Risk Assessment/Management Form

Ref:
Section / Dept: civil Name Activity: Risk Assessment for Manual Location/Area:-
of Contractor:- Excavation

bility

bility
Risk rating

Resid
Proba

Proba
Sl Basic Job Potential Consequence Current control measure Initial Additi Ri

ual
risk
No. Steps Hazard Risk onal sk
contro ra
l ti
P E A R P E A R
measu n
g
re
Barricading of the area
Fall in Serious
2 0 0 1 2 4
excavated pit Injury/Fatality
Allow only authorised person inside the
barricading

Damaged to
Injury and loss Excavation only done through permit to
Manual underground 0 1 2 1 2 4
of production work
1
Excavation pipeline

Underground Serious
Follw the permit to work system 1 0 1 1 2 2
cables Injury/Fatality

Collaps of
building and Get Excavation shall be done with proper 1 0 2 1 2 4
adjoining Injury/Fatality sloping and it should be properly shored
structure

Additional Control Measure

Slip of Man/ Materials during ascending and descending in the excavated pit ------- Proper access to be
1
provided for ascending and descending

2 Material or any equipement should not be stacked at the edge of excavated pit

3 Excavated materials should not be stacked at the edge of excavated pit

Prepared By Approved By Reviwed By
Contractor Contractor
Date Date Date
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