HIRAC

Name Company
Date Work Area

No. Work Activity Hazards Safety & Health Existing Risk Probability Severity Risk Control Date of
Hazards Effects Control (If Measure corrections/status
any)
1

Fell down
the stairs

Bathtub
slips or fall

Shower
curtain
vapor

Uncleaned
toilet

Shampoo,
conditioner,
 soaps and
body wash

Toxic molds
(muriatic
acid, paint
thinner,
glue, etc)

Eating
without
washing
your hands

Improper
use of
knives

Failed to
turn off the
oven

10

Fire burning

11 Overheating
 frying pan
without
using gloves

12

Wet
slippery
floor near
the kitchen
sinks

13

Fallen
glasses

14

Washing
broken
glass in
unknowing
accidents

15

Uncleaned
area with
lot of
insecticide

16

Sweeping
and blowing
of dust
17

Dry slippery
surfaces

18

Overheating
used of
charger

19

Bunk bed
unstable

20

Wet floors
present
where is
used

21

Octopus
extension
wire

22

Used dry
cell
batteries
23

Spoiled
food left in
the fridge

24

Lifting
heavy
objects

25

Manual
cutting and
deboning
(meat and
poultry)

26

Using a
ladder to
access high
pantry
shelves

27

Improper
sitting for
long
periods

28
19

30