RISK – IMPACT ASSESSMENT FORM

EHS R1 1.0

Company & Package No : Kayangan Kemas Sdn Bhd / Package C04D Hirarc No

Process / Location : Excavation and Installation Of Underground Pipes

Conducted by: Azman Oyob (SHO) Reviewed by:
(Names, designations) (Names, designations)
Date conducted : 15/8/2022 Last Review Date: Next Review Date: Rev
Approved by : 1) Exyte Project Manager (PM)
(Names, designations) 2) Exyte Construction Manager (CM)
(Date) 3) Exyte Package Owner :

Hazard / Aspect Identification Initial Risk Risk / Impact Controls Residual Additional Risk / Impact Controls Responsible
Person
-

Occurrence

Occurrence
Conditions

S/N

Severity

Severity
Legality
Activities Potential EHS EHS Risks / Existing Control Measures Additional Control Measures Action By
Hazards / Impacts

RPN

RPN
Aspects

1 Mandatory R 1. Lack of 1. Minor / 4 4 16 1. All workers are sent for CIDB before they could - EXYTE Y 1 2 2 1. Daily SIP to conduct at work - SHO
requirement information serious start any works requirement area by the supervisors - SSS
Covid 19 2. Infected injury 2. Attend training according to work trade and - SHE permitting 2. Check with local authority if - Site
SOP Covid 19 - 2. Serious make sure the person is skilled and competent Requirement & detect discrepancy on permit supervisor
Virus health 3. Safety Induction Course had been conducted by Standard and CIDB - All staff /
3. Physical Issues main contractor before any work can be carried - OSHA 1994 3. Close supervision workers
Health 3. Fatality out - FMA 1967 4. Ensure CIDB trade in according
Hazard 4. All workers to be provided with proper Personal - BOWEC 1986 to work task
4. Work Protective Equipment: safety helmet, safety - Local IC 5. If RTK result is Positive, PCR
Ergonomics shoe, safety vest, safety glass and hand glove - Foreign test must be conducted for
5. PPE are issued and instruction on proper use workers permit confirmation
had been reiterated to works - Passport
6. To do pre inspection for machinery and - CIDB, JPN
equipment before mobilize machinery at work - Immigration,
7. Housekeeping to be done at end of work MKN SOP
8. RTK test before entry to site for all workers
9. All workers must wear 3 ply face mask within
vicinity of office and rest area
10. SOP guideline will be explained to all staff and
workers

2 Conduct R 1. Physical 1. Body 5 3 15 1. All construction worker and management staff - EXYTE SHE Y 1 2 2 1. Site supervisor to ensure that the - Site Engineer
Toolbox hazards injury must be briefed prior to start work regulation workers wear proper PPE before - Site
Meeting to 2. Property 2. Noncomp 2. Tool box meeting shall be conducted by start any work and to check Supervisor
brief the job damage liance supervisor before start work during TBM - SSS
sequence 3. Costing 3. All workers shall perform with accordance to the
and possible effect TBM/SPA instruction by task supervisor
hazard 4. PTW and all other relative documents shall be
encountered prepared prior of commencing work
before start
work
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 RISK – IMPACT ASSESSMENT FORM

Hazard / Aspect Identification Initial Risk Risk / Impact Controls Residual Additional Risk / Responsible
Impact Controls Person
-

Occurrence

Occurrence
S/N Conditions

Severity
Severity

Legality
Activities Potential EHS EHS Risks / Existing Control Measures Additional Control Action By
Hazards / Impacts Measures

