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