RISK AND IMPACT ASSESSMENT REGISTRY

FMS-HOS-F-024 ver01

Engr. Emmnauel B. Apilan

Author/ Originator
Safety Officer DATE

Reviewed and Concurred by:

NAME AND TITLE/ POSITION SIGNATURE DATE
Engr. Roger Carmelo M. Mayol/ EHS Manager

Approved by:
NAME AND TITLE/ POSITION SIGNATURE DATE
Engr. Ferdei Bartolabac/ AVP-Operational Excellence

Revision History:
Version Date Section(s) Bried Description of the Author/ Effectivity
Number Revised Revised Changes Originator Date

Engr. Emmanuel Oct 10,

01 NA NA New Document
Apilan 2017

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FORM CONTENT

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Department :Facilities and Engineering

Area/Scope: CHH equipments/ facilities amenity

Priority Process/ Activity/ Risk Potential Risk Risk/Impact Possible Causes of

Specific Location Classification Hazard/ Aspect
Number Service /Impact Level Classification High Risk Level

Hot works Fire 12 Medium Risk Inconsistent on

Welding, Grinding, removal of
01 Repair Area
Acetylene cutting cobustible materials
Safety
Electrocution 10 Medium Risk High exposure to
Main Distribution Electrical troubleshooting uninsulated wires
02 Contact to live wires
Panel Rooms and wiring

Water Consumption Depletion of natural 13 High Risk No monitoring and

01 All Comfort Rooms Flushing of CR resources policy on water
conservation
Envi
Generation of smoke Air Pollution 12 Medium Risk No schedules on
Generator Set Area smoke stack
02 Generator set operation
(Basement) cleaning

Risk Assessment Team: ___________________________________________________________________________________________________________________

Reviewed by: __________________________________ Noted by: ___________________________________

Department Manager EHS Manager

Approved by: __________________________________ ___________________________________

Safety Officer OED-AVP

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Department :____________________________________
Area/Scope:_____________________________________

Priority Process/ Activity/ Risk Potential Risk Risk/Impact Possible Causes of

Specific Location Classification Hazard/ Aspect
Number Service /Impact Level Classification High Risk Level
01
02
03
Safety
04
05
06

01
02
03
Envi
04
05
06

Risk Assessment Team: ___________________________________________________________________________________________________________________

Reviewed by: __________________________________ Noted by: ___________________________________

Department Manager EHS Manager

Approved by: __________________________________ ___________________________________

Safety Officer OED-AVP

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