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HAZARD IDENTIFICATION & RISK ASSESSMENT (HIRA)

OHS-PR-09-03-F02 (A) HIRA-Hazard ID and Risk Assessment Form and Register


Operating Area: COA Project Name: CONVERSION OF PP10
Contractors: Alfanar Project Type: PP Contract No.: 4400017213
Risk Assessment (Baseline and full RA)
TASK/ACTIVITY/PROCESS NAME: Hydro Testing of Gas Pipeline DEPARTMENT/AREA: COA
RA Number: 32 30 DATE: YES
SEVERITY / CONSEQUENCE (Impact/Hazard Effect) (Where an event has more than one ' Loss Type ', choose the ' Consequence' with the highest rating)
Loss Type Additional "Loss Types" may exist
for an event: Identify & rate accordingly
(1) Insignificant (2) Minor (3) Moderate (4) Major (5) Catastrophic
Loss Time Injury / Reversible Impact on Single Fatality or Loss of Quality of Life / Irreversible impact on
(S/H) Harm to People (Safety/Health) First Aid Case/Exposure to Minor Health Risk Medical Treatment Case/Exposure to Major Health Risk Multiple Fatalities / Impact on health Ultimately Fatal
Health Health
Material Environment harm (RST) Serious
(EI) Environmental Impact Minimal environment harm incident with workplace Material Environment harm (RST) Major environmental incident (RLT) Major environmental harm – Incident Irreversible
environmental harm incident (RMT)
(BI/MD) Business Interruption / Material / No disruption to operation / 1000 SR to Less than 10k Partial Shutdown/100k SR to Less than 1M Substantial or Total Loss of Operation / 10M SR and
Brief Disruption to Operation / 10k SR to Less Than 100k SR Partial Loss of Operation/1M SR to Less than10M SR
Fire Damage & Other Consequential Losses SR SR more
LIKELIHOOD Examples (Consider Near-Hits as well as actual events) RISK RATING / PROFILE
The unwanted event has occurred frequently : Occurs in order of (1) or
(5) ALMOST CERTAIN
more per year & is likely to reoccur within 1 year 5 (M) 10 (H) 15 (Ex) 20 (Ex) 25 (Ex)
The unwanted event has occurred infrequently : Occurs in order of less
(4) LIKELY
than once per year & is likely to reoccur within 5 yrs. 4 (M) 8 (H) 12 (H) 16 (Ex) 20 (Ex)
The unwanted event has occurred in the business at some time: or could
(3) POSSIBLE
happen within 10 years. 3 (L) 6 (M) 9 (H) 12 (H) 15 (Ex)
The unwanted event has occurred in the business at some time: or could
(2) UNLIKELY
happen within 20 years.
2 (L) 4 (M) 6 (M) 8 (H) 10 (H)
The unwanted event has never known to occur in the business or it is
(1) RARE
highly unlikely to occur within 20 years. 1 (L) 2 (L) 3 (L) 4 (M) 5 (M)
RA TEAM (Names) DESIGNATION SIGNATURE RISK RATING RISK LEVEL GUIDELINES FOR RISK MATRIX
Stop operation and review controls- Eliminate, avoid risk & implement high
1. SYED ABBAS SHAH HSE Manager 15 to 25 (Ex) - Extreme priority action plans
Proactively manage & implement specific controls/action plans-Review after
2. SHAFIQUL ISLAM FORMAN 8 to 12 (H) - High 7 days
Actively manage & monitor – Additional controls is advised & review after
3. 4 to 6 (M) - Medium 14 days

4. 1 to 3 (L) - Low Risk acceptable – Monitor & manage as appropriate with frequent review

Review by: Mahfoudh Alali Signature: Date:20/07/23 APPROVED BY / MANAGER or SUPERVISOR: AHMAD ANWAR DATE: 20-07-24 NEXT REVIEW DATE: 20-01-24

Identify the hazard on the given task and conduct assessment of the actual site condition, all identified risk should provide with a plan to eliminate or control the risk.
HAZARD IDENTIFICATION CONTROL RISK RISK REDUCTION ACTION PLAN

Consequence

Consequence

Risk Ranking
Risk Issue

Likelihood

Likelihood
Controls

Ranking
(Improve Existing Controls/ Follow up By Whom
Item #

Work Activity (Possible Incident) (What can go wrong)


