RISK / IMPACT ASSESSMENT

CONTROL SHEET

Contract No. -
Project Title AC Duct Cleaning at Shorooq
RA Reference -
RA Date 18/08/20521
RA Revision No. 0
‫٭‬Scope / Activity Refer to MS

SEVERITY RATING: MATRIX

Please Note
If the severity rating lies between 4 to 25, then corrective actions
People/Equipment/Production needs to be taken by concerned persons with documentary evidence
provided in conjunction with WI HSE 07 and 45
Health Safety Loss & Environmental Impact
Probability (P)
OH&S Environmental 1 2 3 4 5

1 1 2 3 4 5

Severity (S)
1-3 Acceptable Low – L Minor / <3 Days Injury Minor 2 2 4 6 8 10
4-9 Before task commences Medium - M Moderate / >3 Days Injury Moderate 3 3 6 9 12 15
10-16 Before task commences High - H Major / Permanent Disability Injury Major 4 4 8 12 16 20
20-25 Immediate Very High - VH Catastrophic / Fatality Catastrophic 5 5 10 15 20 25
Working group Designation Unlikely
May
Likely Very Likely Certain or Imminent
Happen

Fill in & enclosed herewith WI HSE 07 and 45

Note: *Mandatory

Verified by: Approved by:

Project Manager / HSE : Client

Birendra Chand Signature :___________Date: 18/08/2021 Name:______________________Signature:_____________Date: / /

Document Name: RA- AC Duct Cleaning at Shorooq Page 1 of 4

 RISK / IMPACT ASSESSMENT
CONTROL SHEET

‫ ٭‬Scope / Activity: Cleaning of AC Duct Risk Assessment Date 18/08/2021

Rating (see Risk Rating (see Sign.
No enclosed Value Existing Controls enclosed Risk Value Resp.
Hazard /Aspect Risk / Impact Existing Controls (OH&S)
. legend page (Environmental) legend page Perso
for details) R=SXP for details) n
OH& E OH&
Hazard is anything Risk is the harm
OH&S E S S OH&S E S E
with potential to cause resulting from the
SXP X SX SXP
harm or loss. hazard.
S P S P P S P S P P
1. All cleaning staff are
provided and mandated to
use PPE (goggles, mask,
coveralls, safety boots and
medical face mask)
2.In some areas where duct
is accessible, persons work
inside by wearing safety
harness/safety belt with
lifeline and there has a
second person standby
outside the confine space
1 Entry is the Space Technician 3 2 - - 6 M - 1 2 - - 2L -
3. Protection against this
likely to or intended to
hazard requires regular and
be entered Guest
through cleaning of the
exhaust hood, exhaust hood
filters and ductwork. Grease
building inside the hood
duct system is among the
leading causes of restaurant
fires. The proper
maintenance and cleaning
can drastically reduce this
risk

Document Name: RA- AC Duct Cleaning at Shorooq Page 2 of 4

 RISK / IMPACT ASSESSMENT
CONTROL SHEET

Fuel Vapors, Lack of Staff will work inside the

Public
oxygen due to duct not more than 15 mins.
2 Visitor 3 2 - - 6M - 1 2 -- - 2L -
decomposing material After which they will rest for
environment
or exlposive vapours 10 minutes outside.
All electrical switches must
be turn off before doing any
work inside the area.
Probable electrical
3 2 3 - - 6M - 1 2 -- - 2 L -
hazards present No electrical device above
24 volts shall be used
unless earth leakage
protection is provided.
Staff must wear hard hat
Impact due to and must be aware and
4 2 3 - - 6M - 1 2 -- - 2L -
restricted height watch the work areas while
doing the job.
Ladders or scaffolding must
be correctly installed and
make sure all base is
Fall Hazards
5 2 3 - - 6M - supported. There must be a 1 2 - - 2L -
(Technician)
person holding the ladders
and avoid carrying materials
when climbing the ladder.
The supervisor must be in
charge in handling the
calibration equipment to
detect the level of gases
inside the confine space.
Never enter the confined
12
6 Obnoxious Gasses 4 3 - - space without wearing any 1 2 - - 2L -
H
mask.
Ensure that the confined
space is free from
dangerous gases and safe
to breathe by complying
with the requirements

Document Name: RA- AC Duct Cleaning at Shorooq Page 3 of 4

 RISK / IMPACT ASSESSMENT
CONTROL SHEET

contained within Dubai

Municipality Technical
Guidline #8,17 & 38.

Damage to floor and All floors and equipment’s

equipment due to during the cleaning will be
7 2 3 - - 6M 1 2 - - 2L -
spillage of protected with a plastic
contaminants sheet
Before commencing the
work , check that all floors
are clear from water, oil or
8 Slip and Trip 2 3 - - 6M any liquid substance that 1 2 - - 2L -
might cause slippery and no
electrical connection on the
floor where there is work
The contractor has agreed
12
9 Fire 4 3 - - to follow NFPA 96 1 2 - - 2L -
H
Standards.

Document Name: RA- AC Duct Cleaning at Shorooq Page 4 of 4