11 Piling Operations with Rebar Cage installation Risk Assessment Templates.docx
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Project Name: xxx RA Ref No.: xxx RA compilation Date: Review date: Date: Compiled by: Reviewed by: Approved by: Overall Task Details Piling operations using mobile rig and rebar installation within site boundary. Use in conjunction with RA012 - Use of Mobile Crane and RA014 – Use of Concrete Pump. Relevant Applicable MAS: • 01412 – Lifting Operations; • 00941 – Lifting equipment Additional Training required: Noise monitoring NOC’s Required for task: Underground utility provider RISK SCORE CALCULATOR Use the Risk Score Calculator to Determine the Level of Risk of each Hazard What would be the CONSEQUENCE of an occurrence be? What is the LIKELIHOOD of an occurrence? Hierarchy of Controls Frequent/Almost certain (5) Continuous or will happen frequently Often (4) 6 to 12 times a year Likely (3) 1 to 5 times a year Possible (2) Once every 5 years Rarely (1) Less than once every 5 years Can the hazard be Eliminated or removed from the work place? Catastrophic (5) Multiple Fatalities High 25 High 20 High 15 Medium 10 Medium 5 Can the product or process be substituted for a less hazardous alternative? Serious (4) Class 1 single fatality High 20 High 16 High 12 Medium 8 Low 4 Can the hazard be engineered away with guards or barriers? Moderate (3) Class2 (AWI or LTI) or Class 1 Permanently disabling effects High 15 High 12 Medium 9 Medium 6 Low 3 Can Administration Controls be adopted I.e. procedures, job rotation etc. Minor (2) Medical attention needed, no work restrictions. MTI Medium10 Medium 8 Medium 6 Low 4 Low 2 Can Personal Protective Equipment & Clothing be worn to safe guard against hazards? Insignificant (1) FAI Medium10 Medium 4 Low 3 Low 2 Low 1 No Specific Task Step (In sequence of works) Hazard Details Consequence/Risk Initial Risk Rating Control Measures Residual Risks Additional Control Measures RR L C RR 1 Piling Rig checks on arrival to site PRIOR TO USE • Use of Piling Rig • Unauthorized operation of the mobile rig resulting in incident; • Failure due to use of un-certificated rig; 3 4 12 HIGH i. All Piling rigs to be Third Party Certificated by a DM approved inspector, documentation available on arrival to site; ii. Operators to have in-date Third Party certificate by approved body, available for review on arrival to site; iii. Rig load indicator to be installed and functioning correctly; iv. Visual inspection of rig undertaken by competent person; Documentation unavailable for review Rig quarantined until evidence provided Low 2 Access of rig and delivery vehicles to work areas • Plant and workers in same working area; • Collision with plant or vehicles and live traffic; • Workers struck by plant, very high risk of fatality; • Uncontrolled rig movements; i. Worker pedestrian routes to be designed and implemented with clear signage to provide segregation; ii. Instruction to workers at induction on use of access routes around the project; iii. Flagmen to be used to control rig movements; iv.
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11 piling operations with rebar cage installation risk assessment templates
11 Piling Operations with Rebar Cage installation Risk Assessment Templates
Piling Rig checks on arrival to site
PRIOR TO USE
Access of rig and delivery vehicles to work areas
Siting and setting up of piling rig
Piling operation
(Mobile rig Operator)
Rebar cage fabrication
Pile case and rebar cage lifting operations
12 sheet piling operations (temporary works) risk assessment templates
12 Sheet Piling Operations (Temporary Works) Risk Assessment Templates
Sheet piling Rig checks on arrival to site
PRIOR TO USE
Access of rig and sheet pile delivery vehicles to work areas
Siting and setting up of sheet piling rig
Sheet piling operation
(Mobile rig Operator)
Sheet piling operation
12 Sheet Piling Operations (Temporary Works) Risk Assessment Templates.docx
Project Name: xxx
RA Ref No.: xxx
RA compilation Date: Review date:
Date:
Compiled by:
Reviewed by:
Approved by:
Overall Task Details
Sheet piling operations using mobile rig within site boundary.
To be read, if required, which RA010 – Excavations. Classed as Temporary Works Relevant Applicable MAS:
• 01412 – Lifting Operations;
• 00941 – Lifting equipment Additional Training required:
Noise monitoring;
Temporary Works Coordinator NOC’s Required for task:
Underground utility provider
RISK SCORE CALCULATOR
Use the Risk Score Calculator to Determine the Level of Risk of each Hazard
What would be the
CONSEQUENCE
of an occurrence be? What is the LIKELIHOOD of an occurrence? Hierarchy of Controls
Frequent/Almost certain (5)
Continuous or will happen frequently Often (4)
6 to 12 times a year Likely (3)
1 to 5 times a year Possible (2)
Once every 5 years Rarely (1)
Less than once every 5 years Can the hazard be Eliminated or removed from the work place?
Catastrophic (5)
Multiple Fatalities High 25 High 20 High 15 Medium 10 Medium 5 Can the product or process be substituted for a less hazardous alternative?
Serious (4)
Class 1 single fatality High 20 High 16 High 12 Medium 8 Low 4 Can the hazard be engineered away with guards or barriers?
Moderate (3)
Class2 (AWI or LTI) or Class 1 Permanently disabling effects High 15 High 12 Medium 9 Medium 6 Low 3 Can Administration Controls be adopted
I.e. procedures, job rotation etc.
Minor (2)
Medical attention needed, no work restrictions. MTI Medium10 Medium 8 Medium 6 Low 4 Low 2 Can Personal Protective Equipment & Clothing be worn to safe guard against hazards?
Insignificant (1)
FAI Medium10 Medium 4 Low 3 Low 2 Low 1
No Specific Task Step
(In sequence of works) Hazard Details Consequence/Risk Initial Risk Rating Control Measures Residual Risks Additional Control Measures RR
P S RR
1 Sheet piling Rig checks on arrival to site
PRIOR TO USE • Use of Sheet piling Rig • Unauthorized operation of the mobile rig resulting in incident;
• Failure due to use of un-certificated rig;
3 4 12
HIGH i. All Sheet piling rigs to be Third Party Certificated by a DM approved inspector, documentation available on arrival to site;
ii. Operators to have in-date Third Party certificate by approved body, available for review on arrival to site;
iii. Rig load indicator to be installed and functioning correctly;
iv. Visual inspection of rig undertaken by competent person; Documentation unavailable for review Rig quarantined until evidence provided Low
2 Access of rig and sheet pile delivery vehicles to work areas
• Plant and workers in same working area; • Collision with plant or vehicles and live traffic;
• Workers struck by plant, very high risk of fatality;
• Uncontrolled rig movements; i. Worker pedestrian routes to be designed and implemented with clear signage to provide segregation;
ii. Instruction to workers at induction on access routes around the project;
iii. Flagmen to be used t
9 lifting operations with tower crane risk assessment templates
This risk assessment document identifies hazards associated with lifting operations using a tower crane on a construction site. It lists 6 specific tasks: 1) access of crane sections, 2) tower crane foundations, 3) siting, setting up and testing, 4) lifting of equipment and material, 5) tower crane supervision, and 6) jumping and dismantling the tower crane. For each task, potential hazards are identified and an initial risk rating is given. Control measures are then provided to reduce the risks, along with any additional measures. Residual risks after controls are also assessed. The goal is to ensure lifting operations are performed safely.
22 Casting of concrete columns Risk Assessment Templates.docx
Project Name: xxx
RA Ref No.: xxx
RA compilation Date: Review date:
Date:
Compiled by:
Reviewed by:
Approved by:
Overall Task Details
Concrete Column using formwork Relevant Applicable MAS:
• 01412 – Lifting operations cranes;
• 00245 – Mobile scaffolds; Additional Training required:
Temporary Works Coordinator nominated NOC’s Required for task:
RISK SCORE CALCULATOR
Use the Risk Score Calculator to Determine the Level of Risk of each Hazard
What would be the
CONSEQUENCE
of an occurrence be? What is the LIKELIHOOD of an occurrence? Hierarchy of Controls
Frequent/Almost certain (5)
Continuous or will happen frequently Often (4)
6 to 12 times a year Likely (3)
1 to 5 times a year Possible (2)
Once every 5 years Rarely (1)
Less than once every 5 years Can the hazard be Eliminated or removed from the work place?
Catastrophic (5)
Multiple Fatalities High 25 High 20 High 15 Medium 10 Medium 5 Can the product or process be substituted for a less hazardous alternative?
Serious (4)
Class 1 single fatality High 20 High 16 High 12 Medium 8 Low 4 Can the hazard be engineered away with guards or barriers?
Moderate (3)
Class2 (AWI or LTI) or Class 1 Permanently disabling effects High 15 High 12 Medium 9 Medium 6 Low 3 Can Administration Controls be adopted
I.e. procedures, job rotation etc.
Minor (2)
Medical attention needed, no work restrictions. MTI Medium10 Medium 8 Medium 6 Low 4 Low 2 Can Personal Protective Equipment & Clothing be worn to safe guard against hazards?
Insignificant (1)
FAI Medium10 Medium 4 Low 3 Low 2 Low 1
No Specific Task Step
(In sequence of works) Hazard Details Consequence/Risk Initial Risk Rating Control Measures Residual Risks Additional Control Measures RR
L C RR
1 Concrete Pump checks on arrival to site
PRIOR TO SITE ACCESS • Use of mobile concrete pump • Unauthorized operation of the mobile pump resulting in incident;
• Failure due to use of un-certificated pump;
3 4 12
HIGH i. All mobile concrete pumps to be Third Party Certificated by a DM approved inspector, documentation available on arrival to site;
ii. Operators to have in-date Third Party certificate by approved body, available for review on arrival to site;
iii. Visual inspection of pump undertaken by competent person; Documentation unavailable for review Pump quarantined until evidence provided Low
2. Formwork for columns • Erection of formwork;
• Works at Height; • Injury from Fall from Heights;
• Injury from falling objects;
• Manual Handling injuries;
• Incorrect Design and Erection of formwork resulting in collapse;
• Use of unsupervised or untrained personnel to erect formwork;
• Erection of Formwork; 4 4 16 HIGH i. If required for lifting formwork into position, use of mobile crane as per RA012 – Mobile crane, or RA013 – Tower Crane as applicable;
ii. Safety harness and lanyard are to be used and hooked off to a secure anchor point when working around exposed edges; No shock lanyard to be used below 6m in height;
iii. All
22 casting of concrete columns risk assessment templates
Concrete Pump checks on arrival to site
PRIOR TO SITE ACCESS
Formwork for columns
Scaffolding to formwork
Access of mobile pump and delivery trucks to work areas
Siting and setting up of concrete pump
Pumping concrete
(Pump Operator)
8 lifting operations with mobile crane risk assessment templates
8 Lifting Operations with mobile crane Risk Assessment Templates
Crane checks on arrival to site
PRIOR TO USE
Access of crane to work areas
Siting and setting up of crane
Lifting of equipment and material
(Mobile crane Operator)
Crane supervision
Crane Maintenance
(revised 06-06-2018)
24 Casting of Bridge Decks Risk Assessment Templates.docx
Project Name: xxx
RA Ref No.: xxx
RA compilation Date: 02-01-2018 Review date:
Date:
Compiled by:
Reviewed by:
Approved by:
Overall Task Details
Casting of Concrete road bridge decks using formwork and falsework Relevant Applicable MAS:
• 01412 – Lifting operations cranes; Additional Training required:
Temporary Works Coordinator nominated NOC’s Required for task:
RISK SCORE CALCULATOR
Use the Risk Score Calculator to Determine the Level of Risk of each Hazard
What would be the
CONSEQUENCE
of an occurrence be? What is the LIKELIHOOD of an occurrence? Hierarchy of Controls
Frequent/Almost certain (5)
Continuous or will happen frequently Often (4)
6 to 12 times a year Likely (3)
1 to 5 times a year Possible (2)
Once every 5 years Rarely (1)
Less than once every 5 years Can the hazard be Eliminated or removed from the work place?
Catastrophic (5)
Multiple Fatalities High 25 High 20 High 15 Medium 10 Medium 5 Can the product or process be substituted for a less hazardous alternative?
Serious (4)
Class 1 single fatality High 20 High 16 High 12 Medium 8 Low 4 Can the hazard be engineered away with guards or barriers?
Moderate (3)
Class2 (AWI or LTI) or Class 1 Permanently disabling effects High 15 High 12 Medium 9 Medium 6 Low 3 Can Administration Controls be adopted
I.e. procedures, job rotation etc.
Minor (2)
Medical attention needed, no work restrictions. MTI Medium10 Medium 8 Medium 6 Low 4 Low 2 Can Personal Protective Equipment & Clothing be worn to safe guard against hazards?
Insignificant (1)
FAI Medium10 Medium 4 Low 3 Low 2 Low 1
No Specific Task Step
(In sequence of works) Hazard Details Consequence/Risk Initial Risk Rating Control Measures Residual Risks Additional Control Measures RR
L C RR
1 Concrete Pump checks on arrival to site
PRIOR TO SITE ACCESS • Use of mobile concrete pump • Unauthorized operation of the mobile pump resulting in incident;
• Failure due to use of un-certificated pump;
3 4 12
HIGH i. All mobile concrete pumps to be Third Party Certificated by a DM approved inspector, documentation available on arrival to site;
ii. Operators to have in-date Third Party certificate by approved body, available for review on arrival to site;
iii. Visual inspection of pump undertaken by competent person; Documentation unavailable for review Pump quarantined until evidence provided Low
2. Formwork for decks for temporary support • Erection of formwork;
• Works at Height; • Injury from Fall from Heights;
• Injury from falling objects;
• Manual Handling injuries;
• Incorrect Design and Erection of formwork resulting in collapse;
• Use of unsupervised or untrained personnel to erect formwork;
• Erection of Formwork; 4 4 16 HIGH i. If required for lifting formwork into position, use of mobile crane as per RA012 – Mobile crane, or RA013 – Tower Crane as applicable;
ii. Safety harness and lanyard are to be used and hooked off to a secure anchor point when working around exposed edges; No shock lanyard t
Recommended
11 piling operations with rebar cage installation risk assessment templates
11 Piling Operations with Rebar Cage installation Risk Assessment Templates
Piling Rig checks on arrival to site
PRIOR TO USE
Access of rig and delivery vehicles to work areas
Siting and setting up of piling rig
Piling operation
(Mobile rig Operator)
Rebar cage fabrication
Pile case and rebar cage lifting operations
12 sheet piling operations (temporary works) risk assessment templates
12 Sheet Piling Operations (Temporary Works) Risk Assessment Templates
Sheet piling Rig checks on arrival to site
PRIOR TO USE
Access of rig and sheet pile delivery vehicles to work areas
Siting and setting up of sheet piling rig
Sheet piling operation
(Mobile rig Operator)
Sheet piling operation
12 Sheet Piling Operations (Temporary Works) Risk Assessment Templates.docx
Project Name: xxx
RA Ref No.: xxx
RA compilation Date: Review date:
Date:
Compiled by:
Reviewed by:
Approved by:
Overall Task Details
Sheet piling operations using mobile rig within site boundary.
