
Undesired movement
-accidents,Injuries
of
- workers
unauthorised
peiople

Risk Rating

develop hazard
Likelihood
Activity
Consequenc
es
Lifting
Date
: 8/operations
9 /2014
during construction of
Project tank.Name :
attenuation
Steel /shutter and
Assessment
location :
other construction
Descriptionmaterials.
of work
:
6
12
load Involved workers,

anybody in vicinity
Load indicator should be checked a

load,boom extension and boom angle.O
at each position.
Ensure nobody under lifting load,especi

tank construction area. Barricade liftin
signs and prevent unauthorised entry.
Use taglines to control the undesired m

and to place it at desired location. .

8/9/2014
Date:
Signature :
Likelihood /

Date: 8/9/2014
:
:
:
Severity /
Likelihood
Severity
Signature:
4
1
Page 11 of 9

Date : 8/ 9 /2014
Activity
Potable Water Works

develop hazard
Who Might be
Harmed
SR #
1
2
3
4
7
Remote /
Unlikely /
Likely /
Frequent /
/

Minor /
Major /
Severe /
Fatality /

Likelihood
Severity
4
3
2
1
Steel and carpentary Using power tools like cutter /

grinder, drill,bending and cutting
works
machine etc. - Injuries,electrical
shocks,fatality

Initial Risk

Risk Rating
Description of work
Likelihood
Consequenc
es
Project Name :
Ref No:
1
4
3
16
12
12
8
4
9
6
3
6
4
2
2
1
Assign trained workers only to operate p

Ensure safe condition of poweer tools ,
reciprocating parts etc. c.
involved
anybody
vicinity
workers,
in the
Electrical extensions to be done throug

insulation damage, short circuit and elec
Electrical cables should not be put ov

Provide temporary post to extend the cab
Ensure ELCB at power source in working
Disconnect electrical extensions when no

Page 12 of 9

Date : 8/ 9 /2014
Description of work
Activity

Potable Water Works
develop hazard
Who Might be
Harmed
SR #
/

Spark during cutting -Fire and

Involved workers
Burn injuries.
Dust -inhalation, eye injuries

Initial Risk

Risk Rating
Likelihood
Project Name :
Ref No:
Consequenc
es
Ensure workers wear PPE - Safety Goog

hand gloves, safety shoes helmet and co
Ensure no combustibles in the vicinity.Ke

extinguishers
Involved workers
Ensure safe and appropriate tools are u

allowed.Use PPE -Hand Gloves, safety
shoes,safety helmet,cover all.
Manual handling - hit/strike by

steel / wood, Injuries from Involved workers
protruding nails
Conduct TBT and explain the hazards a

protruding nails should be segregated at
work. Arrange for denailing of wood.
Using hand tools - Injuries

8/9/2014
Date:
:
:

Date: 8/9/2014
Page 13 of 9

Date : 8/ 9 /2014
Activity
Potable Water Works

develop hazard
Who Might be
Harmed
SR #
/

Signature :
1
2
3
4
8

Initial Risk
Likelihood /
Remote /
Unlikely /
Likely /
Frequent /
Severity /
Minor /
Major /
Severe /
Fatality /
Work at height for

steel fixing, shuttering
and concreting of tank
walls, columns, etc.
Unsafe working platform /

scaffolding - Fall accidents,,
slip,trip etc.- Injuries
Likelihood
Severity
4
3
2
1

Risk Rating
Description of work
Likelihood
Consequenc
es
Project Name :
Ref No:
Signature:
4
16
12
12
8
4
9
6
3
4
3
4
2
2
1
Ensure safe and suitable scaffolding as

should have platforms without gaps, gua
at all sides, toe boards, acce
Involved workers
The scaffolding should be inspected an

work shall be done on red / Untag
Safety harness should be worn and
supervising at overhead
Page 14 of 9

