RISK ASSESSMENT FORM

Location: Terga Date of Assessment: 23-11-2009 Assessment No: 024

Assessor(s): FRIDI.ALI System/Activity: BOILER DRUMS
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Definite 5 5 10 15 20
High 4 4 8 12 16
Moderate 3 3 6 9 12
Low 2 2 4 6 8
Negligable 1 1 2 3 4
1 2 3 4
Minor Serious Major Catastrophic
Severity
Key to Priorities
Medium Priority (5 days) High Priority (2-3 days) Immediate
Hazards Identified (include the exposed groups)
Probability
1 - 5
Severity
1 - 4
Risk
1 - 20
Control Measures to be Implemented
Probability
1 - 5
Severity
1 - 4
Risk
1 - 20
Residual
Risk
Date Action
Completed
Equipment transfer
Driver working without certificate
Equipment in poor condition
Leakage
Personnel injury, Equipment and tools
damaged.
Soil pollution.
4 3 12 Driving working must have the certificate.
Inspect the driver license, before drive.
Respect of the limited speed.
2 2 4
Lifting
Object strike while lifting material
Crane tilt
Equipment damaged
Personnel injury.
Impact and injury from lifted material
Crane and equipment damaged
People injured.
4 3 12 Lifting gear certified
Riggers trained and certified, crane checked
before use, and certified.
Barricade lifting area, tag lines provided.
Riggers to wear hi-visible vest and blue
colour safety helmet.
Hand signal clear and correct
Expound the requirement to the operator
Ensure there nobody under the lifting object
Not lifting in bad weather such as strong
wind, heavy rain etc...
Not lifting at night
Never refit the lifting equipment.
Obtain PTW for lifting
All equipment inspected and colour coded.
2 3 6
Unstable ground of the crane outriggers 3 3 9 Crane operator to assess work and lifting
area before any lifting operations are carried
out.
Outrigger to be fully extended and load
bearing pads to be use during lifting
operation.
2 3 6

RISK ASSESSMENT FORM
Unstable load 3 2 6 Sufficient tag lines to be used at all times.
Trained and competent banks man to be in
control of the lift at all times.
A competent trained supervisor to be
present and in control of the works at all
times
2 2 4
Waste control
Environment pollution from waste material
and leakage
Soil polluted by leakage waste material
2 4 8 Waste material recycle bin will set up and
clear up regularly
Prior to use, vehicle must inspected, to
unsure no leakage.
2 2 4
-Activity: *welding preparation.
- The Emergency exits
* Welding fume and gas.
-Collapse
4 4 16 - Ensure effect ventilation.
-Keep all the entries open.
-keep a permanent watch (one HSE agent).
-Free the (02) two exits on south and
west sides from obstacles.
-On the North side install a ladder as a
third emergency exit.
2 2 4
Welding at height 3 3 9 All welding operations at height are to be
fully sheeted in with a fire blanket.
The area below the work place to be
checked for flammable materials before
commencing any work cordoned off.
A fire watcher and fire extinguishers to be in
place below the work area.
All equipments to be inspected and left in
safe conditions at break times and at the end
of each shift.
2 3 6
Installation of equipment
People falling from height
Tools falling down
Equipment damaged by hit
Personnel injury
Equipment damaged
4 3 12 Safety harness for working
Tools put into the tools pocket
Installation in accordance with the procedure
Multi-operator working under unifier control
Use the certified tools
2 2 4
Inspection
People falling from height pinch
Personnel injury
4 3 12 Safety harness for working
Working with gloves
Inspection refer to the procedure
2 2 4

RISK ASSESSMENT FORM