RISK ASSESSMENT FORM Approved by:

Department: TENON CONSTRUCTION PTE LTD Signature:

Process:
Process/ Activity Location:
FAÇADE WORK
ICA BUILDING
RA Leader: BALIYAN
RA Member 1: ZHAO BIN
Zhao
Original Assessment Date: 01-03-2016 RA Member 2: DAVID SONG Name: ZHAO BIN Reference Number:
Last Review Date: N.A. RA Member 3: NORUL ISLAM Designation: PROJECT MANAGER TENON/RA/01
Next Review Date 12-01-2019 RA Member 4: HE WENTAO Date: 02-03-2017
Hazard Identification Risk Evaluation Risk Control
Ref Work Activity Hazard Possible Injury/ Ill Existing Risk Controls S L RPN Additional Controls S L RPN Implementation Due Date Remarks
health Person

Place ladder on firm and

stable ground

Do not stand on the top of

Working at Work at height Site supervisor
Injury or the ladder
1 height on step Falling 5 2 10 training 5 1 5 /WSHS Immediate Ongoing
death/user Do not use damaged
ladder Fall Prevention Plan NORULISLAM
ladders

Wear non-slip footwear

PTW for work at height

Do not place materials on Site supervisor

Injury or the edges of shelves or /WSHS
Falling object death/Persons racks 5 2 10 Close supervision 5 1 5 NORULISLAM Immediate Ongoing
nearby Do not stack materials too

high

Cover ground opening or Site supervisor

Unprotected Injury or
put up cordon around 5 2 10 Warning signs 5 1 5 /WSHS Immediate Ongoing
ground opening death/user
opening NORULISLAM
Discard broken/defective Site supervisor
Broken/defective Regular inspection
Injury/user ladder and use one that is 4 2 8 4 1 4 /WSHS Immediate Ongoing
ladder of ladders
in good working condition NORULISLAM

(Page 1 of 12)

Likelihood/ Rare Remote Occasional Frequent Almost Certain Risk level

Severity (1) (2) (3) (4) (5)
Catastrophic (5) 5 10 15 20 25 Low Risk
Major (4) 4 8 12 16 20
Moderate (3) 3 6 9 12 15 Medium Risk
Minor (2) 2 4 6 8 10
Negligible (1) 1 2 3 4 5 High Risk
 Hazard Identification Risk Evaluation Risk Control
Ref Work Activity Hazard Possible Injury/ Ill Existing Risk Controls S L RPN Additional Controls S L RPN Implementation Due Remarks
health Person Date

Get a co-worker to hold Site supervisor

Ladder on
Injury or the ladder steady Pre-use inspection /WSHS
slippery/uneven 5 2 10 5 1 5 Immediate Ongoing
death/user Wipe any liquid on the of ladder NORULISLAM
surface
ground/floor

Conduct Toolbox Site supervisor

Hearing
Noise Wear hearing protection 2 2 4 Meeting 2 1 2 /WSHS Immediate Ongoing
discomfort/person
NORULISLAM
Conduct Toolbox Site supervisor
Nasal or eye Wear dust mask and eye
Dust 2 2 4 Meeting 2 1 2 /WSHS Immediate Ongoing
irritation/person protection
NORULISLAM
Ladder rungs or Wipe away mud/grease Site supervisor
Pre-use inspection
shoes that have Injury/user that is on the rungs or 4 2 8 4 1 4 /WSHS Immediate Ongoing
of ladder
mud/grease shoes NORULISLAM
Maintain 3-point contact at Site supervisor
Carrying tools or all times /WSHS
Injury /user or Conduct Toolbox
materials up or 4 2 8 4 1 4 NORULISLAM Immediate Ongoing
persons nearby Meeting
down a ladder Use a tool belt or pull

materials up with a line

Protruding Site supervisor

Conduct Toolbox
objects on the Injury/person Survey work zone 2 2 4 2 1 2 /WSHS Immediate Ongoing
Meeting
ground NORULISLAM
Working at Place ladder on firm and Work at height Site supervisor
Injury or
2 height on Falling stable ground 5 2 10 training 5 1 5 /WSHS Immediate Ongoing
death/user
portable ladder Do not stand on the top of Fall Prevention Plan NORULISLAM