Date : 8/ 9 /2014

develop hazard
SR #
/

Who Might be
Harmed
Involved workers

Initial Risk

Risk Rating
Potable Water Works

Description
8
Workof
atwork
height for:
Unsafe working platform /
steel fixing, shuttering
scaffolding - Fall accidents,,
and concreting of tank
slip,trip etc.- Injuries
walls, Activity
columns, etc. Hazard / Conditions that could
Likelihood
Ref No:
Consequenc
es
Project Name :
Materials shall not be accumulated o

walkways,to prevent trip hazards.
Unauthorised alterations on
scaffolding / platform - collapse,
9
workers
Concreting work for Overload on scaffold platform workers

walls and columns collapse, accident,injuries
mishandling / falling of vibrator
workers
No unauthorised ateration shall be don

work. It should be done by auth
Ensure no over loading of the scaffo

people,Control number of wo
The platform should have enough widt
stand and move vibrator on it. Handlin
operators oonly. Ensure toeboard prot
vibrator.
undesired movement of concrete workers

hose - whip Injuries, concrete fall
on head.
Continuous monitoring by supervisor

concrete hose. .Ensure workers take
Climbuing over shuttering for concreting
Contact with concrete - Skin workers

irritation, eye injuries,ill- health
Ensure the workers use safety helmet,g

Hand gloves, cove
Page 15 of 9

Date : 8/ 9 /2014
Activity
Potable Water Works

develop hazard
Who Might be
Harmed
SR #
/

Initial Risk

Risk Rating
Description of work
Likelihood
Consequenc
es
Project Name :
Ref No:

8/9/2014
Date:
Signature :
1
2
3
4
10
Likelihood /
Remote /
Unlikely /
Likely /
Frequent /
Roof shutter
Installation

Date: 8/9/2014
:
:
Severity /
Minor /
Major /
Severe /
Fatality /
Likelihood
Severity
4
3
2
1
Substandard supporting structure

Workers, others in
for roof work-collapse
the vicinity
Signature:
2
12
9
6
3
4
3
16
12
8
4
4
2
12
2
1
Ensure approved design for the sup

constructed with the right struc
Page 16 of 9

Date : 8/ 9 /2014
Activity
SR #
10
Potable Water Works

develop hazard
Roof shutter
Installation

Initial Risk
Who Might be
Harmed

Incompetent workers /supervisors Worker,others

for structure installation - structure the vicinity
Collapse
12
in
Fall of structure materials while

installing - Injuries to people
workers, anybody
in the vicinity
Work at height during structure

installation
workers,anybody in
the vicinity
Assign trained and competent workers i

design under competent supervisor. En
installation and strngth o
Cordon the structure installation area

prevent unauthorised entry int
3
3

Risk Rating
Description of work
Likelihood
Consequenc
es
Project Name :
Ref No:
Guide and monitor material handling. W

postures against probable falling of struc
Scaffold boards secuured by tying / clam

used as workingplatform during structure
used as working platform.Ensure the ins
is strong and stable to put scaffold
Page 17 of 9
10
Roof shutter
Installation

Date : 8/ 9 /2014
Activity
Potable Water Works

Work athazard
height during structure
develop
installation
SR #
Who Might be
workers,anybody
in
Harmed
the vicinity

Initial Risk

Risk Rating
Description of work
Likelihood
Consequenc
es
Project Name :
Ref No:
Involved workers should wear and hoo

working at heights.
Unauthorised entry into structure unauthorised
erection area- injuries
people
Barricade the work area and preve

8/9/2014
Date:
Signature :
1
2
3
4
Likelihood /
Remote /
Unlikely /
Likely /
Frequent /

Date: 8/9/2014
:
:
:
Severity /
Minor /
Major /
Severe /
Fatality /
Likelihood
Severity
4
3
2
1
Signature:
2
12
9
6
3
4
3
16
12
8
4
4
2
2
1
Page 18 of 9

Date : 8/ 9 /2014
Activity
Potable Water Works

develop hazard
Who Might be
Harmed
SR #
/

11
Uncertified support structure 0Collapse during concreting

Concreting roof
shutter
12
Unauthorised people under

structure during concreting injuries in case of collapse /
dislocation/fall of materials..
Workers
workers
Concreting work for

Unsafe access
roof
Overload on roof shuttering workers
collapse, accident,injuries
workers

Initial Risk

Risk Rating
Description of work
Likelihood
Consequenc
es
Project Name :
Ref No:
12
The support structure and shuttering for

inspected and certified for it's strength
concreting.
Barricade the underneath of roof sh

unauthorised entry; especially during con
assigned to ensure the sam
Provide safe acess / bridge to

3
Ensure no over loading of the roof sh

Control number of worke
. Handling / operate by competent op

board protection to prevent falling of vibr
Page 19 of 9

Date : 8/ 9 /2014
12
Potable Water Works
Concreting
work for Hazard / Conditions that could
Activity
develop hazard
roof
Who Might be
Harmed
SR #
/


on head.

