SR = SEVERITY RATING HIGH PR = PROBABILITY RATING

HAZARD IDENTIFICATION AND RISK - FATAL/ PERMANENT DISABILITY; = - WILL HAPPEN

HIRA-01 ASSESSMENT H H 3 4 5

PROBABILITY
D= DIRECT, I = INDIRECT; R = ROUTINE, NR= NON-ROUTINE; RL = - MEDICAL AID INJURY; MEDIU - MAY / CAN HAPPEN
RISK LEVEL, M=M - HAS BEEN OBSERVED
1 = TRIVIAL, 2 = ACCEPTABLE, 3 = MODERATE, M 2 3 4
4 = SUBSTANTIAL, 5 = INTOLERABLE

AS ON: PREPARED BY: APPROVED BY: - FIRST AID INJURY; LOW = - RARE CHANCES / NEVER
L 1 2 3
L HAPPENED
L M H
SEVERITY
S. ACTIVITY; D/I R/ HAZARD/ SEVERITY PROBABILITY R.L. EXISTING REQUIRED LEGAL & REMARKS
No. PRODUCT; NR CONCERN 1/2/ CONTROLS CONTROLS OTHER
SERVICE EXPLANATION H/M EXPLANATION H/M 3/4/5 REQUIREM
/L /L ENTS
Department Issue Date: Rev. No.: