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Nuri Allied Consultant (M) Sdn. Bhd.OSH Accident Investigation Workshop
Integrity
Mastery
Reliability
2.0 RISK ASSESSMENT
2.1 Introduction
2.2 Legal Aspect of Risk Assessment
2.3 Accident Categories
2.4 Hierarchy of Risk Control
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Hazards
RisksAccidents
What are they?
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HAZARD
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What is a "hazard?"
It is a source or situation with a potential for harm in
terms of injury or ill health, damage to property,
damage to the workplace environment, or a
combination of both.
OHSAS 18001:1999
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Hazard:
Anything which may cause harm, injury, or illhealth.
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Hazard identification is the first step in the risk managementprocess.
Only people with a thorough knowledge of the area, process or
machine under review should carry out a hazard identification survey.
The task of identifying hazards should be broken up into clear and
manageable sections, in a manner which suits the organisation, the
task itself, and the people doing the work.
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PREVIOUS ACCIDENT REPORTS
Location
MachinePerson
Age of Person
Time of Day
Day of Week
Part of Body
Severity of Injury
Occupation
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PHYSICAL INSPECTION OF THE WORKPLACE
A physical examination of the workplace requires an
inquiring mind, lateral thinking, and the ability to be and
remain open minded. It is of little use to look at a particular
area and in a perfunctory manner, declare it to be hazard
free.
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BRAINSTORMING
This is a process of conducting group meetings with people who
are familiar with the operation of the area under review,
recording all ideas and thoughts relating to possible hazards
and then sorting the results into some sort of priority order.
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KNOWLEDGE OF EMPLOYEES
Employees should be encouraged to report any hazardsthey are aware of.
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TRADE JOURNALS
Trade journals are often a source of information regardinghazards encountered by others in the industry. They can be a
source of useful inquiry, as members of the same industry
would expect to encounter similar hazards
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OSH PUBLICATIONS
These publications can be of particular benefit asthey concentrate on reporting issues relating to safety
and health
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CONTACTS
A counter-part in another subsidiary of the companyor even a contact in a competitive company could be a
good source of information as they probably share similar
safety problems.
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Industry Associations
Safety and health is often brought up at industry associationmeetings or during informal discussions before or after
meetings.
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ASK, "WHAT IF . . . ?
Its important to try to anticipate how human behaviour,equipment, and system failures could combine to create
a hazardous situation.
Constantly ask yourself "What if?...."
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What is r isk?
It is a combinat ion of the l ikel ihood and con sequence
of a speci f ied hazardou s event occurr ing .
OHSAS 18001:1999
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Risk
may be considered as the potential for adverse effects
resulting from an activity or event
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This is generally determined by what is preparedto be lost balanced against possible gains
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Risk is a new concept in our society. Prior to the renaissance
the widely held belief was fatalistic.
Its all in the hands of the gods, the fates , our lord .
Mans destiny was usually seen as being predetermined.
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In 1654 , a French duke asked the famous mathematician
Pascal to solve a problem.
How to divide the stakes of an unfinished game of dicewhen one of the players was ahead.
This question was originally posed 200 years earlier by
the monk Paccoili.
The laws of probability were explored.
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These early explorations into laws of probability resulted in.
The Dutch Tulip Bulb Futures market ( the first modern stock exchange)
The Marine Insurance Industry ( and all types of insurance that followed)
Intellectual challenges to church doctrine.
Exploration of the New World.
Acceptance of the concept of being Masters of our own destiny.
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Risk is a very individual concept.
It is different for every one.
Consider the activity of driving.On a scale of 1-5 how would you rate driving as a daily activity?
For a Grand Prix Driver?
A Taxi Driver?
My 88 year old grandmother?
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Risk is often viewed very differently from individual to individual.
Another thing to consider is that peoples perceptions change asfamiliarity increases the perception of a hazard and its risks change.
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the total procedure associated with
identifying a hazard,
assessing the risk,
putting in place control measures,
and reviewing the outcomes.