To be read, if required, which RA010 – Excavations. Classed as Temporary Works Relevant Applicable MAS:
• 01412 – Lifting Operations;
• 00941 – Lifting equipment Additional Training required:
Noise monitoring;
Temporary Works Coordinator NOC’s Required for task:
Underground utility provider
RISK SCORE CALCULATOR
Use the Risk Score Calculator to Determine the Level of Risk of each Hazard
What would be the
CONSEQUENCE
of an occurrence be? What is the LIKELIHOOD of an occurrence? Hierarchy of Controls
Frequent/Almost certain (5)
Continuous or will happen frequently Often (4)
6 to 12 times a year Likely (3)
1 to 5 times a year Possible (2)
Once every 5 years Rarely (1)
Less than once every 5 years Can the hazard be Eliminated or removed from the work place?
Catastrophic (5)
Multiple Fatalities High 25 High 20 High 15 Medium 10 Medium 5 Can the product or process be substituted for a less hazardous alternative?
Serious (4)
Class 1 single fatality High 20 High 16 High 12 Medium 8 Low 4 Can the hazard be engineered away with guards or barriers?
Moderate (3)
Class2 (AWI or LTI) or Class 1 Permanently disabling effects High 15 High 12 Medium 9 Medium 6 Low 3 Can Administration Controls be adopted
I.e. procedures, job rotation etc.
Minor (2)
Medical attention needed, no work restrictions. MTI Medium10 Medium 8 Medium 6 Low 4 Low 2 Can Personal Protective Equipment & Clothing be worn to safe guard against hazards?
Insignificant (1)
FAI Medium10 Medium 4 Low 3 Low 2 Low 1
No Specific Task Step
(In sequence of works) Hazard Details Consequence/Risk Initial Risk Rating Control Measures Residual Risks Additional Control Measures RR
P S RR
1 Sheet piling Rig checks on arrival to site
PRIOR TO USE • Use of Sheet piling Rig • Unauthorized operation of the mobile rig resulting in incident;
• Failure due to use of un-certificated rig;
3 4 12
HIGH i. All Sheet piling rigs to be Third Party Certificated by a DM approved inspector, documentation available on arrival to site;
ii. Operators to have in-date Third Party certificate by approved body, available for review on arrival to site;
iii. Rig load indicator to be installed and functioning correctly;
iv. Visual inspection of rig undertaken by competent person; Documentation unavailable for review Rig quarantined until evidence provided Low
2 Access of rig and sheet pile delivery vehicles to work areas
• Plant and workers in same working area; • Collision with plant or vehicles and live traffic;
• Workers struck by plant, very high risk of fatality;
• Uncontrolled rig movements; i. Worker pedestrian routes to be designed and implemented with clear signage to provide segregation;
ii. Instruction to workers at induction on access routes around the project;
iii. Flagmen to be used t
9 lifting operations with tower crane risk assessment templates
This risk assessment document identifies hazards associated with lifting operations using a tower crane on a construction site. It lists 6 specific tasks: 1) access of crane sections, 2) tower crane foundations, 3) siting, setting up and testing, 4) lifting of equipment and material, 5) tower crane supervision, and 6) jumping and dismantling the tower crane. For each task, potential hazards are identified and an initial risk rating is given. Control measures are then provided to reduce the risks, along with any additional measures. Residual risks after controls are also assessed. The goal is to ensure lifting operations are performed safely.
22 Casting of concrete columns Risk Assessment Templates.docx
Project Name: xxx
RA Ref No.: xxx
RA compilation Date: Review date:
Date:
Compiled by:
Reviewed by:
Approved by:
Overall Task Details
Concrete Column using formwork Relevant Applicable MAS:
• 01412 – Lifting operations cranes;
• 00245 – Mobile scaffolds; Additional Training required:
Temporary Works Coordinator nominated NOC’s Required for task:
RISK SCORE CALCULATOR
Use the Risk Score Calculator to Determine the Level of Risk of each Hazard
What would be the
CONSEQUENCE
of an occurrence be? What is the LIKELIHOOD of an occurrence? Hierarchy of Controls
Frequent/Almost certain (5)
Continuous or will happen frequently Often (4)
6 to 12 times a year Likely (3)
1 to 5 times a year Possible (2)
Once every 5 years Rarely (1)
Less than once every 5 years Can the hazard be Eliminated or removed from the work place?
Catastrophic (5)
Multiple Fatalities High 25 High 20 High 15 Medium 10 Medium 5 Can the product or process be substituted for a less hazardous alternative?
Serious (4)
Class 1 single fatality High 20 High 16 High 12 Medium 8 Low 4 Can the hazard be engineered away with guards or barriers?
Moderate (3)
Class2 (AWI or LTI) or Class 1 Permanently disabling effects High 15 High 12 Medium 9 Medium 6 Low 3 Can Administration Controls be adopted
I.e. procedures, job rotation etc.
Minor (2)
Medical attention needed, no work restrictions. MTI Medium10 Medium 8 Medium 6 Low 4 Low 2 Can Personal Protective Equipment & Clothing be worn to safe guard against hazards?
Insignificant (1)
FAI Medium10 Medium 4 Low 3 Low 2 Low 1
No Specific Task Step
(In sequence of works) Hazard Details Consequence/Risk Initial Risk Rating Control Measures Residual Risks Additional Control Measures RR
L C RR
1 Concrete Pump checks on arrival to site
PRIOR TO SITE ACCESS • Use of mobile concrete pump • Unauthorized operation of the mobile pump resulting in incident;
• Failure due to use of un-certificated pump;
3 4 12
HIGH i. All mobile concrete pumps to be Third Party Certificated by a DM approved inspector, documentation available on arrival to site;
ii. Operators to have in-date Third Party certificate by approved body, available for review on arrival to site;
iii. Visual inspection of pump undertaken by competent person; Documentation unavailable for review Pump quarantined until evidence provided Low
2. Formwork for columns • Erection of formwork;
• Works at Height; • Injury from Fall from Heights;
• Injury from falling objects;
• Manual Handling injuries;
• Incorrect Design and Erection of formwork resulting in collapse;
• Use of unsupervised or untrained personnel to erect formwork;
• Erection of Formwork; 4 4 16 HIGH i. If required for lifting formwork into position, use of mobile crane as per RA012 – Mobile crane, or RA013 – Tower Crane as applicable;
ii. Safety harness and lanyard are to be used and hooked off to a secure anchor point when working around exposed edges; No shock lanyard to be used below 6m in height;
iii. All
22 casting of concrete columns risk assessment templates
Concrete Pump checks on arrival to site
PRIOR TO SITE ACCESS
Formwork for columns
Scaffolding to formwork
Access of mobile pump and delivery trucks to work areas
Siting and setting up of concrete pump
Pumping concrete
(Pump Operator)
8 lifting operations with mobile crane risk assessment templates
8 Lifting Operations with mobile crane Risk Assessment Templates
Crane checks on arrival to site
PRIOR TO USE
Access of crane to work areas
Siting and setting up of crane
Lifting of equipment and material
(Mobile crane Operator)
Crane supervision
Crane Maintenance
(revised 06-06-2018)
24 Casting of Bridge Decks Risk Assessment Templates.docx
Project Name: xxx
RA Ref No.: xxx
RA compilation Date: 02-01-2018 Review date:
Date:
Compiled by:
Reviewed by:
Approved by:
Overall Task Details
Casting of Concrete road bridge decks using formwork and falsework Relevant Applicable MAS:
• 01412 – Lifting operations cranes; Additional Training required:
Temporary Works Coordinator nominated NOC’s Required for task:
RISK SCORE CALCULATOR
Use the Risk Score Calculator to Determine the Level of Risk of each Hazard
What would be the
CONSEQUENCE
of an occurrence be? What is the LIKELIHOOD of an occurrence? Hierarchy of Controls
Frequent/Almost certain (5)
Continuous or will happen frequently Often (4)
6 to 12 times a year Likely (3)
1 to 5 times a year Possible (2)
Once every 5 years Rarely (1)
Less than once every 5 years Can the hazard be Eliminated or removed from the work place?
Catastrophic (5)
Multiple Fatalities High 25 High 20 High 15 Medium 10 Medium 5 Can the product or process be substituted for a less hazardous alternative?
Serious (4)
Class 1 single fatality High 20 High 16 High 12 Medium 8 Low 4 Can the hazard be engineered away with guards or barriers?
Moderate (3)
Class2 (AWI or LTI) or Class 1 Permanently disabling effects High 15 High 12 Medium 9 Medium 6 Low 3 Can Administration Controls be adopted
I.e. procedures, job rotation etc.
Minor (2)
Medical attention needed, no work restrictions. MTI Medium10 Medium 8 Medium 6 Low 4 Low 2 Can Personal Protective Equipment & Clothing be worn to safe guard against hazards?
Insignificant (1)
FAI Medium10 Medium 4 Low 3 Low 2 Low 1
No Specific Task Step
(In sequence of works) Hazard Details Consequence/Risk Initial Risk Rating Control Measures Residual Risks Additional Control Measures RR
L C RR
1 Concrete Pump checks on arrival to site
PRIOR TO SITE ACCESS • Use of mobile concrete pump • Unauthorized operation of the mobile pump resulting in incident;
• Failure due to use of un-certificated pump;
3 4 12
HIGH i. All mobile concrete pumps to be Third Party Certificated by a DM approved inspector, documentation available on arrival to site;
ii. Operators to have in-date Third Party certificate by approved body, available for review on arrival to site;
iii. Visual inspection of pump undertaken by competent person; Documentation unavailable for review Pump quarantined until evidence provided Low
2. Formwork for decks for temporary support • Erection of formwork;
• Works at Height; • Injury from Fall from Heights;
• Injury from falling objects;
• Manual Handling injuries;
• Incorrect Design and Erection of formwork resulting in collapse;
• Use of unsupervised or untrained personnel to erect formwork;
• Erection of Formwork; 4 4 16 HIGH i. If required for lifting formwork into position, use of mobile crane as per RA012 – Mobile crane, or RA013 – Tower Crane as applicable;
ii. Safety harness and lanyard are to be used and hooked off to a secure anchor point when working around exposed edges; No shock lanyard t
16 scaffolding (temporary works) risk assessment templates
16 Scaffolding (Temporary Works) Risk Assessment Templates
Access to work areas by personnel and plant.
Scaffold Material delivery to work area;
Scaffold design and erection standards
(Classified as Temporary Structure)
Scaffold erection
(Classified as Temporary Structure)
Dismantling of scaffold
Maintenance of Scaffold
Worker exposure to direct sun whist working on scaffold
(as applicable)
16 Scaffolding (Temporary Works) Risk Assessment Templates.docx
Project Name: xxx
RA Ref No.: xxx
RA compilation Date: Review date:
Date:
Compiled by:
Reviewed by:
Approved by:
Overall Task Details
Scaffold for work access. Classed as Temporary Works Relevant Applicable MAS:
• 00245 – Mobile scaffold towers
• 00236 - Housekeeping Additional Training required:
Temporary Works Coordinator to be designated NOC’s Required for task:
RISK SCORE CALCULATOR
Use the Risk Score Calculator to Determine the Level of Risk of each Hazard
What would be the
CONSEQUENCE
of an occurrence be? What is the LIKELIHOOD of an occurrence? Hierarchy of Controls
Frequent/Almost certain (5)
Continuous or will happen frequently Often (4)
6 to 12 times a year Likely (3)
1 to 5 times a year Possible (2)
Once every 5 years Rarely (1)
Less than once every 5 years Can the hazard be Eliminated or removed from the work place?
Catastrophic (5)
Multiple Fatalities High 25 High 20 High 15 Medium 10 Medium 5 Can the product or process be substituted for a less hazardous alternative?
Serious (4)
Class 1 single fatality High 20 High 16 High 12 Medium 8 Low 4 Can the hazard be engineered away with guards or barriers?
Moderate (3)
Class2 (AWI or LTI) or Class 1 Permanently disabling effects High 15 High 12 Medium 9 Medium 6 Low 3 Can Administration Controls be adopted
I.e. procedures, job rotation etc.
Minor (2)
Medical attention needed, no work restrictions. MTI Medium10 Medium 8 Medium 6 Low 4 Low 2 Can Personal Protective Equipment & Clothing be worn to safe guard against hazards?
Insignificant (1)
FAI Medium10 Medium 4 Low 3 Low 2 Low 1
No Specific Task Step
(In sequence of works) Hazard Details Consequence/Risk Initial Risk Rating Control Measures Residual Risks Additional Control Measures RR
P S RR
1 Access to work areas by personnel and plant.
Scaffold Material delivery to work area;
• Vehicles and workers in same working area;
• Storage of materials for scaffold;
• Use of plant – forklift etc.; • Collision with plant or vehicles and live traffic;
• Workers struck by plant, very high risk of fatality;
• Workers struck by plant;
• Poor or unsafe storage, collapse;
• Untrained operators; 4 4 16
HIGH i. Worker pedestrian routes to be designed and implemented with clear signage;
ii. Instruction to workers at induction on use of access routes around the project;
iii. All plant and operators to be Third Party certificated by approved body;
iv. Flagmen to be used to control personnel (only on roads below 80kph);
v. Scaffold materials stored correctly, no more than 2 pallets high and banded together when transporting;
vi. In traffic enclosed areas suitable welfare and first aid facilities shall be implemented to minimized worker movements;
vii. The Logistics plan shall clearly illustrate access and egress points; Workers not complying with controls All supervision to monitor operation;
Regular topic in TBT’s Low
2 Scaffold design and erection standards
(Classified as Temporary Structure) • Trained personnel req
23 Casting of concrete slabs Risk Assessment Templates.docx
Project Name: xxx
RA Ref No.: xxx
Review date:
Date:
Compiled by:
Reviewed by:
Approved by:
Overall Task Details
Concrete slabs using formwork and falsework Relevant Applicable MAS:
• 01412 – Lifting operations cranes; Additional Training required:
Temporary Works Coordinator nominated NOC’s Required for task:
RISK SCORE CALCULATOR
Use the Risk Score Calculator to Determine the Level of Risk of each Hazard
What would be the
CONSEQUENCE
of an occurrence be? What is the LIKELIHOOD of an occurrence? Hierarchy of Controls
Frequent/Almost certain (5)
Continuous or will happen frequently Often (4)
6 to 12 times a year Likely (3)
1 to 5 times a year Possible (2)
Once every 5 years Rarely (1)
Less than once every 5 years Can the hazard be Eliminated or removed from the work place?
