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RISK ASSESSMENT FORM

Procedure
Procedure Name
PROJECT:
Date
WRONG

:
: FABRICATION, ERECTION AND TESTING OF PIPING SYSTEM
: VHP BLOW DOWN PROJECT
: 22/05/2012
CAUSE

HOT WORK

1. Fire & Explosion


Hazard

Failure to follow hot work


procedure
Failure to wear face & eye
protection
Usage of damage cables

2. Serious personal
injury up to
fatality.

Usage of damaged
equipment
Improper clothing
Untrained person involved

PREVENTION

Valid and proper permit should


be obtained
Toolbox talk should be
conducted before job started.
Wear PPE as mentioned in the
permit.
Hot work must be covered with
fire blanket.
All power tools, hand tools,
equipment shall be inspected &
color coded by the competent
person
Oxy-acetylene Cylinders cables
should be tie-in properly away
from walk way
All combustible, flammable,
explosive items must be
removed
Fire extinguisher shall be
available on the hot work place.

REMARKS

CONTINGEN
CY

REMARK
S

STATU
S

Instruction to
be given in
Tool Box Talk.

In case of
injuries call
emergency
team by
actuating
fire alarm.

ok

ok

RISK ASSESSMENT FORM

WORKING AT
HEIGHT

1. Falling /tripping
hazards

Sub standard scaffolding


platform
Poor house keeping
Removal of grating
handrails
Improper material storage
Working at height with out
barricading and sign
boards
Electrical cords lying on
access way.

Material shall be stacked


properly.
Scaffolding platform inspected
by approved inspector
All platform should be clear
from all loose and excess
material
Maintain good house keeping
Access way should be clear
from tripping hazards.

Instruction to
be given in
Tool Box Talk.

Avoid crossing
the barricader

In case of
injuries call
emergency
team by
actuating
fire alarm.

ok

ok

RISK ASSESSMENT FORM

LIFTING
ACTIVITIES

Uncertified /incompetent crew.


Overloading
1. Material falling from High winds
height
Without flag man/escort
vehicle

Lighting.
2. Personal Injury

3. Property Damage
4. Crane Tripping over
5. Fatality

Interference of unauthorized
persons.
Without tag line or too long
too short
Use of under capacity and
defected rigging tool
Failure of lifting equipment.
Mechanical defect in crane

Lifting shall be carried out as per


the Lifting Plan.
Only third party tested & United
approved, certified crane & other
lifting equipment shall be used.
Instruction to be
Only trained & skilled riggers shall given in Tool
be deployed.
Box Talk.
Area shall be barricaded around lift
and warning signs to be used.
Only one signalman will be allowed
to give signals.
Tag lines shall be used.
No one shall be allowed to walk or
work under the lifted load.
Load should be swung slowly
All crane involved jobs should have
rigging plan signed by united
mechanical supervisor.

In case of
injuries call
emergency
team by
actuating fire
alarm.

ok

ok

RISK ASSESSMENT FORM

All the devices must be


calibrated and certified.

Standby man to continue


Improper tightening
HYDROTESTING

Sub standard hose

1. Injury /fatality

Connection
Un barricading area

2. Major properties

Increase of pressure more

damage

than recommend.

UN authorized entry.

monitor the pressure gauge


All the equipments and
hose must be in good in
condition and inspected.
All Hoses connect trough
with Chicago clamps.
Ensure that the pressure
should not be increased
more
than
prescribe
pressure.
Area should be barricaded
and sign boards must be
posted.
All
hoses
should
be
secured by locking clamps.

Discuss in
tool box
talk.
Dont allow
any body
inside the
barricading
area.

In case of injuries
call emergency
team by actuating

fire alarm manual


pull station..

ok

ok

RISK ASSESSMENT FORM

Ensure valid and proper

No permit
Warning signs and lights

NDT
1. Exposure to
Radiographic
rays

not placed.
Area not barricaded.
Personnel unaware of
hazard.
Radiography schedule.
Personnel working nearby
Within the exposed area.

permits have been obtained


before starting the job.
Area should be barricaded,
warning signs and lights to
be place.
Avoid unauthorized entry.
Radiography should be
planned in break times.
The workforce should be
informed about radiography
schedule.
Keep one person as safety
watch with blow horn @
boundary line
Operation to be announced
through radio/pager

Instruction
to be given
in Tool Box
Talk

In case of
injuries call
emergency team
by actuating fire
alarm manual
pull station..

OK

ok

RISK ASSESSMENT FORM

The Risk of the activity is LOW only if the STATUS of RAP sheet indicates COMPLETED

RA
M

Name

ID

Designation

Signature

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