RISK

USING A PIPE BENDING MACHINE CONTRACT NAME

ASSESSMENT

DOCUMENT
E/P-UPBM IMPLEMENTED 01/2019 REVISION 01 CONTRACT NO. CDC/3336/19
REFERENCE.

HAZARD IDENTIFICATION PRECAUTIONS

WORK LOCATION SAFETY HAZARDS HEALTH HAZARDS WORK LOCATION EMPLOYEES
Difficult Entry/Exit Falling Objects Noise (plant & equipment) Excavation Permit Inducted
Remote Area Poor Lighting Inhalant Dusts/Fibres/Fumes Confined Space Entry Permit Risk Assessment Communicated
Potential for Difficult Rescue Slippery Surfaces Skin absorption Barricading & Signage Safe Work Procedure Communicated
Engulfment Electrical Services Eye contact Hazardous Work Clearance (Hot work permit) Competency
Defined Confined Space Trip Hazards Digest Fall protection plan Medical Fitness
Temperature Extremes Manual Handling Use of Chemicals (HCS) ADITIONAL PPE
Hazardous Substances Sharp Materials Hazardous Biological Agents Lighting Safety Shoes
Explosive Gas Present Ladders used in the task Electricity Ventilation Overalls
Oxygen Deficiency Working near Plant & Equipment ENVIRONMENTAL HAZARDS Fire Extinguishers High Visibility Vest
Oxygen Excess Flammable Materials Present High Noise Levels First Aid Harness
Toxic Substances Suspended loads Spills to drains/waterways/ground Emergency Management Plan Gloves: type ………………….
Poisonous Gas Present Poor Visibility Soil Erosion Floatation devices Goggles
Water environment Communication amongst workers Hazard to Flora /Fauna Fall protection Respirator or Dust mask
Working at heights Electricity Air Pollution (dust, fumes) Legal Registers Life Jackets

CONSEQUENCE PROBABILITY

H
S
E This Risk Assessment is intended to identify hazards and assess risks
A
Z
V
E PERSONAL
INJURIES
HEALTH ENVIRONMENT
EMPLOYEES
EXPOSED
CORPORATE
IMAGE (MEDIA
ASSETS/ REVENUE
RANDS
Practically
Impossible
Not Likely to
occur
Could Occur
Know n to
occur
Common or
Frequent
associated with the construction work.
R
A COVERAGE) previously Occurrence
I
R
T
D
Y

A B C D E Document Approval
No Injury No effect No effect None No impact No damage 0 1 2 3 4
COMPILED
0
APPROVED BY
F-aid/ M TC case Over-exposure
Slight effect, contained
spill
Negligible
1% - 19%
Slight impact
Slight damage
(<R15 000)
1 2 3 4 5 BY
1
Disabling/ Loss Time Revearsable health M inor Effect, Resgtricted Localised damage
2 3 4 5 6
DATE DATE
Limited impact
Injury condition temporary nature 20% - 39% (<R15 000 - R0,15 M il)
2
Reportable(LTI)
Occupational Disease Localised effect, Significant Localised damage
P ermanent Disability Considderable impact 3 4 5 6 7
Section 25 limited damage 40% - 59% (R0,15 M il - R0.3 M il)
3 Section 24

Single fatality : M ajor effect, severe Widespread M ajor damage

Single Fatality National impact 4 5 6 7 8
occupational disease damage 60% - 79% (R0,3 M il - <R1,5 M il)
4
M assive effect,
M ultiple fatality : Extensive Extensive damage
M ultiple Fatality persistent severe International impact 5 6 7 8 9
5 occupational disease
damage
80% - 100% (>R1,5 M illion)

Low Risk Manage continuously to maintain tolerable level SIGNATURE SIGNATURE

Medium Risk Medium priority, reduce risk to tolerable level , WSWP
High Risk High priority, terminate activity or treat risk immediately, WSWP
 RISK
USING A PIPE BENDING MACHINE CONTRACT NAME
ASSESSMENT

DOCUMENT
E/P-UPBM IMPLEMENTED 01/2019 REVISION 01 CONTRACT NO. CDC/3336/19
REFERENCE.

