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Risk Assessment Work Instruction

This document is a risk assessment control sheet used to evaluate risks and hazards for a construction project. It includes a legend to rate impacts and risks on scales for health, safety, loss, environmental impact, probability, and severity. The sheet lists key aspects and hazards that will be assessed for their rating, existing controls, and priority level. Responsible personnel will sign off after evaluating risks and ensuring appropriate controls are in place.

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0% found this document useful (0 votes)
251 views3 pages

Risk Assessment Work Instruction

This document is a risk assessment control sheet used to evaluate risks and hazards for a construction project. It includes a legend to rate impacts and risks on scales for health, safety, loss, environmental impact, probability, and severity. The sheet lists key aspects and hazards that will be assessed for their rating, existing controls, and priority level. Responsible personnel will sign off after evaluating risks and ensuring appropriate controls are in place.

Uploaded by

abdulrehman731
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as XLS, PDF, TXT or read online on Scribd
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RISK ASSESSMENT CONTROL SHEET

Scope / Activity:

Rating (see Existing Controls Existing Controls Rating (see


No. Aspect / Hazard Impact /Risk enclosed legend Priority enclosed legend Priority Sign.
page for details)
(*) VH,H,M,L (OH&S) (Environmental) page for details)
(*) VH,H,M,L
Resp.
Person
OH&S E OH&S E OH&S E OH&S E

First Gulf Line Road Contracting LLC 3 WI HSE 001/Aug. 2015


RISK ASSESSMENT CONTROL SHEET

Project title
Contract No.
RA Reference

RA Date
RA Revision No. 00

SEVERITY RATING: MATRIX


Please Note
If the severity rating lies between 1 to 9, then corrective actions
People/Equipment/Production
needs to be taken by concerned persons with documentary
evidence provided
Health Safety loss & Environmental Impact
Probability
OH&S Environmental 1 2 3 4 5
1-3 Immediate (within 1 week) Very High - VH Fatal / Permanent disability Major Incident 1 1 2 3 4 5
4-9 within 1 month High - H Serious injury / illness Serious Incident 2 2 4 6 8 10

Severity
10-16 > 4 weeks Medium - M Moderate injury / Illness Moderate Incident 3 3 6 9 12 15
20-25 Acceptable Low - L Minor injury / Illness Minor Incident 4 4 8 12 16 20
>25 Very Low - VL Slight injury (No lost time). First Aid Case. Slight Incident 5 5 10 15 20 25
Working group Designation Certain or
Very Likely Likely May Happen Unlikely
Imminent

Approved by:

Name: Signature & Date / /

Client Approval:

Name: Signature & Date / /

Distribution: Original to Site HSE File Cc: HSE Department

A Dutco Balfour Beatty LLC Page 01/02 WI HSE 001/Aug. 2006


A Dutco Balfour Beatty LLC Page 01/02 WI HSE 001/Aug. 2006

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