JOB HAZARD ANALYSIS (JHA)

Company Name: HXCC JHA Number: RAPID-P0027-0004-HSE-JHA-3215-0008 Date:

Project Name: Package27 Title: REBAR AND FORMWORK

Revision:
Reviewed
Prepared by: Position Signature Reviewed by:TCMHQC Reviewed by : PRPC HSE Approved by: PRPC
by:
CIVIL ENG Name: Name: Name: Name:
HSE MGR Position : Position: Position: Position:
CON MGR Signature: Signature: Signature: Signature:
Date: Date: Date: Date:

Risk Assessment R esid u al R isk

Act io n
Step / Activity W ork Task Potential Hazard Consequences Hazard Control I L R Additional Control
I L R R eq u ir ed B y

RISK CLASSIFICATION MATRIX

1 2 3 4 5
Severity Insignificant Minor Moderate Major Castastrophic
IMPACT People Slight Injury Minor Injury Major Injury Single Fatality Multiple Fatalities

Environment Slight Impact Minor Impact Localized Impact Major Impact Massive Impact

Assets Slight Damage Minor Damage Local Damage Major Damage Significant Damage

Reputation Slight Impact Limited Impact Considerable Impact Major National Impact Major International Impact

E Happens several time per year in E1 E2 E3 E4 E5

the location
Almost Certain
D Happens several time per year in D1 D2 D3 D4 D5
LIKELIHOOD

Likely the industry

C Incident has occurred in the C1 C2 C3 C4 C5
Possible company
B Heard of incident in the industry B1 B2 B3 B4 B5
Unlikely
A Never heard of in the industry A1 A2 A3 A4 A5
Remotely Likely

LOW RISK MEDIUM RISK HIGH RISK VERY HIGH RISK