Environment, Health & Safety Risk Assessment

Project/Contract Process Name Date Assessment By: Name Date Reviewed By :

Doc. AKI-EHS-P01-F01 Rev. 0 Date: 15.12.2013 Assessment No

Potential Hazards / Conditions to be Considered

Emissions to air Demolition Plant / Machinery Lifting Operations Buried / Overhead Services Activity Falling Objects Confined Spaces Working Platforms/Ladders Manual Handling Hazardous Material Hazard R NR People at Risk Fall from Height Falls on Level Ground Slips / Tripping Fuel Storage Storage / Lay Down Area Legal Req. Hot works Noise / Dust / Vibration Hazardous Energy Traffic Ground Conditions Adverse Effect L1 S1 RFN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 High Winds Adverse Weather Environmental Risk Training Required Health Surveillance Hierarchy of Control
Elimination, Substitution, Isolation, Engineering, Administration, Personal Protection

Young Persons Expectant Mothers conflicting activities General Public Hit by vechicle L2 S2 RRN 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Additional Control

APPROVAL REQUIRED TO PROCEED AS PER THE FOLLOWING RISK CATEGORIZATIO

Extreme (E) High (H)
Operational Control Procedure/ Permit to Work is required Permit to Work Required

Le
L1 Likelihood as is

Moderate Work can commence when, Line Manager has approved this risk assessment. (M) Low (L)
Frequency 1. Rare 2.Possible 3.Likely 4. Often 5. Frequent Work can commence when Line Manager has approved this risk assessment. Severity Risk Factor Number (RFN) Residual Risk Number (RRN) 1-2 Trivial/Acceptance 3-5 Tolerable

L2 Likelihood with mitigating controls in place

1. Insignificant 1-2 Trivial/Acceptance 2. Minor 3. Moderate 4. Major 3-5 Tolerable

6-9 Moderate /Acceptable with Review 6-9 Moderate/Acceptable with Review 10-15 Substantial 10-15 Substantial

If the Process/Task does not in sheets, or participants are not must sign on before they are pe Process/Task. By signing below that they have read and unders agree to comply with all steps

5. Catastrophic 16-25 Intolerable/Unacceptable 16-25 Intolerable/Unacceptable

Employee Sign offs NAME Roles SIGN ON DATE

LOWING RISK CATEGORIZATION Legend

L1 Likelihood as is S1 Severity as is

L2 Likelihood with mitigating controls in S2 Severity with mitigating controls in place place

If the Process/Task does not involve any permits and sign-off sheets, or participants are not trained , then all participants must sign on before they are permitted to be involved in the Process/Task. By signing below, participants acknowledge that they have read and understand the risk assessment and agree to comply with all steps and control measures
Risk Owners Approval
Line Manager

Supervisor/ Foreman

Contractors

Consultant

Others

Date Approved

Next Review Date