Catastrophic (5)
Multiple Fatalities High 25 High 20 High 15 Medium 10 Medium 5 Can the product or process be substituted for a less hazardous alternative?
Serious (4)
Class 1 single fatality High 20 High 16 High 12 Medium 8 Low 4 Can the hazard be engineered away with guards or barriers?
Moderate (3)
Class2 (AWI or LTI) or Class 1 Permanently disabling effects High 15 High 12 Medium 9 Medium 6 Low 3 Can Administration Controls be adopted
I.e. procedures, job rotation etc.
Minor (2)
Medical attention needed, no work restrictions. MTI Medium10 Medium 8 Medium 6 Low 4 Low 2 Can Personal Protective Equipment & Clothing be worn to safe guard against hazards?
Insignificant (1)
FAI Medium10 Medium 4 Low 3 Low 2 Low 1
No Specific Task Step
(In sequence of works) Hazard Details Consequence/Risk Initial Risk Rating Control Measures Residual Risks Additional Control Measures RR
L C RR
1 Concrete Pump checks on arrival to site
PRIOR TO SITE ACCESS • Use of mobile concrete pump • Unauthorized operation of the mobile pump resulting in incident;
• Failure due to use of un-certificated pump;
3 4 12
HIGH i. All mobile concrete pumps to be Third Party Certificated by a DM approved inspector, documentation available on arrival to site;
ii. Operators to have in-date Third Party certificate by approved body, available for review on arrival to site;
iii. Visual inspection of pump undertaken by competent person; Documentation unavailable for review Pump quarantined until evidence provided Low
2. Formwork for slab for temporary support • Erection of formwork;
• Works at Height; • Injury from Fall from Heights;
• Injury from falling objects;
• Manual Handling injuries;
• Incorrect Design and Erection of formwork resulting in collapse;
• Use of unsupervised or untrained personnel to erect formwork;
• Erection of Formwork; 4 4 16 HIGH i. If required for lifting formwork into position, use of mobile crane as per RA012 – Mobile crane, or RA013 – Tower Crane as applicable;
ii. Safety harness and lanyard are to be used and hooked off to a secure anchor point when working around exposed edges; No shock lanyard to be used below 6m in height;
iii. All hand tools to b
9 Lifting Operations with Tower crane Risk Assessment Templates.docx
Project Name: xxx
RA Ref No.: xxx
RA compilation Date: Review date:
Date:
Compiled by:
Reviewed by:
Approved by:
Overall Task Details
Lifting operations using Tower crane within site boundary Relevant Applicable MAS:
• 01412 – Lifting Operations;
• 00941 – Lifting equipment Additional Training required:
Riggers / Slingers NOC’s Required for task:
As applicable
RISK SCORE CALCULATOR
Use the Risk Score Calculator to Determine the Level of Risk of each Hazard
What would be the
CONSEQUENCE
of an occurrence be? What is the LIKELIHOOD of an occurrence? Hierarchy of Controls
Frequent/Almost certain (5)
Continuous or will happen frequently Often (4)
6 to 12 times a year Likely (3)
1 to 5 times a year Possible (2)
Once every 5 years Rarely (1)
Less than once every 5 years Can the hazard be Eliminated or removed from the work place?
Catastrophic (5)
Multiple Fatalities High 25 High 20 High 15 Medium 10 Medium 5 Can the product or process be substituted for a less hazardous alternative?
Serious (4)
Class 1 single fatality High 20 High 16 High 12 Medium 8 Low 4 Can the hazard be engineered away with guards or barriers?
Moderate (3)
Class2 (AWI or LTI) or Class 1 Permanently disabling effects High 15 High 12 Medium 9 Medium 6 Low 3 Can Administration Controls be adopted
I.e. procedures, job rotation etc.
Minor (2)
Medical attention needed, no work restrictions. MTI Medium10 Medium 8 Medium 6 Low 4 Low 2 Can Personal Protective Equipment & Clothing be worn to safe guard against hazards?
Insignificant (1)
FAI Medium10 Medium 4 Low 3 Low 2 Low 1
No Specific Task Step
(In sequence of works) Hazard Details Consequence/Risk Initial Risk Rating Control Measures Residual Risks Additional Control Measures RR
P S RR
1 Access of Tower crane sections to work areas
• Plant and workers in same working area as delivery truck; • Collision with plant or vehicles and live traffic;
• Workers struck by plant, very high risk of fatality;
• Uncontrolled crane reversing; 3 4 12 High i. Worker pedestrian routes to be designed and implemented with clear signage to provide segregation;
ii. Instruction to workers at induction on use of access routes around the project;
iii. Flagmen to be used to control crane movements;
iv. The Logistics plan shall clearly illustrate crane access and egress points; Workers not complying with flagmen Regular topic in TBT’s Low
2 Tower crane foundations • Excavations;
• Use of plant – excavators etc.;
• Use of concrete;
• Temporary Works; • See Risk Assessment 010 – Excavations;
• See Risk Assessment 014 – use of Mobile Concrete pump;
• Failure due to incorrect design; 4 5 20 High i. Crane foundations to be designed by approved persons, to clear design criteria;
ii. Foundations given adequate curing time before crane erection;
iii. Temporary Works Coordinator to control excavations and concrete pours; Low
3 Siting, setting up and testing of Tower crane • Works at Height;
• Working in proximity to existing struct
8 Lifting Operations with mobile crane Risk Assessment Templates.docx
Project Name: xxx
RA Ref No.: xxx
RA compilation Date: Review date:
Date:
Compiled by:
Reviewed by:
Approved by:
Overall Task Details
Lifting operations using mobile crane within site boundary Relevant Applicable MAS:
• 01412 – Lifting Operations;
• 00941 – Lifting equipment Additional Training required:
Riggers / Slingers NOC’s Required for task:
RISK SCORE CALCULATOR
Use the Risk Score Calculator to Determine the Level of Risk of each Hazard
What would be the
CONSEQUENCE
of an occurrence be? What is the LIKELIHOOD of an occurrence? Hierarchy of Controls
Frequent/Almost certain (5)
Continuous or will happen frequently Often (4)
6 to 12 times a year Likely (3)
1 to 5 times a year Possible (2)
Once every 5 years Rarely (1)
Less than once every 5 years Can the hazard be Eliminated or removed from the work place?
Catastrophic (5)
Multiple Fatalities High 25 High 20 High 15 Medium 10 Medium 5 Can the product or process be substituted for a less hazardous alternative?
Serious (4)
Class 1 single fatality High 20 High 16 High 12 Medium 8 Low 4 Can the hazard be engineered away with guards or barriers?
Moderate (3)
Class2 (AWI or LTI) or Class 1 Permanently disabling effects High 15 High 12 Medium 9 Medium 6 Low 3 Can Administration Controls be adopted
I.e. procedures, job rotation etc.
Minor (2)
Medical attention needed, no work restrictions. MTI Medium10 Medium 8 Medium 6 Low 4 Low 2 Can Personal Protective Equipment & Clothing be worn to safe guard against hazards?
Insignificant (1)
FAI Medium10 Medium 4 Low 3 Low 2 Low 1
No Specific Task Step
(In sequence of works) Hazard Details Consequence/Risk Initial Risk Rating Control Measures Residual Risks Additional Control Measures RR
P S RR
1 Crane checks on arrival to site
PRIOR TO USE • Use of mobile crane • Unauthorized operation of the mobile crane resulting in incident;
• Failure due to use of un-certificated crane;
3 4 12
HIGH i. All cranes to be Third Party Certificated by a DM approved inspector, documentation available on arrival to site;
ii. Operators to have in-date Third Party certificate by approved body, available for review on arrival to site;
iii. Crane load indicator to be installed and functioning correctly;
iv. Visual inspection of crane undertaken by competent person; Documentation unavailable for review Crane quarantined until evidence provided Low
2 Access of crane to work areas
• Plant and workers in same working area; • Collision with plant or vehicles and live traffic;
• Workers struck by plant, very high risk of fatality;
• Uncontrolled crane reversing; i. Worker pedestrian routes to be designed and implemented with clear signage to provide segregation;
ii. Instruction to workers at induction on use of access routes around the project;
iii. Flagmen to be used to control crane movements;
iv. The Logistics plan shall clearly illustrate crane access and egress points; Workers not complying with flagmen Regular topic in TBT’s Low
3 Siti
15 Formwork (Temporary Works) Risk Assessment Templates.docx
Project Name: xxx
RA Ref No.: xxx
RA compilation Date: Review date:
Date:
Compiled by:
Reviewed by:
Approved by:
Overall Task Details
Temporary Formwork for formwork support. Classed as Temporary Works Relevant Applicable MAS:
• 01411 – MEWP’s;
• 00236 - Housekeeping Additional Training required:
Temporary Works Coordinator to be designated NOC’s Required for task:
RISK SCORE CALCULATOR
Use the Risk Score Calculator to Determine the Level of Risk of each Hazard
What would be the
CONSEQUENCE
of an occurrence be? What is the LIKELIHOOD of an occurrence? Hierarchy of Controls
Frequent/Almost certain (5)
Continuous or will happen frequently Often (4)
6 to 12 times a year Likely (3)
1 to 5 times a year Possible (2)
Once every 5 years Rarely (1)
Less than once every 5 years Can the hazard be Eliminated or removed from the work place?
Catastrophic (5)
Multiple Fatalities High 25 High 20 High 15 Medium 10 Medium 5 Can the product or process be substituted for a less hazardous alternative?
Serious (4)
Class 1 single fatality High 20 High 16 High 12 Medium 8 Low 4 Can the hazard be engineered away with guards or barriers?
Moderate (3)
Class2 (AWI or LTI) or Class 1 Permanently disabling effects High 15 High 12 Medium 9 Medium 6 Low 3 Can Administration Controls be adopted
I.e. procedures, job rotation etc.
Minor (2)
Medical attention needed, no work restrictions. MTI Medium10 Medium 8 Medium 6 Low 4 Low 2 Can Personal Protective Equipment & Clothing be worn to safe guard against hazards?
Insignificant (1)
FAI Medium10 Medium 4 Low 3 Low 2 Low 1
No Specific Task Step
(In sequence of works) Hazard Details Consequence/Risk Initial Risk Rating Control Measures Residual Risks Additional Control Measures RR
P S RR
1 Access to work areas by personnel and plant.
Material delivery to work area;
• Vehicles and workers in same working area;
• Storage of materials for formwork;
• Use of plant – forklift etc.; • Collision with plant or vehicles and live traffic;
• Workers struck by plant, very high risk of fatality;
• Workers struck by plant;
• Poor or unsafe storage, collapse;
• Untrained operators; 4 5 20
HIGH i. Worker pedestrian routes to be designed and implemented with clear signage;
ii. Instruction to workers at induction on use of access routes around the project;
iii. All plant and operators to be Third Party certificated by approved body;
iv. Flagmen to be used to control personnel (only on roads below 80kph);
v. Formwork materials stored correctly, no more than 2 pallets high and banded together when transporting;
vi. In traffic enclosed areas suitable welfare and first aid facilities shall be implemented to minimized worker movements;
vii. The Logistics plan shall clearly illustrate access and egress points; Workers not complying with controls All supervision to monitor operation;
Regular topic in TBT’s Low
`3 Formwork installation
(Classified as Temporary Structures) • Works at Height;
• Manual Handling;
• Worker c
18 Laying blockwork with access scaffolding Risk Assessment Templates.docx
Project Name: xxx
RA Ref No.: xxx
RA compilation Date: Review date:
Date:
Compiled by:
Reviewed by:
Approved by:
Overall Task Details
Laying blockwork with scaffold. Classed as Temporary Works Relevant Applicable MAS:
• 00939 - CoSHH
• 00236 – Housekeeping
• 00245 – Mobile Scaffolding Additional Training required:
Temporary Works Coordinator to be designated NOC’s Required for task:
RISK SCORE CALCULATOR
Use the Risk Score Calculator to Determine the Level of Risk of each Hazard
What would be the
CONSEQUENCE
of an occurrence be? What is the LIKELIHOOD of an occurrence? Hierarchy of Controls
Frequent/Almost certain (5)
Continuous or will happen frequently Often (4)
6 to 12 times a year Likely (3)
1 to 5 times a year Possible (2)
Once every 5 years Rarely (1)
Less than once every 5 years Can the hazard be Eliminated or removed from the work place?
Catastrophic (5)
Multiple Fatalities High 25 High 20 High 15 Medium 10 Medium 5 Can the product or process be substituted for a less hazardous alternative?
Serious (4)
Class 1 single fatality High 20 High 16 High 12 Medium 8 Low 4 Can the hazard be engineered away with guards or barriers?
Moderate (3)
Class2 (AWI or LTI) or Class 1 Permanently disabling effects High 15 High 12 Medium 9 Medium 6 Low 3 Can Administration Controls be adopted
I.e. procedures, job rotation etc.
Minor (2)
Medical attention needed, no work restrictions. MTI Medium10 Medium 8 Medium 6 Low 4 Low 2 Can Personal Protective Equipment & Clothing be worn to safe guard against hazards?
Insignificant (1)
FAI Medium10 Medium 4 Low 3 Low 2 Low 1
No Specific Task Step
(In sequence of works) Hazard Details Consequence/Risk Initial Risk Rating Control Measures Residual Risks Additional Control Measures RR
P S RR
1 Vehicles/Plant Equipment movements for block delivery
Hi-Abs, forklifts etc. • Use of plant;
• Plant / worker proximity; • Unauthorised use of untrained or unlicensed operators;
• Use of un-certificated plant and equipment;
• Striking against mobile and/or fixed objects/vehicles;
• Collision of plant, including those of other contractors in area;
• Collision with operatives, including other contractors; 4 4 16
HIGH i. Only competent and authorised personnel with licence for the category of plant they are operating are allowed to operate the machinery, reviewed by logistics before commencing on site;
ii. All plant and equipment shall be Third Party Certificated by a DM approved assessor;
iii. Heavy equipment shall be equipped with audible reversing alarm (not possible on bi-directional equipment);
iv. A flagman to be present to signal reversing vehicles, reversing of vehicles to be avoided where practicable;
v. All plant / vehicles to be controlled by banks man;
vi. Plant to be parked only in designated area, parking brake on, keys removed with working parts lowered;
vii. Protected access route(s) for pedestrians maintained where required;
viii. Effective Traffic Management System (TMS) to be s
7 falsework (temporary works) risk assessment templates
7 Falsework (Temporary Works) Risk Assessment Templates
Access to work areas by personnel and plant.
