HAZARD IDENTIFICATION & RISK ASSESSMENT (HIRA)

OHS-PR-09-03-F02 (A) HIRA-Hazard ID and Risk Assessment Form and Register

Operating Area: WOA Project Name: Construction of 380KV UG Cables btw ARFTW-MHR-CKT-1 & ARFTW-SAZ-CKT-1
Contractors: CEPCO Project Type: UNDER GROUND CABLES Contract No.: 4400019200
Risk Assessment (Baseline and full RA)
TASK/ACTIVITY/PROCESS NAME: Excavation work using equipment DEPARTMENT/AREA: SEPDC
RA Number: (REV -01) RA - 11 DATE: 10/3/2024
SEVERITY / CONSEQUENCE (Impact/Hazard Effect) (Where an event has more than one ' Loss Type ', choose the ' Consequence' with the highest rating)

Loss Type Additional "Loss Types" may exist for

an event: Identify & rate accordingly (1) Insignificant (2) Minor (3) Moderate (4) Major (5) Catastrophic

Loss Time Injury / Reversible Impact on Single Fatality or Loss of Quality of Life / Irreversible impact on
(S/H) Harm to People (Safety/Health) First Aid Case/Exposure to Minor Health Risk Medical Treatment Case/Exposure to Major Health Risk
Health Health
Multiple Fatalities / Impact on health Ultimately Fatal

Material Environment harm (RST) Serious

(EI) Environmental Impact Minimal environment harm incident with workplace Material Environment harm (RST)
environmental harm incident (RMT)
Major environmental incident (RLT) Major environmental harm – Incident Irreversible

(BI/MD) Business Interruption / Material / Fire No disruption to operation / 1000 SR to Less than 10k SR Brief Disruption to Operation / 10k SR to Less Than 100k SR Partial Shutdown/100k SR to Less than 1M SR Partial Loss of Operation/1M SR to Less than10M SR Substantial or Total Loss of Operation / 10M SR and more
Damage & Other Consequential Losses
LIKELIHOOD Examples (Consider Near-Hits as well as actual events) RISK RATING / PROFILE
The unwanted event has occurred frequently : Occurs in order of (1) or more
(5) ALMOST CERTAIN per year & is likely to reoccur within 1 year 5 (M) 10 (H) 15 (Ex) 20 (Ex) 25 (Ex)
The unwanted event has occurred infrequently : Occurs in order of less than
(4) LIKELY once per year & is likely to reoccur within 5 yrs. 4 (M) 8 (H) 12 (H) 16 (Ex) 20 (Ex)
The unwanted event has occurred in the business at some time: or could
(3) POSSIBLE happen within 10 years. 3 (L) 6 (M) 9 (H) 12 (H) 15 (Ex)
The unwanted event has occurred in the business at some time: or could
(2) UNLIKELY happen within 20 years. 2 (L) 4 (M) 6 (M) 8 (H) 10 (H)
The unwanted event has never known to occur in the business or it is highly
(1) RARE unlikely to occur within 20 years. 1 (L) 2 (L) 3 (L) 4 (M) 5 (M)
RA TEAM (Names) DESIGNATION SIGNATURE RISK RATING RISK LEVEL GUIDELINES FOR RISK MATRIX

Stop operation and review controls- Eliminate, avoid risk & implement high
1. Mohammed Kamal Site Manager 15 to 25 (Ex) - Extreme priority action plans

Proactively manage & implement specific controls/action plans-Review after 7

2. Feras Radwan Site Engineer 8 to 12 (H) - High days

Actively manage & monitor – Additional controls is advised & review after 14
3. Khatib Md Yusuf Safety Engineer 4 to 6 (M) - Medium days

4. Shahid Iqbal Civil Foreman 1 to 3 (L) - Low Risk acceptable – Monitor & manage as appropriate with frequent review

Review by: Khatib Yusuf Signature: Date: 10-03-2024 APPROVED BY / MANAGER or SUPERVISOR: Md Kamal DATE: 10-03-2024 NEXT REVIEW DATE: 09-03-2025

Identify the hazard on the given task and conduct assessment of the actual site condition, all identified risk should provide with a plan to eliminate or control the risk.
HAZARD IDENTIFICATION CONTROL RISK RISK REDUCTION ACTION PLAN
ASSESSMENT

