EHS RISK ASSESSMENT TEMPLATE

SECTION: ACTIVITY:
PACKAGE NO. CG 4706 EXISTING SUMPUMP CONTROL CABLE REMOVAL
Ref. No. DAN-RA-AD413-001

Current Risk Final Risk

Task (Steps) Potential Hazard Existing Control Additional Control
Cons. Prob. Risk Cons. Prob. Risk

Permit to work to obtained prior

No available to start the job and daily
confined space toolbox talk to be given prior to 4 2 8
permit start the job, supervisor to
monitor

Unknown The number of persons in the 4 2 8

6.1 TO 6.2 quantity of confined space should always
workers inside be known and signed onto the
the confined confined space permit before
space entry
Confined space watchman to be
posted at entrance of confined
space at all times and to sign
workers into and out of confined
space

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All personnel involve in activities

must wear P.P.E.'s at all times
(hard hat, safety glass, safety
Not using shoes, hand gloves, dust mask 2 5 10
P.P.E.'s 3M-8210,cover all. Clear safety
glasses inside confined space)
And any other P.P.E. should it be
required for the tusk

Workers must attended the Emal

4 2 8
Untrained confined space training.
workers

Gas/oxygen test to be completed

in daily basis, Supervisor to
monitor / As required.
Changing
environment Each shift provide safe access to 4 3 12
conditions work location
Provide proper lights as per
confined space requirement

503406-AD0000-68AF-12303_R00 (2011-07-19)
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Gas /oxygen test to be

conducted in hourly basis and
Presents of toxic keep record along with confined
gases and lack space permit. 4 3 12
of oxygen Positive ventilation to be
provided into the confined
space If required
Slips, trips and
fall at the same Maintain housekeeping around
level. in the working area. 5 1 5
Slips, trips and Proper barrication around the
fall into manhole to be provided.
manholes

6.3 Attach EMAL isolation permit

All hand tools to be used must

be in good condition, no
Hand tools 1 3 3
handmade hand tools to be
used at site.
Maintain housekeeping around in
Slips ,trips and
the working area
fall at the same 3 3 9
Proper supervision for daily
level
housekeeping.

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 EHS RISK ASSESSMENT TEMPLATE

Obtain work permit as

required.
Carryout lock out / tag out
system.
Maintain good coordination
Electrical with other contractors. (Civil,
Hazards, Mechanical etc.). 4 3 12
Electric Shock Supervisor to ensure all power
source connected with ELCB
and only 110V industrial
socket to be used at site
Appropriate fire extinguisher
to be provided if necessary
All workers involve in the activity
Hot weather. must be aware of heat stress, 2 4 8
supervisor to ensure drinking
cold water is available.

Supervisor to give tool box talk

Manual handling
regarding proper manual 1 3 3
hazards
handling.

Dust Provide 3M-8210 mask 2 3 6

503406-AD0000-68AF-12303_R00 (2011-07-19)
 EHS RISK ASSESSMENT TEMPLATE

All personnel involve in activities

must wear P.P.E.'s at all times
(hard hat, safety glass, safety
Not using shoes, hand gloves, dust mask 2 5 10
P.P.E.'s 3M-8210,cover all. Clear safety
glasses inside confined space)
And any other P.P.E. should it be
required for the tusk

NOTE: All Current Risk ranked above C-15 must have additional control measures: Risk = Consequence x Probability (R = C x P)
Tolerable Risk (Low) = 1-6, Medium = 8 -12, (Methods statement), Intolerable Risks (High) = 15 25 (Method Statement plus additional Control
Measures in place)
Consequence
Consequence ( Severity) Rating Factors (5) Probability Rating Factors (5) Frequency/Probability
(Severity)
Financial No Frequency A B C D E
No Safety Health Environ.
Equip. Product. Practically impossible or Once in 10 R=CxP 1 2 3 4 5
A (1)
1 First Aid Immediate Minor <AED 1k <1 hr years 5 5 10 15 20 25
2 Medical Temporary Short term <AED50K 1-2 hrs B (2) Not likely or Once per year 4 4 8 12 16 20
3 Lost Time Short term Long term >AED300k 2-4 hrs C (3) Could happen or Monthly 3 3 6 9 12 15
4 Disability Long term Serious >AED500k 4-8 hrs D (4) Has happened or Weekly 2 2 4 6 8 10
5 Fatality Fatal Catastrophic >AED1m >1 shift E (5) Common or Daily 1 1 2 3 4 5

ATTENDED BY:
503406-AD0000-68AF-12303_R00 (2011-07-19)
 EHS RISK ASSESSMENT TEMPLATE

Name(s):

Risk Assessor:

SACHIN BABU EHS ADVISOR

Name Designation Signature Date

FOLLOW UP:
NO. FOLLOW-UP ACTION ACTION BY TARGET DATE

APPROVAL:
DESIGNATION NAME SIGNATURE DATE

COMPILED BY:

ACKNOWLEDGED BY:

503406-AD0000-68AF-12303_R00 (2011-07-19)