RISK ASSESSMENT FORM -

Date : 2/23/2015

Ref No:

RA/AK/27

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

Assessment location : Balancing tank location on site.

Who Might be
Harmed

Installation of J-bolt 1) Struck against J-bolt

Involved
workers,
manually
Others in the vicinity

Initial Risk

Safety precautions needed to contro

Risk
Rating

Hazard / Conditions that could

develop hazard

Likelihood

Activity
SR #

Balancing tank excavation

Conseque
nces

Description of work :

16

Refer as built drawing of u/ground utiliti

underground utility scanner to Identify and
excavation works

2) Lifting heavy object

Involved workers and

others in the vicinity

16

Select cranes of appropriate capacity. En

certificates of cranes and lifting slings and t
third party certificates of operators, riggers.
only.

3) Awkward movement

Involved workers

16

Correct manual handling techniques,Us

possible,Maintain control of loads when lifting

4) Forceful grip of the J-bolt

Involved workers

16

Provide ramp and safe access for exc

excavation operations. Assign a flagman to
equipment.

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

Page 1 of 4

RISK ASSESSMENT FORM -

Date : 2/23/2015

Ref No:

RA/AK/27

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

Assessment location : Balancing tank location on site.

Manual
clearing
excavated area

Who Might be
Harmed

of Unsafe
manual
excavation Involved workers
equipment, unsafe access to bottom
of excavation.
Untrained worker, Lack of workers for Involved workers
manual work. - Injuries, Fatigue due
to continuous manual drilling by single
worker.

Working
inside Confined space hazards (If the Those who work /
Balancing tank
work is to be conducted inside go
inside
attenuation
tank)
such
as attenuation tank
presence of toxic and flammable
gases OR lackof oxygen inside the
deep attenuation tank.

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

Initial Risk

Safety precautions needed to contro

Risk
Rating

SR #

Hazard / Conditions that could

develop hazard

Likelihood

Activity

Balancing tank excavation

Conseque
nces

Description of work :

12

Provide ramp with hand rails and cage l

workers to the bottom of excavation for clea

12

Ensure inducted and internal trained work

levelling and clearing of ground. Rotate w
shall not do manual work for long time. Ens
by one. Ensure driking water at work plac
leather hand glove, Safety googles, safet
cover all. provide rest area for workers .

16

Ensure safe access into the Balancing ta

Do gas test to detect presence of t

lackof oxygen inside the attenuation tank

If presence of any toxic / flammable gas

methods to eliminate the gases to be
Engineers.
Page 2 of- 4Try to
exhaust fan; at the same time supply pr
of the Balancing tankThis shall be c

RISK ASSESSMENT FORM -

Date : 2/23/2015

Ref No:

RA/AK/27

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

16

Initial Risk

Safety precautions needed to contro

Risk
Rating

Likelihood

Conseque
nces

Assessment location : Balancing tank location on site.

Balancing tank excavation
Description of work :
3 Working
inside Confined space hazards (If the Those who work /
Balancing tank
work is to be conducted inside go
inside
attenuation
tank)
such
as
attenuation
tank
Hazard / Conditions that could
Who Might be
Activity
presencehazard
of toxic and flammable
develop
Harmed
SR #
gases OR lackof oxygen inside the
deep attenuation tank.

If presence
of
any toxic
/ flammable gas

methods to eliminate the gases to be
Engineers.
- Try to
exhaust fan; at the same time supply pr
of the Balancing tankThis shall be c
flammable gases are fully evacuated.

*ALARP - As Low As Reasonably Practicable

2/23/2015

Date:

:
:

Signature :

1
2

Likelihood /

Severity /

Remote /
Unlikely /

Minor /
Major /

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

2/23/2015

Date:
Signature:

Likelihood
Severity
4
3
2

16
12
8

12

8
6
4

4
3
2

9
6

Page 3 of 4

RISK ASSESSMENT FORM -

Date : 2/23/2015

Ref No:

RA/AK/27

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

Assessment location : Balancing tank location on site.
Balancing tank excavation
Description of work :

Likely /
Severe /
Frequent /
Fatality /
Working inside
Confined space hazards (If the
Balancing tank
-- work is to be conducted
CONTINUED
insideBalancing tank) such as
presence of toxic and flammable
gases OR lack of oxygen inside
the deep balancing tank.