(Process, Equipment, Materials)
Hazards Existing Controls Implement new controls)
Implemented
(Name) & By When (Date) (Yes / No)
(Accident/ Ill health to person, fire or
property loss)
1 Obtain Permit to Work ⬧ Unauthorized work to be performed ⬧ Accident resulting serious injury or death ⬧ Permit to Work shall be obtained as a pre- ⬧ Permit Receiver shall be trained and
within a defined location and boundary to worker requisite to perform work authorized by the Manager to receive a
⬧ Work shall not be started until duly approved Permit to Work
Permit to Work is available at site and that ⬧ Permit Receiver shall be responsible to Site Manager
Safety Toolbox meeting was conducted oversee for the safety of all workers under Site Engineer
3 2 6 2 1 2 YES
⬧ Work shall not proceed without the presence his Permit to Work Safety Engineer
of approved Permit to Work with the Permit Foreman / Supervisor
Receiver overseeing the activity

⬧ Significant property and appurtenances ⬧ A safe work practice shall be implemented to ⬧All workers attending the toolbox
damage reduce the possibilities of accident / incident meeting shall sign on the attendance sheet
Site Manager
⬧ Permit Receiver and Permit Issuer shall visit attached to the specific Permit to Work
Site Engineer
together at the site to ensure that workplace 3 2 6 3 1 3 YES
Safety Engineer
hazards are adequately identified and mitigating
Foreman / Supervisor
measure shall be established

⬧ Uncontrolled personnel entering a ⬧ Loss of production ⬧ Permit to Work shall be displayed at the ⬧ All workers shall attend the toolbox Site Manager
restricted location worksite meeting on a daily basis conducted by the Site Engineer
⬧ Permit Receiver shall not leave the area for 3 2 6 Supervising Engineer, Foreman and Permit 3 1 3 YES
Safety Engineer
the whole duration of work Receiver Foreman / Supervisor
⬧ Significant cost due to damages ⬧ Permit Receiver shall account all workers ⬧ RA and JSP shall be conducted thru TBT Site Manager
under his Permit to Work before the start of before start of any work in daily basis per Site Engineer
3 2 6 3 1 3 YES
work activity Safety Engineer
Foreman / Supervisor

1 HIRA-Hazard ID and Risk Assessment Form and Register OHS-PR-09-03-F02 (A) Rev. 0 Rev.ision Date (May 2021)
⬧ Unidentified hazards with unplanned ⬧ Governmental violation ⬧ Manager, Supervisor, Foreman and all ⬧ a copy of Permit, RA and JSP shall be
safety mitigating measures workers shall adhere to all requirements set available on site at point of use Site Manager
forth in the Permit to Work, Risk Assessment, Site Engineer
2 2 4 2 1 2 YES
Method Statement, Job Safety Procedure and Safety Engineer
other relevant safety practices and standards Foreman / Supervisor

⬧ Inadequate coordination and area ⬧ Environmental complaint ⬧ Site Manager, Supervising Engineer, Foreman ⬧ a copy of Permit, RA and JSP shall be Site Manager
control protocol shall designate a Permit Receiver competent available on site at point of use Site Engineer
3 2 6 3 1 3 YES
enough to take responsibility in securing the Safety Engineer
Permit to Work Foreman / Supervisor
2 Mobilization of tools, manpower • Uneven surfaces/ access • Paint spillage • Check the paint container for signs of • Workers should be doing the job in
and equipment and materials at • Accident resulting injury to a person due to deterioration or spillage timely manner
site slip, trip or fall • Arrange securely all paint cans to avoid • Workers must check first the container
• Material or property damage shifting during mobilization condition and tightness of each cap to
• Proper handling of materials should be make sure paint and other materials will Site Manager
observed not spill Site Engineer
3 2 6 3 1 3 YES
• MSDS should be available and followed • Discuss the SDS during toolbox Safety Engineer
• Only experienced and competent workers meeting, translate the message to the Foreman / Supervisor
should engage in the job. workers dialect and ensure that all
understood

• Long direct sunlight exposure of •Heat exhaustion ● Water station must be available ● Shifting duty should be inplemented
• Appropriate PPE should be worn ● Supervision and monitoring Site Manager
materials
Site Engineer
3 2 6 3 1 3 YES
Safety Engineer
Foreman / Supervisor

• Lack of safety awareness and knowledge • Physical injury and damage to property due • Obtain a valid wok permit • Ensure that Tool Box Talk is
for the job to lack of safety awareness and • Ensure that all workers undergo safety conducted daily
incompetency. induction by the site Safety Officer before • Safety trainings must be conducted
allowing them to work at the site periodically
Site Manager
• Conduct Tool box talk and discuss safe • Close supervision is required.
work procedure, RA, and JSP prior to the Supervisor and foreman must be Site Engineer
3 2 6 2 1 2 YES
start of work. present at site. Safety Engineer
• Take precautionary actions to make Foreman / Supervisor
safe work environment
• Ensure presence of safety personnel