Consequence

Consequence

Risk Ranking
Risk Issue

Likelihood

Likelihood
Controls

Ranking
Work Activity (Improve Existing Controls/ Follow up By Whom (Name) Implemented
Item #

(Process, Equipment, Materials)

Hazards (Possible Incident) (What can go wrong)
(Accident/ Ill health to person, fire or property
Existing Controls Implement new controls) & By When (Date) (Yes / No)
loss)

1 Obtain Permit to Work ⬧ Unauthorized work to be performed within ⬧ Accident resulting serious injury or death to ⬧ Permit to Work shall be obtained as a pre- ⬧ Permit Receiver shall be trained and
a defined location and boundary worker requisite to perform work authorized by the Manager to receive a
⬧ Work shall not be started until duly approved Permit to Work
Permit to Work is available at site and that Safety ⬧ Permit Receiver shall be responsible to
Toolbox meeting was conducted oversee for the safety of all workers under his Site Manager
⬧ Work shall not proceed without the presence of Permit to Work Site Engineer
approved Permit to Work with the Permit Receiver 3 2 6 3 1 3 YES
Safety Engineer
overseeing the activity Supervisor/ Foreman.

1 HIRA-Hazard ID and Risk Assessment Form and Register OHS-PR-09-03-F02 (A) Rev. 0 Revision Date (May 2021)
 ⬧ Significant property and appurtenances ⬧ A safe work practice shall be implemented to ⬧ All workers attending the toolbox meeting
damage reduce the possibilities of accident / incident shall sign on the attendance sheet attached
⬧ Permit Receiver and Permit Issuer shall visit to the specific Permit to Work
together at the site to ensure that workplace Site Manager
hazards are adequately identified and mitigating Site Engineer
measure shall be established 2 2 4 2 1 2 YES
Safety Engineer
Supervisor/ Foreman.

⬧ Uncontrolled personnel entering a ⬧ Loss of production ⬧ Permit to Work shall be displayed at the worksite ⬧ All workers shall attend the toolbox
restricted location ⬧ Permit Receiver shall not leave the area for the meeting on a daily basis conducted by the Site Manager
whole duration of work Supervising Engineer, Foreman and Permit Site Engineer
3 2 6 Receiver 3 1 3 YES
Safety Engineer
Supervisor/ Foreman.

⬧ Significant cost due to damages ⬧ Permit Receiver shall account all workers under ⬧ Permit Receiver and all workers shall not
his Permit to Work before the start of work start with the work without the written Site Manager
3 2 6 approval Permit to Work 3 1 3 Site Engineer YES
Supervisor/ Foreman.

⬧ Unidentified hazards with unplanned ⬧ Governmental violation ⬧ Manager, Supervisor, Foreman and all workers ⬧ Permit Issuer and Permit Receiver shall
safety mitigating measures shall adhere to all requirements set forth in the conduct site visit to identify actual situation
Permit to Work, Risk Assessment, Method and identify hazard to establish accurate and Site Manager
Statement, Job Safety Procedure and other appropriate control measures Site Engineer
3 2 6 3 1 3 YES
relevant safety practices and standards Safety Engineer
Supervisor/ Foreman.

⬧ Inadequate coordination and area control ⬧ Environmental complaint ⬧ Site Manager, Supervising Engineer, Foreman ⬧ Permit Receiver and all workers shall not
protocol shall designate a Permit Receiver competent start with the work without the written
enough to take responsibility in securing the approval Permit to Work Site Manager
Permit to Work 2 2 4 2 1 2 Site Engineer YES
Supervisor/ Foreman.