Risk Rating Recommended Corrective Action or Procedure

Step Potential Safety & Environmental Hazards/Impacts Of the risk you have Determine what actions are necessary to eliminate or minimise all hazards that
No. Sequence of Basic Job Steps
Identify the hazards (health and safety or environmental) identified on the left could lead to an accident, injury, illness or environmental incident. The risk must be
Logical Break down Job into steps. Each step should Responsibility
associated with each step, examine each to find all possible risk reduced or controlled to a level that is acceptable before work commences.
sequence accomplish a major task and be logical.
factors Indicate Responsible Person to perform the action where applicable against each
P S RR action
Preliminary Activities Operator Competencies various Plant & Equipment previously verified. (Operators and personnel trained in task activity) Project Inductions completed and records held.
Personnel issued with project mandated PPE and site with ‘Emergency Response Plan’ and first aid kits.
Daily pre start meeting undertaken and recorded, new or site specific hazards added to SWP.
Safety Concerns  Sunburn Exposure Issue / use of site and task PPE.
 Fatigue & heat exhaustion Fatigue management induction and adequate cold water supplies.
Supervisor & Safety
 Slips trips and falls ‘Emergency Response Plan’ & first aid kits available to the area.
Officer
 Cuts gashes and abrasions Communication systems in place (radios, cellular).
 Serious Injury and emergency response difficulty Fire extinguishers in all vehicles (Inspections completed per code)
1
 Potential fires
Environmental Concerns  Damage to rare plants and injury / disturbance to endangered fauna Areas of cultural significance and or endangered or rare species, defined and as
 Disturbance or damage to items of Cultural Significance applicable barricaded to prevent disturbance.
 Hydrocarbon spills Cultural heritage monitors & fauna spotters in place (as required). Flora and fauna
 Noise pollution protection measure per contract defined ‘Environmental Plan’.
Supervisor & Safety
 Construction waste Spill kits available for site.
Officer
Fuel containing equipment to be stored on plastic sheeting or with practical
containment measures
Dust suppression measures i.e. water truck, etc.
All construction produced wastes removed daily
Pre-use inspection of all equipment  Failure of equipment will cause injuries to persons and / or Faulty equipment to be repaired or replaced. Supervisor &
property damage C 3 5 Enforce pre-use inspections against critical item check list Operator
2

Use trained, competent employees only  Results in injuries to persons and / or property damage Enforce the use of trained, competent employees only Supervisor
3 D 4 7
Wear appropriate Personal Protective  Results in injuries to persons and / or property damage Ensure the correct use of Personal Protective Equipment Supervisor
Equipment, assess which of the following are
4 D 3 6
required in conjunction with the site
conditions and task on hand
Failure to do pre-use inspection  Using of faulty equipment resulting in injuries and or
D 3 6
Enforce pre-use inspections against approved check list Supervisor
5 property damage
Failure to use competent trained operators  Results in injuries to persons and or property damage
D 4 7
Enforce the use of trained competent operators only Supervisor
6
Set up bender on good, sound level surface  Failure will cause bender to fall over causing injuries to Ensure set-up on sound level surface Supervisor
7 persons and / or property damage C 2 4
Insert pipe into bender and ensure: Enough  Incorrect handling of pipe can cause injuries to persons Enforce correct handling of pipe Supervisor
8 persons to handle pipe and / or property damage C 3 5
Pipe not skew in machine
After inserting the pipe, employees must more  Moving pipe can knock persons over, resulting in injuries Ensure to clear employees from feeder side Supervisor
9 away from bender and pipe (at least one meter) C 3 5
No employees to hold on to pipe on feeder  Injuries to employees when hands are pulled into rollers
C 3 5
Ensure nobody is holding onto pipe on feeder side Supervisor
10 side upon start-up of bender
 RISK
USING A PIPE BENDING MACHINE CONTRACT NAME
ASSESSMENT

DOCUMENT
E/P-UPBM IMPLEMENTED 01/2019 REVISION 01 CONTRACT NO. CDC/3336/19
REFERENCE.

Risk Rating Recommended Corrective Action or Procedure

Step Potential Safety & Environmental Hazards/Impacts Of the risk you have Determine what actions are necessary to eliminate or minimise all hazards that
No. Sequence of Basic Job Steps
Identify the hazards (health and safety or environmental) identified on the left could lead to an accident, injury, illness or environmental incident. The risk must be
Logical Break down Job into steps. Each step should Responsibility
associated with each step, examine each to find all possible risk reduced or controlled to a level that is acceptable before work commences.
sequence accomplish a major task and be logical.
factors Indicate Responsible Person to perform the action where applicable against each
P S RR action
Employees to hold on to pipe on exit side of  Over balanced pipe can pull the bender over, causing
C 3 5
Enforce proper securing and balancing of pipe Supervisor
11 bender and balance pipe injuries to employees

RISK ASSESSMENT COMMUNICATION SHEET PRESENTER SIGNATURE DATE

The following employees/ attendees were inducted regarding the hazards and risks and resolutions as to remedy hazards & risks associated with the tasks involved in the abovementioned Risk Assessment.
Attendees/ Employees Particulars
Initial & Surname Signature Date Initial & Surname Signature Date Initial & Surname Signature Date
RISK
USING A PIPE BENDING MACHINE CONTRACT NAME
ASSESSMENT

DOCUMENT
E/P-UPBM IMPLEMENTED 01/2019 REVISION 01 CONTRACT NO. CDC/3336/19
REFERENCE.