Risk Assessment/Management Form

Ref:
Section / Dept: civil Activity: Risk Assessment For Location:
Contractor: Chipping work By Machine

Resid
bility
Consequence Current control measures Risk rating

Proba
Ri

Proba
bility
Sl Basic Job Potential Init Addition

risk
ual
N Steps Hazard ial al sk
o. Ris control ra
k measure ti
P E A R P E A R
n
Dust Effects in lungs Use of good quality nose Musk 1 0 0 0 2 2 g

Use of good quality hand

gloves,safety shoes
Flying of
Get injury 1 0 0 0 2 2
materials Use of Chipping goggles

Deployment skill labour only

Permanent/Temp
Chipping work Noise Use of good quality nose musk 1 0 0 0 2 2
orary hearing loss
1 done by Chipping
m/c Only authorised persons are allowed
for working at height
Work to be done after taking the
height permit
Height work Get injury/Fatality Use double rope full body harness 2 0 0 1 2 4
and it must be anchored above the
head height.
Use of safety shoe,Helmet with chin
strip,Hand gloves & Jacket
Prepared By Approved By Reviwed By
Contractor Contractor
Date Date Date

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