2 Mobilization of materials, ⬧ Lack of safety awareness and knowledge ⬧ Physical injury and damage to property due ⬧ Obtain valid Permit to Work ⬧ Daily tool box talk must be implemented
manpower and equipment at site for the job/Incompetent personnel to lack of safety awareness and incompetency ⬧ Ensure that all workers are undergo safety ⬧ Additional safety trainings must be
induction conducted
⬧ Only operators and drivers with valid required Site Manager
third party certification and SAG License will be Site Engineer
deployed for the task 3 2 6 3 1 3 YES
Safety Engineer
⬧ Conduct tool box talk regarding the safe work Supervisor/ Foreman.
procedure prior to start the work

⬧ Equipment and tool’s condition ⬧ Equipment breakdown ⬧ Only equipment with valid third party ⬧ Proper checklist will be used during the
⬧ Physical injury certification will be deployed for the task inspection of tools and equipment
⬧ Property damage ⬧ All tools and equipment will be inspected prior ⬧ All inspected tools and equipment will be
start of activity to ensure all are in good working color coded according to its condition Site Manager
condition ⬧ All defective tools and equipment will be Site Engineer
3 2 6 3 1 3 YES
remove from the site Safety Engineer
Supervisor/ Foreman.

⬧ Working without wearing appropriate ⬧ Physical/Fatal Injury and damage to property ⬧ Ensure that all workers are provided with ⬧ Conduct trainings for Personal Protective
Personal Protective Equipment (PPE) due to lack of safety awareness and mandatory personal protective Equipment (PPE) Equipment as per activity
competency ⬧ Mandatory PPE is required to wear in the site ⬧ Conduct daily tool box talk as per specific
while working activity
 Helmet (ANSI Z89.1, CE EN397)
 Safety Glass Site Manager
 Cover all Site Engineer
 Dust Mask 3 2 6 3 1 3 YES
Safety Engineer
 Safety Gloves Supervisor/ Foreman.
 Safety Shoes

⬧ Improper manual handling ⬧ Hand Injury ⬧ Use hand gloves for hand protection ⬧ Conduct training in proper manual handling
⬧ Physical Injury from slip, trip and fall ⬧ 20kg is allowable to each worker to lift ⬧ Close supervision from Supervisor /
⬧ Back injury ⬧ Ensure that access is clear without blocking the Foreman
⬧ Arm injury walkway
⬧ Ensure that proper manual handling procedure Site Manager
will be implemented Site Engineer
3 2 6 3 1 3 YES
⬧ Buddy-buddy system is advisable to make if the Safety Engineer
load is more than the capacity load of worker Supervisor/ Foreman.

2 HIRA-Hazard ID and Risk Assessment Form and Register OHS-PR-09-03-F02 (A) Rev. 0 Revision Date (May 2021)
 3 Working at Nigh Shift During • Insufficient lights / poorly illuminated • Difficulty to see the objects on the Ground • Good planning and position of lighting system. •Conduct illumination survey and ensure it
Ramadan during night Work that can cause slip and trip. • Good lighting provided to all workspaces and this meets the set standard by SEC.
is maintained on a regular basis. Fluorescent tubes Corrective action if the lighting survey deviate Site Manager
are checked & replaced as required. from the requirement Site Engineer
4 3 12 4 1 4 YES
Safety Engineer
Supervisor/ Foreman.

• Untrained and/or inexperienced personnel • Accident resulting serious injury or death to • Only trained and experienced personnel shall be • All workers attending the toolbox meeting
during night Work worker assigned to perform the task. shall sign on the attendance sheet attached
to the specific Permit to Work Site Manager
Site Engineer
4 3 12 4 1 4 YES
Safety Engineer
Supervisor/ Foreman.

⬧ Poor Access/Egress during night Work ⬧ Physical injury from slip, trips & fall ⬧ Each excavation must be provided with proper ⬧ Contact the site area in advance and agree
access and egress that access to the specific area is acceptable
⬧ Ladders must be secured when workers are ⬧ Hoses/Cables shall be positioned in such a
required to work inside for manual excavation. way that it will not create obstruction on
Avoid taking short cuts or jumping in & out of access and work areas
excavation. ⬧ Warning signs and safety barricades should Site Manager
⬧ Access pathways to be kept clear from any be used whenever a slip, trip or fall hazard Site Engineer
obstruction. 3 3 9 has been identified but cannot be corrected 3 1 3 YES
Safety Engineer
⬧ Any obstructions shall be moved and kept or removed immediately Supervisor/ Foreman.
materials away from any access. Keep work area
free from loose tools and materials
⬧ Conduct housekeeping before, during and after
work to ensure free access/egress.

