DATE:      

CONTRACTOR EHS RISK ASSESSMENT

PROJECT No:      

CONTRACTOR IDENTIFICATION
Contractor: S.A.Kentz Co. LTD Tel: 013 806 5300 Sub-Contractor:       Tel:      
Contractor Contact Name: Revinder Bilkhu Tel: +966534515595 Sub-Contractor Contact Name:       Tel:      
Project: HRM and HCM Backwash Filter Installation
Description of Project: Radiographic Testing of shop welds
Job Located Area: Rolling Mill Project Time frame: Yearly Temporary
Planned Start Date: 21-Sep-16 Planned Finish Date:       Planned Duration (no hours): 12 Planned Workforce: 06

In emergency, is anyone trained in first aid? If yes, who?       No EMERGENCY RESPONSE: 013-350-9111

RISK ASSESSMENT PART 1 1 and 3: Identification of all Potential Hazards (contractor and/or MRC operator) for the scope of work
Work performed above 1.2 meters2 Trenches deeper than 1.2 meters2 Work on/with Compressed Gases/Liquid
Work on Roofs2 Work near/on Radiation sources2 Work with High Pressure washer (>300b)
2
Work on High Voltage Work in explosives area Work generating/exposed to Dust/Vapor
Work on Low Voltage2 Loading/Unloading Work on Lift
2
Live Electrical Work Work generating/exposed to >85dB Vehicle Traffic
Work with Mobile Crane2 Work in Extreme Weather Conditions Congested Area
2
Work on/with Mobile Equipment Work in Atmospheric Hazards Demolition Work
2
Work with Overhead Crane Work with Stationary Combustion Eng. Work in Chlorine leakage exposed area
2
Work in Confined Spaces Work with Chemical Products Potential for Rushing
2
Work on/in Equipment (LTV) Work with Flammable Liquids or Gases Air emissions
Burning, Welding, Cutting2 Work in Wet, Icy Slippery Conditions Other:      
2
Work with Molten Metal Heavy Manual Labor Other:      

1: Mandatory 2: User training require 3: Fill out by MRC Project Leader 4: Fill out by Contractor 5: Discuss between Contractor and MRC Project Leader
 RISK ASSESSMENT PART 2 1 and 5: Identification of PPE, Tools, Equipment and Signages associated with the Job
PERSONAL PROTECTIVE EQUIPMENT
Provide by Provide by Provide by
MRC CON MRC CON MRC CON

Safety Shoes Long sleeve 100% cotton clothing Heavy Leather Gloves
Hard Hat FR Clothing Molten Metal Light Leather Gloves
Safety Glasses FR Clothing Hot Work Dust Respirator
Dark Safety Glasses Arc Flash Clothing Chemical respirator
Goggles Chemical Resistant clothing Fall Harness/lanyard
Face Shield Special Boots Air-supplied Respirator
Hearing Protection Cotton Gloves LTV personal lock
High Visible Clothing Chemical Gloves      
TOOLS AND EQUIPMENT
Provide by Provide by Provide by
MRC CON MRC CON MRC CON

Hand Tools Welding Equipment Heavy Truck

Insulated Hand Tools Angle Grinder Towing Equipment
Crow Bar Bench Grinder Cord Protector
Sledge Hammer Gas Burner Ventilating Equip.
Cheater Bar Hand Winch Fire Extinguisher
Electrical Tools Electrical Winch First Aid Kit
Battery Tools Pressure Washer Eyewash / Showers
Extension Cord Fork Truck AED (Defibrillator)
GFCIs Scissor Lift      
Air Tools Aerial Boom Lift      
Air Monitor Mobile Crane      
SIGNS AND TAGS
Provide by Provide by Provide by
MRC CON MRC CON MRC CON

Work Above Warning Line System Hazardous Waste Labels

Work Below Barricades Hazardous Material Labels

1: Mandatory 2: User training require 3: Fill out by MRC Project Leader 4: Fill out by Contractor 5: Discuss between Contractor and MRC Project Leader
 Safety Fence Safety Warning Signs      
Safety Cones Information Tags      

