Anda di halaman 1dari 2

RISK ASSESSMENT FORM

Location : Task/ Activity : WELDING &CUTTING AND SANDBLASTING


Completed by (Name) : Date :
Checked by (Name) : Date :
Line Manager (Name) : Date :
Severity Likelihood Severity Result
Human Factor Env. Damage Asset Damage 2 4 6 8 10

Likelihood
2 First aid Slight Leak Slight damage 2 Unlikely 10 20 40 60 80 100 Range Evaluation
4 Minor Injury Minor Leak Minor damage 4 Possible 8 16 32 48 64 80 4 - 8 T - Tolerable -No Action necessary provided control measures are maintained
Likely 12 - 24 A - Adequate -Risk is tolerable when control measure identified and
Value

Value
6 Major Injury Localized Leak Localized damage 6 6 12 24 36 48 60 Maintained
8 Single Fatality Major Leak Major damage 8 Very Likely 4 8 16 24 32 40 32 - 48 M - Moderate -Further risk reduction measures must be considered
10 Multiple Fatality Massive Leak Extensive damage 10 Imminent 2 4 8 12 16 20 60-100 I - Intolerable -Risk unacceptable. Seek specialist advise / support
Additional
No. Hazard Consequences Existing control measures L S R controls required L S R
Evaluation

 use suitable PPE of welding and


cutting operations
 intrinsically safe equipment only
 check hoses , valves and regulators
before work
 flash back arrestors should be
 Fire installed properly
 Eye or Face injuries  grinder secured by safety guard
 leakage of oxygen and  fire blanket to be in place
acetylene gases from hoses
 don’t use dirty gloves while opening
 WELDING AND or valves and closing oxygen and acetylene fire watch man to be in
1 CUTTING  Burn hands or bodies
cylinders 4 4 16 place A
OPERATIONS  Electric shock
 Slipping or tripping hazard
 good housekeeping
 Improper storage for oxygen  First aid Kit at place
and acetylene bottles May  Fire Ext. Dry powder to be at place
Cause Explosion
 Keep working area clear from
flammable liquid and combustible
materials
 Check for oil or gas leakage from the
pipe lines around location
 Make sure gas bottles are properly
covered and isolated

 use proper fall protection such as


safety belt and fall arrestor
 barrier falling area
 WORKING  falling to personnel
2 AT HEIGHT  dropped objects
 secure tools and equipment 2 4 8 A
 keep area clear
 secure ladders
 have good footing and stable base

Anda mungkin juga menyukai