Assessors Name: Assessors signature: Location of Date of Review date:

Method
task/operation being Task Carried assessment: Ongoing
Statement Action by
Sajimon KK assessed: out by? 15 January 09
by When?
Site
Ref No: Rev 02 RA 2009 - Depa Cross reference to N.B. Residual risk:
SSOW/method Other on site The risk left
statement: (Highlight SSOW/Method statement control measures after all control
one below) Ref No: may be required measures have
Page No: due to weather been put in
YES NO M/S 001 conditions/other place see
Risk Persons at risk reasons at time risk matrix at
severity of footer:
E C P Oth
(before task/operation:
Activity/ Significant ers
controls Control measures Work must not
Operation hazard
are in required: start until the
place) risks have
been assessed:

08 Falling of High Yes Yes Yes Prior to the Provide toe board. Project Site Engineer
Materials commencement Manager
Scaffolding of the activity Supervisor
Erection Stop working under Construction
Dismantling scaffolding. Manager Foreman

Provide fully boarded Site Manager Charge hand

platform.
Scaffolders

Provide barrication Project Helpers

Fall of High Yes Yes Yes
with proper signage, Engineer
Person
posters.
HSE Manager
All the tools are
secured with rope to
prevent falling down.

Steel stacked
materials should be
secured.

Dont stack
unnecessary materials
on scaffolding.

Frequent cleaning of
platforms.

RISK RATING MATRIX 1 E = employees

C = contractors/subcontractors
Likelihood: 5 very likely 4 likely 3 fairly likely 2 unlikely 1 very unlikely P = Public
Severity: 5 catastrophic 4 major 3 moderate 2 minor 1 insignificant QMS Rev 02 RA 2009
Sajimon KK January 09
Assessors Name: Assessors signature: Location of Date of Review date:
Method
task/operation being Task Carried assessment: Ongoing
Statement Action by
Sajimon KK assessed: out by? 15 January 09
by When?
Site
Ref No: Rev 02 RA 2009 - Depa Cross reference to N.B. Residual risk:
SSOW/method Other on site The risk left
statement: (Highlight SSOW/Method statement control measures after all control
one below) Ref No: may be required measures have
Page No: due to weather been put in
YES NO M/S 001 conditions/other place see
Risk Persons at risk reasons at time risk matrix at
severity of footer:
E C P Oth
(before task/operation:
Activity/ Significant ers
controls Control measures Work must not
Operation hazard
are in required: start until the
place) risks have
been assessed:

Collapse of High Yes Yes Yes

scaffolding Provide mid-rails and
Scaffolding top-rails. Medium
Erection
Dismantling Employees working on
the scaffold should be
trained for working at
height.

Out riggers to be
provided to prevent
toppling of mobile
scaffold.

Fall arrest, safety

Yes Yes Yes
harness should be used
Manual
Handling High
Ladder over 3m
heights should be tied
or footed.

Provide secure access.

Scaffolding should be
on solid base.

Adequate bracing and

ties should be
provided.

Planks should be tied.

Low

RISK RATING MATRIX 2 E = employees

C = contractors/subcontractors
Likelihood: 5 very likely 4 likely 3 fairly likely 2 unlikely 1 very unlikely P = Public
Severity: 5 catastrophic 4 major 3 moderate 2 minor 1 insignificant QMS Rev 02 RA 2009
Sajimon KK January 09
Assessors Name: Assessors signature: Location of Date of Review date:
Method
task/operation being Task Carried assessment: Ongoing
Statement Action by
Sajimon KK assessed: out by? 15 January 09
by When?
Site
Ref No: Rev 02 RA 2009 - Depa Cross reference to N.B. Residual risk:
SSOW/method Other on site The risk left
statement: (Highlight SSOW/Method statement control measures after all control
one below) Ref No: may be required measures have
Page No: due to weather been put in
YES NO M/S 001 conditions/other place see
Risk Persons at risk reasons at time risk matrix at
severity of footer:
E C P Oth
(before task/operation:
Activity/ Significant ers
controls Control measures Work must not
Operation hazard
are in required: start until the
place) risks have
been assessed:

Loads on platform
should be evenly
distributed.

Frequent inspection of
scaffold by
competent person.

RISK RATING MATRIX 3 E = employees

C = contractors/subcontractors
Likelihood: 5 very likely 4 likely 3 fairly likely 2 unlikely 1 very unlikely P = Public
Severity: 5 catastrophic 4 major 3 moderate 2 minor 1 insignificant QMS Rev 02 RA 2009
Sajimon KK January 09