

Activity: DG: – Preventive Maintenance (Monthly) Activity Based Risk Assessment


Ref. …….
Approved By Version …01…
Risk Assessed By Date :
HSE Review Due Date Last Review Date ……….
HSE Sheet 1 of 7
Last review by …………….

Risk Persons at Risk Risk Level

E – Employees
P = Probability Extreme Intolerable - The activity must not progress until controls are put into place to control the risks.

C – Contractors Formal control measures must be put in place to reduce and control risks (i.e. Method statements, Permits to Work, training,
I = Impact High
engineering controls etc.)
O – Others i.e. Members of the
RL = Risk Level Work may proceed after the implementation of the controls defined in this risk assessment. Additional controls may be identified which
Public / Clients employees Medium
could bring the risk down further

Low Reduce risk further where cost and time allows. Maintain all basic disciplines and controls.

Very low Low Risk. Reduce risk further where cost and time allows. Maintain all basic disciplines and controls.

NOTE: An assessment of local conditions must be made and additional control measures implemented as identified by that assessment.
Control Measures
Residual Risk
Task Persons at Risk All of the following measures must be implemented to reduce the risk factor to a Category
Step Hazards P x I = RL
tolerable level.
E C O P I RF

 ABB/ISS requirements and guidelines pertaining to the COVID-19

pandemic are to be followed. It should be ensured that the
contractor is complying with all the requirements prior to entering
the premises.
 Ensure that all the workers are from Green Zones and have not
ventured into any red or containment zone. Their travel history
should be known.
Entering inside  Face Mask is mandatory as per ABB Guidelines. Surgical
ABB Facility Security Check COVID-19 related mask/FFP2 Mask/N95 Mask can be used. Health 3 5 H
sickness Y Y Y  All workforce should give self-declaration. Thermal screening
along with hand sanitization is mandatory on entering and leaving
the facility.
 All workforce must have active Arogya Setu app installed that
shows green (safe)
 It should be ensured that social distancing and other instructions
pertaining to COVID-19 are strictly followed while working.
 All tools and materials will only be allowed inside the gate after
disinfection and cooling down for at least 10 Mins. 

SA-M-02-03-001, Version A.1


Activity: DG: – Preventive Maintenance (Monthly) Activity Based Risk Assessment

Ref. …….
Approved By Version …01…
Risk Assessed By Date :
HSE Review Due Date Last Review Date ……….
HSE Sheet 2 of 7
Last review by …………….

Control Measures
Residual Risk
Task Persons at Risk All of the following measures must be implemented to reduce the risk factor to a Category
Step Hazards P x I = RL
tolerable level.
E C O P I RF
DG Isolation of the electrical Electrical shock Y Y N  Authorised and competent person should do the activity. Safety 4 2 M
Preventive supply (Control supply and  Use appropriate PPE such as hand gloves, nose mask, ear
power supply) muff, reflecting jacket, Helmet, safety shoe etc.
Maintenance
 Ensure all the control MCB are kept in off condition in
(Monthly) GCU panel.
 Display 'work in progress' board in GCU panel and
remove the auto manual key from GCU panel and keep it
safe.
 Also keep DG controller key in off position and keep key
safe.
 Remove the battery connection and put covering to the
battery terminal.
 Ensure required spares/tools are available in the service
area.
Open the DG acoustic  Working area should be free from slip/trip hazard.
and Check coolant level  Keep the work area neat and clean to avoid slip/trip
Slip/Trip N Y N hazard. Safety 2 2 M
 Work area should be in dry condition.
 People present at the place must wear nose mask and
Dust Y Y N safety goggles to avoid dust inhalation. Health 3 1 L

Hitting N Y N  Wear safety helmets while working. Safety 3 2 M

 Maintain a safe distance between material and worker.
Fall of person N Y N  Only a trained and experienced personnel should be Safety 3 2 M
assigned for this activity.
 Use proper PPEs, like full body harness, helmet, safety
shoes, cut resistance gloves.
 Inspect the ladder/stool provided for reaching up to the
height of DG coolant level.
 Properly place the ladder/stool.

SA-M-02-03-001, Version A.1


Activity: DG: – Preventive Maintenance (Monthly) Activity Based Risk Assessment

Ref. …….
Approved By Version …01…
Risk Assessed By Date :
HSE Review Due Date Last Review Date ……….
HSE Sheet 3 of 7
Last review by …………….

Control Measures
Residual Risk
Task Persons at Risk All of the following measures must be implemented to reduce the risk factor to a Category
Step Hazards P x I = RL
tolerable level.
E C O P I RF

Engine oil level checking Heavy noise N Y N  Use ear muff while checking to reduce the noise from DG Safety 2 1 L
sets compressor areas and heavy noise areas.
 Corded Ear Plug should be plugged to ears to avoid heavy
noise.
Contact with rough  Ensure the workers' clothing and footwear are suitable for Safety 3 2 M
edges/sharp N Y N their work to avoid cut injury.
objective  Provide cut resistant hand gloves.
 Use only insulated tools.
Check parameters in DG Ergonomic N Y N  Avoid continuous checking and take breaks b/w activity. Safety 2 1 L
Controller  Avoid continuous checking of parameters.

