HEALTH AND SAFETY RISK ASSESSMENT FORM

Activity: Shoring Assessment date: 01 st Oct 2021 Ref.No. RA/023

Assessor(s): Rev Date: 01 st Oct 2021 Reviewed By:
Next Rev DT: 01st April 2022 Rev. No : 0

To Carry out an activity safely

Final Risk Rating should be reduced to 20 or below. Exemption: Work Covered by Permit to Work(PTW) and Vehicle Driving

Legal
Risk Rating Final Risk Rating
requir
ement Additional Control Measure(s)
Existing Control Measures with mechanism
Person( to be required with mechanism from

Likelihood

Likelihood

Final Risk
Hazard(s) from hierarchy of Control for each identified

Severity

Severity
Number

Number
Hazard Effect s) at risk compli hierarchy of control for each

Risk
hazard
ed identified hazard
(Yes/N
o)
Sheet Driving Fall of men, fall of Workme Yes Tool Box Talk shall be given to all personnel
material, soil n before start of the activity.
collapse, Job Start Talk shall be given to all personnel
Damage to any informing about the work to be done by the
existing services, concerned supervisor.
injury, slip / trip, All personnel shall be provided with
fracture appropriate personnel protective equipment
as per authority requirements (Coverall, safety
shoes , safety helmet with chin strap, heavy
duty gloves, goggles, dust mask , hivisibility 1 2 5 10
vest).
Signages shall be displayed.
The beam shall be held tightly with the
machinery.
No short cut method shall be allowed to hold
the beam during driving.
Shifting of materials shall be done by
appropriate method and not using piling
machine.

Assessor : Reviewed By :

QHSE Manager Project Manager

RA –Doc Page 1 of 4
 HEALTH AND SAFETY RISK ASSESSMENT FORM

Activity: Shoring Assessment date: 01 st Oct 2021 Ref.No. RA/023

Assessor(s): Rev Date: 01 st Oct 2021 Reviewed By:
Next Rev DT: 01st April 2022 Rev. No : 0

To Carry out an activity safely

Final Risk Rating should be reduced to 20 or below. Exemption: Work Covered by Permit to Work(PTW) and Vehicle Driving

Existing Property damage, Workme Yes NOC shall be obtained from concerned
services shock if any any n authorities before start of job.
electrical services Permit shall be obtained from DDW before
damaged, flooding start of the activity.
if any water line The precautions shall be carried out as stated
damaged, in the permit. 1 2 5 10
disruption due to The services below if any shall be checked with
any damage to live relavent drawings.
services, injury Works shall be done as per the method
statement.
Close supervision shall be in place at all times.
Improper Injury, muscle Fitter, Yes Manual handling techniques to be trained to
Manual cramp, fatigue, helper the personnel through Tool Box Talk.
Handling sprain, stress, Avoid lifting manually heavy objects.
Position yourself in a safe way before lifting
fracture
any object. 1 2 5 10
Check the material to be lifted for any sharp
edges.
The personnel shall be provided with heavy /
suitable gloves for hand protection.

Fall of Injury, fracture, workme Yes Placing of concrete slab into beam shall be 1 5 5 25 Personnel involved in the job 1 5 1 5
concrete slab n done by suitable method by means of shall be provided with adequate
excavator. fall protection (full body
The loose lifting tackle used for lifting concrete harness).
slab shall be in good condition. Personnel shall be instructed to
D shackle shall be used for adequate lifting. avoid going near the edge of the

Assessor : Reviewed By :

QHSE Manager Project Manager

RA –Doc Page 2 of 4
 HEALTH AND SAFETY RISK ASSESSMENT FORM

Activity: Shoring Assessment date: 01 st Oct 2021 Ref.No. RA/023

Assessor(s): Rev Date: 01 st Oct 2021 Reviewed By:
Next Rev DT: 01st April 2022 Rev. No : 0

To Carry out an activity safely

Final Risk Rating should be reduced to 20 or below. Exemption: Work Covered by Permit to Work(PTW) and Vehicle Driving

The excavated area shall be barricaded(hard excavation.

barrication).
Hot Fatigue, heat stress, All Yes Shaded area shall be provided for all Job rotation and rest break shall
environment cramp, heat workmen. be given to all workmen.
exhaustion, sun Adequate supply of cool drinking water shall Heat stress hazards shall be
stroke, death be made available at workplace. communicated to all workmen
Energy drinks shall be provided to all workmen through Tool Box Talk.
2 5 5 50 2 5 1 10
to avoid dehydration First aid facilities shall be readily
available at site with trained first
aider.
Manual jobs shall be minimized
with mechanical means.

HIRA (HAZARD IDENTIFICATION AND RISK ASSESSMENT) Identifying the hazard

FIVE Steps of Risk Assessment People
1. Identifying the Hazards. Equipment
2. Evaluating the Risks. Procedure
3. Implementing the control measures. Work place (work environment)
4. Record the findings Materials.
5. Monitoring and reviewing the assessment.
Risk rating score
Risk is essentially a combination of three factors:
The number of people that could be affected.
The severity of likely injuries that persons could suffer.
The likelihood of harm actually occurring.

Assessor : Reviewed By :

QHSE Manager Project Manager

RA –Doc Page 3 of 4
 HEALTH AND SAFETY RISK ASSESSMENT FORM

Activity: Shoring Assessment date: 01 st Oct 2021 Ref.No. RA/023

Assessor(s): Rev Date: 01 st Oct 2021 Reviewed By:
Next Rev DT: 01st April 2022 Rev. No : 0

To Carry out an activity safely

Final Risk Rating should be reduced to 20 or below. Exemption: Work Covered by Permit to Work(PTW) and Vehicle Driving

The overall Risk can be determined using the following formula.

Risk Rating = Numbers × Severity × Likelihood
The activities should be Risk Assessed as follows according to the criteria set out in Table below:
Number of people affected Severity of injury Likelihood of occurrence
1-5 Persons 1 Negligible 1 Improbable 0.5
6-50 Persons 2 Minor 2 Remote 1
50+ Persons 3 Major 5 Possible 5
Public/ vulnerable persons 3 Fatal 10 Likely 10
affected
RISK RATING ACTION TO BE TAKEN
SCORE
Up to 20 Risk is low: Acceptable: Additional control measures may be considered to reduce the Risk,
although low priority. Time, effort and cost should be proportional to the Risk.
21-50 Risk is medium: unacceptable: Additional control measures required soon to control. Interim
measure may be necessary in the short term.
51-100 Risk is high: Unacceptable: Additional control measures required urgently to control Risk. Interim
measure required in the short term. Significant effort, time, etc. may have to be control the Risk.
100+ Risk totally unacceptable.

Risk is Likelihood × Severity

Assessor : Reviewed By :

QHSE Manager Project Manager

RA –Doc Page 4 of 4