(Page 2 of 12)

Likelihood/ Rare Remote Occasional Frequent Almost Certain Risk level

Severity (1) (2) (3) (4) (5)
Catastrophic (5) 5 10 15 20 25 Low Risk
Major (4) 4 8 12 16 20
Moderate (3) 3 6 9 12 15 Medium Risk
Minor (2) 2 4 6 8 10
Negligible (1) 1 2 3 4 5 High Risk
 Hazard Identification Risk Evaluation Risk Control
Ref Work Activity Hazard Possible Injury/ Ill Existing Risk Controls S L RPN Additional Controls S L RPN Implementation Due Remarks
health Person Date

the ladder

Do not use damaged

ladders

Wear non-slip footwear

Do not over-reach

PTW for work at height

Do not place materials on Site supervisor

the edges of shelves or /WSHS
Injury or death
Falling object racks 5 2 8 Regular inspection 5 1 5 NORULISLAM Immediate Ongoing
Persons nearby
Do not stack materials too

high

Conduct Toolbox Site supervisor

Hearing
Noise Wear hearing protection 2 2 4 Meeting 2 1 2 /WSHS Immediate Ongoing
discomfort/person
NORULISLAM
Conduct Toolbox Site supervisor
Nasal or eye Wear dust mask and eye
Dust 2 2 4 Meeting 2. 1 2 /WSHS Immediate Ongoing
irritation/person protection
NORULISLAM
Cover ground opening or Site supervisor
Unprotected Injury or
put up cordon around 5 2 10 Warning sign 5 1 5 /WSHS Immediate Ongoing
ground opening death/user
opening NORULISLAM
Discard broken/defective Site supervisor
Broken/defective Injury or Regular inspection
ladder and use one that is 5 2 10 5 1 5 /WSHS Immediate Ongoing
ladder death/user of ladders
in good working condition NORULISLAM

(Page 3 of 12)

Likelihood/ Rare Remote Occasional Frequent Almost Certain Risk level

Severity (1) (2) (3) (4) (5)
Catastrophic (5) 5 10 15 20 25 Low Risk
Major (4) 4 8 12 16 20
Moderate (3) 3 6 9 12 15 Medium Risk
Minor (2) 2 4 6 8 10
Negligible (1) 1 2 3 4 5 High Risk
 Hazard Identification Risk Evaluation Risk Control
Ref Work Activity Hazard Possible Injury/ Ill Existing Risk Controls S L RPN Additional Controls S L RPN Implementation Due Remarks
health Person Date

Get a co-worker to hold Site supervisor

Ladder on
Injury or the ladder steady Pre-use inspection /WSHS
slippery/uneven 5 2 10 5 1 5 Immediate Ongoing
death/user Wipe any liquid on the of ladder NORULISLAM
surface
ground/floor

Ladder rungs or Wipe away mud/grease Conduct Toolbox Site supervisor

shoes that have Injury /user that is on the rungs or 4 2 8 Meeting 4 1 4 /WSHS Immediate Ongoing
mud/grease shoes NORULISLAM
Maintain 3-point contact at Conduct Toolbox Site supervisor
Carrying tools or
Injury/user or all times Meeting /WSHS
materials up or 4 2 8 4 1 4 Immediate Ongoing
persons nearby Use a tool belt or pull NORULISLAM
down a ladder
materials up with a line

