REGISTER OF EHS HAZARDS & IMPACTS / RISKS

Company :

SM : MR.ARIP KHAN
孟加拉国艾萨拉姆 2x660MW 燃煤电厂工程 Conducted By :
(Names,
HSE MANAGER : MD AL AMIN
Project / Location : 2x612MW(NET) Power Generating Facility Designations, Date)
HSE OFFICER : MD TITU
Near Chattogram, Bangladesh
Approved By :
Process : Scaffold erection, dismantling and use of scaffold (Name, Designation, Project Manager : JOAO MOTA
Date)
Next Review
No. Of Pages : 13 Rev - 0 Last Review Date: 08/03/2020 07/03/2021
Date
Hazard Identification Risk Evaluation Risk Control
Residual
Initial Risk
1a 1b 1c 1d 2a 3a Risk
Index
Index
Possible Action Officer,

Likelihood

Likelihood
Risk Level

Risk Level
Severity

Severity
Accident/Ill Designation (Follow-up-
No. Activity Hazard / ENV Aspect Existing Risk Control (if any) Risk Control Measure date)
Environment &
Persons-at-Risk
1 Delivery of Materials Person(s) hit by Injury/ Death Security check, properly constructed 1 5 5 Regular maintenance of site 1 5 5 Security Guard &
delivery truck / lorry access, traffic controller, traffic access & traffic signs that are Appointed Person in
 Base Plate/ Jack crane warning signs subjected to wear & tear charge of site exit /
Base
entry point
 Frame Scaffolds
 GI Pipes
 Working Platforms
Collision with site Injury / death Security check, properly constructed 1 5 5 Regular maintenance of site 1 5 5 Security Guard &
 X-Braces
 Arm Locks facility or property to person(s) and access, traffic controller, traffic access & traffic signs that are Appointed Person in
 Couplers, Joint Pins / or damage to warning signs subjected to wear & tear charge of site exit /
property/ site entry point
facility

Page 1 of 15
 Hazard Identification Risk Evaluation Risk Control
Residual
Initial Risk
1a 1b 1c 1d 2a 3a Risk
Index
Index
Possible Action Officer,

Likelihood

Likelihood
Risk Level

Risk Level
Severity

Severity
Accident/Ill Designation (Follow-up-
No. Activity Hazard / ENV Aspect Existing Risk Control (if any) Risk Control Measure date)
Environment &
Persons-at-Risk
Toppling of truck / Injury/ Death to Security check, properly constructed 1 5 5 Regular maintenance of site 1 5 5 Security Guard &
lorry crane person(s) & access, traffic controller, traffic access & traffic signs that are Appointed Person for
damage to warning signs subjected to wear & tear exit / entry point
vehicle and
material

Hazard Identification Risk Evaluation Risk Control

1a 1b 1c 1a 1b 1c 1a 1b 1c
No. Activity Hazard / ENV Aspect Possible Existing Risk Control (if any) Risk Control Measure Action Officer,

Likelihood

Likelihood
Risk Level

Risk Level
Severity

Severity
Accident/Ill Designation (Follow-up-
Environment & date)
Persons-at-Risk
2 Unloading / loading of Toppling of lorry crane Injury/ Death Outrigger fully extended, qualified 1 5 5 Standing supervision by Lifting 1 5 5 Lifting Supervisor,
Materials lifting personnel of lifting supervisor, Supervisor Rigger & Signalman
rigger and signalman

Toppling of materials Injury/ Death to Unloading zone cordoned off, 1 5 5 Standing supervision by Lifting 1 5 5 Lifting Supervisor,
person(s) & qualified lifting personnel, truck / Supervisor Rigger & Signalman
damages to lorry crane stationed on even ground
materials

Failure of lifting Injury/ Death Lifting equip. with valid LM and AP 1 3 3 Stop operation for no / 1 5 5 Lifting Supervisor
machine / gear certificates expired LM & AP certs. & &
(equipment) notify responsible party WSHO / WSHS