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RiskAssessment
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Risk:The possibility of an unwanted event occurring
Likelihood:The chance of an event actually occurring.
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Very Likely -- Could happen frequently
Likely -- Could happen occasionally
Unlikely -- Could happen, but only rarely
Highly Unlikely -- Could happen but probably never will
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When evaluating the likelihood of an accident,
a factor that will modify the likelihood category, is exposure.
Very Rare -- Once per year or less
Rare -- A few times per year
Unusual -- Once per month
Occasional -- Once per weekFrequent -- Daily
Continuous -- Constant
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The location of a hazard can affect the likelihood of the accident
happening.
For example, an exposed V belt drive located adjacent to a
walkway where persons could easily come into contact with the
nip points would have a higher likelihood rating than if the same
drive arrangement were located in a position from which persons
were excluded.
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FATAL Death
MAJOR INJURIES Normally irreversible injury or damage to health
requiring extended time off work to effect best recovery.
MINOR INJURIES Typically a reversible injury or damage to health needing
several days away from work to recover. Recovery would be full and permanent.
NEGLIGIBLE INJURIES Would require first aid and may need theremainder of the work period or shift off before being able to return to work.
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Control: the measures we take to eliminate
or reduce the risk to an acceptable level.
Hierarchy of Control: The order in which controls
should be considered when selecting methods of
controlling a risk.
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Elimination
Substitution
IsolationEngineering Controls
Administrative Controls
Provide Personal Protective Equipment .
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Elimination
The Best method of dealing with a hazard is toeliminate it. Once the hazard has been eliminated the
potential for harm has gone.
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Substitution
This involves substituting a dangerous processor substance with one that is not as dangerous.
This may not be as satisfactory as elimination as there may
still be a risk (even if it is reduced).
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Isolation
Separate or isolate the hazard from people. This method hasits problems in that the hazard has not been removed.
The guard or separation device is always at risk of being
removed or circumvented.
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Administration
Administrative solutions usually involve modificationof the likelihood of an accident happening. This can be
done by reducing the number of people exposed to the
danger reducing the amount of time exposed and providing
training to those people who are exposed to the hazard.
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Personal Protective Equipment
Provision of personal protective equipment should only beconsidered when all other control methods are impractical,
or to increase control when used with another method higher
up in the Hierarchy of Control.
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KEY POINT
A review follow-up is always essential.
Review is an important aspect of any risk management
process.
It is essential to review what has been done to ensurethat the controls put in place are effective
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Hazard identification, risk assessment, control and review
is not a task that is completed and then forgotten about.
Hazard identification should be properly documented even
in the simplest of situations.Risk assessment should include a careful assessment
of both likelihood and consequence.
Control measures should conform to the recommendations of
the hierarchy of control.The risk management process is an on going one.
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It is an undesired event giving rise to death , illhealth, injury, damage or other loss
OHSAS 18001:1999
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SINGLE FACTOR THEORIES
This theory stems from the assumption that an
accident is the result of a single cause. Further,if that single cause can be identified and eliminated
the accident will not be repeated.
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SINGLE FACTOR THEORIES
Example: A person in a hurry walks through a poorly lit area
and trips over a piece of wood.Single Factor Theory Solution: Remove the offending
piece of wood to solve the problem.
The reality is that accidents always have morethan one contributing factor.
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states that accidents are more likely to happen at or
during a transfer of energy.
The rate of energy release is important because
the greater the rate of release the greater the
potential for damage.
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It should be noted that this concept of identifying hazards is
very limited and not dissimilar to the Single Factor theory.
Factors other than energy release are important.
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says that an accident occurs when
a number of factors act together to cause an
accident
This and similar ideas are favored by
most experienced safety and health practitioners
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Example: A person in a hurry walks through a poorly lit area
and trips over a piece of wood.
require answers to such questions as:
Was there a necessity for that person to walk in that area or
was there a safer route?
If the person was not in a hurry would they have been more aware
and avoided the wood?
If the area was better lit would the person have avoided the wood.
Could the wood have been removed?
