Risk Assessment/Management Form

Ref:
Section / Dept: civil ,Contractor:

Vehicle
Inspection

Mechanical Failure

Get Injury

Hit to a
person/Equipment/Ve
hicle
2

Loading of
materials

Vehicles to be used for

backfilling(Dumper/TractorTrolley/JCB)to be checked for proper 1 0 1 1
condition of brake atleast once a day
before start of activity

Metallic stopper available with

vehicles to be used to protect
accidental rolling

The vehicle must be in good

condition
Transportation
of material

Hit to a
person/Vehicle

Initial
Risk

1 0 1

2 0 1

Physical barriers like slippers to be

used to prevent vehicles rolling
down a slope
The vehicle should follow the traffic
rule

Ri
sk
rat
in
P E A R
g

No person should stand under the

swing area and on the dallah of the
dumper
Get Injury/Fatality

Rolled down of
vehicle

Current control measure

Get Injury/Fatality License holder operator can operate

the vehicle
No undulation of road
No overtaking at site
All overhead are to be isolated/
removed

1of2

Additional
control
measure

Ri
sk
ra
ti
P E A R
n
g

Residu
al risk

Consequence

Probab
ility

Potential Hazard

Probab
ility

Sl No. Basic Job Steps

Activity: Risk Assessment for Backfilling Location:

Toppled/Tilting of
vehicle
4

Backfilling/
Unloading of
material at site

Collapse of soil/pits

Current control measure

Get Injury/Fatality

Use stopper at the time of unloading 2 0 2 1

Hit to a person and

Structure damage

Additional
control
measure

Ri
sk
ra
ti
P E A R
n
g

No motor boy will stay behind the

vehicle and maintained safe
distance from the vehicle
Guide by a supervisor to avoid such
risk

Levelling by
machine

Initial
Risk

Safe access shall be provided for

unloading the sand/soil

Hit to a person
/vehicle

Ri
sk
rat
in
P E A R
g

Get Injury/Fatality

1 0 1

2 0 0

No person shall work in levelling

area
Checking of live lighting cable
All the work must be done under
strict supervision
Only authorised experience person
shall be deployed in the job with
safety shoe , helmet, jacket, goggles
and rubber hand gloves

Electrical injury

Get Injury/Fatality
Proper earthing to be provided and it
should be checked by authorised
electrician at regular intervals

Operating of
Earth
compactor

Prepared By
Contractor

Dust exposure

Effects on lungs
during long time
exposure

Emission of noise

Hearing loss

Use of good quality nose mask

Use of ear plug

Approved By
Contractor

2of2

0 0

0 0

Reviewed By

Residual
risk

Consequence

Probabil
ity

Potential Hazard

Probabil
ity

Sl No. Basic Job Steps