Improper rigging Injury/ Death Qualified rigger 2 5 10 Advance scheduling or urgent 1 5 5 Site Manager
recall of qualified rigger for
unloading

Page 2 of 15
 Hazard Identification Risk Evaluation Risk Control
Residual
Initial Risk
1a 1b 1c 1d 2a 3a Risk
Index
Index
Possible Action Officer,

Likelihood

Likelihood
Risk Level

Risk Level
Severity

Severity
Accident/Ill Designation (Follow-up-
No. Activity Hazard / ENV Aspect Existing Risk Control (if any) Risk Control Measure date)
Environment &
Persons-at-Risk
Hit by materials Injury / Death Unloading zone cordoned off, 2 5 10 Implement Permit-To-Work 1 5 5 Lifting Supervisor,
dropped off from qualified lifting personnel & tested for hoisting of bulky materials Rigger & Signalman
height while lifting lifting equipment with valid LM & AP
certificates WSHO / WSHS

Contact with sharp / Injury Use of proper PPE - protective gloves 1 2 2 NA 1 2 2 Storeman Foreman in
protruding parts charge

Caught in-between Injury Signalman to communicate with 1 2 2 NA 1 2 2 Lifting Supervisor &

materials driver and use of tag line for bulky Signalman
items

Hazard Identification Risk Evaluation Risk Control

1a 1b 1c 1a 1b 1c 1a 1b 1c
No. Activity Hazard / ENV Aspect Possible Existing Risk Control (if any) Risk Control Measure Action Officer,

Likelihood

Likelihood
Risk Level

Risk Level
Severity

Severity
Accident/Ill Designation (Follow-up-
Environment & date)
Persons-at-Risk
2 Con’t Improper manual Back injury Display of correct manual lifting 2 3 6 Periodic tool box meeting for 1 3 3 WSHO / WSHS
lifting technique at site notice board workers, no single worker to Foreman-in-charge
Unloading / loading of self-carry more than 20 kg wt
Materials

3 Storage of Materials Toppling of materials / Injury Store on even ground with proper 1 3 3 NA 1 3 3 Storeman & Foreman-
hit by materials sliding stacking within safe height limit of in-charge
down 2.3 m, no storage at edge of
excavation & drop & use of PPE
(helmet & safety boots) at storage

Page 3 of 15
 Hazard Identification Risk Evaluation Risk Control
Residual
Initial Risk
1a 1b 1c 1d 2a 3a Risk
Index
Index
Possible Action Officer,

Likelihood

Likelihood
Risk Level

Risk Level
Severity

Severity
Accident/Ill Designation (Follow-up-
No. Activity Hazard / ENV Aspect Existing Risk Control (if any) Risk Control Measure date)
Environment &
Persons-at-Risk
zones

Contact with sharp / Injury Use of proper PPE - protective gloves 1 2 2 NA 1 2 2 Storeman & Foreman-
protruding parts in-charge

Improper storage & Injury / Death Neat arrangement & stacking of 2 5 10 Regular inspection by safety 1 5 5 Storeman & Foreman-
arrangement due to trip & fall materials i.e. proper housekeeping, personnel in-charge & WSHO /
or falling and materials not to be stored at WSHS
objects from edge of bldg / pit & slope
height

Improper manual Back injury Display of correct manual lifting 2 3 6 Periodic tool box meeting for 1 3 3 Storeman & Foreman-
lifting technique at site notice board workers, no single worker to in-charge
self-carry more than 20 kg wt

Hazard Identification Risk Evaluation Risk Control

1a 1b 1c 1a 1b 1c 1a 1b 1c
No. Activity Hazard / ENV Aspect Possible Existing Risk Control (if any) Risk Control Measure Action Officer,

Likelihood

Likelihood
Risk Level

Risk Level
Severity

Severity
Accident/Ill Designation (Follow-up-
Environment & date)
Persons-at-Risk

Page 4 of 15
 Hazard Identification Risk Evaluation Risk Control
Residual
Initial Risk
1a 1b 1c 1d 2a 3a Risk
Index
Index
Possible Action Officer,