• Working without wearing appropriate • Physical injury • Ensure that all workers are provided with • Supervisor and Foreman shall
Personal Protective Equipment (PPE) • Ill health to person required mandatory PPEs such as: Helmet conduct PPE study and identify the type
(ANSI Z89.1, CE EN397), Safety Glass, of PPE the workers might need Site Manager
Safety Shoes, Cover all, Safety Gloves, • Conduct trainings for PPE as per Site Engineer
3 2 6 3 1 3 YES
Dust Mask activity. Safety Engineer
• Conduct daily tool box talk as per Foreman / Supervisor
specific activity.

• Poor housekeeping in the workplace • Fire • Housekeeping shall be done before, during •Waste bin should be provided. Proper
• Slip and trip and after the job waste disposal should be implemented
• Environmental issue • Designate location for unloading of • Good housekeeping should be done
personnel and materials be stored only on a
designated storage area Site Manager
• Designate material disposal area with Site Engineer
3 2 6 3 1 3 YES
secondary containment intended for the Safety Engineer
hazardous liquid material Foreman / Supervisor
• All material location and storage shall be
barricaded and provided with adequate
signage

• Struck with sharp and hard object • Accident resulting injury to personnel • Designated access shall be free from any •Proper barrication of materials
• Property damage to equipment or obstruction • Safety signs must be posted
materials • Provide appropriate PPE's
• Designate material disposal area with Site Manager
secondary containment intended for the Site Engineer
3 2 6 3 1 3 YES
hazardous liquid material Safety Engineer
• All material location and storage shall be Foreman / Supervisor
barricaded and provided with adequate
signage
• Unorganized materials and access • Accident resulting injury to personnel • Designated access shall be free from any •Proper barrication of materials
• Property damage to equipment or obstruction • Safety signs must be posted
materials • Provide appropriate PPE's
• Designate material disposal area with Site Manager
secondary containment intended for the Site Engineer
hazardous liquid material 3 2 6 3 1 3 YES
Safety Engineer
• All material location and storage shall be Foreman / Supervisor
barricaded and provided with adequate
signage

2 HIRA-Hazard ID and Risk Assessment Form and Register OHS-PR-09-03-F02 (A) Rev. 0 Rev.ision Date (May 2021)
• Area congestion • Accident resulting injury to personnel • Housekeeping shall be done before, during • Site management plan shall be
• Vehicular accident and after the job prepared indicating all the location of
• Property damage to equipment or • Designated access shall be free from any personnel and equipment access,
materials obstruction parking areas, offices, materials storage
• Designate location for unloading of area, disposal area, hazardous waste
personnel and materials be stored only on a disposal and storage area, rest shelter, Site Manager
designated storage area evacuation area and etc. Site Engineer
• Designate material disposal area with 3 2 6 • Designate a dedicated personnel who 3 1 3 YES
Safety Engineer
secondary containment intended for the is familiar with the site management Foreman / Supervisor
hazardous liquid material plan to guide all personnel and
• All material location and storage shall be equipment in loading and unloading of
barricaded and provided with adequate materials and equipment
signage

3 ⬧ Accident resulting injury or ill health to All working plateforms shall be designed for The safe access signages shall be
No safe access worker easy operation.The lighting shall be provided and supervisor to ensure good
adequate in all areas/minimum 90 LUX .The houekeeping in all area. Site Forman
Ergonomical hazards ⬧ Damage to property
Install fittings with Guage at both ergonomical hazards shall be discussed with The manual handling training shall be Panter
Material falling ⬧ Slip, trip and fall 3 2 6 3 1 3 YES
ends of the line all work crews.The site HSE shall regularly conducted with all work crew.The super Safety personnel
Fall from height ⬧ Body injury due to contact with object
advise to minimize the ergonomical hazard. visor to ensure that no loose material Site Engineer
Pinch Points ⬧Muscle stretch , fatigue
All access shall be free from any obstruction and open holes at elevated plateforms
and all unwanted material shall be removed
4 Only personnel trained in manual handling to The safe access signages shall be
carry out lifting operations. provided and supervisor to ensure good
Manual handling injuries, slipping / ⬧ Accident resulting injury or ill health to If the operation involves a significant risk of houekeeping in all area.
injury, carry out a Manual Handling The manual handling training shall be Site Forman
tripping. worker
Panter
Rigging up Hoses Pinch points. ⬧ Damage to property Assessment. 3 3 9 conducted with all work crew.The super 3 1 3 YES
Hoses & fittings shall be used third party visor to ensure that no loose material Safety personnel
Incompatible connections made up, ⬧ Slip, trip and fall
inspected & Certified. and open holes at elevated plateforms Site Engineer
Damaging fittings (over tightening)