Material delivery to work area;
Use of powered access equipment for assembly of false-work (if required)
Falsework installation
(Classified as Temporary Structures)
Dismantling of false-work
Maintenance of Falsework
Worker exposure to direct sun whist working on falsework
(as applicable)
25 Demolition of existing concrete structures Risk Assessment Templates.docx
The document provides a risk assessment for demolition of an existing concrete structure. It identifies hazards associated with the work, assesses the initial risk rating, and lists control measures to reduce the residual risks. Key steps of the work include plant checks, demolition of the structure using an excavator, supervision of demolition, breaking works manually using air hammers, and removal of waste. Hazards include plant/pedestrian interactions, unauthorized plant use, noise, exposed rebar, and contamination. Control measures require certification of plant and operators, designated traffic routes, flagmen, inspections, signage, and personal protective equipment.
23 casting of concrete slabs risk assessment templates
Concrete Pump checks on arrival to site
PRIOR TO SITE ACCESS
Formwork for slab for temporary support
Falsework to provide temporary support to formwork
Rebar to slabs
Access of mobile pump and delivery trucks to work areas
Siting and setting up of concrete pump
Pumping concrete
(Pump Operator)
Pumping operation supervision
Dismantling of form-work
Striking of false-work
7 Falsework (Temporary Works) Risk Assessment Templates.docx
Project Name: xxx
RA Ref No.: xxx
RA compilation Date: Review date:
Date:
Compiled by:
Reviewed by:
Approved by:
Overall Task Details
Temporary Falsework for formwork support. Classed as Temporary Works Relevant Applicable MAS:
• 01411 – MEWP’s;
• 00236 - Housekeeping Additional Training required:
Temporary Works Coordinator to be designated NOC’s Required for task:
RISK SCORE CALCULATOR
Use the Risk Score Calculator to Determine the Level of Risk of each Hazard
What would be the
CONSEQUENCE
of an occurrence be? What is the LIKELIHOOD of an occurrence? Hierarchy of Controls
Frequent/Almost certain (5)
Continuous or will happen frequently Often (4)
6 to 12 times a year Likely (3)
1 to 5 times a year Possible (2)
Once every 5 years Rarely (1)
Less than once every 5 years Can the hazard be Eliminated or removed from the work place?
Catastrophic (5)
Multiple Fatalities High 25 High 20 High 15 Medium 10 Medium 5 Can the product or process be substituted for a less hazardous alternative?
Serious (4)
Class 1 single fatality High 20 High 16 High 12 Medium 8 Low 4 Can the hazard be engineered away with guards or barriers?
Moderate (3)
Class2 (AWI or LTI) or Class 1 Permanently disabling effects High 15 High 12 Medium 9 Medium 6 Low 3 Can Administration Controls be adopted
I.e. procedures, job rotation etc.
Minor (2)
Medical attention needed, no work restrictions. MTI Medium10 Medium 8 Medium 6 Low 4 Low 2 Can Personal Protective Equipment & Clothing be worn to safe guard against hazards?
Insignificant (1)
FAI Medium10 Medium 4 Low 3 Low 2 Low 1
No Specific Task Step
(In sequence of works) Hazard Details Consequence/Risk Initial Risk Rating Control Measures Residual Risks Additional Control Measures RR
P S RR
1 Access to work areas by personnel and plant.
Material delivery to work area;
• Vehicles and workers in same working area;
• Storage of materials for falsework;
• Use of plant – forklift etc.; • Collision with plant or vehicles and live traffic;ac
• Workers struck by plant, very high risk of fatality;
• Workers struck by plant;
• Poor or unsafe storage, collapse;
• Untrained operators; 4 5 20
HIGH i. Worker pedestrian routes to be designed and implemented with clear signage;
ii. Instruction to workers at induction on use of access routes around the project;
iii. All plant and operators to be Third Party certificated by approved body;
iv. Flagmen to be used to control personnel (only on roads below 80kph);
v. Falsework materials stored correctly, no more than 2 pallets high and banded together when transporting;
vi. In traffic enclosed areas suitable welfare and first aid facilities shall be implemented to minimized worker movements;
vii. The Logistics plan shall clearly illustrate access and egress points; Workers not complying with controls All supervision to monitor operation;
Regular topic in TBT’s Low
2 Use of powered access equipment for assembly of false-work (if required) • Use of MEWP
(Mobile Elevated
24 casting of bridge decks risk assessment templates
Concrete Pump checks on arrival to site
PRIOR TO SITE ACCESS
Formwork for decks for temporary support
Falsework to provide temporary support to formwork
Rebar Installation to bridge deck
Access of mobile pump and delivery trucks to work areas
Siting and setting up of concrete pump
Pumping concrete
(Pump Operator)
Pumping operation supervision
Dismantling of form-work
Striking of false-work
18 laying blockwork with access scaffolding risk assessment templates
This risk assessment document identifies hazards associated with laying blockwork using access scaffolding and proposes control measures. It addresses six specific tasks: 1) vehicle and plant movements for block delivery, 2) use of access scaffolding and working platforms, 3) loading out blocks and mixing mortar, 4) laying blockwork, 5) disposal of concrete, and 6) worker exposure to direct sun. For each task, the document identifies hazards, assesses initial risk level, lists control measures to reduce risk, and notes any remaining risks. The overall goal is to reduce risks from falls, manual handling injuries, vehicle collisions, cement burns and heat exposure during block laying activities.
15 formwork (temporary works) risk assessment templates
15 Formwork (Temporary Works) Risk Assessment Templates
Access to work areas by personnel and plant.
Material delivery to work area;
Formwork installation
(Classified as Temporary Structures)
Housekeeping when erecting formwork
Dismantling of form-work
Maintenance of Formwork
Worker exposure to direct sun whist working on formwork
(as applicable)
6 excavations (temporary works) risk assessment templates
6 Excavations (Temporary Works) Risk Assessment Templates
Planned Excavation in areas where live services may be present including:
• Electrical;
• Water;
• Sewerage;
• Gas;
• Telecoms;
PRIOR TO WORKS
Use of Excavator for excavating and backfilling
Excavation open in site area
Confined space working – deep excavations
Maintenance of Excavations
Worker exposure to direct sun
(as applicable)
5 trial trenches (temporary works) risk assessment templates
This risk assessment document summarizes the hazards, risks, control measures, and residual risks associated with conducting trial trench excavations by hand to locate underground utilities at a construction site. Key steps include planning excavations based on utility drawings, scanning the work area to locate services, clearly marking identified and unidentified utilities, implementing traffic management plans if near roads, and using hand digging and excavators with spotters to expose utilities. Control measures such as permits, competent machine operators, exclusion zones around utilities, fall protection in trenches, illumination and signage are required. Residual risks include damage to undetected utilities and machine breakdown.
6 Excavations (Temporary Works) Risk Assessment Templates.docx
RISK SCORE CALCULATOR
Use the Risk Score Calculator to Determine the Level of Risk of each Hazard
What would be the
CONSEQUENCE
of an occurrence be? What is the LIKELIHOOD of an occurrence? Hierarchy of Controls
Frequent/Almost certain (5)
Continuous or will happen frequently Often (4)
6 to 12 times a year Likely (3)
1 to 5 times a year Possible (2)
Once every 5 years Rarely (1)
Less than once every 5 years Can the hazard be Eliminated or removed from the work place?
Catastrophic (5)
Multiple Fatalities High 25 High 20 High 15 Medium 10 Medium 5 Can the product or process be substituted for a less hazardous alternative?
Serious (4)
Class 1 single fatality High 20 High 16 High 12 Medium 8 Low 4 Can the hazard be engineered away with guards or barriers?
Moderate (3)
Class2 (AWI or LTI) or Class 1 Permanently disabling effects High 15 High 12 Medium 9 Medium 6 Low 3 Can Administration Controls be adopted
I.e. procedures, job rotation etc.
Minor (2)
Medical attention needed, no work restrictions. MTI Medium10 Medium 8 Medium 6 Low 4 Low 2 Can Personal Protective Equipment & Clothing be worn to safe guard against hazards?
Insignificant (1)
FAI Medium10 Medium 4 Low 3 Low 2 Low 1
Project Name: xxx
RA Ref No.: xxx
RA compilation Date: Review date:
Date:
Compiled by:
Reviewed by:
Approved by:
Overall Task Details
Excavation on site greater than 1.2 depth. Use of excavator
Note: Not under RTA Rail restrictions. Classed as Temporary Works Relevant Applicable MAS:
• 00246 – Excavations;
• 01413 – Underground services;
• 00940 – Plant Operators. Additional Training required:
Temporary Works Coordinator to be designated NOC’s Required for task:
Dubai Municipality
No Specific Task Step
(In sequence of works) Hazard Details Consequence/Risk Initial Risk Rating Control Measures Residual Risks Additional Control Measures RR
P S RR
1 Planned Excavation in areas where live services may be present including:
• Electrical;
• Water;
• Sewerage;
• Gas;
• Telecoms;
PRIOR TO WORKS • Presence of live underground services;
• Services not in area specified on drawings;
• Heavy plant or vehicles accessing work area;
• Presence of unmarked services;
• Risk of explosion due to gas line rupture;
• Risk of flooding of excavation and adjacent areas due to water main damage;
• Risk of electrocution or fire due to cable strike;
• Risk of hazardous waste entering excavation or water systems due to live sewerage damage;
• Risk of damage to low depth underground services from heavy vehicles;
• Risk of vehicles / Plant entering open excavation; 4 5 20
HIGH i. All existing utility service drawings reviewed for known service details and position;
ii. NOC and Utility provider and ATC Excavation permits to be completed, unique number added and recorded in log;
iii. Work Area, including access route for plant, to be CAT scanned to locate exact position of service by competent persons;
iv. Service clearly marked on ground, using posts, tags etc.;
v. Pla
31 NDRC operations within Excavations (Temporary Works) Risk Assessment Templ...
31 NDRC operations within Excavations (Temporary Works) Risk Assessment Templ...Dwarika Bhushan Sharma
RISK SCORE CALCULATOR
Use the Risk Score Calculator to Determine the Level of Risk of each Hazard
What would be the
CONSEQUENCE
of an occurrence be? What is the LIKELIHOOD of an occurrence? Hierarchy of Controls
Frequent/Almost certain (5)
Continuous or will happen frequently Often (4)
6 to 12 times a year Likely (3)
1 to 5 times a year Possible (2)
Once every 5 years Rarely (1)
Less than once every 5 years Can the hazard be Eliminated or removed from the work place?
Catastrophic (5)
Multiple Fatalities High 25 High 20 High 15 Medium 10 Medium 5 Can the product or process be substituted for a less hazardous alternative?
Serious (4)
Class 1 single fatality High 20 High 16 High 12 Medium 8 Low 4 Can the hazard be engineered away with guards or barriers?
Moderate (3)
Class2 (AWI or LTI) or Class 1 Permanently disabling effects High 15 High 12 Medium 9 Medium 6 Low 3 Can Administration Controls be adopted
I.e. procedures, job rotation etc.
Minor (2)
Medical attention needed, no work restrictions. MTI Medium10 Medium 8 Medium 6 Low 4 Low 2 Can Personal Protective Equipment & Clothing be worn to safe guard against hazards?
Insignificant (1)
FAI Medium10 Medium 4 Low 3 Low 2 Low 1
Project Name: xxx
RA Ref No.: xxx
RA compilation Date: Review date:
Date:
Compiled by:
Reviewed by:
Approved by:
Overall Task Details
Excavation on site greater than 1.2 depth for Non Disruptive Road Crossing (NDRC). Use of excavator and pipe thrust boring equipment
Classed as Temporary Works Relevant Applicable MAS:
• 00246 – Excavations;
• 01413 – Underground services;
• 00940 – Plant Operators. Additional Training required:
Temporary Works Coordinator to be designated NOC’s Required for task:
Municipality
No Specific Task Step
(In sequence of works) Hazard Details Consequence/Risk Initial Risk Rating Control Measures Residual Risks Additional Control Measures RR
L C RR
1 Planned excavation for NDRC pit in areas where live services may be present including:
• Electrical;
• Water;
• Sewerage;
• Gas;
• Telecoms;
PRIOR TO WORKS • Presence of live underground services;
• Services not in area specified on drawings;
• Heavy plant or vehicles accessing work area;
• Presence of unmarked services;
• Risk of explosion due to gas line rupture;
• Risk of flooding of excavation and adjacent areas due to water main damage;
• Risk of electrocution or fire due to cable strike;
• Risk of hazardous waste entering excavation or water systems due to live sewerage damage;
• Risk of damage to low depth underground services from heavy vehicles;
• Risk of vehicles / Plant entering open excavation; 4 5 20
HIGH i. All existing utility service drawings reviewed for known service details and position;
ii. NOC and Utility provider and ATC Excavation permits to be completed, unique number added and recorded in log;
iii. Work Area, including access route for plant, to be CAT scanned to locate exact position of service by competent persons;
iv. Service clearly marked 25 demolition of existing concrete structures risk assessment templates
Plant checks on arrival to site
PRIOR TO SITE ACCESS • Use of heavy plant for demolition;
Demolition of concrete structure • Excavator breaker operation
• (Operator)Plant / pedestrian interaction;
• Operator visibility;
Demolition (supervision) • Plant operations around workers;
• Workers in plant operating radius;
Undertaking breaking Works – Manual operation using compressed air jack hammers; • Use of hand held breakers;
Removal of waste concrete and rebar • Truck operations around workers;
10 use of mobile concrete pump risk assessment templates
10 Use of Mobile Concrete Pump Risk Assessment Templates
Concrete Pump checks on arrival to site
PRIOR TO SITE ACCESS
Access of mobile pump and delivery trucks to work areas
Siting and setting up of concrete pump
Pumping concrete
(Pump Operator)
Pumping operation supervision
5 - CLOWNS BELONG IN THE CIRCUS & NOT ON THE JOB.pdf
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16 scaffolding (temporary works) risk assessment templates
16 Scaffolding (Temporary Works) Risk Assessment Templates
Access to work areas by personnel and plant.
Scaffold Material delivery to work area;
Scaffold design and erection standards
(Classified as Temporary Structure)
Scaffold erection
(Classified as Temporary Structure)
Dismantling of scaffold
Maintenance of Scaffold
Worker exposure to direct sun whist working on scaffold
(as applicable)
16 Scaffolding (Temporary Works) Risk Assessment Templates.docx
Project Name: xxx
RA Ref No.: xxx
RA compilation Date: Review date:
Date:
Compiled by:
Reviewed by:
Approved by:
Overall Task Details
Scaffold for work access. Classed as Temporary Works Relevant Applicable MAS:
• 00245 – Mobile scaffold towers
• 00236 - Housekeeping Additional Training required:
Temporary Works Coordinator to be designated NOC’s Required for task:
RISK SCORE CALCULATOR
Use the Risk Score Calculator to Determine the Level of Risk of each Hazard
What would be the
CONSEQUENCE
of an occurrence be? What is the LIKELIHOOD of an occurrence? Hierarchy of Controls
Frequent/Almost certain (5)
Continuous or will happen frequently Often (4)
6 to 12 times a year Likely (3)
1 to 5 times a year Possible (2)
Once every 5 years Rarely (1)
Less than once every 5 years Can the hazard be Eliminated or removed from the work place?
