Document Name: Hazard Identification and Risk Assessment Form EHS Form

Project/ Location: Facility Management Building and Warehouse Project No.: Rev.

Activity/ Process: Risk Assessment for Loading, Offloading, Lifting & Installation of Porta Cabins Issue Date: 28-April-2023

The Risk Assessment Severity (S) Likelihood of Occ. (L) Risk Rating (R) = S x L Risk Table (R )
1 = No 1 = No
1. List down activity steps. No Injury Very Unlikely
Injury Injury
not expected to occur for
2. Identify and record for each hazard or any potential No direct effect 1 to 6 = Low Risk (L) (Acceptable, Monitor & Review)
years
2= 2=
to cause harm. Minor Minor / Minor Unlikely Likelihood (L)
Injury Injury
Expected to happen/recur
3. Outline consequences if hazard is realized. First Aid/ Simple treatment 8 to 12 = Medium Risk (M) (Acceptable with controls) 1 2 3 4 5
annually
3= 3=
Lost Lost
4. Identify the appropriate rating for severity and Lost Time Injury Likely 1 1 2 3 4 5
Time Time
Injury Injury

Severity (S)
likelihood. Use table (R) in this form. ≥1 days away from work Expected to occur monthly 15 to 25 = High Risk (H) (Unacceptable) 2 2 4 6 8 10
4= 4=
5. Register the hazard of medium and high risk in to Major Major Injury Major Very likely 3 3 6 9 12 15
Injury Injury
the significant environmental aspect and hazard Serious injury/disability Expected to occur weekly Note: 4 4 8 12 16 20

5= 5=
register form # FRSS.40.02 Catastr Catastrophic Catast Certain 5 5 10 15 20 25
Please refer to the main procedure for clear scoring and rating
ophic rophic
definitions
expected to occur on a daily
6. Identify and record the control measures to be used One or more fatalities
basis
then repeat the assessment with the controls Hierarchy of 1st 2nd 3rd 4th 5th
in place. Control measure: Elimination Substitution Eng. Control Admin. Control PPE

Activity Steps Equipment and Tools Hazard Effect Risk Revised Risk Responsible
No.
Controls Measures Personnel
(Detail Identification) (Full list of all items to be used) (What could cause harm) (Who/What might be Harmed & How) S L R S L R

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