RISK ASSESSMENT FORM

Project: GEM RESIDENCES

Location: E. RODRIGUEZ AVE. C5, PASIG CITY
Residual
Sequence of Risk Rating Operational Control
SI Activity Hazard Risk Current Controls Additional Controls Risk Rating
Steps Action By
S L R S L R
Only certified scaffolder 3 2 6 Conducted Pre Safety 1 1 1
DISMANTLING Secure PTW with Non Compliance Physical injury to are allowed to Tox box talk meeting to Site supervisor Safety Procedure / Safe
OF approval from the Report issued by the workers , erect,dismantle , modify, all personnel at site. Scaffold Foreman Practices..
SCAFFOLDING owner / Client client / Short cut, Scaffolding may scaffolding under the Only certified scaffold Safety Officer
Safety procedure not Collapse due to supervision of erectors with TESDA NC
followed. shot cut method. competent person. cert. Allowed in
scaffolding works.
Slips, Trips, Falls, Physical Injury to Inspection of workplace, 2 2 4 Conducted Pre Safety 1 1 1
Site preparations, workers minor to move and removed Tox box talk meeting to Site supervisor Safety Procedure / Safe
Tools and PPE serious . unnecessary materials on all personnel at site. Scaffold Foreman Practices..
site, Wear approved PPE Only certified scaffold Safety Officer
required for working at erectors with TESDA NC
height (FBH, Spectacles, cert. Allowed in
working gloves) scaffolding works.
Slips, Trips, Falls, / Physical Injury to Inspection workplaces, 5 2 10 Conducted Pre Safety 1 1 1
Working at Moving equipment , workers serious move and removed Tox box talk meeting to Site supervisor Safety Procedure / Safe
height/ Line of fire , other injury to death. unnecessary materials on all personnel at site. Scaffold Foreman Practices..
dismantling of personnel not aware site, Wear approved PPE Only certified scaffold Safety Officer
scaffold of dismantling required for working at erectors with TESDA NC
activity./ Incompetent height (FBH, Spectacles, cert. Allowed in
workers/ Weather working gloves) Verify scaffolding works.
condition / Falling of the location of heavy
person & materials equipment on site
from height./ designate spotter, Install
Electrocution. barricade around
dismantling activity/
Keep safe distance from
electrical equipment on
site. / Safety monitoring
at site.
Housekeeping Slips, Trips, Falls, Physical Injury to Inspection of workplace, 2 1 2 Conducted Pre Safety 1 1 1
Manual handling of workers minor to move and removed Tox box talk meeting to Site supervisor Safety Procedure / Safe
materials, serious . unnecessary materials on all personnel at site. Scaffold Foreman Practices..
site, Wear approved PPE Only certified scaffold Safety Officer
required for working at erectors with TESDA NC
height (FBH, Spectacles, cert. Allowed in
working gloves) Buddy- scaffolding works.
buddy system.

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 2
E-mail: service@betonbauphil.com/ www.betonbauphilinc.com
RISK ASSESSMENT FORM

Project: GEM RESIDENCES

Location: E. RODRIGUEZ AVE. C5, PASIG CITY

Risk Matrix Severity / Impact

General Information 1 2 3 4 5

Assessment Completed By : ARIEL G. DOLERA 1 1 2 3 4 5

Likelihood of Harm /
Job Title : SAFETY PRACTITIONER Environmental Damage 2 2 4 6 8 10

Assessment Date : 3 3 6 9 12 15

Review Date: :
4 4 8 12 16 20

5 5 10 15 20 25

Key S = Severity 15 to 25 High

L = Likelihood 8 to 12 Medium High
Rating = S X L 4 to 6 Medium Low
2 to 3 Low
1 Insignificant

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 2
E-mail: service@betonbauphil.com/ www.betonbauphilinc.com