Risk Assessment Number Date Assessment Name Designation Signature & Date

Prepared By: Construction

Manager

Activity Duct installation (Split duct, Duct Reviewed by: HSE Manager

Extension)
Reason for assessment Risk Mitigation and Monitoring Approved by: PD

PERSON AT RISK

Own Employees Sub-contractors Other Workers Visitors Public

Young Persons Pregnant Women Lone Workers Disabled Other
Your estimate of the total number of people affected .

HAZARDS

Falls from Height Falling Objects Lifting Operation Dust Demolition

Mobile Plant Mobile Vehicles Excavations Confined Space Buried Services
Overhead Service Manual Handling Vibration Noise Fire or Explosion
Fumes or Gas Near or In Water Collapse Adverse Weather Chemical
Health Physical (details)

Other Hazard (details) ..

* See the Risk Assessment Matrix Chart - L- Likelihood, S- Severity, R- Risk Rating
ACTIVITY HAZARD RISK Initial Risk Existing Controls ADDITIONAL Residual Action

Rating* CONTROL MEASURES Risk By

Rating*

L S (R) L S (R)

Improper Access & Sliding of soil, slips, 3 5 11 Proper access and work zone 1 3 3
Proper access should
Improper work zone falling of materials. should be excavated.
be provided.
area
 ACTIVITY HAZARD RISK Initial Risk Existing Controls ADDITIONAL Residual Action

Rating* CONTROL MEASURES Risk By

Rating*

L S (R) L S (R)

Dust lungs damage 4 1 4 Proper Buffering zone, work Proper ppe should 1 2 2
zone mentioning. be worn at the site.

Exit and Entry point for Area should be kept

trenches mentioned neat & tidy.

properly, Service Ladder Extra sign board

Site
should provide should provided in
Engineer/
1) Working in excavation For emergency evocation. the critical areas

Proper Buffering Foreman

and trenches
zone, work zone

mentioning.

Water should

sprinkle to reduce

the dust.
ACTIVITY HAZARD RISK Initial Risk Existing Controls ADDITIONAL Residual Action

Rating* CONTROL MEASURES Risk By

Rating*

L S (R) L S (R)

Nearby Existing Falling, electrical shock 4 4 16 Trench walls should be Watcher should be 2 3 3

service protected with timber provide when

due to existing services
support where ever needed.
existing cables are
PPE will be provided (i.e.
exposed.
Safety Shoes, Coverall,

Safety Helmet, Reflective

Luminous Jacket, Full Body

Harness, and respiratory

High Temperature
4 4 16 1 2 3
mask, etc.)
Heat Stress
Respiratory mask should
Additional workman
provide.
break should
Nearby services like

manhole, ducts should be provided during high

support properly temperature time

Existing electrical cables

should be protected

carefully, No Cables can be

exposed directly.
 ACTIVITY HAZARD RISK Initial Risk Existing Controls ADDITIONAL Residual Action

Rating* CONTROL MEASURES Risk By

Rating*

L S (R) L S (R)

Unloading and Handling Fall in trench, Pipes fall All the equipments and 1 4 4
During lifting
uPVC pipes over the workman may 3 4 14 accessories will have valid
operation; a
cause injury 3rd party certificates.
minimum distance of
Certified Riggers and Banks
6 meter from tip of
Men will control the Signal
the boom to the Site
to the operator. Engineer/Forem
overhead electrical an/Safety
officer/
Proper access and entry cable to be observed Rigger
2) Laying & Extension of points should be provide to and followed.
ducts shift the pipes in to the
Installing uPVC pipes Injuries from handling 3 3 14 1 4 4
trenches
Method statement
full lengths of pipes.
Hand gloves should be should explain

Injuries from hacksaw providing along with PPE. before starting the

work
used to cut the pipes Task briefing should be done

before commencing the

work

Trained and skilled person

 ACTIVITY HAZARD RISK Initial Risk Existing Controls ADDITIONAL Residual Action

Rating* CONTROL MEASURES Risk By

Rating*

L S (R) L S (R)

should be used to cut the

pipes.

Joining of pipes should be

done as per the

manufacture specification.

Cut piece and debris should

be cleaned thoroughly.