Initial Risk

Risk Rating
Description of work
Likelihood
Contact with concrete - Skin

13
Deshuttering of roof
and removing support
structure
Consequenc
es
Project Name :
Ref No:
Fall of shutter boards, structure

materials- Injuries
Continuous monitoring by supervisor

concrete hose. .Ensure workers take saf

Hand gloves, cove
Workers, anybody
in vicinity
3
Dismantling to be done by authorised

Provide supervision and guidamnce to p
shutyter materia
Barricade the work area and preven


8/9/2014
Date:
Signature :
Likelihood /

Date: 8/9/2014
:
:
:
Severity /
Likelihood
Severity
Signature:
4
1
Page 20 of 9

Date : 8/ 9 /2014
Activity
Potable Water Works

develop hazard
Who Might be
Harmed
SR #
1
2
3
4
15
16
Remote /
Unlikely /
Likely /
Frequent /
/

Minor /
Major /
Severe /
Fatality /

Likelihood
Severity
4
3
2
1
Unsafe access
Concreting work for
roof
Overload on roof shuttering workers
collapse, accident,injuries
workers
on head.
Contact with concrete - Skin
Deshuttering of roof
Fall of shutter boards, structure Workers, anybody
materials- Injuries
in vicinity

Initial Risk

Risk Rating
Description of work
Likelihood
Consequenc
es
Project Name :
Ref No:
16
12
12
8
4
9
6
3
4
2
Provide safe acess / bridge to

Ensure no over loading of the roof sh
Control number of worke
. Handling / operate by competent op
board protection
to prevent
of vibr
Continuous
monitoring
byfalling
supervisor
concrete hose. .Ensure workers take saf

Hand gloves, cove
Dismantling to be done by authorised
Provide supervision and guidamnce to p
Page 21 of 9

Date : 8/ 9 /2014
Activity
Potable Water Works

develop hazard
Who Might be
Harmed
SR #
/

Fall of shutter boards, structure

materials- Injuries
16

structure
*ALARP - As Low
As Reasonably Practicable

8/9/2014
Date:
Signature :
1
2
3
4
Likelihood /
Remote /
Unlikely /
Likely /
Frequent /
Workers,
anybody
in vicinity

Initial Risk
Likelihood
Severity
4
3
2
1
Barricade the work area and preven

Date: 8/9/2014
:
:
:
Severity /
Minor /
Major /
Severe /
Fatality /

Risk Rating
Description of work
Likelihood
Consequenc
es
Project Name :
Ref No:
Signature:
2
12
9
6
3
4
2
16
12
8
4
Page 22 of 9
SMENT FORM -
:
:
:
:

Risk Rating
Likelihood
"
Consequenc
es
Safety precautions needed to control the Risk to ALARP *
RESIDUAL
RISK
Ensure applicable external excavation permit and permission from

concerned autority are received for the excavation and
construction of the Potable water works.
2
Task to be done by a trained and competent surveyor
Construction Manager,
Site engineer
Ensure availability of updated as-built drawings of cable and other

underground utilities of the location .Refer the as-built drawing to
identify approximate location and depth of cables.
Use cable detectors to find out the route / location of cables.
person who is doing the task must be competent and must make use of
the correct equipment.
Responsible Person
Survey Engineer
Surveyer
Page 23 of 9
SMENT FORM -
:
:
:
:

