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RISK ASSESSMENT FORM -

Date : 15/03/2015

Ref No:

AK/IR/36

Project Name : Roads and Infrastructure in Al Kheesa North and East

SR #


Initial Risk

Safety precautions needed to control the Risk to ALARP *

Access for excavation


Drivers/operators
equipments, loading trucks etc. - Inviolved peiople
vehicle /equipment accidents
1

Working inside
excavation

"

Provide entry gate at one location of protection barrier around


the excavation; restricrted for construction equipments and
trucks involverd in the Potable water work . Post sign boards to
prevent unauthorised entry of vehicles, people. Assign gate
keeper.

RESIDUAL
RISK

Responsible Person


Risk
Rating

Who Might be
Harmed

Likelihood

Hazard / Conditions that could


develop hazard

Consequen
ces

Activity

Dewatering works


Risk
Rating

Likelihood

Description of work

Locations for dewatering at site.

Consequen
ces

Assessment location :

Site Engineer,
Gen.Foreman

Site Engineer, Foreman

Provide access ramp of enough width and slope into the


excavation for construction equipments and vehicles to be
provided. Ensure edge protection for ramp as required.
Falling of loose materials from
the sides - Injuries.
2

12

Clear loose materials including stones from the edges


excavation. Install green mesh at the walls of excavation..

Lose Materials

*ALARP - As Low As Reasonably Practicable


Assessed By: Eng.Enrique Fajardo (HSE Manager)
Date:
15/03/2015

Likelihood /

Severity /

Remote /
Unlikely /
Likely /
Frequent /

Minor /
Major /
Severe /
Fatality /

3
hose and other
fittings unloading,
stacking at work site .

:
:

Likelihood
Severity
4
3
2
1

Unsafe hose stacking at site .- Involved workers


Falling of pipe : Injuries and
Damages. Tripping hazard.

HSEF 4.3.1-01-01 Issue: 1 Rev: 2 Issue Date: 20 Mar 2012

:
:

Reviewed by: Eng.Salameh Haddadin (Project Manager))


Date: 15/03/2015

Signature :

1
2
3
4

Workers inside
manhole`nch.

Signature:
3

16

12

12

9
6
3

4
2

8
4

hoses should be kept at least 1 mtr away from trench edges and
perendicular to the trench. Do not overstack hoses. All hoses
and other fittings should be stored in deisgnated storage araea.

Gen.Foreman, Foreman
1

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RISK ASSESSMENT FORM -


:

Date : 15/03/2015

Ref No:

AK/IR/36

Project Name : Roads and Infrastructure in Al Kheesa North and East

Lifting operations
during installation of
dewatering pumps,
tanks and other
items.

Unsafe Equipment / incompetent Operator involved


Operations - accidents ,injuries.
workers and
anybody in the
vicinity

Improper locating of crane - Operator involved


Colapse
of
excavation
workers
and
edges,overturning of crane - anybody in the
injuries and damages
vicinity

lifting excess load more than


safe load - Fall oF materials,
crane overturning etc.
unprotected lifting area unauthorised entry,injuries

Operator,Involved
workers
workers
,
unauthorised
peiople

Undesired movement of load - Involved workers,


accidents,Injuries
anybody in vicinity

1
2
3
4
5

Likelihood /
Remote /
Unlikely /
Likely /
Frequent /

Hose, fitting and


Jointing Installation

Severity /
Minor /
Major /
Severe /
Fatality /

Likelihood
4
3
2
1

Involved workers

mishandling

HSEF 4.3.1-01-01 Issue: 1 Rev: 2 Issue Date: 20 Mar 2012

Safety precautions needed to control the Risk to ALARP *

12

"

Ensure crane / lorry crane of of appropriate lifting capacity and


in good working condiction. Ensure valid third party inspection
certificates of crane/lorry crane, slings and lifting tackles.

Site Engineer, Garage


Foreman

Site Engineer,
Foreman,
crane operator,Rigger

Foreman,
Operator,Rogger

Foreman, Operator
Rigger

Foreman,
operator,Rigger

Ensure crame / lorry crane operators have valid license.


Operators and riggers should have valid third party certificate.

12

12

Out riggers of the crane should be fixed at least one meter away
or more from the excavation edges which should be decided as
per the ground condition against collapse of the edges. . Where
collapse of ground is suspected do not carry out lifting. Load
indicator should be checked at each location, as perload,boom
extension and boom angle.
Load indicator should be checked at each location, as per
load,boom extension and boom angle.Only safe load shall be
lifted at each position.
Ensure nobody under lifting load,especially inside the excavation
/ tank construction area. Barricade lifting area , Post NO
ENTRY signs and prevent unauthorised entry.
Use taglines to control the undesired movement of lifted up item
and to place it at desired location. .