Handling the existing Electrical shock due to the4 5 16 Task briefing before Permit should 1 4 4

live power cables. damage of cables commencing the work taken from concern Foreman/site
3) Laying of Split ducts eng/ Safety
DEWA department. officer
Supervisor should be

present all the time. Warning sign

showing the
Authorised persons only
electrical cable.
handle the live cable

Watcher should

present until
 ACTIVITY HAZARD RISK Initial Risk Existing Controls ADDITIONAL Residual Action

Rating* CONTROL MEASURES Risk By

Rating*

L S (R) L S (R)

covering the

existing services

Site Engineer
Defective Equipments Impact injury due to 3 4 12 and Method statement 1 4 4 / Foreman /
Only competent
Safety officer
collision authorised personnel with should explain

valid licence & permission before starting

4 ) Concrete surrounds Dust Respiratory 4 2 8 to use equipments. concrete work. 1 2 2

problems Water Spray

Task briefing and
Observe speed limits
Vibration Dizziness nausea, 3 3 9 Tool box talks 1 3 3
PPE masks
Headache
 ACTIVITY HAZARD RISK Initial Risk Existing Controls ADDITIONAL Residual Action

Rating* CONTROL MEASURES Risk By

Rating*

L S (R) L S (R)

Improper formwork Shutter bursting or 3 4 12 PPE to be worn e.g. should give to 1 4 4

Gloves. workers.
failing causing Injury
The method of importing
Inspect the shutter
and placing the concrete on
properly before
site should be clearly
allowing loading.
identified.

All shutters are to be Provide proper

access/egress to
supported properly.
the people.

*See the Risk Assessment Matrix Chart - L- Likelihood, S- Severity, R- Risk Rating Continued? YES / NO

Control measures are required to ensure that the residual risk rating is at a minimum level so the activity can commence safely. If the activity still has a high residual
risk rating then it is necessary to find another method of carrying out the task.

Risk Matrix (Severity = Probability X Consequence)

 Severity CONSEQUENCE (Potential severity of consequences of injury or damage)
(1) Insignificant (2) Minor (3) Moderate (4) Major (5) Catastrophic

Minor injuries, which Injuries requiring on-site Serious injuries requiring off- Single fatality. Multiple fatalities.
ELIH (LIK ILIT BAB PRO may require self- treatment by medical site treatment by medical Major damage to Irreparable damage to
administered first aid. practitioner. Personnel practitioner or immediate structures/items of highly valued structures/
Y

Injured personnel can unable to continue to evacuation to hospital. cultural significance, or items/ locations of
continue to perform perform duties. Potential Long-term or Major infringement of cultural significance or
normal duties. Minor repairable damage to permanently disabling cultural values/ sacred sacred value.
OO
(likelihood of failure of control measures) D )

Minor repairable structures/items of cultural effects. locations. Loss of license to operate

damage to significance, or minor Moderate damage to Production loss or delay or ability to produce
commonplace infringements of cultural structures/ items of cultural for over one month. indefinitely.
structures values. significance, or significant Fines, cost to repair, plant Severe financial penalties

Without causing Production loss or delay up infringement of cultural damage) of AED500, 000 - or legal liabilities, cost to
production loss. to one week. values/ sacred locations. AED10M. repair, plant damage) of

Fines, cost to repair, Fines, cost to repair, plant Production loss or delay of 1 greater thanAED10M.
plant damage) of less damage) of AED5, 000 - week - 1month.
than AED5, 000. AED50, 000. Fines, cost to repair, plant
damage) of AED50, 000
AED500, 000.
(1) Rare -
1 2 3 4 5
Never occurred
(2) Possible
2 4 6 8 10
Has occurred
(3) Likely
Occurred more 3 6 9 12 15
than once
(4) Often
Occurs several 4 8 12 16 20
times / year
(5) Frequent
5 12 15 20 25
Occurs frequently

Risk Legend
1-3 Low No action required, unless escalation of risk is possible.
4-6 Moderate Activity or industry can operate subject to management and /or modification
8-12 High Activity or industry should be modified to include remedial planning and action and be subject to detailed EHS assessment.
15-25 Extreme Activity or industry should not proceed in current form.