4 Checking and verification of any ⬧ Damage to underground utilities prior to ⬧ Damage to property ⬧ Locate underground services referring to the site ⬧ Supervisor and Foreman shall closely
underground utilities excavation due to failure to perform pre- ⬧ Disruption to production map / drawing. monitor to ensure accurate reading is
checks. ⬧ Accident resulting in injury to worker ⬧ Use suitable detectors to check and locate any obtained
underground utilities. ⬧ Report accordingly any noticed Site Manager
⬧ Worker who will perform the verification shall be underground utility Site Engineer
4 4 16 4 1 4 YES
knowledgeable and trained in using and Safety Engineer
interpreting the instrument Supervisor/ Foreman.

⬧ Traffic hazard ⬧ Collision on other vehicle ⬧ Ensure necessary permits from authorities are ⬧ Close supervision required, supervisor and
⬧ Serious personal injury secured prior start of activity foreman must be present at site
⬧ Fatality ⬧ Early warning sign (plastic barrier) must be ⬧ Refresher course/training to all banks man
⬧ Permanent disability installed properly with a safe distance before the as deem necessary
⬧ property damage banks man and equipment Site Manager
⬧ Only experienced and trained banks man will be Site Engineer
assigned to assist and manage traffic 3 2 6 3 1 3 YES
Safety Engineer
Supervisor/ Foreman.

5 Perform excavation using Excavator ⬧ Underground utilities ( unsecured ) ⬧ Damaged to existing plant / underground ⬧ Area must be scanned for underground services ⬧ Acquired underground existing facilities
Equipment facilities & permit to excavate issued before work drawing prior to any task to be done
⬧ Fatal / severe physical injury commences. ⬧ Close supervision required, supervisor and
⬧ Property damage ⬧ All underground utilities must be identified, foreman must be present at site
marked or relocated. ⬧ Conduct safety toolbox meeting and
⬧ Only trained competent operators shall be discussed the work procedures prior to start
assigned to operate any equipment during of work Site Manager
mechanical excavation works. Operators must be Site Engineer
4 3 12 ⬧ At all stages of the excavation, a competent 4 1 4 YES
carrying valid Saudi driving license and third-party person must supervise the work and the Safety Engineer
certificates. workers given clear instructions on working Supervisor/ Foreman.
⬧ Manual excavation only in the vicinity of safely in the excavation
underground services.
⬧ Electrical cables adjacent to excavation should be
isolated by Electrician issuing permit to isolate.

⬧ Collapse of excavation, cave in vibration ⬧ Personnel injury ⬧ Check the condition of excavation at all times for ⬧ Close supervision required, supervisor and
and water ⬧ Fatality possibility of collapse or cave-in of excavation foreman must be present at site.
⬧ Property damage walls. When deeper than 1.5 meter must be sloped ⬧ Training on working at excavation and Tool Site Manager
/ benched or shored depending on type of Box talk should be provided to the workers Site Engineer
3 2 6 3 1 3 YES
materials which are being excavated prior to start the work. Safety Engineer
⬧ If equipment is being used above the trench then ⬧ When using remote controlled equipment Supervisor/ Foreman.
no operatives should be in the trench when the in an excavation, e.g. compactors, shoring
machine is in use should not be extracted unless the
equipment can be removed from the

3 HIRA-Hazard ID and Risk Assessment Form and Register OHS-PR-09-03-F02 (A) Rev. 0 Revision Date (May 2021)
 ⬧ Falling of workers / equipment / tools into ⬧ Physical injury ⬧ Fall prevention barriers with signage shall be ⬧ Proper and adequate supervision by
excavation ⬧ Property damage erected around excavation at least 1 meter away. supervisor/ foreman.
Stop blocks installed at a safe distance from ⬧ Site safety officer to ensure that all
excavation preventing vehicles from falling into excavation is provided with all necessary
excavation. safety requirements as per SEC5-Star Health
⬧ PPE – Hard hats, Safety glass, Safety Mask, Safety and Safety Management System standards
gloves, Safety shoes
⬧ Proper access and egress Site Manager
⬧ Provide proper illumination or blinker lights Site Engineer
3 3 9 3 1 3 YES
along the excavation in order to be identified Safety Engineer
during night time. Supervisor/ Foreman.
⬧ No tools and equipment to be stored closed to
the edge of excavation.

