RISK ASSESSMENT FORM

Project: GEM RESIDENCES

Location: E. RODRIGUEZ AVE. C5, PASIG CITY
Risk Residual
Sequence of Operational Control
SI Activity Hazard Risk Current Controls Rating Additional Controls Risk Rating
Steps Action By
S L R S L R
WORKIN Secure Non compliance of Harm to Comply all Conduct Pre-start PM/PIC
1. G IN Confined permit safety people documentary safety TBM. No Site 1 1 1 Safe work
CONFINE space procedures Environment permit system in permit no work Supervisor practices
D SPACE permit prior al impact order to ensure policy. Safety
2 1 2
(Excavati to start. Damage to work safety Officer
on & property , procedures must
trenching loss of be followed.
) product.
All Oxygen deficiency Physical Only trained and Conducted safety PM/PIC
2.
Training / personnel < 19.5 % or > 23.5 injury or authorized induction to all Site 1 1 1 Safe work
Orientatio performing %, fatality , personnel who personnel , Pre start Supervisor practices
n any activity Combustible Health are attended the safety TBM, Safety Safety
or materials, Illnesses , confined space awareness, Officer
inspection, Hazardous Damage to entry safety orientation and Attendant
inside atmospheres such property , orientation are seminar. Entrants
confined as (carbon Environment allowed to entry
spaces monoxide, al impact. into confined
including hydrogen spaces. Gas
supervisor sulfide /H2S, monitoring test 4 2 8
or person welding fumes,) must be
in-charge Mechanical conducted for
must hazard, Electrical hazardous/toxic
undergo hazard, Cave in, gases, Attendant
the falling of to ensure that all
“confined materials, water entrants must
space entry accumulation, fill out the log in
safety damage to & log out record.
orientation. underground
” utilities.
3.
Slips, Trips, Falls, Physical Conduct pre 3 2 6 Conducted safety PM/PIC
BBPI-OP-HSE-F01 BETONBAU PHIL., INC. Salcedo Building, Severina Avenue, Severina Subdivision
Revision: 1 KM 18 South Superhighway, Parañaque City - 1700, Philippines
Tel: +632 8243321/ 8243593; Fax: +632 8245366/ 8210120;
Page 1 of 3
E-mail: service@betonbauphil.com/ www.betonbauphilinc.com
RISK ASSESSMENT FORM

Project: GEM RESIDENCES

Location: E. RODRIGUEZ AVE. C5, PASIG CITY
Risk Residual
Sequence of Operational Control
SI Activity Hazard Risk Current Controls Rating Additional Controls Risk Rating
Steps Action By
S L R S L R
Preparati Preparation caught in , struck injury , start safety TBM, induction to all Site 1 1 1 Safe work
on of tools, by, struck against, Health Establish personnel , Pre start Supervisor practices
materials, Pinch point, illness. housekeeping safety TBM, Safety Safety
and Ergonomics, etc. policy, awareness, Officer
equipment. Orientation of orientation and Attendant
workers in seminar. Established Entrants
proper handling Emergency Rescue
techniques, plan procedures in
Provide proper case of an
access & egress, emergency.
Provision of
barricades and
safety signages.
3.
Oxygen deficiency Physical Only trained and 4 2 8 Conducted safety PM/PIC
Entry Entry in to < 19.5 % or > 23.5 injury or authorized induction to all Site 1 1 1 Safe work
Procedur confined %, fatality , personnel who personnel , Pre start Supervisor practices
e space Combustible Health are attended the safety TBM, Safety Safety
materials, Illnesses , confined space awareness, Officer
Hazardous Damage to entry safety orientation and Attendant
atmospheres such property , orientation are seminar. Provision of Entrants
as (carbon Environment allowed to entry sloping and benching
monoxide, al impact. into confined the side of
hydrogen spaces. Gas excavation, Keep
sulfide /H2S, monitoring test excavated spoils and
welding fumes,) must be other materials at
Mechanical conducted for least 1m. away from
hazard, Electrical hazardous/toxic the edges of
hazard, Cave in, gases, Attendant excavated area.
falling of to ensure that all Provision of hard
materials, water entrants must barricades and safety
BBPI-OP-HSE-F01 BETONBAU PHIL., INC. Salcedo Building, Severina Avenue, Severina Subdivision
Revision: 1 KM 18 South Superhighway, Parañaque City - 1700, Philippines
Tel: +632 8243321/ 8243593; Fax: +632 8245366/ 8210120;
Page 2 of 3
E-mail: service@betonbauphil.com/ www.betonbauphilinc.com
RISK ASSESSMENT FORM

Project: GEM RESIDENCES

Location: E. RODRIGUEZ AVE. C5, PASIG CITY
Risk Residual
Sequence of Operational Control
SI Activity Hazard Risk Current Controls Rating Additional Controls Risk Rating
Steps Action By
S L R S L R
accumulation. fill out the log in signages.
& log out record. Established
Wearing of Emergency Rescue
appropriate PPE. plan
procedure s in case
of an emergency.

1 1 1 Safe work
practices

2 1 2 Safe work
practices

1 1 1 Safe work
practices

1 1 1 Safe work
practices
Risk Matrix Severity / Impact
1 1 1 Safe work
1 2 3 4 5practices

1 1 2 3 4 5
Likelihood of Harm /
Environmental Damage 2 2 4 6 8 10

General Information 3 3 6 9 12 15

Assessment Completed By : 4 4 8 12 16 20

Job Title : 5 5 10 15 20 25

Assessment Date :
BBPI-OP-HSE-F01 Key
BETONBAU PHIL., INC. Salcedo Building, Severina Avenue, Severina Subdivision
S = Severity 15 to 25 High
Revision: KM 18 South Superhighway, Parañaque City - 1700, Philippines
Review 1Date: : L = Likelihood 8 to 12 Medium High
Tel: +632 8243321/ 8243593; Fax: +632 8245366/ 8210120;
Page 3 of 3 Rating = S X L 4 to 6 Medium Low
E-mail: service@betonbauphil.com/ www.betonbauphilinc.com
2 to 3 Low
1 Insignificant