DUBAI ELECTRICITY AND WATER AUTHORITY

Contractor H&S Risk Assessment Form SP-06.IIIB

Project Name & Number : Initial Assessment Date: Contractor/ Consultant Name:

Assessor(s): Review Date:

Reviewed By: Next Review Date: Ref No.

Activity/ Area/ Equipment:

Responsibility for completing risk assessments is the function and responsibility of Line Management, however the task may be delegated to a competent person or persons
(The Assessor should be competent in his/her knowledge of the activity or process and be trained in risk assessment techniques)
Elements to be considered for identifying hazards = P: People; E: Work Environment; A: Asset; R: Reputation; L: Legal/ Procedures
Identify Eliminate/Reduce/Mitigate/Action Evaluate Eliminate/Reduce/Mitigate/Action Re-Evaluate
Sr. No. Legal Req is Risk Rating Residual Risk
Hazard(s) Hazard Effect(s) Person(s) at Risk Exisiting Control Measures Additional Control Measures
identified (Y/N) L S R L S R

Remember Hierarchy of Control:

Elimination Substitution Engineering Controls Administrative Controls PPE

Assessor's Name & Signature Reviewer's Name & Signature Approver's Name & Signature

Page 1 SP06 Annex IIIB H Risk Assessment Form