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Doc. No.

: RMDJV-PJ74-HIRADC-MISC-01
Rev. No. : 1

HAZARD IDENTFICATION, RISK ASSESSMENT AND DETERMINING CONTROL FORM


Likelihood 1 2 3 4 5 Prepared by Verified by
Severity 1. Mohd Suffian Mohamad Shiger
5 5 10 15 20 25 2. Syamaizar Namrun
4 4 8 12 16 20 3. Ahmad Syurki Ramli
3 3 6 9 12 15 4. Dzul Fadhli Kasa
2 2 4 6 8 10 5. Jaikisan
1 1 2 3 4 5 Project Manager/ Chairman

JOB TITLE : HOUSEKEEPING

IDENTIFY ASSESSMENT CONTROL


Activities R/NR Type of Further Action / PIC
Hazard Consequences Current Risk Control Likelihood Severity Risk
Control Control (Due Date)
Poisonous
insect, snake Bite, fatal Tool box briefing 1 3 3 (L)
etc
Extreme hot Heat stress Standby of drinking
R 2 2 4 (L)
weather Dehydration water
Moving Struck by To follow site speed
R 2 2 4 (L)
vehicle machinery limit 20Km/h
Sharp
R Hand Injury Wear hand gloves 1 4 4 (L)
edge/object
Bad Slip, trip & Fall Material Arrangement
R 3 1 3 (L)
housekeeping Minor Injury / Housekeeping
Site clean up Muscular
Manual
R Skeletal Buddy systems and etc. 2 2 4 (L)
Handling
Disorders

Dengue
fever/Malaria;
bite by snake, To wear
R Biological scorpion or a. High Cut Safety Boot 2 2 4 (L)
other b. Long sleeve shirt
poisonous
insects

1
LIKELIHOOD SEVERITY RISK = LIKELIHOOD X SEVERITY
The most likely result of the hazard / event being realized Numerous fatalities, irrecoverable property damage
Most Likely (5) Catastrophic (5) 1-4 : LOW RISK
and productivity
Has a good chance of occurring and is not unusual (within 5 Approximately one single fatality and major property
Possible (4) Fatal (4) 5 - 12 : MEDIUM RISK
years) damage if hazards is realized
Conceivable (3) Might be occur at sometime in future (within 5-10 years) Serious/Major (3) Non fatal injury, permanent disability 15 - 25 : HIGH RISK
Remote (2) Has not been known to occur after 10 years Minor (2) Disabling but not permanent injury
R = Routine NR = Non-Routine
Inconceivable (1) Is practically impossible and has never occurred Negligible (1) Minor abrasions, bruises, cut, first aid type injury

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