RPN

RPN
Aspects

3 R 1. Traffic 1. Body injury 5 3 15 1. Prior communication with site personnel. Plan and - SHE Y 1 3 3 1. Site supervisor - Site Engineer
accident 2. Major injury check for the vehicle route before vehicles move permitting ensure that the - Site Supervisor
involving 3. Oil leakage in to site with machinery checklist Requirement workers wear - SSS
A)
Mobilization of lorry 4. Air pollution 2. Specified traffic controllers to guide low loader & Standard proper PPE before
material, 2. Physical 5. Back pain enter into designated location - OSHA 1994 start any work
equipment, hazard 3. Flagman to escort the heavy vehicle in & out of - FMA 1967 2. Task supervisor
tools and 3. Mechanical site - BOWEC 1986 need to inform SHE
machinery to hazard 4. Ensure competent / trained person to operate the personnel in
designated area 4. Fire hazard machineries and having valid competency advance if want to
using 5. Oil dripping document move in/out
manpower and from lorry 5. Working area condition are inspected and materials for
lorry 6. Smoke checked by management staffs to ensure safe documentation
emission work condition purpose and
7. Ergonomic 6. Engine should be switched off when idling security check up
CCUA 7. Driver and flagman are briefed on site speed limit and to provide
submission for 15km/h and other relevant site rules vendor form
any chemicals 8. Wheel stopper to be placed at the wheel after 3. Must cordon off
use on site parking areas with yellow
B) 9. Site supervisor to ensure that any oil drip is chain and cones
cleaned up and waste to be disposed properly when job activity is
10. Ensure choke the tyre once parked being done
11. Workers shall perform buddy system while lifting 4. Make a safe route
long and heavy materials for others to walk
12. To cordon off the radius of lifting area affected 5. To provide spill kit
13. Briefing of heavy machinery movement for chemical in case
14. To submit CCUA for Intel approval prior using any chemical spillage
chemical at site

4 Survey R 1. Slip and fall 1. Body injury 2 2 4 1. PPE to comply, safety helmet, hand gloves, safety - SHE permitting Y 1 5 5 1. Site supervisor - Site Engineer
personnel will 2. Physical 2. Fatality glass, safety vest and safety shoes requirement must have related - Site Supervisor
use their hazard 3. Costing 2. Safe route will be identified and maintained and standards document and - SSS
surveying 3. Property effect 3. To maintain wooden spike marking with 1 worker - OSHA 1994 permit to be in
equipment and damage to maintain order
start marking 4. Provide drinking water to avoid dehydration 2. The area to be
the point with excavated shall be
accordance to properly marked
the drawing and clear before
issued start the works &
cordon with rigid
barrication together
with relevant
signages

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 RISK – IMPACT ASSESSMENT FORM

Hazard / Aspect Identification Initial Risk Risk / Impact Controls Residual Additional Risk / Impact Controls Responsible
Person
-

Occurrence

Occurrence
S/N Conditions

Severity

Severity
Legality
Activities Potential EHS EHS Risks / Existing Control Measures Additional Control Measures Action By
Hazards / Impacts

RPN

RPN
Aspects

5 Excavation R 1. Oil leaking 1. Body injury 3 3 9 1. To provide drip tray at leaking parts while - Exyte EHS Y 2 2 4 1. Daily tool box meeting to be attended - Site Engineer
work using 2. Hit by 2. Property waiting for foreman to come for repair work / plan by site management team and - Site
excavator or moving damage temporarily stop the machinery from operating - OSHA worker Supervisor
backhoe machinery 3. Air / land 2. Staff and worker compulsory to attend Exyte 1994 2. To ensure SPA has been conducted - SSS
below 2meters 3. Physiologica pollution safety training required for the activities - FMA 1967 by task supervisor - Scaffold
l hazard 4. Machinery before start work - BOWEC 3. Machinery must be equipped with inspector
and 3. To ensure related permit to work are applied 1986 reverse and swing alarm
4. Trip and fall
equipment and approved prior to any work operation 4. To provide slope 1:1 for excavated
5. Blindspot
failure 4. Must ensure the excavator and any related area and shall be maintained to
6. Incompetent equipment to be used for this work is avoid collapse
operator inspected and must have valid monthly 5. Provide scaffold staircase as access
7. Unbarricade inspection tag in accordance to Exyte color for excavation pit & inspected by
d excavation coding inspector (To ensure Competent
pit 5. The machinery must be operated by Erector Class 1 and Competent
8. Soil collapse competent person and must have valid Inspector Class 3)
/ erosion license 6. Flagman must be assigned full time
9. Hit on live 6. Daily checklist must be filled up by the to control movement of the
utilities operator before start work machinery when excavation activity
7. To carry out scanning to the underneath is performed at site
utilities. Manual excavation required if have 7. Provide excavation tagging
live power cable/ fibre optic, etc. Operator (safe/unsafe)
machine should made known on this 8. Will provide sand bag just in case
underneath utilities. any unintended slope failure may
8. Must ensure work area is barricaded and any occurred due to abnormal heavy rain
relevant signages to be displayed (Hard 9. Provision of Best Management
barricade to be installed at the excavation pit) Practices (BMPs) to prevent erosion
9. Banksman / flagman must be assigned to i.e earth dyke / bund, covering slope
control the movement of the machinery and
the traffic during the work operation
10. Provide edge protection at the excavated area
to prevent soil collapse
11. The excavation will be executed in jump-rid
manner where there is a mid-access between
the excavation pit
12. 2 tier open cut excavation will be executed for
pile cap pit excavation
13. The protruding piles will be protected to
prevent any damages to the vehicles or
machinery
14. Maximum 1.5m benches
15. To ensure excavated soil area to be covered
with PE sheet or other approved material in
order to minimize dust pollution