Protruding Site supervisor

Conduct Toolbox
objects on the Injury/person Survey work zone 2 2 4 2 1 2 /WSHS Immediate Ongoing
Meeting
ground NORULISLAM
Use designated access Site supervisor
point /WSHS
Do not climb on guard rails NORULISLAM
Working at Wear full body harness and Work at height
Injury or
3 height on Falling anchor to suitable anchor 5 2 10 training 5 1 5 Immediate Ongoing
death/user
scaffold (mobile) point Fall Prevention Plan

Do not alter/modify

scaffold

PTW for work at height

(Page 4 of 12)

Likelihood/ Rare Remote Occasional Frequent Almost Certain Risk level

Severity (1) (2) (3) (4) (5)
Catastrophic (5) 5 10 15 20 25 Low Risk
Major (4) 4 8 12 16 20
Moderate (3) 3 6 9 12 15 Medium Risk
Minor (2) 2 4 6 8 10
Negligible (1) 1 2 3 4 5 High Risk
 Hazard Identification Risk Evaluation Risk Control
Ref Work Activity Hazard Possible Injury/ Ill Existing Risk Controls S L RPN Additional Controls S L RPN Implementation Due Remarks
health Person Date

Keep hand tools in tool Conduct Toolbox Site supervisor

Injury/persons
Falling object bag 4 2 8 Meeting 4 1 4 /WSHS Immediate Ongoing
nearby
Wear hard hat NORULISLAM
Check that scaffold has a Conduct Toolbox Site supervisor
valid safe to use tag Meeting /WSHS
Notify supervisor if there NORULISLAM
are parts of scaffold that
Injury or
Collapse of are missing
death/user or 5 2 10 5 1 5 Immediate Ongoing
scaffold Do not push mobile
persons nearby
scaffold when worker is on

top

Lock the castor wheels

when stationary

Conduct Toolbox Site supervisor

Hearing
Noise Wear hearing protection 2 2 4 Meeting 2 1 2 /WSHS Immediate Ongoing
discomfort/person
NORULISLAM
Conduct Toolbox Site supervisor
Nasal or eye Wear dust mask and eye
Dust 2 2 4 Meeting 2 1 2 /WSHS Immediate Ongoing
irritation/person protection
NORULISLAM

Site supervisor
Missing scaffold Unsafe tag to be put
Injury/user Notify supervisor 4 2 8 4 1 4 /WSHS Immediate Ongoing
components up
NORULISLAM

Broken/defective Injury or Unsafe tag to be put Site supervisor

Notify supervisor 5 2 10 5 1 5 Immediate Ongoing
scaffolds death/user up /WSHS

(Page 5 of 12)

Likelihood/ Rare Remote Occasional Frequent Almost Certain Risk level

Severity (1) (2) (3) (4) (5)
Catastrophic (5) 5 10 15 20 25 Low Risk
Major (4) 4 8 12 16 20
Moderate (3) 3 6 9 12 15 Medium Risk
Minor (2) 2 4 6 8 10
Negligible (1) 1 2 3 4 5 High Risk
 Hazard Identification Risk Evaluation Risk Control
Ref Work Activity Hazard Possible Injury/ Ill Existing Risk Controls S L RPN Additional Controls S L RPN Implementation Due Remarks
health Person Date

NORULISLAM

Protruding Site supervisor

Conduct Toolbox
objects on the Injury/person Survey work zone 2 2 4 2 1 2 /WSHS Immediate Ongoing
Meeting
ground NORULISLAM
Use designated access Site supervisor
point /WSHS
Do not climb on guard rails NORULISLAM
Working at Wear full body harness and
Work at height
4 height on Falling Injury/death anchor to suitable anchor 5 2 10 5 1 5 Immediate Ongoing
training
scaffold (fixed) point

Do not alter/modify

scaffold

PTW for work at height

Keep hand tools in tool Conduct Toolbox Site supervisor

Injury/persons
Falling object bag 4 2 8 Meeting 4 1 4 /WSHS Immediate Ongoing
nearby
Wear hard hat NORULISLAM
Conduct Toolbox Site supervisor
Hearing
Noise Wear hearing protection 2 2 4 Meeting 2 1 2 /WSHS Immediate Ongoing
discomfort/person
NORULISLAM
Conduct Toolbox Site supervisor
Nasal or eye Wear dust mask and eye
Dust 2 2 4 Meeting 2 1 2 /WSHS Immediate Ongoing
irritation/person protection
NORULISLAM