Catastrophic (5)
Multiple Fatalities High 25 High 20 High 15 Medium 10 Medium 5 Can the product or process be substituted for a less hazardous alternative?
Serious (4)
Class 1 single fatality High 20 High 16 High 12 Medium 8 Low 4 Can the hazard be engineered away with guards or barriers?
Moderate (3)
Class2 (AWI or LTI) or Class 1 Permanently disabling effects High 15 High 12 Medium 9 Medium 6 Low 3 Can Administration Controls be adopted
I.e. procedures, job rotation etc.
Minor (2)
Medical attention needed, no work restrictions. MTI Medium10 Medium 8 Medium 6 Low 4 Low 2 Can Personal Protective Equipment & Clothing be worn to safe guard against hazards?
Insignificant (1)
FAI Medium10 Medium 4 Low 3 Low 2 Low 1
No Specific Task Step
(In sequence of works) Hazard Details Consequence/Risk Initial Risk Rating Control Measures Residual Risks Additional Control Measures RR
P S RR
1 Access to work areas by personnel and plant.
Scaffold Material delivery to work area;
• Vehicles and workers in same working area;
• Storage of materials for scaffold;
• Use of plant – forklift etc.; • Collision with plant or vehicles and live traffic;
• Workers struck by plant, very high risk of fatality;
• Workers struck by plant;
• Poor or unsafe storage, collapse;
• Untrained operators; 4 4 16
HIGH i. Worker pedestrian routes to be designed and implemented with clear signage;
ii. Instruction to workers at induction on use of access routes around the project;
iii. All plant and operators to be Third Party certificated by approved body;
iv. Flagmen to be used to control personnel (only on roads below 80kph);
v. Scaffold materials stored correctly, no more than 2 pallets high and banded together when transporting;
vi. In traffic enclosed areas suitable welfare and first aid facilities shall be implemented to minimized worker movements;
vii. The Logistics plan shall clearly illustrate access and egress points; Workers not complying with controls All supervision to monitor operation;
Regular topic in TBT’s Low
2 Scaffold design and erection standards
(Classified as Temporary Structure) • Trained personnel req
23 Casting of concrete slabs Risk Assessment Templates.docx
Project Name: xxx
RA Ref No.: xxx
Review date:
Date:
Compiled by:
Reviewed by:
Approved by:
Overall Task Details
Concrete slabs using formwork and falsework Relevant Applicable MAS:
• 01412 – Lifting operations cranes; Additional Training required:
Temporary Works Coordinator nominated NOC’s Required for task:
RISK SCORE CALCULATOR
Use the Risk Score Calculator to Determine the Level of Risk of each Hazard
What would be the
CONSEQUENCE
of an occurrence be? What is the LIKELIHOOD of an occurrence? Hierarchy of Controls
Frequent/Almost certain (5)
Continuous or will happen frequently Often (4)
6 to 12 times a year Likely (3)
1 to 5 times a year Possible (2)
Once every 5 years Rarely (1)
Less than once every 5 years Can the hazard be Eliminated or removed from the work place?
Catastrophic (5)
Multiple Fatalities High 25 High 20 High 15 Medium 10 Medium 5 Can the product or process be substituted for a less hazardous alternative?
Serious (4)
Class 1 single fatality High 20 High 16 High 12 Medium 8 Low 4 Can the hazard be engineered away with guards or barriers?
Moderate (3)
Class2 (AWI or LTI) or Class 1 Permanently disabling effects High 15 High 12 Medium 9 Medium 6 Low 3 Can Administration Controls be adopted
I.e. procedures, job rotation etc.
Minor (2)
Medical attention needed, no work restrictions. MTI Medium10 Medium 8 Medium 6 Low 4 Low 2 Can Personal Protective Equipment & Clothing be worn to safe guard against hazards?
Insignificant (1)
FAI Medium10 Medium 4 Low 3 Low 2 Low 1
No Specific Task Step
(In sequence of works) Hazard Details Consequence/Risk Initial Risk Rating Control Measures Residual Risks Additional Control Measures RR
L C RR
1 Concrete Pump checks on arrival to site
PRIOR TO SITE ACCESS • Use of mobile concrete pump • Unauthorized operation of the mobile pump resulting in incident;
• Failure due to use of un-certificated pump;
3 4 12
HIGH i. All mobile concrete pumps to be Third Party Certificated by a DM approved inspector, documentation available on arrival to site;
ii. Operators to have in-date Third Party certificate by approved body, available for review on arrival to site;
iii. Visual inspection of pump undertaken by competent person; Documentation unavailable for review Pump quarantined until evidence provided Low
2. Formwork for slab for temporary support • Erection of formwork;
• Works at Height; • Injury from Fall from Heights;
• Injury from falling objects;
• Manual Handling injuries;
• Incorrect Design and Erection of formwork resulting in collapse;
• Use of unsupervised or untrained personnel to erect formwork;
• Erection of Formwork; 4 4 16 HIGH i. If required for lifting formwork into position, use of mobile crane as per RA012 – Mobile crane, or RA013 – Tower Crane as applicable;
ii. Safety harness and lanyard are to be used and hooked off to a secure anchor point when working around exposed edges; No shock lanyard to be used below 6m in height;
iii. All hand tools to b
9 Lifting Operations with Tower crane Risk Assessment Templates.docx
Project Name: xxx
RA Ref No.: xxx
RA compilation Date: Review date:
Date:
Compiled by:
Reviewed by:
Approved by:
Overall Task Details
Lifting operations using Tower crane within site boundary Relevant Applicable MAS:
• 01412 – Lifting Operations;
• 00941 – Lifting equipment Additional Training required:
Riggers / Slingers NOC’s Required for task:
As applicable
RISK SCORE CALCULATOR
Use the Risk Score Calculator to Determine the Level of Risk of each Hazard
What would be the
CONSEQUENCE
of an occurrence be? What is the LIKELIHOOD of an occurrence? Hierarchy of Controls
Frequent/Almost certain (5)
Continuous or will happen frequently Often (4)
6 to 12 times a year Likely (3)
1 to 5 times a year Possible (2)
Once every 5 years Rarely (1)
Less than once every 5 years Can the hazard be Eliminated or removed from the work place?
Catastrophic (5)
Multiple Fatalities High 25 High 20 High 15 Medium 10 Medium 5 Can the product or process be substituted for a less hazardous alternative?
Serious (4)
Class 1 single fatality High 20 High 16 High 12 Medium 8 Low 4 Can the hazard be engineered away with guards or barriers?
Moderate (3)
Class2 (AWI or LTI) or Class 1 Permanently disabling effects High 15 High 12 Medium 9 Medium 6 Low 3 Can Administration Controls be adopted
I.e. procedures, job rotation etc.
Minor (2)
Medical attention needed, no work restrictions. MTI Medium10 Medium 8 Medium 6 Low 4 Low 2 Can Personal Protective Equipment & Clothing be worn to safe guard against hazards?
Insignificant (1)
FAI Medium10 Medium 4 Low 3 Low 2 Low 1
No Specific Task Step
(In sequence of works) Hazard Details Consequence/Risk Initial Risk Rating Control Measures Residual Risks Additional Control Measures RR
P S RR
1 Access of Tower crane sections to work areas
• Plant and workers in same working area as delivery truck; • Collision with plant or vehicles and live traffic;
• Workers struck by plant, very high risk of fatality;
• Uncontrolled crane reversing; 3 4 12 High i. Worker pedestrian routes to be designed and implemented with clear signage to provide segregation;
ii. Instruction to workers at induction on use of access routes around the project;
iii. Flagmen to be used to control crane movements;
iv. The Logistics plan shall clearly illustrate crane access and egress points; Workers not complying with flagmen Regular topic in TBT’s Low
2 Tower crane foundations • Excavations;
• Use of plant – excavators etc.;
• Use of concrete;
• Temporary Works; • See Risk Assessment 010 – Excavations;
• See Risk Assessment 014 – use of Mobile Concrete pump;
• Failure due to incorrect design; 4 5 20 High i. Crane foundations to be designed by approved persons, to clear design criteria;
ii. Foundations given adequate curing time before crane erection;
iii. Temporary Works Coordinator to control excavations and concrete pours; Low
3 Siting, setting up and testing of Tower crane • Works at Height;
• Working in proximity to existing struct
8 Lifting Operations with mobile crane Risk Assessment Templates.docx
Project Name: xxx
RA Ref No.: xxx
RA compilation Date: Review date:
Date:
Compiled by:
Reviewed by:
Approved by:
Overall Task Details
Lifting operations using mobile crane within site boundary Relevant Applicable MAS:
• 01412 – Lifting Operations;
• 00941 – Lifting equipment Additional Training required:
Riggers / Slingers NOC’s Required for task:
RISK SCORE CALCULATOR
Use the Risk Score Calculator to Determine the Level of Risk of each Hazard
What would be the
CONSEQUENCE
of an occurrence be? What is the LIKELIHOOD of an occurrence? Hierarchy of Controls
Frequent/Almost certain (5)
Continuous or will happen frequently Often (4)
6 to 12 times a year Likely (3)
1 to 5 times a year Possible (2)
Once every 5 years Rarely (1)
Less than once every 5 years Can the hazard be Eliminated or removed from the work place?
Catastrophic (5)
Multiple Fatalities High 25 High 20 High 15 Medium 10 Medium 5 Can the product or process be substituted for a less hazardous alternative?
Serious (4)
Class 1 single fatality High 20 High 16 High 12 Medium 8 Low 4 Can the hazard be engineered away with guards or barriers?
Moderate (3)
Class2 (AWI or LTI) or Class 1 Permanently disabling effects High 15 High 12 Medium 9 Medium 6 Low 3 Can Administration Controls be adopted
I.e. procedures, job rotation etc.
Minor (2)
Medical attention needed, no work restrictions. MTI Medium10 Medium 8 Medium 6 Low 4 Low 2 Can Personal Protective Equipment & Clothing be worn to safe guard against hazards?
Insignificant (1)
FAI Medium10 Medium 4 Low 3 Low 2 Low 1
No Specific Task Step
(In sequence of works) Hazard Details Consequence/Risk Initial Risk Rating Control Measures Residual Risks Additional Control Measures RR
P S RR
1 Crane checks on arrival to site
PRIOR TO USE • Use of mobile crane • Unauthorized operation of the mobile crane resulting in incident;
• Failure due to use of un-certificated crane;
3 4 12
HIGH i. All cranes to be Third Party Certificated by a DM approved inspector, documentation available on arrival to site;
ii. Operators to have in-date Third Party certificate by approved body, available for review on arrival to site;
iii. Crane load indicator to be installed and functioning correctly;
iv. Visual inspection of crane undertaken by competent person; Documentation unavailable for review Crane quarantined until evidence provided Low
2 Access of crane to work areas
• Plant and workers in same working area; • Collision with plant or vehicles and live traffic;
• Workers struck by plant, very high risk of fatality;
• Uncontrolled crane reversing; i. Worker pedestrian routes to be designed and implemented with clear signage to provide segregation;
ii. Instruction to workers at induction on use of access routes around the project;
iii. Flagmen to be used to control crane movements;
iv. The Logistics plan shall clearly illustrate crane access and egress points; Workers not complying with flagmen Regular topic in TBT’s Low
3 Siti
15 Formwork (Temporary Works) Risk Assessment Templates.docx
Project Name: xxx
RA Ref No.: xxx
RA compilation Date: Review date:
Date:
Compiled by:
Reviewed by:
Approved by:
Overall Task Details
Temporary Formwork for formwork support. Classed as Temporary Works Relevant Applicable MAS:
• 01411 – MEWP’s;
• 00236 - Housekeeping Additional Training required:
Temporary Works Coordinator to be designated NOC’s Required for task:
RISK SCORE CALCULATOR
Use the Risk Score Calculator to Determine the Level of Risk of each Hazard
What would be the
CONSEQUENCE
of an occurrence be? What is the LIKELIHOOD of an occurrence? Hierarchy of Controls
Frequent/Almost certain (5)
Continuous or will happen frequently Often (4)
6 to 12 times a year Likely (3)
1 to 5 times a year Possible (2)
Once every 5 years Rarely (1)
Less than once every 5 years Can the hazard be Eliminated or removed from the work place?
Catastrophic (5)
Multiple Fatalities High 25 High 20 High 15 Medium 10 Medium 5 Can the product or process be substituted for a less hazardous alternative?
Serious (4)
Class 1 single fatality High 20 High 16 High 12 Medium 8 Low 4 Can the hazard be engineered away with guards or barriers?
Moderate (3)
Class2 (AWI or LTI) or Class 1 Permanently disabling effects High 15 High 12 Medium 9 Medium 6 Low 3 Can Administration Controls be adopted
I.e. procedures, job rotation etc.
Minor (2)
Medical attention needed, no work restrictions. MTI Medium10 Medium 8 Medium 6 Low 4 Low 2 Can Personal Protective Equipment & Clothing be worn to safe guard against hazards?
Insignificant (1)
FAI Medium10 Medium 4 Low 3 Low 2 Low 1
No Specific Task Step
(In sequence of works) Hazard Details Consequence/Risk Initial Risk Rating Control Measures Residual Risks Additional Control Measures RR
P S RR
1 Access to work areas by personnel and plant.
Material delivery to work area;
• Vehicles and workers in same working area;
• Storage of materials for formwork;
• Use of plant – forklift etc.; • Collision with plant or vehicles and live traffic;
• Workers struck by plant, very high risk of fatality;
• Workers struck by plant;
• Poor or unsafe storage, collapse;
• Untrained operators; 4 5 20
HIGH i. Worker pedestrian routes to be designed and implemented with clear signage;
ii. Instruction to workers at induction on use of access routes around the project;
iii. All plant and operators to be Third Party certificated by approved body;
iv. Flagmen to be used to control personnel (only on roads below 80kph);
v. Formwork materials stored correctly, no more than 2 pallets high and banded together when transporting;
vi. In traffic enclosed areas suitable welfare and first aid facilities shall be implemented to minimized worker movements;
vii. The Logistics plan shall clearly illustrate access and egress points; Workers not complying with controls All supervision to monitor operation;
Regular topic in TBT’s Low
`3 Formwork installation
(Classified as Temporary Structures) • Works at Height;
• Manual Handling;
• Worker c
18 Laying blockwork with access scaffolding Risk Assessment Templates.docx
Project Name: xxx
RA Ref No.: xxx
RA compilation Date: Review date:
Date:
Compiled by:
Reviewed by:
Approved by:
Overall Task Details
Laying blockwork with scaffold. Classed as Temporary Works Relevant Applicable MAS:
• 00939 - CoSHH
• 00236 – Housekeeping
• 00245 – Mobile Scaffolding Additional Training required:
Temporary Works Coordinator to be designated NOC’s Required for task:
RISK SCORE CALCULATOR
Use the Risk Score Calculator to Determine the Level of Risk of each Hazard
What would be the
CONSEQUENCE
of an occurrence be? What is the LIKELIHOOD of an occurrence? Hierarchy of Controls
Frequent/Almost certain (5)
Continuous or will happen frequently Often (4)
6 to 12 times a year Likely (3)
1 to 5 times a year Possible (2)
Once every 5 years Rarely (1)
Less than once every 5 years Can the hazard be Eliminated or removed from the work place?