5 Function Test Component failure Serius injury Only certified equipment to be used. • Skill competency training should be
Equipment Over pressurized Propety damage Calibrated Gauges & Relief valve to be fitted given on a regular basis.
Fitting damage during assembly Environmental complaint to all systems • Observe “use the right tool” during the
Environmental impact Over-pressurization All pressure lines to be properly secured. whole activity Site Forman
Warning signs and barriers to ensure safe Panter
working zone. 3 3 9 3 1 3 YES
Safety personnel
Site clear of non- essential personnel Site Engineer
First aid arrangements
Use of standard PPE
Suitable rated hoses
6 System Pressurizing System rupture, inadvertent opening of Serius injury Toolbox talk & PTW Monitor the activity by competent
valves. Release of Gases Competent operators. person to prevent any mishap
Over pressurize system Propety damage Use of over- rated hose & fittings
Wrong pressure rating of hoses or fittings. Environmental complaint Use compatible certified hoses
Incorrect assembly. Use of hose whip checks Site Forman
Structural failure. Approved procedures to follow.
Panter
Warning signs and barriers. 3 4 12 3 1 3 YES
Operator error Safety personnel
Certified equipment.
Site Engineer
Use of Pressure relive valve. (PRV)
Well-ventilated area
Site clear of non- essential personnel

7 Venting off Pressurized • Poor tools and material arrangement • Poor tools and material arrangement may Barricade the open working area • Observe “use the right tool” during the
Gases • Defective tools and equipment cause slip, trip and fall of a person or 2. Standard work procedures whole activity
• Equipment failure property damage 3. Appropriate PPE must be worn at all the
Site Forman
• Release of gaseous Nitrogen. • Using defective tools and equipment may time
Panter
• Inadvertent opening of valves. cause injury to a person 4. Limited access 3 2 6 3 1 3 YES
Safety personnel
Operator error. • Incompetency and poor supervision to 5. LO-TO (Signs & Labels)
6. Ear plugs must be worn at all the time Site Engineer
• Incorrect routing to vent. workers could cause injuries and property
during the activity.
damage
7. First aid arrangements
8 Rig Down Pump and Hoses Manual handling injuries • Using defective tools and equipment may Address slipping/ tripping hazards highlight Follow safe working procedure and
Slipping / Tripping. cause injury to a person those that cannot be removed with barrier method as mentioned in Method
Improper tools. • Incompetency and poor supervision to tape. statement
Trapped Pressure workers could cause injuries and property 2. Use of correct hand tools
damage 3. Personnel need to wear the appropriate Site Forman
PPE for the task always Panter
4. Trapped pressure must be release from 3 2 6 3 1 3 YES
Safety personnel
the hoses and from the system. Ensure Site Engineer
Proper venting has been done before
disconnect the hoses.
All relevant permits to be in place prior to an
operation commencing.

