HAZARD IDENTIFICATION AND RISK ASSESSMENT SHEET

Project: ABC Document No: 000000000 Rev.: 00000

Activity/Task: RA-Fabrication of Pipes in a Workshop RISK Assessment Date: 00-00-0000 Page 1 of 2

Possible Accident/III Health Risk Assessment (No Risk Assessment

Activity / Task Steps Control) (With Controls)
Item & Persons at Risk Controls
and Hazards
P S R P S R

 Fatal Facture  Wedges & side stopper

Activity / Task Steps  Crush injury  Clearing of Combustible material
 Arrange material to
 Bodily injury  H/W tools check
workshop “trailer”
 Damage property  PTW
 Cutting of pipe
 Fracture / Crush  Toolbox meeting
 Grinding of pipe edge
 Eye injury  PPE; ear & eye protection
(Electrical)
 Burnt  PPE;
 Fit and weld
 For a particle in eyes  Grinder guard
 Accidentally cut  Monthly Inspection
Hazards
 Electrocution  Cable Rack / Housekeeping
 Pipe falling
 Fracture and crush injury of  Limited to 2½ pound hammer
01  Pinch point 4 5 20 2 3 6
Finger  Inspection tag
 Finger injury
 Defective cable  PTW
 Fire hazard
 Shock prevention
 Falling object
 Extra chain/belt to secure
 Physical injury
 Crowbar to be used
 Bodily injury
 Tag line
 Electrical hazard
 Deny entry to an unauthorized person
 Electrocuted
 Using of LIG
 Electrical hazard 440V
 Education/ Enforcement
 Using both hands to grind

When completing this Performa, you must take due consideration of local conditions, including adjacent operations and premises.
Person Responsible for Completing the Risk Assessment:

RA- Fabrication of Pipes in a Workshop

HAZARD IDENTIFICATION AND RISK ASSESSMENT SHEET
Project: ABC Document No: 000000000 Rev.: 00000

Activity/Task: RA-Fabrication of Pipes in a Workshop RISK Assessment Date: 00-00-0000 Page 2 of 2

Possible Accident/III Health Risk Assessment (No Risk Assessment

Activity / Task Steps Control) (With Controls)
Item & Persons at Risk Controls
and Hazards
P S R P S R

PROBABILITY

RISK POTENTIAL MATRIX – SEMI QUANTITATIVE 1 2 3 4 5

Frequent /
Severity Rating People Asset Environment Reputation Rare Possible Likely Often almost
certain
Slight Slight Slight
1. Insignificant Slight injury or Health effect 1 2 3 4 5
damage effect impact

Minor Minor Limited

2. Minor Minor injury or Health effect 2 4 6 8 10
damage pollution impact
Localized Medium
3. Moderate Moderate injury or Health effect Impacting pollution 3 6 9 12 15
damage impact
Major Major
4. Major Single fatality or permanent total disability Significant pollution 4 8 12 16 20
damage impact
Multiple fatalities or permanent Extensive Massive
5. Catastrophic Massive pollution 5 10 15 20 25
disabilities damage effect
15-25 Extreme Risk Activity or industry should not proceed in the current form.
Activity or industry should be modified to include remedial planning and action and be subject to detailed
8-12 High Risk
OSH assessment.
4-6 Moderate Risk Activity or industry can operate subject to management and/or modification.
1-3 Low Risk No immediate action required unless escalation of risk is possible.

RA- Fabrication of Pipes in a Workshop