Likelihood

Likelihood
Risk Level

Risk Level
Severity

Severity
Accident/Ill Designation (Follow-up-
No. Activity Hazard / ENV Aspect Existing Risk Control (if any) Risk Control Measure date)
Environment &
Persons-at-Risk
4 Transfer / Hoisting of Toppling of crane Injury/ Death Outrigger fully extended for crane, 1 5 5 Standing supervision by Lifting 1 5 5 Lifting Supervisor,
Materials to Upper qualified lifting personnel of lifting Supervisor Rigger & Signalman
Levels of Scaffold supervisor, rigger and signalman

Failure of lifting Injury/ Death Lifting equip. with valid LM and AP 1 5 5 Stop operation for no / 1 5 5 Lifting Supervisor,
machine / gear certificates expired LM & AP certs & WSHO / WSHS
(equipment) notify responsible party

Improper rigging Injury/ Death Qualified rigger 1 5 5 Advance scheduling or urgent 1 5 5 Site Manager
recall of qualified rigger for
unloading

Hit by materials Injury / Death Unloading zone cordoned off, qualified 1 5 5 Implement Permit-To-Work 1 5 5 Lifting Supervisor,
dropped off while lifting lifting personnel & tested lifting for hoisting Rigger & Signalman
equipment with valid certs
WSHO / WSHS

Poor coordination Injury / Death Use of walkie-talkie, use of qualified 1 5 5 Standing supervision by Lifting 1 5 5 Lifting Supervisor,
between operator of signalman and rigger Supervisor Rigger & Signalman
lifting machine &
ground / slab

Improper manual lifting Back injury Display of correct manual lifting 2 3 6 Periodic tool box meeting for 1 3 3 WSHO / WSHS
technique at site notice board workers, no single worker to Foreman-in-charge
self-carry more than 20 kg wt

Handling of materials Injury Use of proper PPE - protective gloves 1 2 2 NA 1 2 2 Foreman-in-charge

Page 5 of 15
 Hazard Identification Risk Evaluation Risk Control
Residual
Initial Risk
1a 1b 1c 1d 2a 3a Risk
Index
Index
Possible Action Officer,

Likelihood

Likelihood
Risk Level

Risk Level
Severity

Severity
Accident/Ill Designation (Follow-up-
No. Activity Hazard / ENV Aspect Existing Risk Control (if any) Risk Control Measure date)
Environment &
Persons-at-Risk
Hazard Identification Risk Evaluation Risk Control
1a 1b 1c 1a 1b 1c 1a 1b 1c
No. Activity Hazard / ENV Aspect Possible Existing Risk Control (if any) Risk Control Measure Action Officer,

Likelihood

Likelihood
Risk Level

Risk Level
Severity

Severity
Accident/Ill Designation (Follow-up-
Environment & date)
Persons-at-Risk
4 Con’t Collapse of P/M hoist Injury / Death PE-designed & inspected P/M Hoist 1 5 5 Safety personnel to randomly 1 5 5 PE, Mechanic, P/M
during transfer of with valid LM cert, Mechanic-serviced inspect for any unauthorized Hoist Operator &
Transfer / Hoisting of scaffold materials P/M hoist within service frequency and tampering of the P/M hoist WSHO / WSHS
Materials to Upper from ground / floor to in-house trained and appointed P/M electrical control panel;
Levels of Scaffold floor Hoist Operator, restrict loading within functioning of call bell;
permissible weight limit, daily effective closure of swing
preventive maintenance checks by gates and operation of
P/M hoist operator interlocking mechanism

5 Scaffold Erection Trip and fall Injury Arrange materials on even ground, 1 3 3 NA 1 3 3 Scaffold Safety
provide unblocked walking paths and Supervisor
a) Preparation of cordon off installation area with
installation warning sign
materials
at ground level

b) Erection of scaffold Scaffold collapse Injury / Death Use of only safe & sound scaffold 1 5 5 Safety inspection team is to 1 5 5 Scaffold Safety
from ground / materials, erection is to comply with identify and highlight day-to- Supervisor & Safety
cantilever level to PE design (if any) & regulations, day scaffold deviations in tie- Inspection Team
higher level(s) engage qualified erectors & Scaffold backs, scaffold foundation and (WSHO / WSHS /
Safety Supervisor bracings to erection team for Foremen-in-charge)
rectification

