Location: Terga Date of Assessment:

Assessor(s): FRIDI.ALI System/Activity:

Pro

bab

ili

ty&

Fre

qu

enc

y

Definite 5 5 10 15 20High 4 4 8 12 16

Moderate 3 3 6 9 12Low 2 2 4 6 8

Negligible 1 1 2 3 41 2 3 4

Minor Serious Major Catastrophic

Severity

Key to PrioritiesMedium Priority (5

days)High Priority (2-3 days) Immediate

INTRODUCTION

The table below provides a simplified representation of the methodology used and the processesManagement) to be undertaken by OCIA and all Subcontractors in order to initi

IDENTIFICATION - Pre planning, Methodstatement , Job safety analysis.

ASSESSMENTMitigation measure, Residual risk

Identify activities , Identify hazards Assess Impacts, Analyze Risk ,Establish Mitigation Measures.

RISK ASSESSMENT FORM

Date of Assessment: 21-07-2010 Assessment No:

System/Activity: Erection of Steel Structure Building (B12)1.2.3

The table below provides a simplified representation of the methodology used and the processes involved in this Hazard Identification & Risk Analysis Procedure (RiskManagement) to be undertaken by OCIA and all Subcontractors in order to initiate, act on, review and effectively manage project-related risks

ASSESSMENT – Impact, Risk factor,Mitigation measure, Residual risk

IMPLEMENTATION &COMMUNICATION

REVIEW & UP DATE

Assess Impacts, Analyze Risk ,Establish Mitigation Measures.

Communication & Training Audit, Inspection & Up dating of Log.

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106

1.2.3

involved in this Hazard Identification & Risk Analysis Procedure (Riskrelated risks throughout the Construction Phase.

REVIEW & UP DATE

Audit, Inspection & Up dating of Log.

Tasks Hazards Identified (includethe exposed groups)

Probability

1 - 5

Transferequipment

Transfer device collidewith other things;

Oil leakage

4

Locate the crane Hitting injury 4

Transport Traffic risk Collision with person Collision device

3

Movement oftraffic Slip/trip/all

3

RISK ASSESSMENT FORM

Severity

1 - 4

Risk

1 - 20

Control Measures to be Implemented Probability

1 - 5

3 12 Chose a qualified driver before

work

Check the calibration of all tools

Make sure the transport device in

good condition

1

3 12 Solid the ground

Reinforce the pads beneath the

outriggers

Check the around circumstance

before working

1

3 9 The trucks must respect:

The limited speed in the site

The circulation signs

The circulation plan (updated)

2

3 9 All hose/ropes/cables in use shall

be secured to the side of walkways

and handrails

All unnecessary materials and

equipment to be immediately

removed from site

All exits and walkways to be kept

clear for use of personnel

High standard of housekeeping to

be maintained at all times

2

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Probability Severity

1 - 4

Risk

1 - 20

ResidualRisk

DateAction

Completed

2 2

2 2

3 6

2 4

Tasks Hazards Identified (include

the exposed groups)

Probability

1 - 5

Lifting Fall from height andhurt workers

Component fall down

Component collidewith other thingssurrounded

collision with person

collision betweenframe and scaffolding

collision between thecrane and equipments

falling materials

Poor visibility for thedriver

4

RISK ASSESSMENT FORM

Severity

1 - 4

Risk

1 - 20

Control Measures to be Implemented Probability

1 - 5

4 16 Lifting crane, forklift wires shouldbe regularly calibrated, safeworking loads are announced maxspeed at site is respected for allvehicle

It is not allowed to work underloads

Handling by qualified riggers wornthe related PPE and undersupervision

Qualified crane operator andqualified rigger to operate liftingwork

Crane in calibrated period Barricade the lifting area Proper lifting tools Make sure lifting wok operated in

good weather mark the area of operations of the

crane officer commanding the ship

maneuver through regulatoryactions to avoid accidents

Control of the safety catch hookthe slings

Ensure the crane on his dashboardthat the load weight does notexceed the maximum allowed

Ban the person be under asuspended load

defining the radius of the rotarycrane

prohibit the movement of people

around the handling

stop the lifting operation in strong

winds exceed the 50km /h

2

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Probability Severity

1 - 4

Risk

1 - 20

ResidualRisk

Date ActionCompleted

3 6

Tasks Hazards Identified (include

the exposed groups)

Probability

1 - 5

Work at height

(Scaffolding and

Man basket)

falls from height

falling objects

4

Use tools Hand injuries crushed fingers smooth head against the

frame

3

Environmental Pollution the air:

Exhaust gas, The dust

Leaking oil or diesel

machines on soil

3

Assessor Print :

RISK ASSESSMENT FORM

Severity

1 - 4

Risk

1 - 20

Control Measures to be Implemented Probability

1 - 5

3 12 the scaffolding should be based ongraded soil with good foundation

protect a guard with a height of1.15 m

Protection of Persons with safetyharnesses

protect with an end-board 10 to 15cm high

prohibit work at height if the

weather affected the safety of

persons

2

3 9 ensure protection adequate PPE(gloves, helmet, goggles, harness

2

3 9 Checking the condition of

equipments before beginning the

work

ventilation Workstation

2

Sign: Date:

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Probability Severity

1 - 4

Risk

1 - 20

ResidualRisk

DateAction

Completed

2 4

2 4

2 4