Risk assessment form

Name of assessor sabu T M Date 21/06/2019

Time 5:40 Work area MJ contraction

Task being assessed HSE officer

New risk
How might Existing Risk rating rating Action/ Action/
What is the Who might be Additional
people be risk control (Residual) monitored by monitored by
hazard? harmed? controls
harmed? measures whom? when?
L C R L C R
erection of scaffold plumbers+workers 1.chances of nil. rope tied to the 4 1.using adequate 2 1.management immediate or before
+people who stand scaffold collapse scaffold.(only 10% strength of base 2.HSE officer starting of the job
near the scaffold (damages base support given to the plates 3.contractors
plates &not proper scaffold) 2.using safety belts
erected 3 12 +safety net 1 2
2.workers fall down 3.barricading at the
from the heights bottom of the
scaffold.
4.provide PPE

faulty electrical employees and when using low maintenance 4 all faulty equipment 1 all employees immediate
equipment visitors may be electrical equipment should be clearly maintenance to
injured when using through electrical identified as such monitor
electrical equipment shock. procedure for
through electrical notifying
2 8 1 1
shock. maintenance about
issues will be
implemented
 Risk assessment form

New risk
How might Existing Risk rating rating Action/ Action/
What is the Who might be Additional
people be risk control (Residual) monitored by monitored by
hazard? harmed? controls
harmed? measures whom? when?
L C R L C R
trench work worker who works collapse of soiled not given proper 5 barricade trench 2 safety officer and before work start
in said trench from top of the said protection area HSE officer and site
trench make said engineer
protection with
wood or steel
4 20 1 2
give alder to proper
asses and exit

dumping debris people surrounding do to air pollution nill 4 dumping debris in 2 safety officer and after finishing work
who work and levies people will affected the covered bag HSE officer and site
with illness engineer

3 12 1 2

Review date 23/06/2019 Signature sabu T M

Training Provider name green wold