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 RISK – IMPACT ASSESSMENT FORM

Hazard / Aspect Identification Initial Risk Risk / Impact Controls Residual Additional Risk / Impact Responsible
Controls Person
-

Occurrence

Occurrence
Conditions

S/N

Severity
Severity

Legality
Activities Potential EHS EHS Risks / Existing Control Measures Additional Control Measures Action By
Hazards / Impacts

RPN

RPN
Aspects

6 Dewatering R 1. Physical 1. Body injury 5 3 1 1. Prior communication with site personnel. Plan and - SHE Y 1 3 3 1. Site supervisor ensure that - Site Engineer
of excavation hazard 2. Oil leakage check the equipment with checklist permitting the workers wear proper PPE - Site
pit 2. Mechanical 3. Air 2. Ensure the equipment has valid monthly inspection requirement before start any work Supervisor
(installation hazard pollution sticker and 2. Task supervisor need to - SSS
of robin 3. Oil dripping 4. Back pain 3. Working area condition are inspected and checked standards inform SHE personnel in
engine water from lorry by management staffs to ensure safe working - OSHA 1994 advance if want to move
pump) condition - FMA 1967 in/out materials for
4. Smoke
4. Equipment should be switched off when idling - BOWEC documentation purpose and
emission
5. Site supervisor to ensure that any oil drip is 1986 security check up and to
5. Ergonomic cleaned up and the waste to be disposed properly provide vendor form
6. Direct 6. Worker shall perform buddy system while lifting 3. Must cordon off areas with
discharge to long and heavy materials by using mobile crane yellow chain and cones when
public drain 7. Temporary drain must be formed around the job activity is being done
excavation area and have a sump to pump the 4. Make a safe route for others
water from excavation pit prior discharge to public to walk
drain 5. Frequent maintenance of
8. Provide robin engine with water hose to dewater or temporary drain / desilting
divert to sediment pond, silt trap and site temporary
drainage prior discharge to public drain

7 Laying R 1. Trip and fall 1 Body injury 1. To ensure related permit to work are applied and - SHE Y 2 2 3 1. Daily tool box meeting to be - Site Engineer
3metres 2. Manual 2 Fatigue approved prior to any work operation permitting attended by site management - Site
pipe(PN10) handling 2. Must ensure work area is barricaded and any requirement team and worker Supervisor
into 3. Expose relevant signages to be displayed (Hard barricade and 2. To ensure SPA has been - SSS
excavated excavation pit to be installed at the excavation pit) standards conducted by task supervisor
area 3. Require buddy system. No man carrying load more - OSHA 1994
than 20kg. - BOWEC
4. The area excavation required barricade and 1986
displayed signages.

8 Sand to be R 1. Oil leakage 1. Body injury 1. To ensure related permit to work are applied and - SHE Y 2 2 4 1. Daily tool box meeting to be - Site Engineer
covered on 2. Hit by moving 2. Property approved prior to any work operation permitting attended by site management - Site
top of the machinery damage 2. Must ensure the excavator and any related requirement team and worker, banksman Supervisor
laid pipe 3. Physical 3. Air / land equipment to be used for this work is inspected and and 2. To ensure SPA has been - SSS
using hazard pollution must have valid monthly inspection tag in standards conducted by task supervisor
excavator 4. Trip and fall 4. Machinery accordance to Exyte color coding - OSHA 1994 3. Machinery must be equipped
3. The machinery must be operated by competent - FMA 1967 with reverse and swing alarm
5. Blindspot and
person and must have valid license - BOWEC 1986
6. Incompetent equipment
4. Safety supervisor and site supervisor to ensure that
operator failure any existing services are marked out and made
7. Unbarricaded
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 RISK – IMPACT ASSESSMENT FORM
excavation pit known to machinery operator
8. Soil collapse / 5. Must ensure work area is barricaded and any
erosion relevant signages to be displayed (Hard barricade
to be installed at the excavation pit)

