Hazard Identification and Risk Assessment (HIRA) HSF-RA-01 Rev. No.

02

PS-3 to PS-4, PS-28-

JBL-MFQ-0516-
Task: Survey Works Location: PS-34 and PS-29 to RA. No:
001
Related Documentation / Legislation
PS-28
Site Engineer
Risk Assessment Team: Site Supervisor
HSE Officer

HAZARD Present Controls Residual Risk With Additional Control Residual Risk With
Activity Monitoring
(Mention (NR) or (Mention ref. number of
Present Controls Measures Needed Additional Controls
(Mention Method,
highlight for Non instructions/procedure, check list, (Developing instructions/ Review frequency,
(1-4) (1-4) (1-4) (1-4)
Routine) Risk From Risk Of training etc.) procedure, training needs, Responsibility)
S L R S L R
Objectives etc.)
Mobilization of Unfamiliar  Physical  Awareness Training before job During the
materials work location Injury execution. mobilization/
3 2 6
Safety Officer
Site Supervisor
Unauthorized  Physical  Obtain all required permits and Before the job/
certificates prior to start the job.
work Injury 3 2 6 Safety Officer
Site Supervisor
Dust  Suffocation  Provision of Eyewash During the
Inhalation  Irritation  Wear respiratory protection and mobilization/
2 2 2
 Eye injury Safety glasses Safety Officer
Site Supervisor
Hot  Dehydration  Provision of heat shelter on site.  Rotational breaks to During the
environment  Heat stress  Adequate cold drinks minimize the mobilization/
3 3 9 3 2 6
 Fatality availability. exposure Safety Officer
Site Supervisor
Survey and Lay out Scattered  Slip and trips  Proper storage of materials
During the activity/
marking Materials  Body Injury  Ensure all workers are wearing
3 2 6 Safety Officer
appropriate PPEs (e.g. Hard
Site Supervisor
hats, Safety Shoes and gloves)
Improper  Body Injury  Competent person only can During the activity/
Handling of operate the equipment 2 3 6 Safety Officer
Equipment  Ask for assistance if necessary. Site Supervisor
Passing  Serious  Traffic signage and access to 4 3 12  Speed Limit shall be 3 2 6 During the activity/
vehicles Physical site shall be clearly identifiable strictly observed Safety Officer

IF THE RESIDUAL RISK RATING IS 8 OR ABOVE, then additional controls/ objectives need to be developed for the activity
Legend: S Severity and LLikelihood
Catastrophic (4) Critical (3) Serious (2) Marginal (1)
Frequent (4) 16 12 8 4 Prepared By: Mhilver M. Dela Rosa Signature: Date: 05-05-2016
Probable (3) 12 9 6 3
Occasional (2) 8 6 4 2
Approved By: Arnold Densing Signature: Date: 05-05-2016
Remote (1) 4 3 2 1
 Hazard Identification and Risk Assessment (HIRA) HSF-RA-01 Rev. No. 02

HAZARD Present Controls Residual Risk With Additional Control Residual Risk With
Activity Monitoring
(Mention (NR) or (Mention ref. number of
Present Controls Measures Needed Additional Controls
(Mention Method,
highlight for Non instructions/procedure, check list, (Developing instructions/ Review frequency,
(1-4) (1-4) (1-4) (1-4)
Routine) Risk From Risk Of training etc.) procedure, training needs, Responsibility)
S L R S L R
Objectives etc.)
Injuries and non-disruptive to traffic  There should be an
flow. in charge of traffic to
Site Supervisor
 Cordoned off the area. assist the vehicles
passing by.
Dust  Suffocation  Provision of Eyewash During the activity/
Inhalation  Irritation  Wear Dust mask and Safety 3 2 6 Safety Officer
 Eye Injury glasses Site Supervisor
Hot  Dehydration  Provision of heat shelter on site.  Rotational breaks to During the
environment  Heat stress  Adequate cold drinks minimize the mobilization/
3 3 9 3 2 6
 Fatality availability. exposure Safety Officer
Site Supervisor

IF THE RESIDUAL RISK RATING IS 8 OR ABOVE, then additional controls/ objectives need to be developed for the activity
Legend: S Severity and LLikelihood
Catastrophic (4) Critical (3) Serious (2) Marginal (1)
Frequent (4) 16 12 8 4 Prepared By: Mhilver M. Dela Rosa Signature: Date: 05-05-2016
Probable (3) 12 9 6 3
Occasional (2) 8 6 4 2
Approved By: Arnold Densing Signature: Date: 05-05-2016
Remote (1) 4 3 2 1