⬧ Build up of harmful gases in the excavation ⬧ Health hazards (asphyxiation / collapse due ⬧ Excavations more than 4 ft. deep (1.20 m) that ⬧ Provide watcher to monitor the entry & exit
for 1.2 meters deep or more (confined to inhalation of hazardous gases) may develop hazardous atmospheres shall be of entrant
space) considered a confined space. ⬧ Practice good housekeeping while working Site Manager
⬧ Use safe access while entering and exiting Site Engineer
4 3 12 in and around excavations and trenches. 4 1 4 YES
excavations and trenches. Follow safe work practices. Safety Engineer
⬧ Provide Gas Test equipment and conduct gas test ⬧ Conduct confined space training for the Supervisor/ Foreman.
by competent persons if suspected to have a involved personnel.
buildup of unknown gas.
⬧ Traffic Hazards – struck by Vehicles and ⬧ Serious Injury ⬧ Provision of proper traffic management such as ⬧ Provision of audible warning device and
traffic collisions ⬧ Permanent disability designated routes for vehicles/ equipment and for lighting bacons for all vehicles particularly
⬧ Fatality and Damage to property pedestrian routes. heavy equipment
⬧ Adequate warning signs and barriers as ⬧ Provide defensive driving for all operators
boundaries for both routes. ⬧ Follow existing traffic rules inside the area.
⬧ Mechanical excavation works and hauling of
materials by dump truck must be provided with
banks man / spotters to assist the machine Site Manager
operators and drivers regarding traffic conditions Site Engineer
3 3 9 3 1 3 YES
and to keep / isolate all unauthorized personnel Safety Engineer
away from the area. Supervisor/ Foreman.
⬧ Area should be illuminated at night.

⬧ Defective mechanical equipment ⬧ Physical injury / Property damage ⬧ Only equipment with valid third party ⬧ Equipment checklist should be filled up
certification will be deployed for the task regularly by operator prior to use.
⬧ Pre-operational check will be done to all ⬧ Any damaged equipment must be removed Site Manager
equipment to ensure it is in good working from site immediately and send for repair. Site Engineer
3 2 6 3 1 3 YES
condition Safety Engineer
Supervisor/ Foreman.

⬧ Airborne dust ⬧ Eye injury and respiratory illness due to ⬧ Used of appropriate PPE particularly dust mask ⬧ Supervisor and foreman to ensure
contact with dust must be worn during excavation. adequate monitoring of activities.
⬧ Watering of ground surfaces to reduce dust ⬧ Regular inventory of dust mask to ensure Site Manager
disturbance sufficient supply Site Engineer
3 2 6 3 1 3 YES
Safety Engineer
Supervisor/ Foreman.

⬧ High ambient temperature ⬧ Heat Stress (stroke, cramps, skin rashes etc.) ⬧ Provide sufficient drinking water and scheduled ⬧ Conduct temperature/humidity monitoring
breaks (Every 20 to 30 Mins) to ensure safe working condition.
⬧ Drinking containers shall be protected from ⬧ All personnel must undergo in a Heat Stress
direct exposure from the sunlight. Awareness Training. Site Manager
⬧ Provision of rest shelter and Portable Umbrella's ⬧ Post some heat stress campaign at the site Site Engineer
⬧ Avoid using dark color working outfit which 3 2 6 to increase the workers awareness 3 1 3 YES
Safety Engineer
attract heat, used lighter color of outfit Supervisor/ Foreman.

⬧ Ingress of water and mud ⬧ Biological hazards ⬧ Manually or using submersible pump to remove ⬧ No work to be allowed in presence of water
⬧ collapse of excavation the accumulating water inside the excavation due in excavation.
to rain or leakage from some utilities damage ⬧ Continuous dewatering until the excavation
throughout excavation. is empty with water Site Manager
⬧ Use of appropriate and complete PPEs (i.e. water Site Engineer
3 2 6 3 1 3 YES
proof gloves and boots) Safety Engineer
Supervisor/ Foreman.