1: Mandatory 2: User training require 3: Fill out by MRC Project Leader 4: Fill out by Contractor 5: Discuss between Contractor and MRC Project Leader
 RISK ASSESSMENT PART 3 1: Identification of Job Steps/Activties Potential Hazards and Countermeasures associated with the Job
Seq. Job Steps or Main Activities1 Potential Hazards1 EHS Countermeasures1
Describe in Sequence 4 or 5 Describe Risk in Each Step 5 Describe countermeasures for Each Hazards 5
 High pressure release suddenly,  LTV, Safety glasses
i.e. Disconnect hydraulic pipe to change the seal
 Oil leak  Purge the pipe, bucket under to collect drops
1                    

2                    

3                    

4                    

5 G              

6                    

7                    

8                    

9                    

10                    

11                    

12                    

13                    

14                    

15                    

16                    

17                    

18                    
19                    
20                    
To add Job Steps/Activity in the list or delete row, click on Protect Document in the Developer tab, click on “Stop Protection”, then select and copy the last row, click right on the mouse and
“Paste Row”

1: Mandatory 2: User training require 3: Fill out by MRC Project Leader 4: Fill out by Contractor 5: Discuss between Contractor and MRC Project Leader
 RISK ASSESSMENT ACKNOWLEDGEMENT by contractor’s employees 1
No Name1 Position Ma’aden ID / Iqama No1 Date Signature1
1                        
2                        
3                        
4                        
5                        
6                        
7                        
8                        
9                        
10                        
11                        
12                        
13                        
14                        
15                        
16                        
17                        
18                        
To add employees or delete row, click on Protect Document in Developer tab, click “Stop Protection”, then select and copy the last row, click mouse’s right and “Paste Row” or ”Delete row”

1: Mandatory 2: User training require 3: Fill out by MRC Project Leader 4: Fill out by Contractor 5: Discuss between Contractor and MRC Project Leader
 RISK ASSESSMENT PART 41 and 3: Identification of Documents associated with the Job
PERMITS / CERTIFICATES / TRAINING AND SPECIAL INSTRUCTIONS
Documents issued by Ma’aden Rolling Mill (MRC) Documents issued by Contractor (Certificates and Training evidences)
1
General Safety Rules * Confined Space Procedures Contractor Job Safety Doc. MSDS Sheets Forklift Driving License
Work Permit1 Confined Space Permit Manufacturer Instructions Medical Clearance Crane/Rigging License
Hot Work Permit Excavation (Digging) Permit Insurance Certificate Respiratory Fit Test Truck Driving License
LTV Procedures Fall Control Plan Confined Space user Training Electrical Safety Training Aerial Lift License
High Voltage clearance Roof Access Permit Hot Work user Training First Aid + CPR Training Scaffold License.
Energized Equipment Permit. Transporter Safety Rules** LTV user Training Fire Extinguisher Training Work @ Height user Training
Trouble shooting Permit       HILTI Gun user Training Mechanical Certificate      
* See RM-EHS-SA-CON-SPC-001
** See RM-EHS-SA-CON-SPC-003

Do the Contractor’s documents listed above have been attached to the risk assessment? Yes No , Explain:      
Do the Contractor’s employees listed above have received the Rolling Mill Safety induction 1? Yes No , When is it plan?:      

Risk Assessment Reviewed and Approved By Position Date & Signature

MRC Project leader1: Campbell Macauley Area Manager -LLE Equipment      

Contractor Rep1: Brendan Treanor Site Manager      

Area Contractor SPA: Revinder Bilkhu Superintendent      

Area supervisor & above1: Rizalito Estanislao David Supervisor      

EHS Representative1: Laurent Montheard Safety Engineer      

Note: This document must be completed and approved before doing any job.
Two copy should be done and provide to the contractor and MRC project Leader, the original hard copy must be keep in EHS department.
The soft copy must be recorded in the Contractor’s folder on MA Connect (Rolling Mill/EHS/2-Safety/Contractor Safety/3-Contractors/Contractor’s Name/2-Risk Assessments/1-Current/Soft Copy)

1: Mandatory 2: User training require 3: Fill out by MRC Project Leader 4: Fill out by Contractor 5: Discuss between Contractor and MRC Project Leader