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Risk Assessment Form SAGRE QHSE

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RISK ASSESSMENT
Building/Property
Tenant/Business Partner
Name of the Company/Contractor
Job Location/Unit/Site
Burjman mall
Shri Krishna Express Restaurant
SILVER NET TECH. CONT. LLC.
UNIT BJC/LC/0007B
Sub-Contractor List (Mention NA if no Subcontractor, otherwise list all sub-contractors)
Work Description
(Brief Scope of Work)
Risk Assessed by
Document Approved by
To be Submitted
-Renovation of front Counter with display and Counter re-polishing, –Wall glass cladding to be new,
-Copper wall feature installation, -Kitchen floor & wall tile to be removed & new tiles fixed, -Kitchen ceiling tiles to be
replaced etc
Name
Designation / Role
Mobile No:
Name
Designation / Role
Mobile No:
Assessment Sheet (All control measures shall be aimed to mitigate the risk to Low risk level or to avoid the risk, refer Risk Matrix Below.)
#
Description of Task / Activity
Consequences / Risk Exposure
Risk Level
01
PRELIMINARIES, ACCESS TO AND
POSSESSION OR USE OF SITE
Nil
1
02
DEMOLITION WORK
Yes
2
03
KITCHEN EQUIPMENT REMOVAL
FOR SITE WORK
Yes
1
04
KITCHEN – Tile Work
Yes
1
05
Front Wall- Glass Cladding
Yes
2
06
Front counter- Joinery Works
Yes
1
Page 1 of 2
QHSE.RA.V00 (Risk Assessment)
Decided Control Measures to Implement
Site floor protections to be done
Debris to be removed in packing/sack,
packings to be used for site protections
To be removed and packed properly, to
be taken to factory for refurbishment
Staff experienced in handling
equipment.
Workers to look for potential hazards
and report to manager / supervisor
Staff experienced in handling
equipment. Workers to look for
potential hazards and report to
manager / supervisor. Premises to be
cleared for easy access of material
Staff experienced in handling
equipment.
Workers to look for potential hazards
and report to manager / supervisor
Residual Risk
Level
1
1
1
1
2
1
issued on: Mar 2022
RISK ASSESSMENT
07
Signage work
Yes
1
08
Electrical works
Yes
1
Staff experienced in handling
equipment.
Workers to look for potential hazards
and report to manager / supervisor
All electrical Equipment’s to be checked
for damages.
Cables to be covered and with no joints
to reduce risk.
1
1
Probability
Risk Matrix
4
Medium
Medium
High
High
3
Low
Medium
High
High
2
Low
Low
Medium
Medium
1
Low
Low
Low
Medium
1
2
3
4
Severity
Page 2 of 2
Risk Level
Occurrence Rank
Potential Consequences
1
Very Unlikely (Low)
Rarely / infrequently occur
2
Likely (Low)
Likely to occur
3
Possible (Medium)
Almost Certain
(High)
Might Occur
4
Almost Certain it will occur
Risk Level
Rank
Potential Consequences
1
Insignificant
(Low)
First Aid cases or reversible insignificant environmental impact, or
monetary loss is less than or up to AED 500.
2
Marginal
(Low)
First Aid Cases or reversible minimal environmental impact, or
monetary loss is greater than AED 500 to 5,000
3
Moderate
(Medium)
Injury/occupational illness resulting restricted work cases or
reversible moderate environmental impact or monetary loss
between AED 5,000 and AED 10,000
4
Critical
(High)
Death, Permanent disability or irreversible significant environmental
impact or monetary loss more than 10,000.
QHSE.RA.V00 (Risk Assessment)
issued on: Mar 2022
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