Page 6 of 15
 Hazard Identification Risk Evaluation Risk Control
Residual
Initial Risk
1a 1b 1c 1d 2a 3a Risk
Index
Index
Possible Action Officer,

Likelihood

Likelihood
Risk Level

Risk Level
Severity

Severity
Accident/Ill Designation (Follow-up-
No. Activity Hazard / ENV Aspect Existing Risk Control (if any) Risk Control Measure date)
Environment &
Persons-at-Risk
Fall from height Injury / Death Erection to be done only by trained 1 5 5 Standing supervision by 1 5 5 Scaffold Safety
erectors, provision of lifeline, use of Scaffold Safety Supervisor Supervisor & Block
full body harness with double-lanyard during erection, Weekly Tool Foremen
that comes with shock absorber, Box Meeting to brief erectors
erectors to stand on safe work on safety measures &
platform during erection implement Permit-To-Work
for Working at Height

Hazard Identification Risk Evaluation Risk Control

1a 1b 1c 1a 1b 1c 1a 1b 1c
No. Activity Hazard / ENV Aspect Possible Existing Risk Control (if any) Risk Control Measure Action Officer,

Likelihood

Likelihood
Risk Level

Risk Level
Severity

Severity
Accident/Ill Designation (Follow-up-
Environment & date)
Persons-at-Risk
5 Con’t Hit / Struck by falling Injury / Death Sequential erection with proper work 2 5 10 Standing supervision by 1 5 5 Scaffold Safety
objects from height platforms and toeboards, erection Scaffold Safety Supervisor Supervisor & Block
Scaffold Erection area to be cordoned off with warning during erection, Weekly Tool Foremen
b) Erection of scaffold
signs prominently displayed, erectors Box Meeting to brief erectors
from ground /
not to leave materials and tools on on no throwing of materials &
cantilever level to
higher level(s) scaffold structure safety measures, provide tool
(cont’d) bags for erectors, and
implement Permit-To-Work
for Working at Height

Trip & fall Injury Good housekeeping, secure work 1 3 3 NA 1 3 3 Scaffold Safety
platforms & highlight overlap Supervisor
between work platforms

Lifeline improperly Injury / Death Trained erectors under the 1 5 5 Provide regular reinforcement 1 5 5 Scaffold Safety

Page 7 of 15
 Hazard Identification Risk Evaluation Risk Control
Residual
Initial Risk
1a 1b 1c 1d 2a 3a Risk
Index
Index
Possible Action Officer,

Likelihood

Likelihood
Risk Level

Risk Level
Severity

Severity
Accident/Ill Designation (Follow-up-
No. Activity Hazard / ENV Aspect Existing Risk Control (if any) Risk Control Measure date)
Environment &
Persons-at-Risk
installed / No supervision of qualified Scaffold training to erectors by means Supervisor
knowledge of how Safety Supervisor of Tool Box Meeting to
to use harness erectors

Eye hit by flying Eye injury Wearing of protective goggles 1 3 3 Hand tools to be contained in 1 3 3 Foreman-in-charge
objects during tools bag & slung thus
drilling facilitating concentration at
drilling

Electrocution / Injury/ Death Proper laying of electric cable i.e. not 1 5 5 Weekly Tool Box Meeting on 1 5 5 Foreman-in-charge
Electric Shock to loop cables over metallic frames safety precautions against
but to make cables pass over suitable electrocution / electric shock
insulation materials, and use of
defect-free portable electrical tools

Hazard Identification Risk Evaluation Risk Control

1a 1b 1c 1a 1b 1c 1a 1b 1c
No. Activity Hazard / ENV Aspect Possible Existing Risk Control (if any) Risk Control Measure Action Officer,

