Document Name: Hazard Identification and Risk Assessment Form EHS Form

Project/ Location: No.: Rev.

Activity/ Process: LOADING AND UNLOADING Issue Date:

The Risk Assessment Severity (S) Likelihood of Occ. (L) Risk Rating (R) = S x L Risk Table (R )
1. List down activity steps. 1 No Injury 1 Very Unlikely
2. Identify and record for each hazard or any potential NI No direct effect VU not expected to occur for years 1 to 6 = Low Risk (L) (Acceptable, Monitor & Review)
to cause harm. 2 Minor / 2 Unlikely Likelihood (L)
3. Outline consequences if hazard is realized. MI First Aid/ Simple treatment U Expected to happen/recur annually 8 to 12 = Medium Risk (M) (Acceptable with controls) 1 2 3 4 5

Severity (S)
4. Identify the appropriate rating for severity and 3 Lost Time Injury 3 Likely 1 1 2 3 4 5
likelihood. Use table (R) in this form. LTI ≥1 days away from work L Expected to occur monthly 15 to 25 = High Risk (H) (Unacceptable) 2 2 4 6 8 10
5. Register the hazard of medium and high risk in to 4 Major Injury Very likely 3 3 6 9 12 15
4
MA VL Expected to occur weekly
the significant environmental aspect and hazard I Serious injury/disability Note: 4 4 8 12 16 20
register form # FRSS.40.02 5 Catastrophic 5 Certain Please refer to the main procedure for clear scoring and 5 5 10 15 20 25
6. Identify and record the control measures to be used F One or more fatalities Cer expected to occur on a daily basis rating definitions
then repeat the assessment with the controls Hierarchy of 1st 2nd 3rd 4th 5th
in place. Control measure: Elimination Substitution Eng. Control Admin. Control PPE

Activity Steps Hazard Effect Risk Additional Revised Risk

No. Existing Controls Note
(Detail Identification) (What could Cause Harm) (Who might be Harmed & How) S L R Controls S L R
1. Using of third party certified lifting
equipment's and gears.
2. While hoisting and carrying load always at
centered and never stand directly underneath
Loading & Un loading
a load
Activity Crain / Jib Crane
3. The crane only be operated by authorized
Crain Operator & 1. Strike /Injury
1 Awkward Lifting / Carry and third party certified operators 4 1 4
& movement of the jobs surrounding 2. Falling object
4. Loading & unloading active shall be
to assigned areas people
closely supervised with trained supervisor
,foremen
5. Using required PPE - Helmet, Safety Glass
or goggles, Safety Shoes and Mechanical
Hand Gloves.

1. While hoisting and carrying load always at

centered and never stand directly underneath
Crane 1. Strike /Injury
Dropped Box / Tools / a load. 1. Area should be isolated by
Operator & 2. Falling object Under
2 Equipment's 2. Required to remove all unwanted and 3 2 6 the lifting team for unauthorized
surrounding 3. Amputation implementation
loose materials before lifting. entry.
people
3. Need to perform visual inspection before
lifting.

1. Lifting team should identify the pinch

Crane points.
Operator & 1. Strike /Injury 2. Adequate signal man shall be used.
3 Pinch points 4 1 4
surrounding 2. Amputation 3. Using required PPE - Helmet, Safety Glass
people or goggles, Safety Shoes and Mechanical
Hand Gloves.

Siemens Ltd. Saudi Arabia

FRSS.40.01 R2
Page 1 of 4 Arabia Electric Ltd. (E)
01.08.2018
ISCOSA
 Activity Steps Hazard Effect Risk Additional Revised Risk
No. Existing Controls Note
(Detail Identification) (What could Cause Harm) (Who might be Harmed & How) S L R Controls S L R
Crane 1. Routine inspection before and after use
Damage Chain, slings, belt, 1. Strike /Injury
Operator & 2. Quarterly color coding inspection process
4 eyebolt, shackles 2. Falling object 3 2 6
surrounding implemented.
3. Amputation
people 3. On job training.
Crane
1. Strike /Injury 1. Maintaining loads at the possible low range
Operator & Under
5 Abnormal swing of the job 2. Falling object from the floor. 4 1 4 1. Using of Tag line
surrounding implementation
3. Amputation 2. Performing trail lift.
people

Assessed By (Team) Checked By Verified By (EHS)

Note: This risk assessment is valid only for one year from date of release unless otherwise required to be revalidated and/or conditions significantly changed.

Siemens Ltd. Saudi Arabia

FRSS.40.01 R2
Page 2 of 4 Arabia Electric Ltd. (E)
01.08.2018
ISCOSA
 1
2
3
4
5

Unrestricted
7.9.
Hazard Severity (S):
Rate the hazards severity from 1-5 as per the following situation:

1 = No Injury: Has no effect on health and safety

2 = Minor Injury: Does not significantly reduce system health and safety
3 = Lost time Injury: injury results in lost time (one or more days away from work), seeking medical
help
4 = Major Injury: injury results in permanent disability, serious health effects or property damage
5 = Catastrophic: Results in multiple fatalities and/or loss of the system

5 = Catastrophic: Results in multiple fatalities and/or loss of the system