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Social Environment:
Those conditions which make us take or accept risks.
Unsafe Acts or Conditions:
Poor planning, unsafe equipment, hazardous environment.
The Accident:The accident occurs when the above events conspire to cause
something to go wrong.
The Injury: Injury occurs when the person sustains damage.
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Often accidents occur without injury and they are referred
to as near misses. All too often, these near misses are ignored
until, figuratively speaking, the last domino is knocked over and
the injury occurs.
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may be too limited to consistently reflect reality. A more
accurate picture of reality may be gained by combining
the elements of
the Multiple Factor Theory
and the Domino Effect.
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While watching the Piper Alpha Story consider
the Multiple cause theory and the Domino Effect.
Answer the Questions on Pages 15& 16 of the Spiral to Disaster Handout.
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Hazard Uncontrolled Risk Accident
Risk-based solution
Risk ManagementHazard identification + risk assessment
= risk control strategies
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ME
E
E
What are the four categor ies of hazards in the
workplace? (MEEE)
aterials
nv i ronment
mployees
quipment
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Physical effects death, injury, property
damage, fatigue Biological effects health effects
Psychological stress, unmotivated, hatred
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Types of Hazards in the Workplace
1. Falls
2. Impact
3. Mechanical4. Vibrat ion/Noise
5. Toxics
6. Heat/Temperature
7. Flammabi l i ty/Fire
8. Explosives
9. Pressure
10. Electr ic al contact11. Ergonomics
12. Biohazards
13. Violence
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Inspections and Audits
Four Important Processes to Identify andAnalyze Hazards
The inspection examines conditions in the workplace
to identify hazards.
The audit evaluates the quality of program design
and performance to better control hazards.
1
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Inspect to identify potential accidents,examples:
Struck-by
Struck-against
Contact-by
Contact-with
Caught-onCaught- in
Caught-between
Fall-To-surface
Fall-To-below
Over-exertion
Bodi ly react ionOver-exposure
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Observations, informal and formal, are quite important
in daily workplace safety.
Employees and managers can spot hazardous
conditions and unsafe or inappropriate behaviors
while they conduct their other tasks.
Observation2
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The Job Hazard Analysis
The process...
Break a job or task into specific steps.
3
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Incident/Accident Analysis
4All non-injury incidents and injury accidents, no matter
how minor should be analyzed to identify and control
hazards.
Incident analysis allows you to identify and control
hazards before they cause an injury.
Accident analysis is an effective tool for uncovering
hazards that either were missed earlier or havemanaged to slip out of the controls planned for them.
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Employer- the creator of OSH hazards andrisks at the workplace!Employer duties:
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Employee duties- Safety is everyones
responsibility. Its the law!
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Management commitment is regulated!
1. OSH Policy
2. OSH Organization
3. OSH arrangements at the workplace
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Divide into 4 groups. Each doing Items 1-4. Inspection Observations JSA Incident/accident analysisThen your group must present your HAZID findings to theclass. Hazards that are identified must be categorized asper MEEE slide.
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Major hamzah, pls expand on the slides above, especially of legal requirements
on employers and employees The above slides should end before lunch. After lunch, group exercise on
HAZID techniques as mentioned above, ie1. Inspections2. Observations3. JHA/JSA4. Incident analysis and accident analysis
Divide into 4 groups. Each doing Items 1-4. (2-5pm)1. Inspection can be done at the car park, example, or hotel premises as a whole.2. Observations can be done by photo observation of a work activity3. JSA- Driving to work/driving at work for field trips4. Incident/accident analysis/records- use near-miss photo and accident photo
Then t hey must present their HAZID findings to class. Hazards that are identifiedmust
be categorized as per MEEE slide.
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Qualitative subjective in nature Quantitative objective in nature
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Elimination
Substitution
Isolation
Engineering Control
Administrative Control
PPE
Risk elimination
programs
Risk reduction
programs
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Integrity
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R li bilit
Chapter 2
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Eliminate risky processes/resources Re-design/substitute risky processes
Use technology
Risk elimination is usually costly to
implement, it involves detailed studies using
experts
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Procedures, work instructions
Permit-to-work system
Employee training Engineering equipments, ie. Suction hoods,
ventilators, etc.