(Page 6 of 12)

Likelihood/ Rare Remote Occasional Frequent Almost Certain Risk level

Severity (1) (2) (3) (4) (5)
Catastrophic (5) 5 10 15 20 25 Low Risk
Major (4) 4 8 12 16 20
Moderate (3) 3 6 9 12 15 Medium Risk
Minor (2) 2 4 6 8 10
Negligible (1) 1 2 3 4 5 High Risk
 Hazard Identification Risk Evaluation Risk Control
Ref Work Activity Hazard Possible Injury/ Ill Existing Risk Controls S L RPN Additional Controls S L RPN Implementation Due Remarks
health Person Date

Notify supervisor Site supervisor

Missing scaffold Conduct Toolbox
Injury/user Commence work after 4 2 8 4 1 4 /WSHS Immediate Ongoing
components Meeting
scaffold has been rectified NORULISLAM
Notify supervisor Site supervisor
Injury or
Broken/defective Unsafe tag to be put /WSHS
death/user/person 4 2 8 4 1 4 Immediate Ongoing
scaffolds Commence work after up NORULISLAM
s nearby
scaffold has been rectified

Check that scaffold has a Site supervisor

Injury or valid safe to use tag /WSHS
Collapse of Unsafe tag to be put
death/user or Notify supervisor if there 4 2 8 4 1 4 NORULISLAM Immediate Ongoing
scaffold up
persons nearby are parts of scaffold that
are missing

Protruding Site supervisor

Conduct Toolbox
objects on the Injury/person Survey work zone 2 2 4 2 1 2 /WSHS Immediate Ongoing
Meeting
ground NORULISLAM
Look out for vehicles or Site supervisor
other heavy machinery /WSHS
Working at
when moving NORULISLAM
height on mobile
Injury or Only qualified persons in Work at height
elevated work Toppling of
5 death/user or operating MEWP are 5 2 10 training 5 1 5 Immediate Ongoing
platform MEWP
persons nearby allowed to operate the Fall Prevention Plan
(MEWP)-scissor
machinery
lift
Do not exceed load limit

PTW for work at height

(Page 7 of 12)

Likelihood/ Rare Remote Occasional Frequent Almost Certain Risk level

Severity (1) (2) (3) (4) (5)
Catastrophic (5) 5 10 15 20 25 Low Risk
Major (4) 4 8 12 16 20
Moderate (3) 3 6 9 12 15 Medium Risk
Minor (2) 2 4 6 8 10
Negligible (1) 1 2 3 4 5 High Risk
 Hazard Identification Risk Evaluation Risk Control
Ref Work Activity Hazard Possible Injury/ Ill Existing Risk Controls S L RPN Additional Controls S L RPN Implementation Due Remarks
health Person Date

Keep clear of MEWP Site supervisor

Banksman to guide /WSHS
Overhead Injury or
operator 5 2 10 Survey work zone 5 1 5 NORULISLAM Immediate Ongoing
structure death/user
Look out for overhead

hazards

Conduct Toolbox Site supervisor

Hearing
Noise Wear hearing protection 2 2 4 Meeting 2 1 2 /WSHS Immediate Ongoing
discomfort/person
NORULISLAM
Conduct Toolbox Site supervisor
Nasal or eye Wear dust mask and eye
Dust 2 2 4 Meeting 2 1 2 /WSHS Immediate Ongoing
irritation/person protection
NORULISLAM
Look out for overhead Site supervisor
Electrical Injury/user electrical cables 4 2 8 Survey work zone 4 1 4 /WSHS Immediate Ongoing
Isolate power NORULISLAM
Wear full body harness Site supervisor
and secure to designated /WSHS
anchorage point Work at height NORULISLAM
Injury or
Falling Pre-use check of body 5 2 10 training 5 1 5 Immediate Ongoing
death/user
harness by competent Fall Prevention Plan

person

Do not climb on guard rails

Wear hard hat Site supervisor

Injury/persons Conduct Toolbox
Falling object Do not throw objects from 5 2 10 5 1 5 /WSHS Immediate Ongoing
nearby Meeting
height NORULISLAM

