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:
HAZARD IDENTIFICATION AND RISK ASSESSMENT (HIRA) Revision :
Page : 1 of
RISK ASSESSMENT

Risk Probability
HAZARD

Risk Probability

Continue the

Risk Severity
Risk Severity

Cancel the
Hold until
N AREA /

Risk Index

Risk Index
RESPONSIBLE /

Operation

Operation
IDENTIFI-

Mitigation
O SUBJECT PROJECTED RISK RISK MITIGATION POST MITIGATION
CATION
REMARK

Prepared by Checked by Approved by

Name
Department

Signature

Date
AS-SM-F304-01