EHSS Risk Assessment

Project Name:
Contractor Name:
Activity/ Area/ Equipment:
Assessor(S): Assessment Date: Doc No.
Reviewed by: Review Date: Next Review Date:
EHSS Risk Residual EHS
Hazard/ Evaluation Risk Evaluation
Hazard/ Aspect Persons at Risk Existing Control measures Additional control measures or other actions
#

Aspect Effect
N S L R N S L R

Prepared BY Approved BY;

Name & Signature with date: Name & Signature with date:

EHSS Risk Assessment Form Doc. No.: F2 Rev:0 Page 1 of 2 RA of _______________________________________________________

 EHSS Risk Assessment
Project Name:
Contractor Name:
Activity/ Area/ Equipment:
Assessor(S): Assessment Date: Doc No.
Reviewed by: Review Date: Next Review Date:
EHSS Risk Residual EHS
Hazard/ Evaluation Risk Evaluation
Hazard/ Aspect Persons at Risk Existing Control measures Additional control measures or other actions
#

Aspect Effect
N S L R N S L R

Risks rating score

Risk is essentially a combination of three factors:

§ The number of people that could be affected.
§ The severity of likely injuries that persons could suffer.
§ The likelihood of harm actually occurring.
The overall Risk can be determined using the following formula:
Risk Rating = Numbers X Severity X Likelihood
The activities should be Risk Assessed as follows according to the criteria set out in the below table:

Number of people affected (N) Severity of injury (S) Likelihood (L)

1-5 Persons 1 Negligible 1 Improbable 0.5
6-50 Persons 2 Minor 2 Remote 1
50+ Persons 3 Major 5 Possible 5
Public / Vulnerable persons affected 3 Fatal 10 Likely 10
Notes:
§ If the public or vulnerable persons could be affected by the work activities, the appropriate weighting should be applied.
§ Negligible Injuries Include bumps, small cuts, and abrasions etc.
§ Minor Injury includes those injuries that could result in time off work, etc.
§ Major Injuries include broken limbs, injury to eyes, asphyxiation, etc.
§ Improbable: Probability close to zero.
§ Remote: Unlikely.
§ Possible: Could occur sometime.
§ Likely: Not surprised that it will happen.
§ Certain: Most likely to happen.

RISK RATING SCORE ACTION TO BE TAKEN

Up to 20 Risk is low: Acceptable: Additional control measures may be considered to reduce the Risk, although low priority. Time, effort and cost should be proportional to the Risk.

21 to 50 Risk is medium: Unacceptable: Additional control measures required soon to control. Interim measure may be necessary in the short term.

Risk is high: Unacceptable: Additional control measures required urgently to control Risk. Interim measure required in the short term. Significant effort, time, etc. may have to be
51 to 100
control the Risk

100+ Risk totally unacceptable

EHSS Risk Assessment Form Doc. No.: F2 Rev:0 Page 2 of 2 RA of _______________________________________________________