Risk Rating
surveyor assistant should be provided with ladder or provide working

paltform while work at height
Likelihood
"
Surveyer
Site Engineer,
Gen.Foreman
Provide entry gate at one location of protection barrier around the

excavation; restricrted for construction equipments and trucks
involverd in the Potable water work . Post sign boards to prevent
unauthorised entry of vehicles, people. Assign gate keeper.
Provide access ramp of enough width and slope into the
excavation for construction equipments and vehicles to be
provided. Ensure edge protection for ramp as required.
Clear loose materials including stones from the edges excavation.
Install green mesh at the walls of excavation..
Responsible Person
Consequenc
es
RESIDUAL
RISK
Site Engineer, Foreman
Page 24 of 9
SMENT FORM -
:
:
:
:
eviewed by: Engr. Amir Iskander (Project Construction Director)

8/9/2014

Risk Rating
Likelihood
"
Consequenc
es
RESIDUAL
RISK
Responsible Person
:
:
:
Page 25 of 9
SMENT FORM -
:
:
:
:
Likelihood
"
Consequenc
es

Risk Rating
RESIDUAL
RISK
Responsible Person
Correct manual handling techniques,Use mechanical aids where

possible,Maintain control of loads when lifting & moving.Carry pipes close
to ground while moving
Provide safe access for trucks, equipments for bedding work.

Engage third party certified equipments and operators only.
Assign trained Flagmen to guide equipments and trucks
Site Engineer,
Foreman,Foreman
Ensure nobody inside trench while putting bedding material.
Foreman
Ensure nobody inside trench while putting bedding material.
Foreman
Reinstate edge protections of trenches every day after work.
Gen.Foreman, Foreman
Site Engr, Gen.Foreman,

Garage Foreman.
Select cranes of appropriate capacity. Ensure Third party

inspection
of cranes
and
HSEF 4.3.1-01-01 Issue:certificates
1 Rev: 2 Issue
Date: 20
Marlifting
2012slings and tackles. ,
License of operator, third party certificates of operators, riggers.
Page 26 of 9
SMENT FORM -
:
:
:
:
RESIDUAL
RISK

Risk Rating
Select cranes of appropriate capacity. Ensure Third party

inspection certificates of cranes and lifting slings and tackles. ,
License of operator, third party certificates of operators, riggers.
Likelihood
"
Consequenc
es
Pipes should be kept at least 1 mtr away from trench edges and
perendicular to the trench. Do not overstack pipes. Once a 1
fastening on a bundle of pipe is removed, pipes should be brought
down to ground level to prevent rolling and falling.
8/9/2014
gnature:
Responsible Person
Site Engr, Gen.Foreman,

Garage Foreman.
Gen.Foreman, Foreman
:
:
:
Page 27 of 9
SMENT FORM -
:
:
:
:

8/9/2014
Likelihood
"
Consequenc
es

Risk Rating
RESIDUAL
RISK
Responsible Person
:
:
Page 28 of 9
SMENT FORM -
:
:
:
:

Risk Rating
Likelihood
"
Consequenc
es
RESIDUAL
RISK
gnature:
Responsible Person
:
1
4
3
2
1
2. The time for fixing pipe at the bottom and top section of deep
manholes inside the manhole will be high when considering the worker's
exposure to hazardous gases/lack of oxygen inside.
Pipeline
Project
Engineer
Page 29 of 9
SMENT FORM -
:
:
:
:

Risk Rating
Likelihood
"
Consequenc
es
RESIDUAL
RISK
Responsible Person
3.Hazard of not having a secured platform for the worker to do the above
said pipe fitting job inside the manhole at various heights shall be
avoided.
4. Pressure /leak proofness testing of the piping connected to the
manhole shall be completed before it become live.
Page 30 of 9
SMENT FORM -
:
:
:
:

8/9/2014
gnature:

Risk Rating
Likelihood
"
Consequenc
es
RESIDUAL
RISK
Responsible Person
:
:
:
1
4
3
2
1
Page 31 of 9
SMENT FORM -
:
:
:
:
Ensure crame / lorry crane operators have valid license. Operators

and riggers should have valid third party certificate.
Out riggers of the crane should be fixed at least one meter away or
more from the excavation edges which should be decided as per
the ground condition against collapse of the edges. . Where
collapse of ground is suspected do not carry out lifting. Load
indicator should be checked at each location, as perload,boom
extension and boom angle.