Catastrophic (5)
Multiple Fatalities High 25 High 20 High 15 Medium 10 Medium 5 Can the product or process be substituted for a less hazardous alternative?
Serious (4)
Class 1 single fatality High 20 High 16 High 12 Medium 8 Low 4 Can the hazard be engineered away with guards or barriers?
Moderate (3)
Class2 (AWI or LTI) or Class 1 Permanently disabling effects High 15 High 12 Medium 9 Medium 6 Low 3 Can Administration Controls be adopted
I.e. procedures, job rotation etc.
Minor (2)
Medical attention needed, no work restrictions. MTI Medium10 Medium 8 Medium 6 Low 4 Low 2 Can Personal Protective Equipment & Clothing be worn to safe guard against hazards?
Insignificant (1)
FAI Medium10 Medium 4 Low 3 Low 2 Low 1
No Specific Task Step
(In sequence of works) Hazard Details Consequence/Risk Initial Risk Rating Control Measures Residual Risks Additional Control Measures RR
P S RR
1 Vehicles/Plant Equipment movements for block delivery
Hi-Abs, forklifts etc. • Use of plant;
• Plant / worker proximity; • Unauthorised use of untrained or unlicensed operators;
• Use of un-certificated plant and equipment;
• Striking against mobile and/or fixed objects/vehicles;
• Collision of plant, including those of other contractors in area;
• Collision with operatives, including other contractors; 4 4 16
HIGH i. Only competent and authorised personnel with licence for the category of plant they are operating are allowed to operate the machinery, reviewed by logistics before commencing on site;
ii. All plant and equipment shall be Third Party Certificated by a DM approved assessor;
iii. Heavy equipment shall be equipped with audible reversing alarm (not possible on bi-directional equipment);
iv. A flagman to be present to signal reversing vehicles, reversing of vehicles to be avoided where practicable;
v. All plant / vehicles to be controlled by banks man;
vi. Plant to be parked only in designated area, parking brake on, keys removed with working parts lowered;
vii. Protected access route(s) for pedestrians maintained where required;
viii. Effective Traffic Management System (TMS) to be s
7 falsework (temporary works) risk assessment templates
7 Falsework (Temporary Works) Risk Assessment Templates
Access to work areas by personnel and plant.
Material delivery to work area;
Use of powered access equipment for assembly of false-work (if required)
Falsework installation
(Classified as Temporary Structures)
Dismantling of false-work
Maintenance of Falsework
Worker exposure to direct sun whist working on falsework
(as applicable)
25 Demolition of existing concrete structures Risk Assessment Templates.docx
The document provides a risk assessment for demolition of an existing concrete structure. It identifies hazards associated with the work, assesses the initial risk rating, and lists control measures to reduce the residual risks. Key steps of the work include plant checks, demolition of the structure using an excavator, supervision of demolition, breaking works manually using air hammers, and removal of waste. Hazards include plant/pedestrian interactions, unauthorized plant use, noise, exposed rebar, and contamination. Control measures require certification of plant and operators, designated traffic routes, flagmen, inspections, signage, and personal protective equipment.
23 casting of concrete slabs risk assessment templates
Concrete Pump checks on arrival to site
PRIOR TO SITE ACCESS
Formwork for slab for temporary support
Falsework to provide temporary support to formwork
Rebar to slabs
Access of mobile pump and delivery trucks to work areas
Siting and setting up of concrete pump
Pumping concrete
(Pump Operator)
Pumping operation supervision
Dismantling of form-work
Striking of false-work
7 Falsework (Temporary Works) Risk Assessment Templates.docx
Project Name: xxx
RA Ref No.: xxx
RA compilation Date: Review date:
Date:
Compiled by:
Reviewed by:
Approved by:
Overall Task Details
Temporary Falsework for formwork support. Classed as Temporary Works Relevant Applicable MAS:
• 01411 – MEWP’s;
• 00236 - Housekeeping Additional Training required:
Temporary Works Coordinator to be designated NOC’s Required for task:
RISK SCORE CALCULATOR
Use the Risk Score Calculator to Determine the Level of Risk of each Hazard
What would be the
CONSEQUENCE
of an occurrence be? What is the LIKELIHOOD of an occurrence? Hierarchy of Controls
Frequent/Almost certain (5)
Continuous or will happen frequently Often (4)
6 to 12 times a year Likely (3)
1 to 5 times a year Possible (2)
Once every 5 years Rarely (1)
Less than once every 5 years Can the hazard be Eliminated or removed from the work place?
Catastrophic (5)
Multiple Fatalities High 25 High 20 High 15 Medium 10 Medium 5 Can the product or process be substituted for a less hazardous alternative?
Serious (4)
Class 1 single fatality High 20 High 16 High 12 Medium 8 Low 4 Can the hazard be engineered away with guards or barriers?
Moderate (3)
Class2 (AWI or LTI) or Class 1 Permanently disabling effects High 15 High 12 Medium 9 Medium 6 Low 3 Can Administration Controls be adopted
I.e. procedures, job rotation etc.
Minor (2)
Medical attention needed, no work restrictions. MTI Medium10 Medium 8 Medium 6 Low 4 Low 2 Can Personal Protective Equipment & Clothing be worn to safe guard against hazards?
Insignificant (1)
FAI Medium10 Medium 4 Low 3 Low 2 Low 1
No Specific Task Step
(In sequence of works) Hazard Details Consequence/Risk Initial Risk Rating Control Measures Residual Risks Additional Control Measures RR
P S RR
1 Access to work areas by personnel and plant.
Material delivery to work area;
• Vehicles and workers in same working area;
• Storage of materials for falsework;
• Use of plant – forklift etc.; • Collision with plant or vehicles and live traffic;ac
• Workers struck by plant, very high risk of fatality;
• Workers struck by plant;
• Poor or unsafe storage, collapse;
• Untrained operators; 4 5 20
HIGH i. Worker pedestrian routes to be designed and implemented with clear signage;
ii. Instruction to workers at induction on use of access routes around the project;
iii. All plant and operators to be Third Party certificated by approved body;
iv. Flagmen to be used to control personnel (only on roads below 80kph);
v. Falsework materials stored correctly, no more than 2 pallets high and banded together when transporting;
vi. In traffic enclosed areas suitable welfare and first aid facilities shall be implemented to minimized worker movements;
vii. The Logistics plan shall clearly illustrate access and egress points; Workers not complying with controls All supervision to monitor operation;
Regular topic in TBT’s Low
2 Use of powered access equipment for assembly of false-work (if required) • Use of MEWP
(Mobile Elevated
24 casting of bridge decks risk assessment templates
Concrete Pump checks on arrival to site
PRIOR TO SITE ACCESS
Formwork for decks for temporary support
Falsework to provide temporary support to formwork
Rebar Installation to bridge deck
Access of mobile pump and delivery trucks to work areas
Siting and setting up of concrete pump
Pumping concrete
(Pump Operator)
Pumping operation supervision
Dismantling of form-work
Striking of false-work
18 laying blockwork with access scaffolding risk assessment templates
This risk assessment document identifies hazards associated with laying blockwork using access scaffolding and proposes control measures. It addresses six specific tasks: 1) vehicle and plant movements for block delivery, 2) use of access scaffolding and working platforms, 3) loading out blocks and mixing mortar, 4) laying blockwork, 5) disposal of concrete, and 6) worker exposure to direct sun. For each task, the document identifies hazards, assesses initial risk level, lists control measures to reduce risk, and notes any remaining risks. The overall goal is to reduce risks from falls, manual handling injuries, vehicle collisions, cement burns and heat exposure during block laying activities.
15 formwork (temporary works) risk assessment templates
15 Formwork (Temporary Works) Risk Assessment Templates
Access to work areas by personnel and plant.
Material delivery to work area;
Formwork installation
(Classified as Temporary Structures)
Housekeeping when erecting formwork
Dismantling of form-work
Maintenance of Formwork
Worker exposure to direct sun whist working on formwork
(as applicable)
6 excavations (temporary works) risk assessment templates
6 Excavations (Temporary Works) Risk Assessment Templates
Planned Excavation in areas where live services may be present including:
• Electrical;
• Water;
• Sewerage;
• Gas;
• Telecoms;
PRIOR TO WORKS
Use of Excavator for excavating and backfilling
Excavation open in site area
Confined space working – deep excavations
Maintenance of Excavations
Worker exposure to direct sun
(as applicable)
5 trial trenches (temporary works) risk assessment templates
This risk assessment document summarizes the hazards, risks, control measures, and residual risks associated with conducting trial trench excavations by hand to locate underground utilities at a construction site. Key steps include planning excavations based on utility drawings, scanning the work area to locate services, clearly marking identified and unidentified utilities, implementing traffic management plans if near roads, and using hand digging and excavators with spotters to expose utilities. Control measures such as permits, competent machine operators, exclusion zones around utilities, fall protection in trenches, illumination and signage are required. Residual risks include damage to undetected utilities and machine breakdown.
6 Excavations (Temporary Works) Risk Assessment Templates.docx
RISK SCORE CALCULATOR
Use the Risk Score Calculator to Determine the Level of Risk of each Hazard
What would be the
CONSEQUENCE
of an occurrence be? What is the LIKELIHOOD of an occurrence? Hierarchy of Controls
Frequent/Almost certain (5)
Continuous or will happen frequently Often (4)
6 to 12 times a year Likely (3)
1 to 5 times a year Possible (2)
Once every 5 years Rarely (1)
Less than once every 5 years Can the hazard be Eliminated or removed from the work place?
Catastrophic (5)
Multiple Fatalities High 25 High 20 High 15 Medium 10 Medium 5 Can the product or process be substituted for a less hazardous alternative?
Serious (4)
Class 1 single fatality High 20 High 16 High 12 Medium 8 Low 4 Can the hazard be engineered away with guards or barriers?
Moderate (3)
Class2 (AWI or LTI) or Class 1 Permanently disabling effects High 15 High 12 Medium 9 Medium 6 Low 3 Can Administration Controls be adopted
I.e. procedures, job rotation etc.
Minor (2)
Medical attention needed, no work restrictions. MTI Medium10 Medium 8 Medium 6 Low 4 Low 2 Can Personal Protective Equipment & Clothing be worn to safe guard against hazards?
Insignificant (1)
FAI Medium10 Medium 4 Low 3 Low 2 Low 1
Project Name: xxx
RA Ref No.: xxx
RA compilation Date: Review date:
Date:
Compiled by:
Reviewed by:
Approved by:
Overall Task Details
Excavation on site greater than 1.2 depth. Use of excavator
Note: Not under RTA Rail restrictions. Classed as Temporary Works Relevant Applicable MAS:
• 00246 – Excavations;
• 01413 – Underground services;
• 00940 – Plant Operators. Additional Training required:
Temporary Works Coordinator to be designated NOC’s Required for task:
Dubai Municipality
No Specific Task Step
(In sequence of works) Hazard Details Consequence/Risk Initial Risk Rating Control Measures Residual Risks Additional Control Measures RR
P S RR
1 Planned Excavation in areas where live services may be present including:
• Electrical;
• Water;
• Sewerage;
• Gas;
• Telecoms;
PRIOR TO WORKS • Presence of live underground services;
• Services not in area specified on drawings;
• Heavy plant or vehicles accessing work area;
• Presence of unmarked services;
• Risk of explosion due to gas line rupture;
• Risk of flooding of excavation and adjacent areas due to water main damage;
• Risk of electrocution or fire due to cable strike;
• Risk of hazardous waste entering excavation or water systems due to live sewerage damage;
• Risk of damage to low depth underground services from heavy vehicles;
• Risk of vehicles / Plant entering open excavation; 4 5 20
HIGH i. All existing utility service drawings reviewed for known service details and position;
ii. NOC and Utility provider and ATC Excavation permits to be completed, unique number added and recorded in log;
iii. Work Area, including access route for plant, to be CAT scanned to locate exact position of service by competent persons;
iv. Service clearly marked on ground, using posts, tags etc.;
v. Pla
31 NDRC operations within Excavations (Temporary Works) Risk Assessment Templ...
31 NDRC operations within Excavations (Temporary Works) Risk Assessment Templ...Dwarika Bhushan Sharma
RISK SCORE CALCULATOR
Use the Risk Score Calculator to Determine the Level of Risk of each Hazard
What would be the
CONSEQUENCE
of an occurrence be? What is the LIKELIHOOD of an occurrence? Hierarchy of Controls
Frequent/Almost certain (5)
Continuous or will happen frequently Often (4)
6 to 12 times a year Likely (3)
1 to 5 times a year Possible (2)
Once every 5 years Rarely (1)
Less than once every 5 years Can the hazard be Eliminated or removed from the work place?
Catastrophic (5)
Multiple Fatalities High 25 High 20 High 15 Medium 10 Medium 5 Can the product or process be substituted for a less hazardous alternative?
Serious (4)
Class 1 single fatality High 20 High 16 High 12 Medium 8 Low 4 Can the hazard be engineered away with guards or barriers?
Moderate (3)
Class2 (AWI or LTI) or Class 1 Permanently disabling effects High 15 High 12 Medium 9 Medium 6 Low 3 Can Administration Controls be adopted
I.e. procedures, job rotation etc.
Minor (2)
Medical attention needed, no work restrictions. MTI Medium10 Medium 8 Medium 6 Low 4 Low 2 Can Personal Protective Equipment & Clothing be worn to safe guard against hazards?