1
Those who go / work
inside attenuation
tank

Safety precautions needed to contro

Risk
Rating

3
4

Initial Risk

Likelihood

Who Might be
Harmed

Conseque
nces

Activity
SR #

Hazard / Conditions that could

develop hazard

16

8
4

6
3

4
2

2
1

Take gas test again. Do not allow to work ti

brought down to zero.
If the oxygen percentage is below 20.9 % ,
pressure into the bottom of theBalancing
oxygen is building upto safe level of 20.9 %
If the oxygen content is remaining steady b
work shall be proceeded.

If the oxygen % is not remaining steady in

the workers should use self contained breath
the Balancing tankIn such case, one
insideBalancing tankfor more than 20 minut
designed to use for 30 minutes.

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

Page 4 of 4

RISK ASSESSMENT FORM -

Initial Risk

Risk
Rating

Who Might be
Harmed

Likelihood

Activity
SR #

Hazard / Conditions that could

develop hazard

Ref No:

RA/AK/27

Conseque
nces

Date : 2/23/2015
:
Those who go / work
4
Working inside
Confined space hazards (If the
Project Name : Roads and Infrastructure in Al Kheesa
North and East
inside attenuation
Balancing tank
-- work is to be conducted
CONTINUED
suchon
as site. tank
Balancing tanktank)
location
Assessment
location : insideBalancing
presence of toxic and flammable
Balancing
tank
Description of work :
gases
OR lack
of excavation
oxygen inside
the deep balancing tank.

Safety precautions needed to contro

Air supplied breathing apparatus (attached

only if pure breathable oxygen from a cylind
type air compressor with regulating system c
from normal compressors contain harmful
lubricant in it's internal parts.

Ensure that the workers are trained to use

apparatus and briefed upon the hazards invo
*ALARP - As Low As Reasonably Practicable
Assessed By: Eng.Enrique Fajardo (HSE Manager)
Date:
2/23/2015
Signature :
1
2
3
4

Likelihood /
Remote /
Unlikely /
Likely /
Frequent /

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

:
:
:

Reviewed by: Eng.Salameh Haddadin (Project Manager)

Date: 2/23/2015
Signature:

Severity /
Minor /
Major /
Severe /
Fatality /
Page 5 of 4

RISK ASSESSMENT FORM -

Date : 2/23/2015

Ref No:

RA/AK/27

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

Assessment location : Balancing tank location on site.

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

Who Might be
Harmed

Initial Risk

Risk
Rating

Hazard / Conditions that could

develop hazard

Likelihood

Activity
SR #

Balancing tank excavation

Conseque
nces

Description of work :

Safety precautions needed to contro

Page 6 of 4

33911446

ENT FORM -
RA/AK/27

:
:
:
:
RESIDUAL
RISK

Likelihood

Risk
Rating

"

Conseque
nces

Safety precautions needed to control the Risk to ALARP *

Refer as built drawing of u/ground utilities in this area. Utilize a

underground utility scanner to Identify and mark them before starting
excavation works

Responsible Person

ConstructionManager,
Site Engineer

Select cranes of appropriate capacity. Ensure Third party inspection 3

certificates of cranes and lifting slings and tackles. , License of operator,
third party certificates of operators, riggers. Work with valid lifting permit
only.

Site Engineer, Foreman

Correct manual handling techniques,Use mechanical aids where 2

possible,Maintain control of loads when lifting & moving.

Site Engineer, Foreman

Provide ramp and safe access for excavation equipment to the

excavation operations. Assign a flagman to monitor the movement of the
equipment.

