Assessors Name: Assessors signature: Location of Date of Review date:

Method
task/operation being Task Carried assessment: Ongoing
Statement Action by
Sajimon KK assessed: out by? 15 January 09
by When?
Site
Ref No: Rev – 02 – RA – 2009 - Depa Cross reference to N.B. Residual risk:
SSOW/method Other on site The risk left
statement: (Highlight SSOW/Method statement control measures after all control
one below) Ref No: may be required measures have
Page No: due to weather been put in
YES NO M/S 001 conditions/other place – see
Risk Persons at risk reasons at time risk matrix at
severity of footer:
E C P Oth
(before task/operation:
Activity/ Significant ers
controls Control measures Work must not
Operation hazard
are in required: start until the
place) risks have
been assessed:

Improper High Yes Yes Yes Prior to the Project Site Engineer
32 lifting, commencement  Safety hand rails Manager
handling/ of the activity must be attached Supervisor
transferring properly and caster Construction
GRC of materials wheel should be Manager Foreman
Works locked at all times for
mobile scaffold. Site Manager Charge hand

 Safety Awareness Project Workers

training must be Engineer
given to the person Carpenters
working at the mobile
scaffolds. HSE Manager Helpers
Contact with High Yes Yes Yes
sharp edges  Equipment should be
of the inspected on a
scaffold regular basis by
parts. qualified individual

 Cords and grounding

should be maintained
in good condition.

Fall from High Yes Yes  Provide Personal

Height Protective Equipment Medium
( Dust mask, safety
glass )

Defective High Yes Yes Yes  Provide Cables which

RISK RATING MATRIX 1 E = employees

C = contractors/subcontractors
Likelihood: 5 very likely 4 likely 3 fairly likely 2 unlikely 1 very unlikely P = Public
Severity: 5 catastrophic 4 major 3 moderate 2 minor 1 insignificant QMS – Rev – 02 – RA – 2009
Sajimon KK – January 09
Assessors Name: Assessors signature: Location of Date of Review date:
Method
task/operation being Task Carried assessment: Ongoing
Statement Action by
Sajimon KK assessed: out by? 15 January 09
by When?
Site
Ref No: Rev – 02 – RA – 2009 - Depa Cross reference to N.B. Residual risk:
SSOW/method Other on site The risk left
statement: (Highlight SSOW/Method statement control measures after all control
one below) Ref No: may be required measures have
Page No: due to weather been put in
YES NO M/S 001 conditions/other place – see
Risk Persons at risk reasons at time risk matrix at
severity of footer:
E C P Oth
(before task/operation:
Activity/ Significant ers
controls Control measures Work must not
Operation hazard
are in required: start until the
place) risks have
been assessed:

portable is double-insulated
power tools and furnished with a
_ Electrical ground conductor
shock
GRC  Organize a toolbox
Works on proper lifting and
carrying of materials.

 Personal Protective
Equipment such Hand
gloves should be
provided.

 Only trained workers

Dust Medium Yes Yes Yes are allowed to work
Inhalation, at heights. Low
Foreign
material
caught
inside the
Eye.

RISK RATING MATRIX 2 E = employees

C = contractors/subcontractors
Likelihood: 5 very likely 4 likely 3 fairly likely 2 unlikely 1 very unlikely P = Public
Severity: 5 catastrophic 4 major 3 moderate 2 minor 1 insignificant QMS – Rev – 02 – RA – 2009
Sajimon KK – January 09