Likelihood

Likelihood
Risk Level

Risk Level
Severity

Severity
Accident/Ill Designation (Follow-up-
Environment & date)
Persons-at-Risk
5 Con’t Bad posture during Back injury Display of correct manual lifting at site 1 3 3 NA 1 3 3 Scaffold Safety
manual lifting / notice board and provide training Supervisor / Foremen-
Scaffold Erection transfer in-charge
b) Erection of scaffold
from ground /
cantilever level to
higher level(s)
(cont’d)

Page 8 of 15
 Hazard Identification Risk Evaluation Risk Control
Residual
Initial Risk
1a 1b 1c 1d 2a 3a Risk
Index
Index
Possible Action Officer,

Likelihood

Likelihood
Risk Level

Risk Level
Severity

Severity
Accident/Ill Designation (Follow-up-
No. Activity Hazard / ENV Aspect Existing Risk Control (if any) Risk Control Measure date)
Environment &
Persons-at-Risk
5 Scaffold Erection Hit / Struck by falling Injury/ Death Hoard up the lift shaft door opening 1 5 5 Foreman to ensure no 1 5 5 Scaffold Safety
c) Lift shaft objects with plywood bearing “DANGER” simultaneous works amongst Supervisor / Foremen-
(with risk control warning sign, provide adequate different levels in the lift in-charge
measures specific
lighting, not to leave materials on shaft. Implement Permit-To-
to lift shaft area
scaffold structure inside lift shaft, Work for Working at Height
only)
Provide secured work platforms with
toeboards, and provide full boarding of
lift shaft opening at every alternate lift.

Fall from height, Injury / Death Erection to be done only by trained 1 5 5 Standing supervision by 1 5 5 Scaffold Safety
Scaffold collapse erectors, provision of lifeline, use of Scaffold Safety Supervisor Supervisor & Block
Tripping full body harness with double-lanyard during erection, Weekly Tool Foremen
Electrocution / that comes with shock absorber, Box Meeting to brief erectors
Electric Shock, etc erectors to stand on safe work on safety measures &
platform during erection implement Permit-To-Work
for Working at Height

Hazard Identification Risk Evaluation Risk Control

1a 1b 1c 1a 1b 1c 1a 1b 1c
No. Activity Hazard / ENV Aspect Possible Existing Risk Control (if any) Risk Control Measure Action Officer,

Likelihood

Likelihood
Risk Level

Risk Level
Severity

Severity
Accident/Ill Designation (Follow-up-
Environment & date)
Persons-at-Risk
6 Use of Scaffold Fall from height Injury/ Death Workers to use scaffold only if tagged 1 5 5 Weekly Tool Box Meeting on 1 5 5 Foremen-in-charge &
“Safe For Use” provided at every ”not to use cross bracings for WSHO / WSHS
scaffold access point, workers’ use of access” and “safe work

Page 9 of 15
 Hazard Identification Risk Evaluation Risk Control
Residual
Initial Risk
1a 1b 1c 1d 2a 3a Risk
Index
Index
Possible Action Officer,

Likelihood

Likelihood
Risk Level

Risk Level
Severity

Severity
Accident/Ill Designation (Follow-up-
No. Activity Hazard / ENV Aspect Existing Risk Control (if any) Risk Control Measure date)
Environment &
Persons-at-Risk
safety belt / harness anchored onto operation while on scaffold”,
scaffold frames while at work, and fully and implementation of
decked work platforms with effective permit-to-work for working at
guardrails on all open sides to prevent height (i.e. on scaffold)
fall

Hit / Struck By Falling Injury / Death Toeboards erected on all open sides, 2 5 1 No work to be carried out 1 5 5 Foremen-in-charge
Objects regular housekeeping of work 0 below working level of
platforms, not to place any materials / scaffold, implement permit- &
tools on scaffold structure, overhead to-work for working beneath
WSHO / WSHS
shelter for access into scaffold from any scaffold structure, regular
construction levels, install overlay net maintenance of overlay net
and peripheral overhead shelter for and peripheral overhead
external scaffold shelter for external scaffold,
regular inspection by safety
personnel

