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RA Format
RA Format
Activity By: Professional Star Electrical Installation Services L.L.C Ref. No:
Emergency Action: Fire- Emergency preparedness plan Abbreviations: D- Direct effect, I- Indirect effect, L-Likelihood, S- Severity
Points where an injured person may receive treatment: Minor Injury: First aid at site Serious Injury: Hospital
2 2
3 3
4 4
5
Un authorized Injuries due to ● Provide sign boards UAE Ministerial Tool box
movement in falling ● Communicate restriction to Resolution/Decision talk/
D 2 4 8(M) 1 4 4(L)
access-controlled materials, slip controlled areas through (Directive) No. (32) of Permit to
areas trip & fall TBT. 1982 concerning methods access
● Access only through permit and precautionary
to access measures to protect
● Adequate supervision. workers from work
hazards.
SEVERITY 1 2 3 4 5
Insignificant -Occupational ill
Health & Safety effect (e.g., slip, Acceptable with
Acceptable Acceptable Acceptable Acceptable
trip,)/ Limited damage to minimal 1 controls
1 2 3 4
area of low significance on 5
environment
Minor -Minor effects on biological
or physical environment / Minor
Acceptable with Acceptable with Acceptable with
injuries /ill health/ Minor property Acceptable Acceptable
2 controls controls controls
damage/minor ill health (e.g., 2 4
6 8 10
minor skin irritation, noise,
vibration, MSD)
Moderate- short term effect on
the environment but not affecting
the ecosystem / Injuries with loss Acceptable with Acceptable with
Acceptable Not Acceptable Not Acceptable
of less than 3 days /Resource 3 controls controls
3 12 15
wastage/ ill health (e g fever, 6 9
/Referred to hospital, Medication
less than 3 days)
Major -environmental effects
which affect marine life, flora,
fauna, global issues / resource
depletion / reportable accidents / Acceptable with
Acceptable Not Acceptable Not Acceptable Not Acceptable
Partial disability/Major property 4 controls
4 12 16 20
damage/Ill health requiring 8
prolonged treatment more than 3
days (E.g., respiratory disorder,
Stress, Allergies,)
Catastrophic
Fatal to Human Life (Catastrophic Acceptable with Acceptable with
Not Acceptable Not Acceptable Not Acceptable
Ecological Destruction) / 5 controls controls
15 20 25
Permanent disability/Ill health 5 10
leading to fatality (E.g. Cancers)
Date: 13/03/2024
ACKNOWLEDGEMENT: I acknowledge that I have read and fully understood the requirements contained herein. In the
event of any variation in the task or procedures used, a revised work method statement is required.
Ref. No:
Vishnu K B
Project Coordinator