HSE RISK ASSESSMENT

Company Name

TASK TITLE: Date:

Activity: Erection & Dismantling of Scaffolding
Location:
Description: Erection and dismantling of scaffolding. [Day+Night]
RISK
EVALUATION
RESIDUAL

ALARP
S/No.

(Refer to ACTION TO BE TAKEN

Y/N
HAZARD HAZARD EFFECT Evaluation CONTROLS RISK
form)
S P R DESCRIBE ACTION MANPOWER S P R

1. Contractor will provide inspection

checklist of the vehicle
1. Equipment Check list SPA: Scaffolding
Scaffolding 2. Outlook will lead the vehicle to work
1. Vehicle incident G 7 8 2. Competent outlook Supervisor, G 1 2 Yes
shifting by vehicle site
3. Banks Man/Flag Man Safety Watch
3. Flag man should be vigilant with
vehicle

1. Scaffolding should be done under the

supervision of competent and certified
supervisor.
2.Deploy competent and trained Scaffolding
1.Certified Scaffolder workforce Supervisor,
2. Unskilled workers 1.Personal injury G 6 7 G 4 5 Yes
2. Skilled workforce 3. Scaffolders should be third party Safety
certified. Watchman
4. All working crew must be aware of
safety protocols.

Download HSE Docs from hseprof.com

 1. Ground where scaffolding will be
1.Personal injury erected should be rigid to sustain the
1. Check stability of Scaffolding
Unstable poor 2. Serious accident load.
ground Supervisor,
3. ground 3. Property 2. Don’t erect scaffolding on uneven Yes
F 6 8 2. Proper Sole/Base Safety F 2 4
conditions damage ground.
plate. Watchman
3. Soleplate and base plate should be
placed on the ground.

1. All the workforce required to use

mandatory PPE’s
2. Barricade the area where erection of
1. PPE’s scaffolding is in progress
2. Proper storage of 3. Restrict the unauthorized entry Scaffolding
Falling object 1. Personal injury tools 4. Proper railing system should be Supervisor,
4. Yes
hazards 2. Asset loss F 7 9 3. Proper material erected to prevent the falling of Safety F 2 4
handling personnel. Watchman
4. Install toe Boards 5. All the material should be bring.
up/down with sack and rope
6. Don’t drop or throw scaffolding
materials.
1. Use of standard scaffolding & conduct
joint inspection before use.
2. Scaffolding erection to be verified in
the light of scaffold check list by certified
1.Fall, injury, 1. Standard Scaffolding Scaffolding
personnel
Tilting of scaffold, 2. Damage to 2. Erection of Scaffolding Supervisor,
5. 3. Use of safety harness with double Yes
not tied/ Braced nearby equipment, F 6 8 per checklist. Safety F 3 5
lanyard.
3.Personnel Injury. 3. Low weight Watchman
4. Load on scaffolding should be as per
design.
5. Ensure cross/diagonal bracing
tightened properly to avoid collision.
Scaffolding 1. Scaffolding will be inspected by a
collapse due to 1. Scaffolding competent person before applying Scaffolding
load "complete" TAG scaffolding "Complete Tag" Supervisor
In complete
6. personnel fall from F 5 7 2. Incomplete scaffolding 2. Incomplete scaffolding will be blocked Safety Watch, F 2 4 Yes
Scaffolding
height due to will be blocked by with barricading tap by scaffolding Certified
incomplete of barricading tap supervisor and barricading will not be personnel.
scaffolding removed till scaffolding complete tag is

Download HSE Docs from hseprof.com

 applied

1. Simalteneous activities are strictly not

allowed while erection of scaffolding. Scaffolding
2. Restrict the entry of unauthorized Supervisor,
7. SIMPOS Injuries, Fatalities E 7 10 1. No parallel activity E 2 5 Yes
personnel in the area. Safety
3. Coordinate with other teams working Watchman
in the same area or nearby.
1. Tool Box Talk
2. Avoid to work in bad
weather 1. Tool box talk shall be conducted
High wind, Bad Fatigue, 3. Close Monitoring before work. Scaffolding
8. weather Unconsciousness, F 6 7 4. Be watchful for Wind 2. Work shall not be continued in bad Supervisor, F 3 4 Yes
condition Fall Socks direction & for weather condition. Safety watch
wind intensity, if it gets 3. Close supervision will be required
perpendicular to post,
stop activity.
Night:
1. Provide adequate LUX 1. Working area cleared from
level obstructions and visible with adequate
2.Restrict to go in the lighting
other plant area in 2.Uneccessary sitting is prohibited in dark
darkness on ground Scaffolding
9. Darkness Personal Injury E 6 9 3. Use proper PPEs 3. Ensure the use proper PPEs Supervisor, E 2 4 Yes
4. Any abnormality seen 4. Nobody is allowed to kill the snakes or Safety watch
during night shift is to be any other dangerous insects only
communicated with site assigned person [Security] will tackle.
representative 5. Avoid collecting things from dark spots
immediately. because of hidden snakes.
Biological 1. Snake bite Kit. 1. Don't handle snake yourself, call
Bite of insect and
Hazards 2. GCM/TBT security person
snake may lead
(Snakes, Bees, 3. Snake sighting 2. Apply insect repellents Supervisor,
10. fatal. E 6 9 E 2 4 Yes
wasps, protocols 3. Don't put hand where you cannot see Safety Watch
(malaria, Dengue,
mosquitoes & 4. Insect repellents 4. Avoid working alone
Skin allergy)
Other insects) 5. Emergency vehicle 5. Avoid working in poor light areas

Download HSE Docs from hseprof.com

 with alert driver

GENERAL COMMENTS: ABBREVIATION

1. TBT will be conducted prior to job start. SPA: Single Person Accountable
2. Unauthorized entry of the person not allowed in work premises. GCM: General Communication Meeting
3. Proper PPE’s are must for all the crew. TBT: Tool Box Talk
4. Stand by vehicle must be present at the site in case of emergency. PPE’s: Personal Protective Equipments
. SIMOPS: Simultaneous Operation
RISK ASSISMENT APPROVAL
NAME OF TEAM MEMBERS SIGNATURE I’m satisfied that the safeguard put in place will reduce the level of Risk to an acceptable level
and the Task/Action is permitted to proceed.
(Project manager )
HITRA Team Leader Reviewed by: ___________
(Scaffolding Supervisor )
Date: ________________________ Time: ____________________
Authorizing
S = Severity; P = Probability; R=Risk
Signatory: _______________ DATE: ________________

Download HSE Docs from hseprof.com