Collapse of scaffold Injury / Death Weekly inspection by Scaffold 1 5 5 Weekly Tool Box Meeting for 1 5 5 Foremen-in-charge,
Supervisor to check on footing, workers on safe use of
tiebacks and bracings of scaffold, no scaffold. Scaffold Safety Scaffold Safety
unauthorized modification of scaffold Supervisor and Safety Supervisor
without PE design and supervision; personnel to follow up on
&
and to strictly comply with permissible prompt rectification of
load limit of scaffold; display Safe scaffold deviations of site WSHO / WSHS
Working Load chart (for external
scaffold)

Hazard Identification Risk Evaluation Risk Control

1a 1b 1c 1a 1b 1c 1a 1b 1c

Page 10 of 15
 Hazard Identification Risk Evaluation Risk Control
Residual
Initial Risk
1a 1b 1c 1d 2a 3a Risk
Index
Index
Possible Action Officer,

Likelihood

Likelihood
Risk Level

Risk Level
Severity

Severity
Accident/Ill Designation (Follow-up-
No. Activity Hazard / ENV Aspect Existing Risk Control (if any) Risk Control Measure date)
Environment &
Persons-at-Risk
No. Activity Hazard / ENV Aspect Possible Existing Risk Control (if any) Risk Control Measure Action Officer,

Likelihood

Likelihood
Risk Level

Risk Level
Severity

Severity
Accident/Ill Designation (Follow-up-
Environment & date)
Persons-at-Risk
6 Con’t Tripping Injury Good housekeeping, secure work 1 3 3 NA 1 3 3 Foremen-in-charge
platforms & highlight overlap between
Use of Scaffold work platforms

Electrocution / Injury / Death Proper laying of electric cable i.e. not 1 5 5 Weekly Tool Box Meeting on 1 5 5 Foreman-in-charge
Electric Shock to loop cables over metallic frames but safety precautions against
to make cables pass over suitable electrocution / electric shock
insulation materials, and use of defect-
free portable electrical tools in good
working condition

Unsafe scaffold being Injury / Death Scaffold tag indicating “Safe For Use”, 2 5 1 Block foremen and safety 1 5 5 Foreman-in-charge &
used within the valid period of 1 week from 0 personnel to ensure all
date of inspection, will be displayed at scaffold whether “safe”, WSHO / WSHS
scaffold access point s prior to use of “unsafe” or “erection /
scaffold by workers dismantling-in-progress” are
accordingly tagged. Conduct
weekly Tool Box Meeting to
educate workers on use of
only “Safe For Use” scaffolds

Page 11 of 15
 Hazard Identification Risk Evaluation Risk Control
Residual
Initial Risk
1a 1b 1c 1d 2a 3a Risk
Index
Index
Possible Action Officer,

Likelihood

Likelihood
Risk Level

Risk Level
Severity

Severity
Accident/Ill Designation (Follow-up-
No. Activity Hazard / ENV Aspect Existing Risk Control (if any) Risk Control Measure date)
Environment &
Persons-at-Risk
7 Dismantling of Fall from height Injury / Death Dismantling to be done only by trained 1 5 5 Weekly Tool Box Meeting on 1 5 5 Foremen-in-charge
Scaffold erectors, provision of lifeline, use of precautionary measures - use
full body harness with double-lanyard of life line and harness and
that comes with shock absorber, strict sequential dismantling
compliance with sequence of
dismantling

Hazard Identification Risk Evaluation Risk Control

1a 1b 1c 1a 1b 1c 1a 1b 1c
No. Activity Hazard / ENV Aspect Possible Existing Risk Control (if any) Risk Control Measure Action Officer,