Risk Rating
Ensure crane / lorry crane of of appropriate lifting capacity and in

good working condiction. Ensure valid third party inspection
certificates of crane/lorry crane, slings and lifting tackles.
Likelihood
"
Responsible Person
Consequenc
es
RESIDUAL
RISK
Site Engineer, Garage

Foreman
Site Engineer, Foreman,

crane
operator,Rigger
Page 32 of 9
SMENT FORM -
:
:
:
:
Ensure nobody under lifting load,especially inside the excavation /

tank construction area. Barricade lifting area , Post NO ENTRY
signs and prevent unauthorised entry.
Use taglines to control the undesired movement of lifted up item
and to place it at desired location. .

8/9/2014
gnature:

Risk Rating
Load indicator should be checked at each location, as per

load,boom extension and boom angle.Only safe load shall be lifted
at each position.
Likelihood
"
Responsible Person
Consequenc
es
RESIDUAL
RISK
Foreman,
Operator,Rogger
Foreman, Operator
Rigger
Foreman, operator,Rigger
:
:
:
1
Page 33 of 9
SMENT FORM -
:
:
:
:

Risk Rating
Likelihood
"
Consequenc
es
RESIDUAL
RISK
Responsible Person
4
3
2
1
Assign trained workers only to operate power tools.

Ensure safe condition of poweer tools , safety guard over roating /
reciprocating parts etc. c.
Electrical extensions to be done through safe routes to prevent
insulation damage, short circuit and electrical shocks.
Foreman, Electrician,
power tool operator
Electrical cables should not be put over stell / steel form work.
Provide temporary post to extend the cable.
Ensure ELCB at power source in working condition
Disconnect electrical extensions when not using power tools
Page 34 of 9
SMENT FORM -
:
:
:
:
Ensure workers wear PPE - Safety Googles, dut mask, heavy duty
hand gloves, safety shoes helmet and cover all.
Ensure no combustibles in the vicinity.Keep stand by
extinguishers

Risk Rating
"
Responsible Person
Likelihood
Consequenc
es
RESIDUAL
RISK
Foreman,
Fire
Foreman
Ensure safe and appropriate tools are used. No home made tools
allowed.Use PPE -Hand Gloves, safety googles, duct mask, safety
shoes,safety helmet,cover all.
Foreman
Conduct TBT and explain the hazards and precautions. Wood with
protruding nails should be segregated at a barricaded place during
work. Arrange for denailing of wood.
Foreman

8/9/2014
:
:
Page 35 of 9
SMENT FORM -
:
:
:
:
gnature:

Risk Rating
Likelihood
"
Consequenc
es
RESIDUAL
RISK
Responsible Person
:
1
4
3
2
1
Ensure safe and suitable scaffolding as per the job. Scaffoldings

should have platforms without gaps, guard rails (top and mid rails) ,
at all sides, toe boards, access ladder etc.
The scaffolding should be inspected and tagged before work. No
work shall be done on red / Untagged scaffoldings...
Site Engineer,Scaffolding
Foreman, Foreman
Safety harness should be worn and hooked while working /

supervising at overhead platforms. .
Page 36 of 9
SMENT FORM -
:
:
:
:
Likelihood

Risk Rating
"
Responsible Person
Consequenc
es
RESIDUAL
RISK
Foreman
Foreman
Foreman
Site Engineer,Scaffolding
Foreman, Foreman
Materials shall not be accumulated on the platform,obstructing

walkways,to prevent trip hazards.
No unauthorised ateration shall be done on scaffoldings during
work. It should be done by authorised scaffolder..
Ensure no over loading of the scaffold platform; with extra
people,Control number of workers needed.
The platform should have enough width for concrete workers to
stand and move vibrator on it. Handling / operate by competent
operators oonly. Ensure toeboard protection to prevent falling of
vibrator.
Continuous monitoring by supervisor for safe movement of
concrete hose. .Ensure workers take safe positions/postures.
Climbuing over shuttering for concreting shall not be allowed.
Ensure the workers use safety helmet,googles, gum boots, PVC workers
Hand gloves, cover all.
Page 37 of 9
SMENT FORM -
:
:
:
:

