INTEGRATED MANAGEMENT SYSTEM

RISK ASSESSMENT

Risk Assessment Number Date Assessment Name Designation Signature & Date
Project: Prepared By: Senior HSE Officer
Activity Reviewed by: HSE Manager
Reason for Assessment Approved by: Sr Project Manager
PERSONS AT RISK
Own Employees  Sub-contractors  Other Workers  Visitors  Public 
Young Persons  Pregnant Women  Lone Workers  Disabled  Other 
Your estimate of the total number of people affected ---
HAZARDS
Falls from Height √ Falling Objects √ Lifting Operation  Dust √ Demolition 
Mobile Plant √ Mobile Vehicles  Excavations  Confined Space  Buried Services 
Overhead Service  Manual Handling  Vibration  Noise √ Fire or Explosion √
Fumes or Gas  Near or In Water  Collapse √ Adverse Weather  Chemical √
Health  Physical  (details)

Action parties: As per roles and responsibilities

Foreman & Engineer will be responsible for providing resources and locating of control measures.
HSE officer are responsible for monitoring

Responsible
Initial Risk Rating* Residual Risk Rating*
person
HAZARD/RISK Existing Controls ADDITIONAL CONTROL MEASURES
L S (R) L S (R)

* See the Risk Assessment Matrix Chart - L- Likelihood, S- Severity, R- Risk Rating Continued? YES / NO

Control measures are required to ensure that the residual risk rating is at a minimum level so the activity can commence safely. If the activity still has a high residual risk rating then it is necessary to find another
method of carrying out the task.
Document No HSE-F-01-Rev B
This document becomes UNCONTROLLED once printed from the official CD or server location
Revision Date 14.08.2014
 INTEGRATED MANAGEMENT SYSTEM
RISK ASSESSMENT

* See the Risk Assessment Matrix Chart - L- Likelihood, S- Severity, R- Risk Rating Continued? YES / NO

Control measures are required to ensure that the residual risk rating is at a minimum level so the activity can commence safely. If the activity still has a high residual risk rating then it is necessary to find another
method of carrying out the task.
Document No HSE-F-01-Rev B
This document becomes UNCONTROLLED once printed from the official CD or server location
Revision Date 14.08.2014
 Risk Matrix (Severity = Probability X Consequence)

Severity CONSEQUENCE (Potential severity of consequences of injury or damage)

(1) Insignificant (2) Minor (3) Moderate (4) Major (5) Catastrophic
(likelihood of failure of control PROBABILITY (LIKELIHOOD

 Minor injuries, which may  Injuries requiring on-site treatment  Serious injuries requiring off-site  Single fatality. Multiple fatalities.

require self-administered by medical practitioner. Personnel treatment by medical practitioner or  Major damage to structures/items Irreparable damage to highly

first aid. Injured personnel unable to continue to perform immediate evacuation to hospital. valued structures/ items/
of cultural significance, or Major
)

can continue to perform duties. Potential Long-term or permanently locations of cultural

infringement of cultural values/
normal duties.  Minor repairable damage to disabling effects. significance or sacred value.
sacred locations.
 Minor repairable damage structures/items of cultural  Moderate damage to structures/ Loss of license to operate or
 Production loss or delay for over
to commonplace structures significance, or minor infringements items of cultural significance, or ability to produce indefinitely.
one month.
 Without causing of cultural values. significant infringement of cultural Severe financial penalties or

production loss.  Production loss or delay up to one values/ sacred locations.  Fines, cost to repair, plant legal liabilities, cost to repair,
measures)

 Fines, cost to repair, plant week.  Production loss or delay of 1 week - damage) of AED500, 000 - plant damage) of greater

damage) of less than  Fines, cost to repair, plant damage) 1month. AED10M. thanAED10M.

AED5, 000. of AED5, 000 - AED50, 000.  Fines, cost to repair, plant damage)

of AED50, 000 AED500, 000.

(1) Rare -
1 2 3 4 5
Never occurred

(2) Possible
2 4 6 8 10
Has occurred

* See the Risk Assessment Matrix Chart Continued? YES / NO

Control measures are required to ensure that the residual risk rating is at a minimum level so the activity can commence safely. If the activity still has a high residual risk rating then it is necessary to find another
method of carrying out the task.
Document No HSE-F-01-Rev A
This document becomes UNCONTROLLED once printed from the official CD or server location
Revision Date 16.03.2014
 (3) Likely

Occurred more 15

than once 3 6 9 12

(4) Often

Occurs several times / 4 8 12 16 20

year

(5) Frequent
5 12 15 20 25
Occurs frequently

Risk Legend

1-3 Low No action required, unless escalation of risk is possible.

4-6 Moderate Activity or industry can operate subject to management and /or modification

8-12 High Activity or industry should be modified to include remedial planning and action and be subject to detailed EHS assessment.

15-25 Extreme Activity or industry should not proceed in current form.

* See the Risk Assessment Matrix Chart - L- Likelihood, S- Severity, R- Risk Rating Continued? YES / NO

Control measures are required to ensure that the residual risk rating is at a minimum level so the activity can commence safely. If the activity still has a high residual risk rating then it is necessary to find another
method of carrying out the task.
Document No HSE-F-01-Rev B
This document becomes UNCONTROLLED once printed from the official CD or server location
Revision Date 14.08.2014