SA-M-02-03-001, Version A.1

 
Activity: DG: – Preventive Maintenance (Monthly) Activity Based Risk Assessment

Ref. …….
Approved By Version …01…
Risk Assessed By Date :
HSE Review Due Date Last Review Date ……….
HSE Sheet 4 of 7
Last review by …………….

I confirm that the proposed actions have

Expected risk after Planned
Actual been completed and that the expected
completion of actions action
Proposed actions Action Owner completion risk reduction has been achieved
completion
(risk reduction measures) date
Impact Probability Risk Factor date Name Signature Date
actions will be effective in reducing the risk.

1
Re-assess risks to show how proposed


Also consider whether any new
hazards will be introduced.

 2


3

SA-M-02-03-001, Version A.1

 
Activity: DG: – Preventive Maintenance (Monthly) Activity Based Risk Assessment

Ref. …….
Approved By Version …01…
Risk Assessed By Date :
HSE Review Due Date Last Review Date ……….
HSE Sheet 5 of 7
Last review by …………….

Impact

Very Minor (1) Minor (2) Moderate (3) Major (4) Critical (5)

Occurs
frequently Almost
Expected Certain Medium Medium High Extreme Extreme
(i.e. daily) (5)

Occurs
often
Likely
common
(4)
Medium Medium High High Extreme
(i.e.
Weekly)
Probability

Likely
Probable Moderate
(i.e. (3)
Low Medium Medium High High
annually)

Unlikely
un-
common Unlikely
(i.e. Once (2)
Low Medium Medium High High
in
business)
Extremely
unlikely
Rare (i.e. Rare
never (1)
Very low Low Medium Medium High
realised in
business)
Illness, rendering them unfit for normal duties
Short-term symptoms (illness) condition which does not Illness which requires medical treatment or attention, but Debilitating, terminal and/or lasting ill health Terminal health conditions which could affect
Health result in lost time. Reversible effects. still fit for normal duties. Reversible effects.
(UNABLE TO WORK). Reversible effects but severe
issues. multiple people.
in nature.
Basic medical treatment, lost time or restricted work day
Serious injury - Broken bones, Musculo-skeletal
Minor injury no worse than first aid required – First aid incident - quick return to work (not amputations or broken Single Fatality or disabling Injuries (i.e. amputations,
Safety Incident only bones)
injury, significant burns (significant absence from
loss of sight etc.)
Fatalities (multiple)
work)
(absence beyond the shift it occurred)

SA-M-02-03-001, Version A.1

 
Activity: DG: – Preventive Maintenance (Monthly) Activity Based Risk Assessment

Ref. …….
Approved By Version …01…
Risk Assessed By Date :
HSE Review Due Date Last Review Date ……….
HSE Sheet 6 of 7
Last review by …………….

Very serious, long term (years) or permanent

Minimal short term (hours) environmental damage,
Environment contained within the immediate area
Actual losses with a value less than $1,000 USD
Threat of violence, not involving a weapon, not
perpetrated by employees, contractors, or related third-
Security party individuals, resulting in no injuries.
Local issue with no or limited impact on market
perception
Minor short term (days) environmental damage, contained
within the plant boundary
Actual losses with a value less than $25,000 USD
Acts of violence, not involving a weapon, not perpetrated by
employees, contractors, or related third-party individuals,
resulting in no injuries or injuries requiring no more than first
aid treatment.
Potential for escalation and/or minor impact on market
perception requiring considered executive management
attention
Short term (weeks) environmental damage, Serious, medium term (months) environmental damage
contained within the site boundary and/or has local offsite impact
environmental damage and/or has
national/international impact
Actual losses greater than $25,000, but less than
Actual losses with a value greater than $100,000 USD Actual losses with a value greater than $1,000,000
$100,000 USD
Acts of violence which involved a weapon and resulted in USD
Acts of violence which involved a weapon and
injury requiring hospitalization for more than 48-hours or Acts of violence which involved a weapon and
resulted in injuries requiring emergency medical
treatment or hospitalization less than 48-hours.
resulting in a fatality. resulted in one or more fatalities.
Major impact on market perception of ABB requiring Dramatic and material impact on market perception
Moderate potential or material impact on market
immediate executive management attention and of ABB requiring immediate executive management
perception of ABB which requires executive
intervention. intervention and management
management attention and intervention

Enterprise (Business) <10% impact on your budgeted EBITA <25% impact on your budgeted EBITA <50% impact on your budgeted EBITA <80% impact on your budgeted EBITA >80% impact on your budgeted EBITA

ACTIVITY BASED RISK ASSESSMENT ACKNOWLEDGEMENT

Employee Acknowledgement
Team Member to print name Team Member to Sign Date Team Member to print name Team Member to Sign Date

I agree that the work described will proceed in accordance with the controls/precautions specified in Activity Based Risk Assessment and associated documentation.

Client to print name Client to Sign

Supervisor to print name Supervisor to Sign Date Date
(If applicable) (if applicable)

SA-M-02-03-001, Version A.1


Activity: DG: – Preventive Maintenance (Monthly) Activity Based Risk Assessment

Ref. …….
Approved By Version …01…
Risk Assessed By Date :
HSE Review Due Date Last Review Date ……….
HSE Sheet 7 of 7
Last review by …………….

SA-M-02-03-001, Version A.1