Risk Assessment/Management Form

Ref:
Section / Dept: civil Activity: Risk Assessment For Making Location:-
Contractor :- shed of 3.5M.level height.

Current control measure Risk rating Initial Additional Ri

Resi
dual
Sl Basic Job Potential Conseque

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abilit

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Prob

Prob

risk
No. Steps Hazard nce Risk control sk
measure ra
P E A R ti
P E A R
Movement of path must be leveled,compact and free n
Shifting of the from any obstruction. g
materials(channe
ls,angles,G.I Slip of man/Fall of Get All the materials should be stored in a proper place and
1 sheets etc.) to materials Injury/Fatality kept it in orderly manner 1 0 0 0 2 2
the working area Two guy ropes must be used while shifting the material
by single hydra.
with hydra.
Deployment only experienced workmen
Scaffolding platform (at every 2.1m)must madeup of
planks with double railing,toeguard and a fixed ladder.
To fill up the Wah permit & daily attachment sheet before
Climbing up on Fall of man due to slip starting the activity
Get
2 the top of the
Injury/Fatality Use double rope full body harness while ascending or
1 0 0 1 2 2
scaffolding
descending
Daily checked all the tools before starting the activity
All the portable tools must be tied with rope while
Slip of tools/Materials
working for preventing the accidental fall
Area should be properly barricaded and nobody allow
under the suspended load
Get Deployment only experienced workmen
Slip/Fall of materials
Injury/Fatality
Rope must be checked before starting the activity on
Lifting of G.I daily basis.
sheets, channels Only authorised persons are allowed for working at
3
& angles etc.by
1 0 0 1 2 2
height
using hydra.
Get Use double rope full body harness and it must be
Working at height anchored above the head height.
Injury/Fatality

Use of safety shoe,Helmet with chin strip & Hand gloves

Provide the polymide rope at diagonaly for anchoring the

Slip of man/Fall of safety harness
Get Injury
materials
Use of helmet with chin strap,safety shoes,Jacket &
safety goggle and hand gloves

Only Trained & Experienced personnel shall be

Fixing the Get allowed for welding
4 G.I.sheets,chann injury/Respir To take charging approval
els & angles etc. Welding
atory Welding m/c.should be connected with separate
problem earthing
While welding activity going on at the top nobody
allow under along this activity
Use welding appropriate PPE
Looking at nacked eyes should be avoided while
Damage of working with in the vicinity of welding
Eye injury
both eyes Use welding screen of correct specification
Use of proper PPE
Prepared By Approved By Reviewd By
Contractor Contractor
Date Date Date
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