Installed 1. Trip and fall Body injury 5. To ensure related permit to work are applied and - SHE Y 2 2 3 3. Daily tool box meeting to be - Site Engineer
cable slab on 2. Manual Fatigue approved prior to any work operation permitting attended by site management - Site
on top of the handling 6. Must ensure work area is barricaded and any requirement team and worker Supervisor
sand 3. Expose relevant signages to be displayed (Hard barricade and 4. To ensure SPA has been - SSS
excavation pit to be installed at the excavation pit) standards conducted by task supervisor
- OSHA 1994
2.
- BOWEC
1986
9 Backfilling R 1. Oil leakage 5. Body injury 3 3 9 7. To ensure related permit to work are applied and - SHE Y 2 2 4 3. Daily tool box meeting to be - Site Engineer
and 2. Hit by moving 6. Property approved prior to any work operation permitting attended by site management - Site
compacting machinery damage 8. Must ensure the excavator and any related requirement team and worker, banksman Supervisor
work 3. Physical 7. Air / land equipment to be used for this work is inspected and and 4. To ensure SPA has been - SSS
hazard pollution must have valid monthly inspection tag in standards conducted by task supervisor
4. Trip and fall 8. Machinery accordance to Exyte color coding - OSHA 1994 5. Machinery must be equipped
and 9. The machinery must be operated by competent with reverse and swing alarm
5. Blindspot
equipment person and must have valid license
6. Incompetent
failure 10. Safety supervisor and site supervisor to ensure that
operator any existing services are marked out and made
7. Unbarricaded known to machinery operator
excavation pit 11. Must ensure work area is barricaded and any
8. Soil collapse / relevant signages to be displayed (Hard barricade
erosion to be installed at the excavation pit)

Page 5 of 6
 RISK – IMPACT ASSESSMENT FORM

Hazard / Aspect Identification Initial Risk Risk / Impact Controls Residual Additional Risk / Impact Responsible
Controls Person
-

Occurrence

Occurrence
Conditions

S/N

Severity
Severity

Legality
Activities Potential EHS EHS Risks / Existing Control Measures Additional Control Measures Action By
Hazards / Impacts

RPN

RPN
Aspects

10 Night work R 1. Slip and fall 1. Physical 4 4 16 1. Provide sufficient spot light and tower light - SHE Y 2 3 6 1. To ensure spot light and - Site Engineer
(until 10pm) 2. Reduced injury for night work permitting tower light in good condition - Site
and extended visibility for 2. Sleep 2. To obtain PTW for night work activity Requirement prior to night work Supervisor
night work workers loss / 3. PPE to comply, safety helmet, hand gloves, and Standard 2. To conduct TBM / SPA prior - Site Safety
shift (after 3. Working fatigue safety glass, high visibility safety vest, ear - OSHA 1994 to night work and ensure Supervisor
10pm) long hours muff, leather glove and safety shoes - FMA 1967 workers wear proper PPE
4. Movement 4. Housekeeping to be done at end of work to 3. To limit the work exposure
of ensure work site and walkway free from by job rotation between the
Banksman obstruction. worker for a job task
5. Provide new batch of workers for new shift
or night work after 10pm.
6. Banksman must use batton with colour
which illuminate in dark.

11 Housekeeping R 1. Trip hazard 1. Body 3 5 15 1. All debris must be collected using - Exyte Y 1 3 3 1. Supervisor to monitor before - Site Engineer
before and 2. Manual injury appropriate tools requirement and after work with do proper - Site
after work handling 2. Fatigue 2. To maintain good body posture while - OSHA 1994 housekeeping Supervisor
3. Dust 3. Respirato performing job activity 2. Proper training on waste - SSS
inhalation ry 3. All item must be placed and stored at segregation, general waste,
4. Waste problem designated area and temporary barrier construction debris,
ownershop to be displayed scheduled waste
management
4. Waste materials / debris / scheduled waste 3. Submission / provision of
5. Soil disposal
must be separated (Implementation of license contractor for waste
waste segregation) disposal
5. Supervisor to ensure all the materials and
dust area brushed away on daily basis
6. To dispose soil at approved landfill / facility

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