HSE RISK ASSESSMENT

SECTION: ACTIVITY:

Potential Current Risk Final Risk

Activity Existing Control Additional Control
Hazard
Cons. Prob. Risk Cons. Prob. Risk

Consequence Rating Factors (4) Probability Rating Factors (5) Frequency/Probability

No Safety Health Environ. Financial No Frequency A B C D

Equip. Product. 5 4 3 2
A Common or Daily
1 First Aid Immediate Minor <AED 1k <1 hr 5 25 24 22 19
2 Medical Temporary Short term <AED50K 1-2 hrs B Has happened or Weekly 4 23 21 18 14

3 Lost Time Short term Long term >AED300k 2-4 hrs C Could happen or Monthly 3 20 17 13 9

4 Disability Long term Serious >AED500k 4-8 hrs D Not likely or Once per year 2 16 12 8 5

5 Fatality Fatal Catastrophic >AED1m >1 shift E Practically impossible or Once in 10 years 1 11 7 4 2

ABE-HSE-F-039,Rev.00
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-HSE-F-039,Rev.00
ATTENDED BY:

Name(s):

Risk Assessor:

Name Designation Signature Date

FOLLOW UP:

NO. FOLLOW-UP ACTION ACTION BY TARGET DATE

APPROVAL
DESIGNATION NAME SIGNATURE DATE
COMPILED BY:
ACKNOWLEDGED BY:
ABE-HSE-F-039,Rev.00
-HSE-F-039,Rev.00