Document No.

:
Revision No.: 00
Date:

Hazard Identification & Risk Assessment

Date of Assessment : Risk Assessment Carried Out By :
Hazard Identification Risk Evaluation Additional Risk Control Risk Evaluation after additional control
Possible Additional Risk Controls Possible
* Existing Risk Control Consequences Elimination (E) Consequences
Measures Applied Hieracly of Substitution (S)
Condition Control Engginering control (EC) Extent of injury Risk Level
Probability Exposure (Ref.Table 3) acceptable /
Sr. Routine/Non Routine Potential Possible Accident / Ill Elimination (E) Probability Exposure Risk Level Acceptable Administration (A) Status
No. Legal Requirement Yes/No Emergency Hazards Health Substitution (S) (Ref Table 1) (Ref. Table 2) Risk Y/N PPE(P) (Ref Table (Ref. Table Not
Extent of injury 1) 2)
Yes/No Engginering control (EC) (Ref.Table 3) acceptable
Administration (A)
PPE(P)

10

RISK ASSESSMENT GUIDELINES

Rating Prbability Ratimg Exposure Rating Consequence Risk level

Expected to occur at least once per week or more Priority of Action / Frequency of
1 Almost certain 1 Very Rare Yearly or less 1 Numerous Fatalities Very High Risk Not Acceptable
often (> 50 occurrences per year) Monitoring

Expected to occur on an average once per month

2 Quit Possible 2 Rare A few per year 2 Multiple Fatalities High Risk Not Acceptable Within a Week
(10 occurrence per year)

Expected to occur on an average once per year

3 Unusual but possible 3 Infrequent Once per month 3 Fatality Substantial risk Not Acceptable Within a Month
(1 occurrence per year)

Expected to occur several times during the life of

4 Remotely possible the equipment/facility, typically once every ten 4 Occasional Once per week 4 Serious injury Moderate Risk Acceptable Within Two Months
years

Not likely to occur during the life of the equipment/

Conceivable but very
5 facility, but possible - typically once every 100 5 Frequent Once per day 5 Casuality treatment Low Risk Acceptable
unlikely
years

Not likely to occur during the life of the facility, but

6 Practically Impossible 6 Continuous Continuously 6 First-aid treatment
possible

Revision No. Date of revision Reason for revision

Prepared By Checked By: Approved By:

Activity Owner Functional Head Plant Head