(Page 8 of 12)

Likelihood/ Rare Remote Occasional Frequent Almost Certain Risk level

Severity (1) (2) (3) (4) (5)
Catastrophic (5) 5 10 15 20 25 Low Risk
Major (4) 4 8 12 16 20
Moderate (3) 3 6 9 12 15 Medium Risk
Minor (2) 2 4 6 8 10
Negligible (1) 1 2 3 4 5 High Risk
 Hazard Identification Risk Evaluation Risk Control
Ref Work Activity Hazard Possible Injury/ Ill Existing Risk Controls S L RPN Additional Controls S L RPN Implementation Due Remarks
health Person Date

Keep hand tools in tool

bag or bucket

Mechanical Site supervisor

failure resulting Pre-use check of MEWP Conduct Toolbox /WSHS
Injury/user 2 2 4 2 1 2 Immediate Ongoing
in MEWP being Use of ground controls Meeting NORULISLAM
stuck in mid-air

Erect a barricade around Site supervisor

Injury or the MEWP to warn /WSHS
Warning sign on
Crushing death/user or persons nearby and 5 2 10 5 1 5 NORULISLAM Immediate Ongoing
MEWP
persons nearby vehicles or machinery
passing by

Working near Site supervisor

heavy Injury/persons Banksman to guide the Conduct Toolbox /WSHS
4 2 8 4 1 4 Immediate Ongoing
machinery or nearby MEWP operator Meeting NORULISLAM
persons

Site supervisor
Working Bring along water
Dehydration/user Regular hydration 3 2 6 3 1 3 /WSHS Immediate Ongoing
outdoors bottles to work
NORULISLAM
Protruding Site supervisor
Conduct Toolbox
objects on the Injury/person Survey path of travel 2 2 4 2 1 2 /WSHS Immediate Ongoing
Meeting
ground NORULISLAM
Injury or Site supervisor
Untrained Maintain record of
death/user or MEWP operator training 5 2 10 5 1 5 /WSHS Immediate Ongoing
personnel external training
person nearby NORULISLAM

(Page 9 of 12)

Likelihood/ Rare Remote Occasional Frequent Almost Certain Risk level

Severity (1) (2) (3) (4) (5)
Catastrophic (5) 5 10 15 20 25 Low Risk
Major (4) 4 8 12 16 20
Moderate (3) 3 6 9 12 15 Medium Risk
Minor (2) 2 4 6 8 10
Negligible (1) 1 2 3 4 5 High Risk
 Hazard Identification Risk Evaluation Risk Control
Ref Work Activity Hazard Possible Injury/ Ill Existing Risk Controls S L RPN Additional Controls S L RPN Implementation Due Remarks
health Person Date

Working at Keep clear of MEWP Site supervisor

height on mobile Banksman to guide /WSHS
elevated work Injury or operator NORULISLAM
6 Overhead 5 2 10 Survey work zone 5 1 5 Immediate Ongoing
platform death/user Look out for overhead
(MEWP)-boom hazards
lift PTW for work at height