Quality PPE
Risk reduction programs
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Substitution
Modify process
Enclosure
Local exhaust
Fugitiveemission control
Isolation
Housekeeping
General
ventilation
Continuous area
monitoringDilution
ventilation
Automation or
remote control
Training and
education
Worker rotation
Enclosure of
workerPersonal
monitoring
Personal
protective devices
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Using results from the HAZID exercise, develop the Risk
Register for each group, conduct
1. Risk assessments on the hazards using the Qualitative
approach (RA form provided), decide which aresignificant or otherwise
2. Recommend the suitable risk control systems for eachsignificant hazard
3. Group presentation
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Jenis Pekerjaan Hazard
Tukang bata/batu Penyakit kulit, posisi janggal, beban berat
Tukang cat Wap pelarut, bahan beracun dalam pigmen, bahan
tambahan cat
Hard tile setters Wap dari bonding agents, penyakit kulit, posisijanggal
Tukang kayu Habuk kayu, beban berat, pergerakan berulang
Juru elektrik Logam berat dalam wasap sadur, posisi janggal,
beban berat, habuk asbestos
Tukang Paip Asap dan partikel plumbum, asap patri, posisi
janggal
Pemasang karpet Trauma lutut, posisi janggal, wap gam, pergerakan
berulang
Kaitan Jenis Pekerjaan dengan HazardChapter 2
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5 : KERAP KEGAGALAN KERAP BERLAKU
4 : SELALU KEGAGALAN SELALU BERLAKU
3 : PERNAH BERLAKUPERNAH BERLAKU KEGAGALAN, TETAPI
TIDAK BESAR
2 : SEKALI-SEKALIJARANG BERLAKU DI DALAM ORGANISASI
YANG SAMA/DALAM NEGARA
1 : JARANG JARANG BERLAKU MUNGKIN DI NEGARALAIN
MENILAI RISIKOChapter 2
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OS cc de es ga o o s op Reliability
5: BENCANA KEMATIAN
4: BESAR HILANG UPAYA KEKAL
3: SEDERHANA KECEDERAAN SEDERHANA, > 4 HARI CUTISAKIT
2: KECILKECEDERAAN KECIL, HINGGA 4 HARI CUTI
SAKIT
1: SEDIKIT FIRST AID
MENILAI RISIKOChapter 2
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g p Reliability
RPN : RISK PRIORITY
NUMBER,
1 (SANGAT RENDAH) 25 (SANGAT TINGGI)
1
JARANG
2
SEKALI-
SEKALI
3
PERNAH
BERLAKU
4
SELALU
5
KERAP
1: SEDIKIT 1 2 3 4 5
2: KECIL 2 4 6 8 10
3: SEDERHANA 3 6 9 12 15
4: BESAR 4 8 12 16 205: BENCANA 5 10 15 20 25
Dapatkan RPN : Risk Pr ior i ty Numberberdasarkan
kebarangkalian dan kesan akibat
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g p Reliability
RISIKO TINDAKAN
SANGATTINGGI(15-25)
BERITAHU PIHAK PENGURUSAN SEGERA
HAPUSKAN : TIDAK BOLEH DIBIARKAN;PERLU KAWALAN SEGERA DAN JANGKA PANJANG
YANG LEBIH BERKESAN
TINGGI(8-14)
BERITAHU KETUA JABATAN. PERLU KAWALAN
SEGERA DAN JANGKA PANJANG YANG LEBIHBERKESAN
SEDERHANA(4-7)
BERITAHU HAZARDS KEPADA PEKERJA;
TOOL BOX MEETING; SAFE BEHAVIOUR; JSA
KAWALANN JANGKA PANJANG BERKESAN
RENDAH(1-3)
RISIKO BOLEH DITERIMA; UMUMNYA TIDAK PERLUTINDAKAN; KEKALKAN KAWALAN SEDIA ADA
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g p Reliability
PENGAWALAN RISIKOSemua risiko
perlu di
kurangkan
As
Low
A s
Reasonably
Practicable.