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12
9
6
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8
4

6
4
2

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Responsible Person


Risk
Rating

SR #

Likelihood

Who Might be
Harmed

RESIDUAL
RISK

Consequen
ces

Hazard / Conditions that could


develop hazard


Initial Risk

Risk
Rating

Activity

Dewatering works

Likelihood

Consequen
ces

Assessment location :
Description of work

Locations for dewatering at site.

2
1

Correct manual handling techniques,Use mechanical aids where


possible.

Foreman

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RISK ASSESSMENT FORM -


:

Date : 15/03/2015

Ref No:

AK/IR/36

Project Name : Roads and Infrastructure in Al Kheesa North and East

:
:

Dewatering works

Dewatering

Slip / Trip and Fall.

Electric shock / Over Heated


Machineries.

1. Area to be barricaded and signs to be displayed


2. Sides of excavation to be stepped or protected against
collapse while doing dewatering.
3. Ensure proper illumination during night
4. Ensure operators are trained and work is under close
supervision.
5. Proper usage of PPES
6. Good house keeping.

Foreman

1. Close supervision
2. PTW system / obtain NOC from relevant authorities.
3. PPES (Proper usage)
4. Proper ear thing of machineries/ usage of ELCB
5. Effective maintenance of machinery

Foreman

1. Proper usage of PPES( i.e hand gloves, eye glasses etc)


2. Close supervision of the job
3. Trained people to work in dewatering job
4. Proper maintenance / replacement of damaged
Hoses.
5. Follow PTW system

Foreman

Foreman

Foreman

Site Engr, Gen.Foreman

Site Engr, Gen.Foreman

workers
3

Laying of water discharge hose workers


through hazardous areas.

Leaking of hose water line

Operator involved
workers and public

Hold of pipe with hand

workers

Low light/Darkness

Operator involved
workers
and
anybody in the
vicinity
Public

Unwanted people

HSEF 4.3.1-01-01 Issue: 1 Rev: 2 Issue Date: 20 Mar 2012

Responsible Person

Involved workers

RESIDUAL
RISK

Risk
Rating

Safety precautions needed to control the Risk to ALARP *

Likelihood

SR #


Initial Risk

Consequen
ces

Who Might be
Harmed


Risk
Rating

Hazard / Conditions that could


develop hazard

Likelihood

Activity

Consequen
ces

Assessment location :
Description of work

Locations for dewatering at site.

"

All water lines should be light , no water should leak from pipe.

12

12

Tie the pipe with rope and 2 persons to hold it to keep vertical
1. Proper lighting arrangement should be done, suitable for night
work

No unauthorized / job related personnel should be on site, pulic


protection fencing shlould be provided with gates.

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Dewatering

RISK ASSESSMENT FORM -


:

Date : 15/03/2015

Ref No:

AK/IR/36

Project Name : Roads and Infrastructure in Al Kheesa North and East

:
:

Dewatering works

Water / Mud sticking to boots

workers

Safety precautions needed to control the Risk to ALARP *

"

Proper PPES like , boots suitable for water like


gum boots should be used for this purpose


Risk
Rating

SR #

Likelihood

Who Might be
Harmed

RESIDUAL
RISK

Consequen
ces

Hazard / Conditions that could


develop hazard


Initial Risk

Risk
Rating

Activity

Likelihood

Description of work

Locations for dewatering at site.

Consequen
ces

Assessment location :

Responsible Person

Site Engr, Gen.Foreman


and HSE officer.

*ALARP - As Low As Reasonably Practicable

Assessed By: Eng.Enrique Fajardo (HSE Manager)


Date:
15/03/2015
Signature :
Likelihood /
Severity /
Remote /
Minor /
1
Unlikely /
Major /
2
Likely /
Severe /
3
Frequent /
Fatality /
4
*ALARP - As Low As Reasonably Practicable

HSEF 4.3.1-01-01 Issue: 1 Rev: 2 Issue Date: 20 Mar 2012

:
:

Reviewed by: Eng.Salameh Haddadin (Project Manager)


Date: 15/03/2015

:
Likelihood
Severity
4
3
2
1

Signature:
4

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:
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4
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2
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HSEF 4.3.1-01-01 Issue: 1 Rev: 2 Issue Date: 20 Mar 2012

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HSEF 4.3.1-01-01 Issue: 1 Rev: 2 Issue Date: 20 Mar 2012

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HSEF 4.3.1-01-01 Issue: 1 Rev: 2 Issue Date: 20 Mar 2012

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HSEF 4.3.1-01-01 Issue: 1 Rev: 2 Issue Date: 20 Mar 2012

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