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Dubai UAE
Risk Assessment
Ref No.
Rev
Task
(Steps)
DJ200-ASCB-HS-RSK-00002000
001
Potential
Hazard
SUBJECT :
Who
might
be
affected
Existing Control
Safety
First Aid
Medical
3
4
5
Lost
Time
Disabilit
y
Fatality
Health
Immediat
e
Temporar
y
Short
term
Environ.
Minor
Short term
Long term
Long term
Serious
Fatal
Catastrophi
c
Dated:
<AED50
K
>AED30
0k
>AED50
0k
>AED1m
Current Risk
Con
Pro
b
Ris
k
Financial
Equip.
Product.
<AED 1k
Responsi
ble
person
Respons
ible
person
Additional
Control
Consequence
(Severity)
Final Risk
Con
s
Pro
b
Frequency/Probability
No
Frequency
R=CxP
A
1
B
2
C
3
D
4
E
5
<1 hr
A (1)
10
15
20
25
1-2 hrs
B (2)
12
16
20
2-4 hrs
C (3)
12
15
4-8 hrs
D (4)
10
>1 shift
E (5)
Common or Daily
Risk
Form # ADM-IMS-FRM-17-02-03
Ref No.
Rev
Name
Date
SUBJECT :
Dated:
Comments
Signature
1
2
3
4
5
RISK ASSESSORS
Name
Date
Designation
Comments
Signature
1
2
3
Date:
Page 2 of 2
CONSTRUCTION MANAGER
Date:
PROJECT MANAGER
Date:
Form # ADM-IMS-FRM-17-02-03