Sederhana
Tinggi
Rendah
RISIKOTIDAK BOLEH
DITERIMA
BOLEH DITERIMA
KURANGKAN
SERENDAH YANG
MUNGKIN
SangatTinggi
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HIRARKI LANGKAH KAWALAN
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1. Hapuskan hazard Contohnya, menukar peralatan yang bising, elakkanmenggunakan bahan atau mesin berbahaya,
Sekiranya tidak praktikal, kemudian
2. Tukar sesuatu kepada yangkurang berisiko
Contohnya mengangkat beban yang lebih ringan, gunakan bahankimia kurang berbahaya, menukar dari forklift petrol kepadaelektrik, gunakan penyedut hampagas dari penyapu
Sekiranya tidak praktikal, kemudian
3. Asingkan hazard Contohnya mengadakan penghadang sekeliling tumpahansehingga dicuci, meletakkan mesin fotostat di bilik
berpengundaraanSekiranya tidak praktikal, kemudian
4. Guna kawalankejuruteraan
Contohnya menggunakan troli untuk bawa beban berat,memasang pengadang bahagian jentera berputar
Sekiranya tidak praktikal, kemudian
5. Guna kawalanpentadbiran
Contohnya mengadakan pusingan kerja, tugasan pendek,pastikan peralatan diselanggara, amalan kerja selamat, arahandan latihan.
Sekiranya tidak praktikal, akhirnya
6.Guna peralatanperlindungan diri
Contohnya mengadakan perlindungan bising dan mata, helmetkeselamatan, sarung tangan
Hendaklah selalu sedar terhadap peluang untuk mendapatkan kaedah kawalan yang
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Jika tiada HIRARC ..
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ReliabilityChapter 2
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Reliability
Kerja formwork- acuan (satu contoh)Aktiviti terlibat:
1. Mengangkat
2. Menyimpan Sementara
3. Membersih
4. Memasang
5. Memeriksa
6. Menyimen
7. Membuka
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Reliability
Aktiviti Hazard Akibat K KA R Kawalan
Pemandu/signalman
yang kompeten,penyelenggaraan/
pemeriksaan berkala,
CF sah, Mengangkat
beban berlebihan
Anchored'
Sudut penyokong
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e ab ty
Aktiviti Hazard Akibat K KA R Kawalan
Mengadakan pelantar
kerja, Gunakan 'lifeline' Pakai PPD
6. Menyimen Acuan
tumbang,
Kegagalan
kren, Objek
Mati,
Kecederaan
2 2 4 Kawalan,
Pemeriksaan struktur
form work, PPD
4. Memasang 4 5 20Mati,
cedera,kerosakan
harta benda
5. Memeriksa Pekerja jatuh 3 2
7. Merombak Acuan
tumbang,
Kegagalan
kren, Objek
jatuh, Pekerja
jatuh
Mati,
Kecederaan
4 Seperti kawalan
mengangkat.