Insignificant (1)
FAI Medium10 Medium 4 Low 3 Low 2 Low 1
Project Name: xxx
RA Ref No.: xxx
RA compilation Date: Review date:
Date:
Compiled by:
Reviewed by:
Approved by:
Overall Task Details
Excavation on site greater than 1.2 depth for Non Disruptive Road Crossing (NDRC). Use of excavator and pipe thrust boring equipment
Classed as Temporary Works Relevant Applicable MAS:
• 00246 – Excavations;
• 01413 – Underground services;
• 00940 – Plant Operators. Additional Training required:
Temporary Works Coordinator to be designated NOC’s Required for task:
Municipality
No Specific Task Step
(In sequence of works) Hazard Details Consequence/Risk Initial Risk Rating Control Measures Residual Risks Additional Control Measures RR
L C RR
1 Planned excavation for NDRC pit in areas where live services may be present including:
• Electrical;
• Water;
• Sewerage;
• Gas;
• Telecoms;
PRIOR TO WORKS • Presence of live underground services;
• Services not in area specified on drawings;
• Heavy plant or vehicles accessing work area;
• Presence of unmarked services;
• Risk of explosion due to gas line rupture;
• Risk of flooding of excavation and adjacent areas due to water main damage;
• Risk of electrocution or fire due to cable strike;
• Risk of hazardous waste entering excavation or water systems due to live sewerage damage;
• Risk of damage to low depth underground services from heavy vehicles;
• Risk of vehicles / Plant entering open excavation; 4 5 20
HIGH i. All existing utility service drawings reviewed for known service details and position;
ii. NOC and Utility provider and ATC Excavation permits to be completed, unique number added and recorded in log;
iii. Work Area, including access route for plant, to be CAT scanned to locate exact position of service by competent persons;
iv. Service clearly marked 25 demolition of existing concrete structures risk assessment templates
Plant checks on arrival to site
PRIOR TO SITE ACCESS • Use of heavy plant for demolition;
Demolition of concrete structure • Excavator breaker operation
• (Operator)Plant / pedestrian interaction;
• Operator visibility;
Demolition (supervision) • Plant operations around workers;
• Workers in plant operating radius;
Undertaking breaking Works – Manual operation using compressed air jack hammers; • Use of hand held breakers;
Removal of waste concrete and rebar • Truck operations around workers;
10 use of mobile concrete pump risk assessment templates
10 Use of Mobile Concrete Pump Risk Assessment Templates
Concrete Pump checks on arrival to site
PRIOR TO SITE ACCESS
Access of mobile pump and delivery trucks to work areas
Siting and setting up of concrete pump
Pumping concrete
(Pump Operator)
Pumping operation supervision
Similar to 11 Piling Operations with Rebar Cage installation Risk Assessment Templates.docx (20)
16 scaffolding (temporary works) risk assessment templates
16 scaffolding (temporary works) risk assessment templates
16 Scaffolding (Temporary Works) Risk Assessment Templates.docx
16 Scaffolding (Temporary Works) Risk Assessment Templates.docx
23 Casting of concrete slabs Risk Assessment Templates.docx
23 Casting of concrete slabs Risk Assessment Templates.docx
9 Lifting Operations with Tower crane Risk Assessment Templates.docx
9 Lifting Operations with Tower crane Risk Assessment Templates.docx
8 Lifting Operations with mobile crane Risk Assessment Templates.docx
8 Lifting Operations with mobile crane Risk Assessment Templates.docx
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15 Formwork (Temporary Works) Risk Assessment Templates.docx
18 Laying blockwork with access scaffolding Risk Assessment Templates.docx
18 Laying blockwork with access scaffolding Risk Assessment Templates.docx
7 falsework (temporary works) risk assessment templates
7 falsework (temporary works) risk assessment templates
25 Demolition of existing concrete structures Risk Assessment Templates.docx
25 Demolition of existing concrete structures Risk Assessment Templates.docx
23 casting of concrete slabs risk assessment templates
23 casting of concrete slabs risk assessment templates
7 Falsework (Temporary Works) Risk Assessment Templates.docx
7 Falsework (Temporary Works) Risk Assessment Templates.docx
24 casting of bridge decks risk assessment templates
24 casting of bridge decks risk assessment templates
18 laying blockwork with access scaffolding risk assessment templates
18 laying blockwork with access scaffolding risk assessment templates
15 formwork (temporary works) risk assessment templates
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1-HAZARDOUS CHEMICALS.pdf
This document provides the name of a company but no other details. It contains only the words "Company Name" with no other context or information provided. In just two words, the document states the name of a company without any other descriptive text.
PRE-START BRIEFING Form # HSEQ - PSB Rev 2 -.docx
Project Information:
Project Name:
Location: Supervisor :
Company name : Date:
Task Description:
Before work starts, the following must be in place
Induction Supervision Test Certificates Communication in same language Method Statement Risk Assessment Permit To Work Area Lighting
SELECT HAZARDS SELECT CONTROLS
( Tick to identify the controls in place)
Fall from height Training Access Ladder Access Handrail Edge Protection Secure Ladder Adequate Work Platform Guards for Openings Safety Harness Life Lines
Others( Specify)
Manual Handling Training Check Weight Mechanical Aids Access Route Team Lifting Wrong method Right Method
Power tools Training Color code inspection tag Check Cable Wheel guards Safe plug & sockets Cable Protection Proper Scaffold Cable Overhead Rotatory part guards
Scaffold Scaffold Tag Edge Protection Check Overhead works Access Ladder Adequate Work Platform Weather condition Out riggers Ladder 3 feet above platform Safety Harness
SELECT HAZARDS SELECT CONTROLS
( Tick to identify the controls in place)
Risk Assessment
Lifting Plan Tag Lines Lifting points / hooks Banks man Load stability Check Lifting gear Examination /Inspection Sharp edges protected
Lifting operations Weather/ Wind Speed Ground conditions Exclusion zone Communication Loading/ unloading vehicles Spreader Beams Check Ground conditions Check outriggers Others
Fire Fire Extinguisher Fire Hose Fire Exit Assembly point others
Slip/Trip Clean before you go Barricade the waste Waste Management Clean Access Housekeeping Clean liquid spillage Access signs Maintain access/ Egress
PPE
Safety Harness
Safety Helmet Coveralls Hi vis Jacket Safety Shoe Face Shield Ear Protection
Dust mask Respiratory Equipment Life line/ harness anchorage Hand Gloves Goggles/ Glass
Pre start Briefing done by: Signature:
Reviewed By HSE Manager/ In charge: Signature:
FIRE PREVENTION REQUIREMENTS Form # HSEQ - Rev 2.docx
Code of Practice
C.O.P # 01
Fire Prevention Requirements
(Management of Combustible Materials & Electrical Inspections)
Rev. 01, Mar 23
SUB CONTRACTORS HSE CHECKLIST Form # HSEQ - SPSC Rev 2 -.docx
This document is a sub-contractor pre-start HSE checklist that must be filled out daily before starting any activity. It collects project information, task details including description, location, workers and duration. It also checks that various HSE prerequisites are in place such as safety inductions, risk assessments, PPE availability, inspection of tools and equipment, and that unsafe conditions have been rectified. The sub-contractor must acknowledge that all precautions and control measures have been taken and the workers have been deemed competent to perform the task safely.
STORE INSPECTION Form # HSEQ - Form 2 Rev 2.docx
Project Information
Project Name: Store No.
Location: Contact Person:
Company Name: Arabtec Construction LLC. Date:
Sr. Description Yes No N/A Comments
1. Is access to stores are restricted to authorized personnel only?
2. Are there clear spaces around racks and stacks of stored materials and are adequate gangways provided between them?
3. Are stacks and storage kept clear of light fittings and hot surfaces?
4. Are all stocks of flammable liquids kept in purpose-built flammable storage liquid stores?
5. Are storage areas generally cleaned and tidy?
6. Are flammable liquids kept away from all possible sources of ignition?
7. Emergency exit signs are available in right locations
8. Smoke detectors/fire alarm are visible and accessible.
9. Fire extinguishers are available are serviced regularly
10. Are free standing shelves and cupboards secured for stability?
11. Are heavy items stored at a suitable height?
12. Are chemical containers used for storage suitable and clearly labelled?
13. Is there adequate light in the storage area?
14. Are all small loose items secured in appropriate storage?
15. Are warning notices, prohibiting smoking and naked lights prominently displayed?
16. Others if any:
Remarks:
Inspected by: Signature:
Reviewed by Project Manager/HSE Manager Signature:
WITNESS STATEMENT FORM.docx
This document records a statement for a project located at an unspecified location. The statement is provided and written by an individual who acknowledges that the information is true to the best of their recollection. The individual provides their name, signature, position and date at the end of the statement.
PROJECT LEADER INCIDENT BRIEFING Form # HSEQ - PLIB Rev 2 -.docx
1. Project Information:
Project Name: Click here to enter text.
Report No.: Click here to enter text.
Project Location: Click here to enter text.
Property No.: Click here to enter text.
☐ Fatality ☐ Major Injury ☐ Minor Injury ☐ Property Damage ☐ Environmental ☐ Other
2. Describe the Incident in detail:
Answer who, what, why, where, when & how in this section: (Attach additional pages if required)
3. Incident Root Causes:
Describe direct, indirect & root cause: (Attach additional pages if required)
4. Key Corrections Taken Immediately after the Incident:
Attach additional pages if more space is required:
5. Key Corrective Actions to Prevent Recurrence:
Describe the corrective actions with timeframe: (Attach additional pages if required)
Corporate Office Remarks:
HSE FORMS (COVER PAGE)2 Form # HSEQ - Rev 2.docx
This document pertains to health, safety, environment, and quality forms from an HSEQ department. The HSEQ department handles forms related to health, safety, environment, and quality assurance. No other details are provided about the specific forms or purpose of the HSEQ department.
LIFT SHAFT ENTRY PERMIT Form # HSEQ - LSEP Rev 2 -.docx
1. Project Information: (To be filled by initiator/originator)
Project Name: Permit No.:
Project Location:
Requesting Contractor/Company
2. Permit Issuance Details: (To be filled by initiator/originator)
THIS PERMIT IS ONLY FOR ONE SHIFT AND NOT EXTENDABLE
Description of Task:
Detail of Surroundings:
Permit Validity:
Time (from): __________Hrs.
Time (To): __________Hrs.
Date:
3. Control Measures: (To be filled by initiator/originator and verified by Evaluator)
Checks Yes-No-NA Checks Yes-No-NA
Method statement & Risk assessment developed, approved & communicated? ☐ ☐ ☐
Availability of rescue procedure and equipment? ☐ ☐ ☐
Operatives are trained and competent? ☐ ☐ ☐
Workplace appropriately illuminated ☐ ☐ ☐
Any high risk activity associated that requires PTW (i.e. hot work, CSE)? ☐ ☐ ☐
Forced ventilation provided? ☐ ☐ ☐
Are all necessary Permit approved and displayed at work location? ☐ ☐ ☐
Means of communication available? (Mobile, radio etc.) ☐ ☐ ☐
Safe access / Working Platform provided? ☐ ☐ ☐
Mandatory/specific good condition PPEs are available ☐ ☐ ☐
Availability of barricades/protection to prevent unauthorized or accidental entry? ☐ ☐ ☐
Life Line provided? ☐ ☐ ☐
Warning signs posted? ☐ ☐ ☐
Fall Protection equipment (e.g. full body harness) available? ☐ ☐ ☐
Availability of Fall protection arrangement? ☐ ☐ ☐
Other(s): ☐ ☐ ☐
Adequate Lighting provided? ☐ ☐ ☐
☐ ☐ ☐
4. Acknowledgement by Initiator and Evaluator:
☐ Acknowledge that all above precautions have been taken. These have also been fully explained to the operatives, and I consider them competent to do it safely.
Initiator/Originator Name: Designation:
Signature: Time:
☐ Acknowledge that I have checked above control measures and consider the work area safe to carry out the activity
Evaluator (HSE Team): Designation:
Signature: Time
Comments (if any):
5. Authorization (PM/CM):
Name: Designation:
Signature: Time:
6. Completion/Cancelation of Permit:
☐ Acknowledge that the area have been restored to a safe and orderly condition.
Initiator Signature: Time:
☐ Acknowledge that I have checked the area and been restored to a safe and orderly condition.
Evaluator Signature: Time:
LIVE ELECTRICAL WORK PERMIT Form # HSEQ - LEP Rev 2.docx
1. Project Information: (To be filled by initiator/originator)
Project Name: Permit No.:
Project Location:
Requesting Contractor/Company
2. Permit Issuance Details: (To be filled by initiator/originator)
THIS PERMIT IS ONLY FOR ONE SHIFT AND NOT EXTENDABLE
Description of Task:
Location / Area :
Panel No : Voltage:
Permit Validity:
Time (from): _______Hrs.
Time (To): __________Hrs.
Date:
3. Prerequisites: (To be filled by initiator/originator and verified by Evaluator)
No: Checks Yes-No-NA Checks Yes-No-NA
ENERGIZATION (“Power On”) ISOLATION (“Power Off”)
1. Safety tool box briefing done. ☐ ☐ ☐
Method statement/Risk assessment in place. ☐ ☐ ☐
2. Authorized personnel / operators available. ☐ ☐ ☐
Authorized personnel / operators available. ☐ ☐ ☐
3. Method statement/Risk assessment in place. ☐ ☐ ☐
Adjacent live areas protected. ☐ ☐ ☐
4. Safety Barriers in place and safety signage Displayed. ☐ ☐ ☐
PPE available, high voltage rubber gloves, Safety goggles and floor mat. ☐ ☐ ☐
5. Working area is well lighted. ☐ ☐ ☐
Isolation/Lock-out in place. ☐ ☐ ☐
6. Electrical instruments are available for any Purpose. ☐ ☐ ☐
Electrical circuits “proved” by calibrated Instrument and found out to be no power. ☐ ☐ ☐
7. Correct PPE available, high voltage rubber Gloves, safety goggles and floor mat. ☐ ☐ ☐
Unauthorized workers are cleared from the Area. ☐ ☐ ☐
8. Approved WIR for installation, testing and Termination are attached to the permit. ☐ ☐ ☐
Standby operatives in the event of contact With live circuits. ☐ ☐ ☐
9. Emergency light (Flashlight) available. ☐ ☐ ☐
Emergency light (Flashlight) available. ☐ ☐ ☐
10. Is live work absolutely necessary? ☐ ☐ ☐
Emergency response plan available ☐ ☐ ☐
11. Unauthorized workers are cleared from the area.
☐ ☐ ☐
Other ( Specify): ☒ ☐ ☐
12. Power cable route from panel board to plant & equipment has been checked ☐ ☐ ☐
13 Emergency response plan available ☐ ☐ ☐
14 Other ( Specify): ☐ ☐ ☐
4. Acknowledgement by Initiator and Evaluator:
☐ Acknowledge that all above precautions have been taken. These have also been fully explained to the operatives, and I consider them competent to do it safely.
Initiator/Originator Name: Designation:
Signature: Date /Time:
☐ Acknowledge that I have checked above control measures and consider the work area safe to carry out the activity
Evaluator (HSE Team): Designation:
Signature: Date /Time
Comments (if any):
5. Authorization (PM/CM):
Name: Designation:
Signature: Date /Time:
6. Completion/Cancelation of Permit:
☐ Acknowledge that the area have been restored to a safe and orderly condition.
Initiator Signature: Time:
☐ Acknowledge that I have checked the area and been restored to a safe and orderly condition.
