Ground collapse - SH&E Risk Assessment form

ALRAWAF FOR TRADING AND

Project Name SECOND QASSIM INDUSTRIAL CITY DEVELOPMENT P-1 Main Contractor
CONTRATING
Project no: QSM-02-003 Client: MODON 3/8/2021

Client : MODON Review by: Signature

Location: QASSIM Task Ground collapse Risk assessment type Initial Review
Risk assessment

(before controls)
Hazards

Risk factor
Likelihood
Who affected How affected

Severity
(check all that apply) Risk
level

Consequences • The use of benching or the installation of ground support

Injuries • Proper supervision
Death • Daily inspection
Ground collapse
2 3 6 6

Injuries • Pumps or other dewatering systems to remove water and prevent build-up
Death • Proper PPE
• Proper training
Water inrush • Proper supervision

2 2 4 4

Hazardous manual tasks Injuries • Rotating tasks between workers

Death

2 2 4 4

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 Risk assessment

(before controls)
Hazards

Risk factor
Likelihood
Who affected How affected

Severity
(check all that apply) Risk
level

Consequences • The use of benching or the installation of ground support

Injuries • Proper supervision
Death • Daily inspection
Ground collapse
2 3 6 6

Underground services. Injuries • Obtain information from the relevant authorities on the location of underground services
Death • Daily inspection
• Proper supervision

2 2 4 4

Plant and Equipment Hazards (Being Injuries • Exclusion zones

struck by mobile plant or loads) Death • Checklist inspection
• Flag man
• Reduce the number of equipment in the excavation
3 2 6 6

Electrocution - machine contacts live wires. Injuries • Visual inspection of site

Death • Detailed safe work method statement.
• PPE

2 2 4 4

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 Risk assessment

(before controls)
Hazards

Risk factor
Likelihood
Who affected How affected

Severity
(check all that apply) Risk
level

Consequences • The use of benching or the installation of ground support

Injuries • Proper supervision
Death • Daily inspection
Ground collapse
2 3 6 6

Environmental condition ( noise , high Injuries • Reduce time work

temperature humidity ) • Use proper PPE

2 3 6 6

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 Risk assessment

(before controls)
Hazards

Risk factor
Likelihood
Who affected How affected

Severity
(check all that apply) Risk
level

Consequences • The use of benching or the installation of ground support

Injuries • Proper supervision
Death • Daily inspection
Ground collapse
2 3 6 6

Risk factor method Severity Likelihood APPEOVED BY

Severity

1 2 3 4 5 Risk level 1 - No potential for injury, illness, or incident. 1 - Very Unlikely

2 4 6 8 10 Low 2 - Potential for minor injury, illness, or incident. 2 - Unlikely
Likelihood

3 6 9 12 15 Medium 3 - Potential for a recordable injury, illness, or incident. 3 - Likely

4 8 12 16 20 High 4 - Potential for major incident, or major injury or illness causing short term disability. 4 - Very Likely

5 10 15 20 25 5 - Potential for major incident, or major injury or illness causing a fatality or long term disability. 5 - Certain

HSE Engineer: Electrical Enginer:

1 2 3 4 5 Risk level 1 - No potential for injury, illness, or incident. 1 - Very Unlikely
Likelihood

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 Risk assessment

(before controls)
Hazards

Risk factor
Likelihood
Who affected How affected

Severity
(check all that apply) Risk
level

Consequences • The use of benching or the installation of ground support

Injuries • Proper supervision
Death • Daily inspection
Ground collapse
2 3 6 6
Likelihood

2 4 6 8 10 Low 2 - Potential for minor injury, illness, or incident. 2 - Unlikely

3 6 9 12 15 Medium 3 - Potential for a recordable injury, illness, or incident. 3 - Likely
4 8 12 16 20 High 4 - Potential for major incident, or major injury or illness causing short term disability. 4 - Very Likely
5 10 15 20 25 5 - Potential for major incident, or major injury or illness causing a fatality or long term disability. 5 - Certain

HSE Engineer: Electrical Enginer:

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