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

Site Engineer, Foreman

Page 7 of 4

33911446

ENT FORM -
RA/AK/27

:
:
:
:

Likelihood

Risk
Rating

Responsible Person

Conseque
nces

Safety precautions needed to control the Risk to ALARP *

RESIDUAL
RISK

Provide ramp with hand rails and cage laddersfor safe access of
workers to the bottom of excavation for clearing and levelling of ground.

Site Engineer, Foreman

Ensure inducted and internal trained workers are engaged for manual
levelling and clearing of ground. Rotate workers so that single worker
shall not do manual work for long time. Ensure the workers take rest one
by one. Ensure driking water at work place. Ensure the workers wear
leather hand glove, Safety googles, safety shoes, safety helmet and
cover all. provide rest area for workers .

Site Engineer, Foreman

Ensure safe access into the Balancing tankEnsure enough lighting.

"

Site Engineer,
Gen.Foreman

Do gas test to detect presence of toxic / flammable gases or

lackof oxygen inside the attenuation tank.

Safety Officer

If presence of any toxic / flammable gases are found, Engineering

methods to eliminate the gases to be applied by Construction
Engineers.
Try to
HSEF
4.3.1-01-01 Issue: 1 Rev: 2 Issue -Date:
20evacuate
Mar 2012 the gases with
exhaust fan; at the same time supply pressurized air into the base
of the Balancing tankThis shall be continued till the toxic /

Site Engineer,
Gen.Foreman

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RA/AK/27

:
:
:
4

Risk
Rating

Likelihood

If presence
of
any toxic
/ flammable gases are found, Engineering
"
methods to eliminate the gases to be applied by Construction
Engineers.
- Try to evacuate the gases with
exhaust fan; at the same time supply pressurized air into the base
of the Balancing tankThis shall be continued till the toxic /
flammable gases are fully evacuated.

RESIDUAL
RISK

Conseque
nces

Safety precautions needed to control the Risk to ALARP *

Responsible Person

Site Engineer,
Gen.Foreman

:
:

1
4
3
2

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

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33911446

ENT FORM -
RA/AK/27

:
:
:
:

2
1

Take gas test again. Do not allow to work till toxic / flammable gases is 4
brought down to zero.
If the oxygen percentage is below 20.9 % , provide air supply at normal
pressure into the bottom of theBalancing tankand check whether the
oxygen is building upto safe level of 20.9 %. Observe for half hour and
If the oxygen content is remaining steady between 18.5 % and 20.9% ,
work shall be proceeded.
If the oxygen % is not remaining steady in a range of 18.5 % - 20.9 %,
the workers should use self contained breathing apparatus to work inside
the Balancing tankIn such case, one worker should not work
insideBalancing tankfor more than 20 minutes, if the Oxygen cylinder is
designed to use for 30 minutes.

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

Risk
Rating

"

Conseque
nces

Safety precautions needed to control the Risk to ALARP *

Likelihood

RESIDUAL
RISK

Responsible Person

Safety Officer
Site Engineer,
Gen.Foreman. Safety
Officer

Site Engineer,
Gen.Foreman. Safety
Officer

Page 10 of 4

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ENT FORM -
RA/AK/27

:
4

:
:
:

Risk
Rating

Likelihood

"

Conseque
nces

Safety precautions needed to control the Risk to ALARP *

RESIDUAL
RISK

Responsible Person

Air supplied breathing apparatus (attached with helmet) shall be used

only if pure breathable oxygen from a cylinder or special non-lubricating
type air compressor with regulating system can be provided. Air supplied
from normal compressors contain harmful Carbon Monoxide due to
lubricant in it's internal parts.

Site Engineer,
Gen.Foreman. Safety
Officer

Ensure that the workers are trained to use the self contained breathing
apparatus and briefed upon the hazards involved..

Site Engineer, Safety Officer

d by: Eng.Salameh Haddadin (Project Manager)

2/23/2015

:
:
:

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

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:
:
:

Risk
Rating

Page 12 of 4

Conseque
nces

Likelihood

Responsible Person

RESIDUAL
RISK

* Safety precautions needed to control the Risk to ALARP

"

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