Jan-19

Date Present Absent Date Present Absent

I Time O Time 16 I Time O Time
1 17
2 18
3 19
4 20 SUNDAY
5 21
6 SUNDAY 22
7 23
8 24
9 25
10 26
11 27 SUNDAY
12 28
13 SUNDAY 29
14 30
15 31

Feb-19
Date Present Absent Date Present Absent
I Time O Time 16
1 17 SUNDAY
2 18
3 SUNDAY 19
4 20
5 21
6 22
7 23
8 24 SUNDAY
9 25
10 SUNDAY 26
11 27
12 28
13 29
14 30
15 31
 MAGS ANTICORROSIVE COATINGS PVT. LTD
HAZARD IDENTIFICATION AND RISK ASSESSMENT (HIRA)

HAZARD IDENTIFICATION RESIDUAL EHS RISK ASSESSMENT

ADEQUACY OF EHS RISK CONTROL EHS

CONDITON EHS RISK RISK
MEASURES INPUT FOR IS EHS RISK
LEVEL EHS RISK CONTROL
TOTAL = CONTROL LEVEL
LXS MEASURE ACCEPTABL ADDITIONAL MEASURE
LIKELI REQUIRED
(LC/DC/PP E (YES/NO)
R / NR N/ EXISTING GAPS #, IF ANY HOOD SEVERI
AN/E TY (S)
(L)

A) Close monitoring and strict

supervison by contractor's
supervisor to ensure proper
Use of Standard quality of scaffolding & use of
Worker Moving at safety Belt.
Scaffolding, use of Tolerabl
NR N height without 1 4 4 LC Yes B) Certification of Scafollding
double liner safety belt, e
Use of standard plank secured safety belt as " Safe to Use"
C) Behavior Monitoring
D) Check health
( Parameters realated to height,
Epilepsy) of individual prior to
assign the health job.
E) Before allowing
working at height confirm there
is no attack of vertigo in past
F) Only experinced and
trained person should be
allowed
G) Workers must use full body
harness belt with proper
achoring safety helmate with
chin straps and safety shoes.
 MAGS ANTICORROSIVE COATINGS PVT. LTD
HAZARD IDENTIFICATION AND RISK ASSESSMENT (HIRA)
DOCUMENT NO:- REVISION:- DATE :

EHS HAZARD IDENTIFICATION

EHS Aspect Condition

Impact, Adequacy of EHS
Sr No. Activity Risk Control
Hazard &
Risk Measure
Category( Environment D/I R/NR N/AN/E Existing Gaps# if
healt & Safety) any

The
Work
Plan
1 Review
 PVT. LTD
ESSMENT (HIRA)

RESIDUAL EHS RISK ASSESSMENT

EHS Risk EHS Risk

TOTAL= EHS Risk
(LXS) Level Control
Input for Is EHS Risk Additiona
Control Level l
Likeli Sevierty(S) Measure(LC/ Acceptable measures
hood(L) DC/PP/IPC ( Yes/ No) required
TO,
ABHINAY KUMAR / ADITYA NARAYAN PANDEY
VILLAGE - GONAULI, BETTIAH
NEAR RAILWAY GATE NO.186C
DIST- WEST CHAMPARAN
BIHAR STATE- 845438
MOB- 9967804195

FROM,
JITENDRA R. PANDEY
ROOM NO.04, JEEVLAL SETH CHAWL
WATER TANK ROAD, MUNSHIMAHAL
BHANDUP WEST, MUMBAI -400078
MOB- 9004301187
 INCIDENT /ACCIDENT DETAILS OF ROAD NO .9X18 JUNCTION

1 Date and Time Of the Accident 09.10.2021, 6:55 pm

2 Loaction OF The Accident/ Incident Pipe Rack 9 Near Road No.9x18 Junction

3 Description Of the Job Erection Of Scaffolding For Painting Job in pipe Rack 9

MRAU-CPN-2117878
Permit NO Of the Job
4 MRAU-WHP-2103619

Erection/ Dismentaling Of Scaffolding for Painting Works

Details OF the Permit
5 At Pipe rack -9 from Road NO.C-61 to Road NO.18

6 Injured Person Kartik Mahato ( Scaffolder)

7 Site Supervisor Md.Muzahid

8 Site Safety Supervisor Jitendra Pandey

At Closing time of work around 6:55 PM ,

While he alighting from scaffolding he feel littile fatigue
9 Descriptiuon Of the Accident/ Incident
and tried to sitdown , but he unable to balance himself
and fell down

10 Witness OF Accident Jagnath Giri ( Scaffolder)