3 HIRA-Hazard ID and Risk Assessment Form and Register OHS-PR-09-03-F02 (A) Rev. 0 Rev.ision Date (May 2021)
9 Hydro test of line Use OF Water / Injury due to failure of Workers might lose their hearing sense A check list must be initiated prior to perform Hydro test Area shall be barricaded and
fittings used for hydro test. Worker might be hit by the flying parts which hydro test. All parts must be inspected by provide warning boards to prevent
Uninspected gauges leads to serious or death competent person. Make sure all parts are in personnel entry.Only essential and
Breaking/failure of line, gasket, flanges, Workers might be injured by the water good condition trained persons shall be allowed at the
and gauges pressure because of the PSV failure which Hearing protection sign must be in place. Hydro test work location.All the
PSV (Pressure Safety Valve) failure leads to serious injury or death Ear plugs or ear muffs shall be used to temporary welding shall be performed
Site Manager
reduce exposure to noise level at 85 dB by qualified welders and approved by
Equipment High Noise Environmental complaint Site Engineer
safety Valve must be calibrated to insure a 4 4 16 Client/Consultant QA/QC.Hydro testing 4 2 8 YES
Inadvertently/suddenly increase of Safety Engineer
safe pressure reach crew should not stay in the direction of
pressure due to underrated or non Foreman / Supervisor
pressure gauge must be calibrated to insure the blind flanges to prevent injury in
calibrated pressure gauges. a safe pressure reach case of flange rapture.Personnel shall
Presence of Unauthorized & Incabable Remove all unwanted tools/equipment from not approach the system under high
personell during hydro test process site and store/shop correctly. Remove all Pressure.Supervisors shall be present
trash from the site right after the work at work location during hydro testing
finished activities are done.
10 Depressurization Vibrations, Fatalities Isolate the area using warning tape and Use suitable regulation measurement
Hose Kinks Injuries barricaded devices in good condition. Use
Poor tools and material arrangement Damage Ensure that the effect of the surrounding calibrated pressure gauges. Lift
Defective tools and equipment Environmental complaint temperature is accounted for pressure gradually and check at each
Equipment failure All personnel inducted and aware of emergency stage
Release of gaseous Nitrogen. procedure.
Site Emergency Plan to be followed
Inadvertent opening of valves. Provide adequate venting to avoid equipment
Operator error. going to vacuum during draining.
Incorrect routing to vent. 2. Never attempt to depressurize any pressure
Site Manager
without using bleeding valves. De-pressuring
Site Engineer
must be gradually and slowly by vent to safe 4 2 8 4 1 4 YES
Safety Engineer
location.
Foreman / Supervisor
3. Drain the system slowly through the vent /
discharge line to prevent possible vacuum on
the tank.
4. Follow Disposal of water as per clint
instructions.
5. Ensure proper drain methods that will not
create hazards to existing Client facilities and
personnel in the work area

11 Housekeeping and clearing of • Inadequate housekeeping practices • Poor housekeeping practice may cause slip, • Materials should be stored only in • Close supervision by the engineer,
work site trip and fall of a person designated area and in shaded area supervisor or foreman must observe
• Improper waste management could cause • Special personal protective equipment
environmental contamination must be observed like coverall clothing,
rubber gloves, respiratory equipment, clear Site Manager
goggles and etc. Site Engineer
3 2 6 3 1 3 YES
• Provide appropriate waste/ trash container Safety Engineer
in the area Foreman / Supervisor
• Proper disposal segregation of waste/
used materials
• Install appropriate notices and signage.

• Inadequate PPE • Without wearing adequate PPE may cause • Special personal protective equipment • Close supervision by the engineer,
skin irritations must be observed like coverall clothing, supervisor or foreman must observe
rubber gloves, respiratory equipment, clear Site Manager
goggles and etc. Site Engineer
• Install appropriate notices and signage. 3 2 6 3 1 3 YES
Safety Engineer
Foreman / Supervisor

• Improper handling and storage of • Poor housekeeping practice may cause slip, • Materials should be stored only in • Close supervision by the engineer,
materials trip and fall of a person designated area and in shaded area supervisor or foreman must observe
Site Manager
• Improper handling and materials stored • Provide appropriate waste/ trash container
in the area Site Engineer
under direct sunlight causes material 3 2 6 3 1 3 YES
• Proper disposal segregation of waste/ Safety Engineer
deterioration
used materials Foreman / Supervisor
• Improper waste management could cause
environmental contamination
• Presence of waste materials • Poor housekeeping practice may cause slip, • Materials should be stored only in • Close supervision by the engineer,
trip and fall of a person designated area and in shaded area supervisor or foreman must observe
• Improper handling and materials stored • Provide appropriate waste/ trash container Site Manager
under direct sunlight causes material in the area Site Engineer
3 2 6 3 1 3 YES
deterioration • Proper disposal segregation of waste/ Safety Engineer
• Improper waste management could cause used materials Foreman / Supervisor
environmental contamination

4 HIRA-Hazard ID and Risk Assessment Form and Register OHS-PR-09-03-F02 (A) Rev. 0 Rev.ision Date (May 2021)
12 Closing of Permit to Work • Poor housekeeping • Significant property and appurtenances • Permit Receiver shall ensure that • Supervisor to monitor their respective
damage housekeeping in done before, during and area for housekeeping before and after
• Governmental violation after the work the activity
• Environmental complaint • All waste materials generated from the • Enough waste bins shall be provided Site Manager
• Loss of production work shall be disposed properly and shall Site Engineer
• Accident resulting serious injury or death not be left unattended at the worksite 3 2 6 3 1 3 YES
Safety Engineer
• All materials used at the site such as
to worker Foreman / Supervisor
chemicals, flammable and combustible
• Significant cost due to damages
materials shall be stored at the designated
storage at the end of each day