Evaluator Signature: Time:
MOBILE PLANT REGISTER Form # HSEQ - MPR Rev 3.docx
Project Information
Project Name:
Date: Location:
Sr. Equipment type / Name Registration No & Exp Date Company Name
Operator Name / Mb. No Operator Third party competency certificate expiry date Operator License expiry date Equipment & Plant 3rd Party Inspection Certificate expiry date SWL / Capacity Signalman /Rigger name & TPC Exp Comment
1
2
3
4
5
6
7
8
9
10.
Remarks:
Inspected By: Signature:
Reviewed By HSE Manager / In charge: Signature:
LABOR ACCOMMODATION CHECKLIST Form # HSEQ - LAC Rev 2.docx
This 5-page document is a checklist for inspecting labour accommodation on a weekly basis. It contains over 100 questions across various categories including access/egress, housekeeping, septic tanks, food preparation, living quarters, firefighting, emergency procedures, first aid, record keeping, environment, and civil defence requirements. Inspectors are to verify that accommodation meets standards for safety, sanitation, emergency preparedness and regulatory compliance by completing the checklist and noting any needed corrective actions or due dates.
INCIDENT INVESTIGATION REPORT Form # HSEQ - IIR Rev 9 -.docx
INCIDENT INVESTIGATION REPORT
(To be submitted to the HSEQ Corporate Office within 7 days of incident.)
1. Project Information:
Project Name: Click here to enter text.
Report No.: Click here to enter text.
Project Location: Click here to enter text.
Property No.: Click here to enter text.
☐ Fatality ☐ Major Incident ☐ Minor Incident
2. Describe the Incident in detail:
Answer who, what, why, where, when & how in this section: (Attach additional pages if required)
Click here to enter text.
☐ Photos Attached
3. Incident Root Causes:
Describe direct, indirect & root cause: (Attach additional pages if required)
Click here to enter text.
4. Key Corrective Actions to Prevent Recurrence:
Describe the corrective actions with timeframe: (Attach additional pages if required)
Click here to enter text.
5. Key Corrections Taken Immediately after the Incident:
Attach additional pages if more space is required:
Click here to enter text.
6. Witnesses:
I declare that I witnessed the incident and the information provided above is true, correct and complete.
No. Name Designation Signature Date
1. Click here to enter text.
Click here to enter text.
Click here to enter text.
2. Click here to enter text.
Click here to enter text.
Click here to enter text.
7. Incident Information:
Initial Incident Report No.: Click here to enter text.
Date Reported: Click here to enter text.
Date of Incident: Click here to enter text.
Time of Incident: Click here to enter text.
Type of Incident: ☐ Near Miss
☐ Major Environmental Incident
☐ Serious Dangerous Occurrence
☐ Equipment / Property Damage
☐ Medical Treatment Case (MTC)
☐ Restricted Work Case (RWC)
☐ Lost Workday Case (LWC)
☐ Serious Occupational Illness/Disease
☐ Class 1 Injuries
☐ Permanent Partial Disability (PPD)
☐ Permanent Total Disability (PTD)
☐ Fatality (F)
Recordkeeping: ☐ Reportable ☐ Recordable
Incident Location on Site: Click here to enter text.
Applicable Reports: ☐ Police
☐ Medical
☐ Other (Specify)
Click here to enter text.
Attached: ☐ Yes ☐ No
☐ Yes ☐ No
☐ Yes ☐ No
8. Injured Person’s Personal Details:
In case of an incident with more than one injured person, complete the information for each person using separate forms.
Name: Click here to enter text.
Occupation: Click here to enter text.
Company: Click here to enter text.
MB / Oracle No.: Click here to enter text.
Nationality: Click here to enter text.
Date of Birth: Click here to enter text.
Passport Number: Click here to enter text.
Length of Service: Click here to enter text.
Gender: ☐ Male ☐ Female
Labour Card No.: Click here to enter text.
9. Incident Causes Details: To be supported with factual evidence
Immediate Cause
(Unsafe Acts) ☐ Failure to secure
☐ Failure to warn
☐ Removing / Defeating Safety Devices
☐
HSE INDUCTION Form # HSEQ - HSEI Rev 2 -.doc
HSE INDUCTION
(Workers)
Name: _________________________________ Trade: ____________________________
M.B. No./Company Name : ________________
Date of Joining: __________________________
SL. N SUBJECT ON INDUCTION PREVIOUS SAFETY EXPOSURE FURTHER SAFETY TRAINING NEED ANALYSIS
1. Introduction Safety Requirements
2. Working Safety is of Primary Importance
3. General Safety Rules
4. Basic Safety Requirements
5. House Keeping
6. Health, Hygiene & Welfare Facilities
7. Fire Extinguisher / Fire Fighting
8. Emergency Procedure
9. Safety Violations & Penalty
10. Safety Award
11. Manual Handling
Induction Given By: Name: ___________________________
Designation: ___________________________
HSE WARNING LETTER-DISCIPLINARY NOTICE Form # HSEQ - HSEWL Rev 6.doc
1st Warning 0 Ref. No. ______________
2nd Warning 0
3rd Warning 0
4th Warning 0 Date: ________________
Employee’s Name : ______________________________________ M.B No. : __________
Occupation : _____________________________________________________________________
Location / Project Site: _____________________________________________________________________
You have committed the following HSE violation/s:
………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….….
The employee is hereby warned that if the violation is repeated further disciplinary action can be
taken as per the company Code of Conduct.
ORIGINATOR APPROVED BY (MANAGER IN CHARGE / ARABTEC HSEQ & ORG. RISK Manager)
Name: _______________________________ Name: _____________________________
Designation: _______________________________ Designation: _____________________________
Signature:
_______________________________ Signature:
_____________________________
Employee Acknowledgement:
I the undersigned have received this Safety warning letter / disciplinary notice and I admit that I have understood the contents.
0 Received on: ………………………….. (Date) Signature: ………………………………..…..
OFFICE PORTA CABIN INSPECTION Form # HSEQ - OPC Rev 2.docx
Project Information
Project Name: Porta Cabin No:
Location: Contact Person:
Company Name: Date :
Sr. Description Yes No N/A Comments
1. Emergency exit signs are available in right locations
2. Fire alarms and fire extinguishers are visible and accessible.
3. Fire doors (e.g. in stairways) are kept closed unless equipped with automatic closing device
4. Fire extinguishers are serviced regularly
5. Corridors and stairways are kept free of obstruction
6. Fire escape/ evacuation plan available and posted
7. First aid box available
8. Floor surfaces are kept dry and free of slip hazards
9. Electrical cords and plugs are in good condition with proper Grounding
10. Kitchen equipment checked
11. Fire blanket available in the pantry
12. Heat detector available in the pantry
13. Toilets floor clean and dry
14. Are staff trained to use Fire Extinguishers
15. Hand wash/ soap solution available in the toilet
16. Civil Defense or Authority approval
17. Others if any:
Remarks:
Inspected By: Signature:
Reviewed By HSE Manager / In charge : Signature:
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- 1. HEALTH SAFETY AND ENVIRONMENT Author: Approved: RISK ASSESSMENT: ACT/HSE/RA 001 Piling Operations with Rebar Cage installation Issued: Rev. Date: Revision: 0 Page 1 of 2 HSEQ -Rev-01(JAN-2023) No Specific Task Step (In sequence of works) Hazard Details Consequence/Risk Initial Risk Rating Control Measures Residual Risks Additional Control Measures RR L C RR 1 Piling Rig checks on arrival to site PRIOR TO USE Use of Piling Rig Unauthorized operation of the mobile rig resulting in incident; Failure due to use of un-certificated rig; 3 4 12 HIGH i. All Piling rigs to be Third Party Certificated by a DM approved inspector, documentation available on arrival to site; ii. Operators to have in-date Third Party certificate by approved body, available for review on arrival to site; iii. Rig load indicator to be installed and functioning correctly; iv. Visual inspection of rig undertaken by competent person; Documentation unavailable for review Rig quarantined until evidence provided Low 2 Access of rig and delivery vehicles to work areas Plant and workers in same working area; Collision with plant or vehicles and live traffic; Workers struck by plant, very high risk of fatality; Uncontrolled rig movements; i. Worker pedestrian routes to be designed and implemented with clear signage to provide segregation; ii. Instruction to workers at induction on use of access routes around the project; iii. Flagmen to be used to control rig movements; iv. The Logistics plan shall clearly illustrate rig access and egress points; Workers not complying with flagmen Regular topic in TBT’s Low 3 Siting and setting up of piling rig Working in proximity to existing structures and services; Underground services; Collision with overhead services; Damaging underground services with weight of rig; Blocking access routes; Rig striking moving and/or stationary structures; 3 4 12 High i. Ensure rig is set up correctly, is on firm level ground as per rig plan; ii. Underground services such as cable trays determined and clearly communicated; iii. Solid barriers should be situated, where practicable, to protect rig from traffic routes around working radius of cab; iv. Consideration to overhead services/ existing structures when siting rig; Low 4 Piling operation (Mobile rig Operator) Operator competency; Lift planning; Underground services; Incident due to use of defective piling gear / lifting equipment; Rig collapse due to lifting loads beyond SWL; No rig documentation in place; Rig workers struck by equipment; 4 5 20 HIGH i. Piling permit to be completed prior to any works taking place by piling supervisor and engineer; ii. Any underground services to be directly communicated to rig operator; iii. Daily checks by rig operator; iv. Ensure all piling tackle and equipment have valid test certificate before use (6 monthly 3rd party inspections); v. Method statements and risk assessments to be submitted and adhered to; vi. Rig load indicator to be functioning correctly, and not to be overridden under any circumstances; vii. Operator to adhere to rig safe working load limits; viii. Operator to ensure workers are clear from rotating parts; Machine breakdown Hydraulic fluid spill Machine isolated and quarantined until repaired. Spoil removed and treated as hazardous waste Low Project Name: xxx RA Ref No.: xxx RA compilation Date: Review date: Date: Compiled by: Reviewed by: Approved by: Overall Task Details Piling operations using mobile rig and rebar installation within site boundary. Use in conjunction with RA012 - Use of Mobile Crane and RA014 – Use of Concrete Pump. Relevant Applicable MAS: 01412 – Lifting Operations; 00941 – Lifting equipment Additional Training required: Noise monitoring NOC’s Required for task: Underground utility provider RISK SCORE CALCULATOR Use the Risk Score Calculator to Determine the Level of Risk of each Hazard What would be the CONSEQUENCE of an occurrence be? What is the LIKELIHOOD of an occurrence? Hierarchy of Controls Frequent/Almost certain (5) Continuous or will happen frequently Often (4) 6 to 12 times a year Likely (3) 1 to 5 times a year Possible (2) Once every 5 years Rarely (1) Less than once every 5 years Can the hazard be Eliminated or removed from the work place? Catastrophic (5) Multiple Fatalities High 25 High 20 High 15 Medium 10 Medium 5 Can the product or process be substituted for a less hazardous alternative? Serious (4) Class 1 single fatality High 20 High 16 High 12 Medium 8 Low 4 Can the hazard be engineered away with guards or barriers? Moderate (3) Class2 (AWI or LTI) or Class 1 Permanently disabling effects High 15 High 12 Medium 9 Medium 6 Low 3 Can Administration Controls be adopted I.e. procedures, job rotation etc. Minor (2) Medical attention needed, no work restrictions. MTI Medium10 Medium 8 Medium 6 Low 4 Low 2 Can Personal Protective Equipment & Clothing be worn to safe guard against hazards? Insignificant (1) FAI Medium10 Medium 4 Low 3 Low 2 Low 1
- 2. HEALTH SAFETY AND ENVIRONMENT Author: Approved: RISK ASSESSMENT: ACT/HSE/RA 001 Piling Operations with Rebar Cage installation Issued: Rev. Date: Revision: 0 Page 2 of 2 HSEQ -Rev-01(JAN-2023) No Specific Task Step (In sequence of works) Hazard Details Consequence/Risk Initial Risk Rating Control Measures Residual Risks Additional Control Measures RR L C RR 5 Rebar cage fabrication Lifting operations; Manual handling; Cutting operations; Persons underneath load struck by materials; rebar bundles swinging / spinning uncontrolled; Falling materials; Damage to slings from sharp edges; Over-sailing of material over workers; Burns/cuts from grinding equipment; 4 4 16 High i. Risk Assessment 12 – mobile Crane to be adhered to regarding lifting of rebar bundles; ii. Workers to wear gloves when tying rebar cages; iii. Rebar cages to be fabricated on suitable supports, not scaffolding; iv. All electrical cutting equipment to be tested and safe to use. Operators shall wear safety glasses. Hot work permit required; Manual Handling regular topic in TBT’s Low 5 Pile case and rebar cage lifting operations Use of Piling Rigs; Use of mobile crane for rebar cages; Persons underneath load struck by materials; Persons falling into open bore holes; Pile cases and rebar cages swinging / spinning uncontrolled; Falling materials; Damage to slings from sharp edges; Over-sailing of piling material over live traffic routes; Hearing damage; Noise pollution to local residents; Proximity of live traffic routes; Damage to structure due to vibration from operation; Striking underground services causing injury/damage/isolation; Injury to personnel from rotating parts; Noise in urban areas; Environmental issues; Refilling of equipment; Storage of flammable substances; Use of generators; 4 5 20 High v. All piling operations shall be planned with rig and crane positioning schemes and method statements submitted and reviewed at least 5 days prior to work commencing; vi. Risk Assessment 12 – mobile Crane to be adhered to regarding lifting of rebar cages; vii. Municipality working restrictions, specific requirements and NOC’s to be adhered to; viii. All piling operations to have suitable barriers, fencing, hoarding and signage implemented to protect workers and the general public; ix. All known utilities drawings and plans regarding underground services to be investigated and marked prior to works commencing; x. Equipment to not have any guards removed during works, safe working distances to be maintained by workers; xi. All piling operations to comply with any Municipality imposed working restriction hours and noise levels; xii. All piling spoil to be removed from site following Municipality requirements, exit roads shall be maintained free of spoil; xiii. All open bore holes to be covered immediately with mesh guards and marked do not remove; xiv. In the event of maintenance - ground shall be suitably protected from oil/grease/chemical spillage and protection removed as hazardous waste; xv. Refuelling of equipment to be in designated areas, using correct filling trucks/bowsers. xvi. All fuel/combustive materials/chemicals shall be stored in approved storage areas; xvii. If single skin tanks are used then a sealed bund 110% capacity of the tank shall be installed; xviii. All piling staff shall wear hearing protection; Incident – falling materials Work in high winds; Striking unidentified underground services; Work stopped, area cleared and full investigation undertaken Cancel work operations in winds exceeded 40km/h; In the event of striking unidentified services all work to cease and emergency services contacted as required; Low