Workplace Risk Assessment - Worksheet

SITE / UNIT: ASSESSMENT TEAM LEADER: ASSESSMENT Ret. No.: RA- 042

ACTIVITY DESCRIPTION: Manual lifting materials ASSESSMENT TEAM MEMBERS: DATE OF ASSESSSMENT:
О
TIME OF ASSESSMENTX:

№ Job Stages. HAZARD. INITIAL RISK, СONTROLS. RESIDUAL RISK.

Divide the activity
into logically

Likelihood of Occurrence.

Likelihood of Occurrence.

Residual Risk Evaluation

bracketed job Description. Impacts Controls & Recovery Measures Required.
stages. (Consequences).

Hazard Severity.
Hazard severity.
Target P.E.A.R.

Risk Rating.

Risk Rating.

H/M/L.
1 Preparations for Fall, trip, slip Р Getting injured. 2 2В Low Tool box talk. Standard Document Filling and 1 А 1А Low
work start Record, with attached Risk Assessment and
Method Statement. Emergency Response
Scheme. Knowledge of procedure, work and
operation sequence. PPE supply. First Aid Kit
availability on site.
Instruments and Equipment Examination. Supply
with proper Instruments and Equipment. Only
Qualified Personnel Access to Construction Site.
Provide Access Roads to Construction Site.

2 Lifting work Load. Moving Р. Press. Jamming. 3 3В Mid TBT. PPE. Hoisting Crane Examination before 2 А 2А Low
Parts of Hoisting Load or Equipment Work Start. Check the Documents (copies) for
Machines. Items Changeover. Hoisting Mechanism and Devices. The Operator
Falls Fuel and Lubricants should record the Log before Work Start. Safety
Spillage Signs Installations and Working Place Barricades.
Supervision by Foremen and HSE Engineers.
Documents of Qualified personnel. Responsible
for Crane Safety Operation. Use of certified Slings
and Gripping Devices. Use of Guy Wires. Safety
Crane Installation. Perform Load Lifting only with
Qualified Personnel. Slinging Operations should
be performed according to Slinging Diagram. The
Slings should be used in accordance with weight,
load specifications considering sling arms quantity
and angles. Supply proper load storage.
Use technically sound mechanism and
equipment. Use pallets in case of spillage.
3 Manual Lifting Not following Press. Jamming.  Only pickup loads that you can handle, around 2 А 2А Low
safety procedures Load or Equipment 15kg or less or get the help of fellow workers.
can cause serious Changeover.  Bend at the knees, keep load close to body.
injury Fuel and Lubricants  Use of mechanical means to move materials
Spillage is preferred .

4 Р. Exposure to High 3 3В Mid Adequate shelter to be provided for workers to 2 А 2А Low

Working in extreme A-Hot climate Heat & humid take rest.
weather condition  Sun Burn condition leading to Sufficient quantity of cool drinking water to be
(hot & cold) Heat stress and heat related illness made available always.
dehydration including Heat Rotation of workers will be made suitably
cramps/ Heat Workers to be provided with dust mask and water
B- Cold climate stress/ heat stroke to be sprayed regularly to suppress the dust.
etc. Personal injury / For extreme climate workers must provide
 Extreme low illness adequate and appropriate winter PPE’S
temperature Ensure the climatic condition recording &
monitoring instrument are available & monitored
frostbite & and deviations are communicated.
hypothermia even
death

5 Territory Waste. Sharp Р. Slight injuries. Trip, 2 2D Mid/ Control by Foremen, Supervisors, Safety 1 B 1B Low/
housekeeping by things. fall. Engineers.
work completion. Personal Protective Equipment (work clothes,
safety shoes, helmet, glasses, gloves and other
Wrong wastes necessary PPE).
disposal. Regular, routine housekeeping and working place
compulsory cleaning at the end of working shift.
Fuel and Lubricants All spillages should be immediately taken away
spillage. and removing from site.
Wastes compulsory adhesion by hazard classes.
Site concreting for waste storage.
Special containers for medical waste utilization.
Special vehicles for waste removal. Waste
removal to specially allotted territory with
utilization confirmatory documents delivery.

Assessment team leader: POSITION: APPROVED: POSITION:

Signature / Date / Signature / Date /