Column Ref Description Remarks

Column A Serial No Assign the Serial No. 1, 2, 3 ….

Column B Sub-activity / tasks Detail the sub-activity / tasks that are performed
Column C Activity Type Classify the activity type
 Routine
 Non-routine
Column D Operating Condition Classify the operating condition
 Normal
 Abnormal (during start-up/shut-down/emergency)
Column E Description of Hazards / Hazardous situation (that may arise due to unsafe acts, unsafe Consider;
situation, abnormal / emergency conditions etc.,) that may lead to Hazardous event /  Human factors
Hazardous exposure o Physiological capabilities & limitations
o Psychological capabilities & limitations
 Operation & maintenance of Machineries, tools & equipment
o Mechanical hazards
o Non-mechanical hazards
 Use of materials & substances
 Work method / work patterns
 Work environment / work ambience

Column F Hazard Type Classify the hazard type;

 Physical
 Chemical
 Biological
 Psychosocial

Column G Potential harm (injury or ill-health) due to hazardous event or exposure Detail what would be the harm to the human being in terms of injury and ill-health / diseases (
that are acute or chronic in nature)

Column H Applicable Compliance Obligations / LOR Map the applicable LOR Reference given in the Legal List / Legal Register

Column I Legal / Interested Party concern, if any List the unresolved concerns expressed by the legal authorities / nodal agencies / other
interested parties (as relevant)
 Show-cause notice (non-compliance)
 Complaints & grievances
 Objections

Does the above involve any potential legal liabilities?

Is the impact likely to be a subject of stakeholder concern?

Column J Existing Controls List down the existing controls to address the hazard / hazardous situation
Column K Measures to prevent regression Identify whether the controls (in particular the Engineering Controls & Administrative
Controls) can fail due to malfunction / someone trying to by-pass/over-ride

List down the measures to prevent regression

 Periodic inspection & maintenance
 Calibration
 3rd party inspection / Lab reports
 Monitoring & measurement Plans
 Workplace inspection (to find unsafe conditions / unsafe acts)
 Training / EHS Induction / TBT / BBS
Column L OCP Reference List the OCP Reference, if any
Note: The relevant OCP should detail all the existing controls / precautions to be followed as
a means of Safe System of Work
Column M,N,O OHS Risk Refer to the MRF-EHS-CL2-S05 – HIRA Study for the scaling guideline

Column M – Likelihood (1-5)

Column N – Severity (1-5)
Column O – Likelihood x Severity = RPN (1-25)
Column P Risk Category Refer to the MRF-EHS-CL2-S05 – HIRA Study for the classification of risk category

Column Q Hazard Status Criteria for assessing Hazard Status

S – Significant Refer to the MRF-EHS-CL2-S05 – HIRA Study
NS – Non-Significant
Column R Plan of Action, if any The plan of action to propose any new / additional control measures that focuses on OH&S
opportunities in elimination of hazards and reducing OH&S risks
 Workplace design
 Automation
Column S Reference to Risk Reduction Programme (RRP) Provide the reference no of RRP, if any