RISK ASSESSMENT FORM

Location : Task/ Activity :

Completed by : Hasan Helmy Date 25/04/2018:
Checked by : Date :
Line Manager Date :

RISK
RISK ANALYSIS

Evaluation
ANALYSIS
(EXISTING REQUIRED ADDITIONAL CONTROL (WITH
NO. HAZARD CONSEQUENCE EXISTING CONTROL
MEASURES CONTROLS)
CONTROLS)

S L R S L R
-Supervision
-Injuries -Tool box meeting
HAND TOOLS -Visual inspection
1 -Fires
-Clear area under work
2 C 2C -First aid kit 2 B 2B
-General House Keeping
-General House keeping
-Fire extinguisher
- Remove defective hand tools -PPE

-Proper Purge -Personal H2S Detector

-Environment
2 H2S
-Gas suffocation .- Proper Drain 3 c 3c -PPE 2 B 2B
-Gas test
-Personal H2S mask

-Personal shall ensure that the

highest level of housekeeping are
maintained
-Supervisors shall monitor the
POOR -Full proper PPE
3
HOUSEKEEPING -Slips and trips standards of housekeeping on daily 2 C 2C 1 B 2B
basis to ensure that they are acceptable -First aid kit
and implement routine clean ups
where necessary

-Decrease the temperature by -Using heat gloves

High -Persons Injuries Nitrogen purge -Proper PPE
4
Temperature -Persons Burn -Wait till the temperature be
3 C 3C 1 B 1B
-First aid Box
decreased
 -Persons injury -Proper Drain -Spill kit(Skid acts as secondary
5 Liquid spillage 1 c 1c container) 3 A 3A
-persons slip -Drip Tray
-PPE

-Tag Out
-Electrical Isolation
Sudden operation of -Equipment damage -Log Off
6
the Equipment
-Mechanical Isolation 2 c 2c 2 A 2A
-Injury
-Double Check -Supervision

-Proper lifting
-Injury - Using lifting tools (Chain hoist-chain -Full PPE
7 Heavy parts or spools
-Parts damage blocks) 3 B 3B 1 A 1A
-Good Supervision