• Undisposed waste materials • Significant property and appurtenances • Permit Receiver shall ensure that • Permit Receiver shall account all
damage housekeeping in done before, during and worker under his Permit to Work and
• Governmental violation after the work ensure all have signed out on the
• Environmental complaint • All waste materials generated from the attendance sheet and clear of the area
• Loss of production work shall be disposed properly and shall • Supervising Engineer and Foreman
• Accident resulting serious injury or death not be left unattended at the worksite shall adhere to the proper
• Mobile equipment shall properly parked on housekeeping and storage of materials Site Manager
to worker
a designated equipment laydown at the designated location Site Engineer
• Significant cost due to damages 3 2 6 3 1 3 YES
• All materials used at the site such as • Site Manager shall be responsible on Safety Engineer
chemicals, flammable and combustible the effective implementation of the Foreman / Supervisor
materials shall be stored at the designated Permit to Work
storage at the end of each day • Permit Issuer shall visit the work
• Electrical equipment shall be properly location to verify good housekeeping
secured, distribution board closed and was conducted before closing the
padlocked Permit to Work

• Unaccounted workers • Governmental violation • Security/guard should be mobilized • TBT for all the workers and proper
• Loss of production • Log in and out should be implemented, log monitoring
• Accident resulting serious injury or death bood must be provided and always available • Training for the security/guard Site Manager
to worker • Coordination between HR and PMT for pertaining to log in and out Site Engineer
new workers, induction should be provided 3 2 6 • Site Manager shall be responsible on 3 1 3 YES
Safety Engineer
the effective implementation of the Log Foreman / Supervisor
in log out system

• Inadequate communication • Significant property and appurtenances • Regular coordination meeting should be • Practice constant communication
damage done for communication between PMT
Site Manager
• Governmental violation
Site Engineer
• Loss of production 3 2 6 3 1 3 YES
Safety Engineer
• Accident resulting serious injury or death
Foreman / Supervisor
to worker
• Significant cost due to damages
• Poor storage of chemical, flammable and • Significant property and appurtenances • Permit Receiver shall ensure that proper • Must have chemical holder with proper
combustible materials and etc. damage storage of chemical is done before, during training
• Governmental violation and after the work • SDS must be available
• Environmental complaint • All waste materials generated from the • Supervion and monitoring by the
• Loss of production work shall be disposed properly and shall supervisor must take place
Site Manager
• Accident resulting serious injury or death not be left unattended at the worksite
Site Engineer
• Safety information on how to handle 3 2 6 3 1 3 YES
to worker Safety Engineer
chemical materials must be posted
• Significant cost due to damages Foreman / Supervisor
• All materials used at the site such as
chemicals, flammable and combustible
materials shall be stored at the designated
storage at the end of each day

• Unattended unsafe condition • Significant property and appurtenances • All unsafe condition must be identified by • TBT should be done and all pending
damage the safety rep. and must be rectified right unsafe condition must be discussed
• Governmental violation away. • Supervising Engineer and Foreman Site Manager
• Environmental complaint • Area with un attended unsafe condition shall adhere to the proper recfification Site Engineer
must be identified 3 2 6 of the open observation 3 1 3 YES
• Loss of production Safety Engineer
• Accident resulting serious injury or death • Site Manager shall be responsible on Foreman / Supervisor
the effective implementation
to worker
• Significant cost due to damages
• Unsecured electrical equipment, • Significant property and appurtenances • Permit Receiver shall ensure that • Permit Receiver shall account all
energized equipment damage housekeeping in done before, during and worker under his Permit to Work and
• Governmental violation after the work ensure all have signed out on the
• Environmental complaint • Electrical equipment shall be properly attendance sheet and clear of the area
• Loss of production secured, distribution board closed and • LOTO procedure should be available
padlocked and properly implemented Site Manager
• Accident resulting serious injury or death
• Site Manager shall be responsible on Site Engineer
to worker 3 2 6 3 1 3 YES
the effective implementation of the Safety Engineer
• Significant cost due to damages
Permit to Work Foreman / Supervisor
• Monthly inspection and color code
should be implemented
• Electrical equipment checklist and
registry should be updated

5 HIRA-Hazard ID and Risk Assessment Form and Register OHS-PR-09-03-F02 (A) Rev. 0 Rev.ision Date (May 2021)

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