Uploaded by Azman Ahmad

HIRARC FORM

advertisement
[COMPANY NAME]
HAZARD IDENTIFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC)
DEPARTMENT:
DESCRIPTION OF JOB:
CONDUCTED BY:
HIRADC NO.
REV. NO. 0
LOCATION:
LEGAL AND OTHER REQUIREMENTS:
PAHANG
OSHA 1994 – Act 514,
NO.
WORK ACTIVITY
R/
NR
HAZARD IDENTIFICATION
Hazard
APPROVED BY: (Name, Signature & Date)
TYPE OF
CONTROL
EXISTING RISK CONTROL
LH
Effect
LIKELIHOOD
Most Likely (5)
The most likely result of the hazard/event being realized
Possible (4)
Has a good chance of occurring and is not unusual
Conceivable (3)
Might be occur at some time in future
Remote (2 )
Has not been known to occur after many years
Inconceivable (1) Is practically impossible and has never occurred
Note: 1.
2.
RISK ASSESSMENT
SEV
Catastrophic (5) Numerous fatalities, irrecoverable property damage and productivity
Fatal (4)
Approximately one single fatality major property damage if hazard is realized
Serious (3)
Non-fatal injury, permanent disability
Minor (2)
Disabling but not permanent injury
Negligible (1)
Minor abrasions, bruises, cuts, first aid type injury
Issue Date:
Revision:
FURTHER ACTION / CONTROL
PIC
RL
SEVERITY
Legend for Responsibility:
Medium & High risk – Implement further action / control (s) prior to commencement of work.
Doc Ref:
TYPE OF
CONTROL
PAGE 1 of 5
RISK = L X S
1 - 4 : LOW RISK
5 - 12 : MEDIUM RISK
15 - 25 : HIGH RISK
R = Routine
NR = Non-Routine
Download