Risk Rating
Likelihood
"
Consequenc
es
RESIDUAL
RISK

8/9/2014
Responsible Person
:
:
gnature:
:
1
4
3
2
1
Ensure approved design for the support structue and it is

constructed with the right structure materials .
Site Engr.Foreman
Page 38 of 9
SMENT FORM -
:
:
:
:

Risk Rating
Assign trained and competent workers install the structure as per

design under competent supervisor. Engineer to ensure the right
installation and strngth of structure.
Likelihood
"
Responsible Person
Consequenc
es
RESIDUAL
RISK
Site Engineer,Foreman
Cordon the structure installation area. Post sign boards and

prevent unauthorised entry into erection area.
Guide and monitor material handling. Workers should take safe
postures against probable falling of structure material.
Scaffold boards secuured by tying / clamping on structure shall be
used as workingplatform during structure erection. boards shall be
used as working platform.Ensure the installed section of structure
is strong and stable to put scaffold boards as platform.
Page 39 of 9
SMENT FORM -
:
:
:
:
Likelihood

Risk Rating
"
Consequenc
es
RESIDUAL
RISK
Responsible Person
Foreman
Involved workers should wear and hook safety harnesses while

working at heights.
Barricade the work area and prevent unauthorised entry

8/9/2014
gnature:
:
:
:
1
4
3
2
1
Page 40 of 9
SMENT FORM -
:
:
:
:
Barricade the underneath of roof shuttering and prevent

unauthorised entry; especially during concreting. One person to be
assigned to ensure the same continually.
Responsible Person

Risk Rating
The support structure and shuttering for roof concreting should be

inspected and certified for it's strength against collapse during
concreting.
Likelihood
"
Consequenc
es
RESIDUAL
RISK
Concerned Engineer
4
Provide safe acess / bridge to roof shuttering

Ensure no over loading of the roof shutter with extra people,
Control number of workers needed.
. Handling / operate by competent operators oonly. Ensure toeboard protection to prevent falling of vibrator.
Foreman
Foreman
Page 41 of 9
SMENT FORM -
:
:
:
:
Responsible Person

Risk Rating
Continuous monitoring by supervisor for safe movement of

Likelihood
"
Consequenc
es
RESIDUAL
RISK
Foreman
1
1
Ensure the workers use safety helmet,googles, gum boots, PVC

Dismantling to be done by authorised competent workers only.
Provide supervision and guidamnce to prevent undesired falling of
shutyter materials
Barricade the work area and prevent unauthorised entry.

8/9/2014
gnature:
:
:
:
1
Page 42 of 9
SMENT FORM -
:
:
:
:

Risk Rating
Likelihood
"
Responsible Person
Consequenc
es
RESIDUAL
RISK
Foreman
1
1
Foreman
Foreman
4
3
2
1
Provide safe acess / bridge to roof shuttering

Ensure no over loading of the roof shutter with extra people,
Control number of workers needed.
. Handling / operate by competent operators oonly. Ensure toeboard protection
to prevent
of vibrator.
Continuous
monitoring
byfalling
supervisor
for safe movement of
Ensure the workers use safety helmet,googles, gum boots, PVC
Dismantling to be done by authorised competent workers only.
Provide supervision and guidamnce to prevent undesired falling of
Page 43 of 9
SMENT FORM -
:
:
:
:

8/9/2014
gnature:

Risk Rating
Barricade the work area and prevent unauthorised entry.
Responsible Person
Likelihood
"
Consequenc
es
RESIDUAL
RISK

:
:
:
1
4
3
2
1
Page 44 of 9

RISK ASSESSMENT FORM FOR POTABLE WATER WORKS

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RISK ASSESSMENT FORM FOR POTABLE WATER WORKS

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RISK ASSESSMENT FORM -

Potable Water Works

Ensure applicable external excavation pe

Lack of applicable permits, Contractor,

Ensure availability of updated as-built d

Tripod falling over

Task to be done by a trained and c

work - without permit -(hot works,

Safety precautions needed to contro

Hazard / Conditions that could

person who is doing the task must be comp

surveying assistant knocking peg into

HSEF 4.3.1-01-01 Issue: 1 Rev: 2 Issue Date: 20 Mar 2012

Locations for attenuation tanks on site

Roads and Infrastructure in Bani Hajer North. Phase 1 & 2