RISK ASSESSMENT AND JOB ANALYSIS

DATE :
RA No. :
P.O.BOX No. 462, Abu Dhabi Rev. : 00
Tel. +971 2 5511 462, Fax. +971 2 551 3331
Email: fibrex@fibrex.ae; www.fibrex.ae

Fibrex PROJECT/FACTORY: THIS RISK ASSESSMENT/JSA IS TO BE REVIEWED MONTHLY BY THE

DEVELOPERS.
LOCATION:

JOB DESCRIPTION:

PLANNED HIGH RISK CONSTRUCTION ACTIVITY: Yes/No

HAZARD
Work PROMPT –Yes or No Identify the
at Heights job hazards
Work on Roof Excavations Confined Space entry
Tools Yes Depth Yes Vibration Yes Dust Yes Moving Yes Hot / Cold Yes Lighting Yes
Using Hazardous Substances Demolition Work Asbestos
PlantRemoval Objects Use of heavy plant
No No No
No No No No
In the event of injury is a member of the work team First Aid Qualified? YES NO If yes, their Name?
Gases Yes Weight
Yes Yes Noise
Slip / Yes Lifting Yes Overhead Yes Manual Yes
Point where an injured person may receive treatment: MINOR Trip
INJURY: Male Equipment
nurse in clinic SERIOUS INJURY:
Hazards Handling
No No No No No No No
RISK ASSESSMENT/JSA DEVELOPED BY: REVIEWED & APPROVED BY THE FOLLOWING PERSONNEL:
No. Name Signature
P.P.E REQUIREMENTS Position Employee # No. Name Signature
TAGGING & SIGNS Position PERMITSDate
&
PLANT, EQUIPMENT & TOOLS FOR JOB
1 Use 1 Use INSTRUCTION
Use
2 2 Use
3 Safety Harness Hearing Protection Ladder 3 Fire Blanket Men Working Above MSDSs
4 Static Line SCBA Hand Tools 4 Excavator Personal Locks Instruction Manuals
5 Steel Capped Boots Airline Shovel
5 Winch Personal Danger Procedures (SPI)
Tags
HAZARD PROMPT –Yes or No Identify the job hazards
Hard Hat Air Purifying Welding Machine Extension Out of Service Tags Work Instructions
Electrical Yes Vehicles Yes Pressure
Respirator Yes Weather Yes Hot Work
Leads Yes Heat Yes SMF or Yes
Asbestos
Tinted Safety
No Glasses EN No Confined Space No Compactor No Power Source No Information TagsNo Hot Work Permit
No
166b Harness
Chemical Yes Height Yes Access Yes Bacteria Yes Rotating Yes Dehydration Yes Confined Yes
Mono Goggles Gloves – PVC Drill Crane
Equipment Lifting Equip Lifting Plan
space
No No No No No Certificates No No
Face Shield EN 166b Gloves – Hyflex Grinder EWP Flag man Excavation Permit
(Nitrile)
Gloves – Leather General warning Confined Space
Sun Screen Scaffold Fans
Riggers signage Permit
Clear Safety Glasses EN
High Vis Vest Fire Extinguisher Tag lines Page 1 of 3
166b Ref.: FCG-HSE-FM-0049 REV. 0
Dust mask Welding mask
 RISK ASSESSMENT AND JOB ANALYSIS
No Job Step Hazard / Risk L S Risk New risk score Action
DATE :
Exposure Score Work Method Statement L After controls By
RA No. :
What are the For Control of Hazard Exposures applied
P.O.BOX No. 462, Abu Dhabi Rev. : 00
hazards of each LxS
Tel. +971 2 5511 462, Fax. +971 2 551 3331
Email: What you do, www.fibrex.ae
fibrex@fibrex.ae; NOT how you do it job step? What hazard controls will be used? S LXS
Who will check the effectiveness of the controls?
What checks will be undertaken? E.g. (Inspection
& ongoing monitoring)
1 (Before Erection) Access site for material Contact withHAZARD
4 4PROMPT
16 –Yes or No Identify the job hazards
shifting pedestrian, other
vehicle and property RISK SCORECALCULATOR
Inform the driver of the delivery van about site speed
limits and site routes.
damage.
Use The Risk Score Calculator To Determine The Level Of
 Risk Of toEach
Access Hazard.
the work area willRisk = likelihood
be agreed in advancexwith
severity (L x S)
the Construction Manager and Site Engineer.

 Banks man should be present with the delivery vehicle. Hierarchy of Controls
What would the What is the LIKELIHOOD of an occurrence? (L)
SEVERITY (S)  Area must be barricaded during unloading.
Almost Very Very Can the hazard be Eliminated or removed
2 Of(Before
an occurrence be? Handling
Erection) Material X Manual Handling
5 4 3 412 Likely 3 Unlikely 2 1
Certain
during unloading theLikely  Unlikely
Avoid manual handling by the use of crane. from the work place?
materials.

Disaster  When handling materials good manual handling Can the product or process be substituted
5 High 25 High 20 High 15 Medium
technique to be use.10 Medium 5
Multiple Fatalities for a less hazardous alternative?

Very Serious 4  Provision of adequate training to all workers involved.

Can the hazard be engineered away with
High 20 High 16 High 12 Medium 8 Medium 4
Major Illness or Injury, disability guards or barriers?

Serious
Serious but non-permanent injury Can Administration Controls be adopted
3 High 15 High 12 Medium 9 Low 6 Low 3
or ill health i.e. procedures, job rotation etc
Work days lost
Substantial
Medical attention needed. 2 Medium 10 Medium 8 Low 6 Low 4 Low 2
Can Personal Protective Equipment &
No work restrictions. Clothing be worn to safe guard against
hazards?
Minor 1
Medium 5 Medium 4 Low 3 Low 2 Low 1
Minor cuts & bruises or sickness

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Ref.: FCG-HSE-FM-0049 REV. 0
 RISK ASSESSMENT AND JOB ANALYSIS
DATE :
RA No. :
P.O.BOX No. 462, Abu Dhabi Rev. : 00
Tel. +971 2 5511 462, Fax. +971 2 551 3331
Email: fibrex@fibrex.ae; www.fibrex.ae

ANY RESIDUAL RISK SCORE EXCEEDING 12 (HIGH RISK) MUST BE REVIEWED AND REDUCED FURTHER BEFORE ANY
WORK ACTIVITY COMMENCES.

SIGN ON SHEET
Date Name Signature Date Name Signature

IF IT’S NOT SAFE – DON’T DO IT THAT WAY

Page 3 of 3
Ref.: FCG-HSE-FM-0049 REV. 0