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Department: List of Workcentre: S.No Workcentre Name Process Involved No. of Employees VLJ
Department: List of Workcentre: S.No Workcentre Name Process Involved No. of Employees VLJ
LIST OF WORKCENTRE
No. of Employees
S.No Workcentre Name Process Involved
VLJ
1
2
3
4
5
6
7
8
9
10
11
12
13
14
RE
No. of Employees
Contrator Total
Prompt List of Occupational Safety hazards
Refer SOP/WI
No. of Persons
Risk Score=
Risk Score=
Hazard No.
Risk level
Risk level
exposed
PERSON(S) Proposed controls (Elimination, Subsitution, Engg,
Existing Potential BC S/NS
Sign/Admin & PPE)/Opportunities
S*P
S*P
Activity Hazard POTENTIALLY Existing Control Measures
P
harm
EXPOSED (E/C/V/LC)
1. Supervision to be ensured.
Burn, Skin SOP, HIRAdeC, Job specific TBT, Safety helment,
64.2 Electrocution E/C 10 3 3 9 Adequate L S 2. First aid box to be present at site 3 1 3 Acceptable
Injuries Safety shoes, Safety goggles, Reflective jacket 3.Worker need to be trained in first aid traning
1.Barrication of danger zone.
SOP, HIRAdeC, Job specific TBT, Safety helment, 2.Strict supervision is required.
64.3 Snake Bite Chance of Fatality E/C Safety shoes, Safety goggles, rubber hand gloves, 10 3 3 9 Adequate L S 3.Use of cut resistant rubber hand gloves, safety shoes, goggles to be 3 1 3 Acceptable
Reflective jacket used.
TPP/WI-BTG/OPE/0064
1. Safe access to be ensured for safe working.
SOP, HIRAdeC, Job specific TBT, Safety helment, 2. First aid box to be present at site.
64.4 Slip, trips cut & injury E/C Safety shoes, Safety goggles, rubber hand gloves, 10 2 3 6 Adequate L S 3.Worker must be trained in first aid training 3 1 3 Acceptable
Devegitation Reflective jacket 4.Supervision to be ensured.
5. Make sure to do pest control before devegetation.
SOP, HIRAdeC, Job specific TBT, Safety helment, 1.Use safety shoes.
64.5 Exposure chemical Burn injury E/C Safety shoes, Safety goggles, rubber hand gloves, 10 3 3 9 Adequate L S 2.Proper housekeeping. 2 1 2 Acceptable
Reflective jacket 3.Safe access.
SOP, HIRAdeC, Job specific TBT, Safety helment, 1. Use of chemical resistant rubber hand gloves, Gum boots, face shield
64.6 Sharp edge cut & injury E/C Safety shoes, Safety goggles, rubber hand gloves, 10 3 2 6 Adequate L S to be used. 2.Strict 3 1 3 Acceptable
Reflective jacket supervision to be ensured.
Note: S= Severity, P=
Probability,
BC=Business concern
Amendment History:
Sl No Revision Date Revised by Reviewed by Approved by Amendment
DOCUMENT
DEPARTMENT
TITLE
VER. NO : 02
Hazard No.
Existing Control
Activity Hazard
Measures
Prepared by :
Name :
Name :
Name :
Name :
Amendment History:
Sl No Revision Date Revised by
FORM:MRJ/HIRA/01-00
HAZARD IDENTIFICATION, RISK ASSESSMENT AND DETERMINING CONTROL
EMERGENCY
REV. NO : YY
P=LoO * LoD
Risk level
exposed
PERSON(S) BC
Existing Potential
POTENTIALLY
S
harm
LoO
LoD
EXPOSED (E/C/V/LC)
Reviewed by :
Name:
CY
Risk level
S/NS Subsitution, Engg,
Sign/Admin &
S
LoO
LoD
PPE)/Opportunities
Approved by :
Name:
Refer SOP/WI