Site supervisor
Injury or Look out for overhead
Electrical 4 2 8 Survey work zone 4 1 4 /WSHS Immediate Ongoing
death/user electrical cables
NORULISLAM
Wear full body harness Site supervisor
and secure to designated /WSHS
anchorage point Work at height NORULISLAM
Injury or
Falling Pre-use check of body 5 2 10 training 5 1 5 Immediate Ongoing
death/user
harness by competent Fall Prevention Plan

person

Do not climb on guard rails

Conduct Toolbox Site supervisor

Hearing
Noise Wear hearing protection 2 2 4 Meeting 2 1 2 /WSHS Immediate Ongoing
discomfort/person
NORULISLAM
Conduct Toolbox Site supervisor
Nasal or eye Wear dust mask and eye
Dust 2 2 4 Meeting 2 1 2 /WSHS Immediate Ongoing
irritation/person protection
NORULISLAM

Injury/user or Wear hard hat Conduct Toolbox Site supervisor

Falling object 4 2 8 4 1 4 Immediate Ongoing
persons nearby Do not throw objects from Meeting /WSHS

(Page 10 of 12)

Likelihood/ Rare Remote Occasional Frequent Almost Certain Risk level

Severity (1) (2) (3) (4) (5)
Catastrophic (5) 5 10 15 20 25 Low Risk
Major (4) 4 8 12 16 20
Moderate (3) 3 6 9 12 15 Medium Risk
Minor (2) 2 4 6 8 10
Negligible (1) 1 2 3 4 5 High Risk
 Hazard Identification Risk Evaluation Risk Control
Ref Work Activity Hazard Possible Injury/ Ill Existing Risk Controls S L RPN Additional Controls S L RPN Implementation Due Remarks
health Person Date

height NORULISLAM
Keep hand tools in tool

bag or bucket

Conduct Toolbox Site supervisor

Mechanical
Meeting /WSHS
failure resulting Pre-use check of MEWP
Injury/user 2 2 4 2 1 2 NORULISLAM Immediate Ongoing
in MEWP being Use of ground controls

stuck in mid-air

Erect a barricade around Site supervisor

Injury or the MEWP to warn /WSHS
Conduct Toolbox
Crushing death/user or persons nearby and 5 2 10 5 1 5 NORULISLAM Immediate Ongoing
Meeting
persons nearby vehicles or machinery
passing by

Site supervisor
Working near Banksman to guide the
Injury or /WSHS
heavy MEWP operator
death/persons 4 2 8 Close supervision 4 1 4 NORULISLAM Immediate Ongoing
machinery or
nearby
persons Cordon off work area

Conduct Toolbox Site supervisor

Regular hydration
Working Meeting /WSHS
Dehydration Stop work upon first signs 3 2 6 3 1 3 Immediate Ongoing
outdoors NORULISLAM
of rain and see shelter

(Page 11 of 12)

Likelihood/ Rare Remote Occasional Frequent Almost Certain Risk level

Severity (1) (2) (3) (4) (5)
Catastrophic (5) 5 10 15 20 25 Low Risk
Major (4) 4 8 12 16 20
Moderate (3) 3 6 9 12 15 Medium Risk
Minor (2) 2 4 6 8 10
Negligible (1) 1 2 3 4 5 High Risk
 Hazard Identification Risk Evaluation Risk Control
Ref Work Activity Hazard Possible Injury/ Ill Existing Risk Controls S L RPN Additional Controls S L RPN Implementation Due Remarks
health Person Date

Protruding Conduct Toolbox Site supervisor

objects on the Injury/person Survey path of travel 2 2 4 Meeting 2 1 2 /WSHS Immediate Ongoing
ground NORULISLAM
Untrained Injury or Maintain record of Site supervisor
MEWP operator training 4 2 8 4 1 4 Immediate Ongoing
personnel death/user or external training /WSHS

(Page 12 of 12)

Likelihood/ Rare Remote Occasional Frequent Almost Certain Risk level

Severity (1) (2) (3) (4) (5)
Catastrophic (5) 5 10 15 20 25 Low Risk
Major (4) 4 8 12 16 20
Moderate (3) 3 6 9 12 15 Medium Risk
Minor (2) 2 4 6 8 10
Negligible (1) 1 2 3 4 5 High Risk