Mengadakan pelantar
kerja
Gunakan 'life line'
Pakai PPD
5 20
Objek jatuh
Kegagalansling
Kegagalan
kren
Kegagalan
6
Seperti kawalan
mengangkat.Mengadakan pelantar
kerja
Gunakan 'life line'
Pakai PPD
Mati,
Kecederaan
Kerja formwork acuan (satu contoh)C apte
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y
Bil Tarikh Perihal Kemalangan Sebab
1 07 Apr 06 Terjatuh dari pelantar memunggah di tingkat 12 Jatuh dari tempat
tinggi
2 29 Mei 06 Terjatuh dari struktur tangki air di atas bangunan pada
ketinggian 4 meterJatuh dari tempat
tinggi
3 30 Jun 06 Pekerja jatuh semasa menyapu minyak pada
permukaan steel formwork di tingkat 6Jatuh dari tempat
tinggi
4 14 Jun 06 Dilanggar oleh jentolaksemasa berada di bawah lori Dilanggar
5 18 Ogo 06 Dihempap batu ketika mengendalikan jengkaut. Objek jatuh
6 08 Jul 06 Jatuh dari bangunan Jatuh dari tempat
tinggi
7 14 Ogo 06 Boom crawler crane jatuh dan talinya melibas kepala
mangsaObjek jatuh
8 16 Sep 06 Jatuh dari tingkat 7 ke tingkat 1 Jatuh dari tempattinggi
9 13 Okt 06 Jack base jatuh dari tingkat atas menghempap kepala Objek jatuh
10 10 Ogo 06 Terjatuh dari tebing tinggi semasa memandu compactor
roller
Jatuh dari tempat
tinggi/objek jatuh
11 27 Dis 06 Terjatuh dari tempat tinggi ketika menuruni tangga Jatuh dari tempattinggi
Rekod Kemalangan Maut di Tapak Bina di Selangor 06 -07 C p
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y
Bil Tarikh Perihal Kemalangan Sebab
12 26 Dis 06 Jatuh dari bangunan semasa membuka form work Jatuh dari tempattinggi
13 11 Jan 07 Jatuh dari bangunan semasa membuka form work Jatuh dari tempat
tinggi
14 06 Mac 07 Jatuh dari tempat tinggi dalam kawasan pembinaan Jatuh dari tempat
tinggi
15 09 Mac 07 Jatuh dari bangunan dalam pembinaan Jatuh dari tempattinggi
16 02 Apr 07 Jatuh dari tingkat 2 ke tingkat 1 semasa kerja
pemasangan form work
Jatuh dari tempat
tinggi
17 03 Apr 07 Terjatuh dari tingkat 10 semasa penyediaan untuk
kerja plaster luar dinding bangunan
Jatuh dari tempat
tinggi
18 14 Apr 07 Jatuh semasa bekerja berhampiran tepian terbuka Jatuh dari tempattinggi
19 16 Apr 07 Terjatuh dari shovel dan tergilis oleh tayarnya Digilis
20 08 May 07 Dilanggar oleh bas yang terbabas semasa bekerja
di tepi lebuhraya
Dilanggar
21 02 Jun 07 Terjatuh semasa melakukan kerja-kerja formwork di
tapak binaJatuh dari tempat
tinggi
Rekod Kemalangan Maut di Tapak Bina di Selangor 06 -07 p
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y
Laluan & ramps Ruang terbuka Lubang/lurang Membentuk konkrit
& rebar Mengorek tanah Atap Dinding terbuka Memasang bata
dinding
p
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Kegagalan struktur kren menara dan tiada kekemasan
p
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Kajian semula HIRARC
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HIRARC hendaklah dikaji semula dan diselenggara
seperti berikut:
Sebagai sebahagian daripada proses kajian semula
pengurusan
Sebagai kesan daripada sebarang perubahan yangsignifikan kepada aktiviti organisasi, produk atau
perkhidmatan
Sebagai kesan daripada perubahan yang relaven kepada
peraturan yang berkaitan
Sebagai kesan daripada maklumbalas audit
dalaman/luaran
p
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Mula
Mengkelaskan Aktiviti
(Tugas, Produk, Perkhidmatan, Aktiviti)
Kenalpasti Hazard
Menilai Hazard
Kawal Risiko
Semak Kawalan
p
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Kesimpulan
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Pengenalpastian hazard, penilaian risiko, kawalan dan
semakan semula bukanlah suatu tugas yang dibuat
sekali sahaja dan dilupakan tetapi ianya suatu aktiviti
yang berterusan.
HIRARC hendaklah didokumentasikan walaupunseringkas mana sekalipun.
HIRARC hendaklah jalankan dengan penilaian teliti ke
atas kebarangkalian dan juga kesan akibat manakala
langkah kawalan yang dicadangkan hendaklah menepati
hirarki kawalan.