Likelihood

Likelihood
Risk Level

Risk Level
Severity

Severity
Accident/Ill Designation (Follow-up-
Environment & date)
Persons-at-Risk
7 Dismantling of Hit / Struck by Falling Injury / Death Clean up debris on work platforms 2 5 1 Weekly Tool Box Meeting to 1 5 5 Foreman-in-charge,
Scaffold (cont’d) Objects prior to dismantling, not to leave 0 highlight the dangers should Scaffold Safety
materials and tools on scaffold scaffold be haphazardly Supervisor &
structure that is being dismantled, dismantled at one go. Scaffold
sequential dismantling with proper Supervisor & safety personnel WSHO / WSHS
work platforms and toeboards at to spot check scaffold
Qualified Lifting
access level, dismantling zone at dismantling
Supervisor, Rigger &
ground level to be cordoned off with
works to capture non- Signalman for crane-
warning signs prominently displayed,
sequential dismantling and hoist-down operation
and to safely secure & hoist down
dismantled components any throwing down of
dismantled components.
Implement permit-to-work for
working at height dismantling

Page 12 of 15
 Hazard Identification Risk Evaluation Risk Control
Residual
Initial Risk
1a 1b 1c 1d 2a 3a Risk
Index
Index
Possible Action Officer,

Likelihood

Likelihood
Risk Level

Risk Level
Severity

Severity
Accident/Ill Designation (Follow-up-
No. Activity Hazard / ENV Aspect Existing Risk Control (if any) Risk Control Measure date)
Environment &
Persons-at-Risk
of scaffold.

Trip & Fall Injury / Death Provision of secured work platforms 1 5 5 NA 1 5 5 Foreman-in-charge
for temporary stacking of dismantled
scaffold components.

Stacking height not to be above 600

mm.

Secure any loose materials with wire

rope.

Likelihood (L) Rare Remote Occasional Frequent Almost Certain

Severity (S) (1) (2) (3) (4) (5)

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

Risk Evaluation Rating

Page 13 of 15
Severity Description Likelihood Description Risk Level Description & Recommended Actions
(S) ( L) (R )
 High Risk level must be reduced to at least Medium
Fatality, fatal diseases or multiple major Not expected to occur but still
Catastrophic Rare Risk before work commences.
injuries. possible.
(5) (1)  There should not be any interim risk control measures.
Risk control measures should not be overly dependent on PPE or
Serious injuries or life-threatening High appliances.
occupational disease (includes Not likely to occur under normal (H)  If practicable, the hazard should be eliminated before
Major amputations, major fractures, multiple Remote circumstances. work commences.
(4) injuries, occupational cancer, acute (2) (15-25)  Management review is required before work
poisoning). commences.
Injury requiring medical treatment or ill-  A careful evaluation of the hazards should be carried
health leading to disability (includes out to ensure that the risk level is reduced to as low as reasonably
Moderate practicable (ALARP) within a defined time period.
lacerations, burns, sprains, minor fractures, Occasional Possible or known to occur.
(3)
dermatitis, deafness, and work-related (3)  Interim risk control measures, such as administrative
upper limb disorders). Medium controls or PPE, may be implemented while longer term
(M) measures are being established.
Injury or ill-health requiring first-aid only  Management attention is required.
Minor Common occurrence.
(includes minor cuts and bruises, irritation, Frequent (4-12)
(2)
ill-health with temporary discomfort). (4 )
 No additional risk control measures may be needed.
Not likely to cause injury or ill-health Almost Low  Frequent review and monitoring of hazards are
Negligible
Certain Continual or repeating experience. (L) required to ensure that the risk level assigned is
(1)
(5) accurate and does not increase overtime.
(1-3)

Activity or trade assessed: Scaffold erection, dismantling and use of scaffold Date: 08/03/2020

S/NO. Location Process Work Activities Remarks

1 BBW Scaffold erection, Delivery of Materials R
dismantling and use
of scaffold

2 Unloading / loading of Materials R

3 Storage of Materials R

4 Transfer / Hoisting of Materials to Upper Levels of Scaffold R

Page 14 of 15
 5 Scaffold Erection R

6 Use of Scaffold R

7 Dismantling of Scaffold R

10
R=routine

NR= Non routine

Note:

1. This form is to be completed before filling in the Risk Assessment Form.

2. The contents of the work activity column in the Inventory of Work Activities Form is to be copied over to the Work Activity Column in the Risk
Assessment Form.

Page 15 of 15