6 Loading / transferring the ⬧ Traffic Hazards ⬧ Struck by Vehicles and traffic collisions ⬧ Provision of proper traffic management such as ⬧ All operators must be certified and
excavated materials to dump truck ⬧ Serious Injury designated routes for vehicles / equipment and for authorized
⬧ Permanent disability pedestrian routes. ⬧ Retraining of banks man and spotters as Site Manager
⬧ Fatality ⬧ Adequate warning signs and barriers as deem necessary Site Engineer
⬧ Damage to property boundaries for both routes. 3 2 6 ⬧ Provision of two-way radio as deem 3 1 3 YES
Safety Engineer
⬧ Experienced and trained banks man / spotters necessary for clear communication of banks Supervisor/ Foreman.
will be assigned to assist the machine operators man and operator
and drivers regarding traffic conditions and to keep ⬧ Speed breaker to be installed as deem
/ isolate all unauthorized personnel away from the necessary

4 HIRA-Hazard ID and Risk Assessment Form and Register OHS-PR-09-03-F02 (A) Rev. 0 Revision Date (May 2021)
 ⬧ Equipment without 3rd party certificate ⬧ Physical injury / Property damage ⬧ All equipment used for excavation must have a ⬧ Supervisor and foreman to ensure
third-party certification to ensure safe operation. adequate monitoring of activities.
⬧ Pre-operational check using proper checklist ⬧ Proper training for the operator Site Manager
must be done in all equipment Site Engineer
3 2 6 3 1 3 YES
Safety Engineer
Supervisor/ Foreman.

⬧ Incompetent operator ⬧ Physical injury / Property damage ⬧ Conduct tool box talk prior start to work. ⬧ Proper training for the operator
⬧ All operators and drivers must be trained and ⬧ Drivers to undergo defensive driving
posses valid SAG driving license and third party training Site Manager
certificate Site Engineer
3 2 6 3 1 3 YES
Safety Engineer
Supervisor/ Foreman.

⬧ Airborne dust ⬧ Eye Injury and respiratory illness ⬧ Ensure that company will provide an appropriate ⬧ Additional appropriate PPE as per activity.
PPE for the specific activity. ⬧ Conduct training for Respiratory protection.
⬧ Ensure that mask provided is appropriate with Site Manager
the hazard Site Engineer
3 2 6 3 1 3 YES
Safety Engineer
Supervisor/ Foreman.

⬧ Improper handling ⬧ Physical injury / Property damage ⬧ Implement the proper manual handling ⬧ Conduct training for Proper manual
⬧ Buddy-buddy system if the load is exceed to the Handling.
capacity load for the person Site Manager
Site Engineer
3 2 6 3 1 3 YES
Safety Engineer
Supervisor/ Foreman.

7 Shifting and offloading of excavated ⬧ Other moving equipment in the area (such ⬧ Struck by Vehicles and traffic collisions ⬧ Provide trained flagman equipped with green ⬧ All operators must be certified and
soils into the designated area as dump truck, etc.) ⬧ Serious Injury and red flags to control the movement of authorized
⬧ Permanent disability equipment. ⬧ Retraining of banks man and spotters as
⬧ Fatality ⬧ Suitable traffic management plan shall be deem necessary
⬧ Damage to property established such as segregation of pedestrian lanes ⬧ Provision of two-way radio as deem
from vehicle access ways. necessary for clear communication of banks
⬧ Separate, clearly marked or demarcated man and operator
walkways with signs posted. ⬧ Filled dump trucks shall be covered with Site Manager
⬧ Designated offloading (dump site) shall be screen or equivalent materials to prevent Site Engineer
3 2 6 3 1 3 YES
established with suitable demarcation and signs spoils from spilling on the road while Safety Engineer
posted. transporting to dump site Supervisor/ Foreman.
⬧ Foreman shall ensure that cover is installed
properly.

⬧ Exposure to Dust ⬧ Excess dust may lead to respiratory diseases ⬧ Dust control need to be done around the ⬧ Daily toolbox meeting
excavated area to control the dust flow ⬧ Rotation of workers assignment to lessen
⬧ Appropriate dust mask must be use. the exposure of personnel in the related Site Manager
⬧ Educate the worker / staff about the dust related hazard Site Engineer
3 2 6 3 1 3 YES
hazards Safety Engineer
Supervisor/ Foreman.

8 Housekeeping ⬧ Unwanted materials that lay inside and ⬧ Physical injury from slip, trips & fall ⬧ Conduct and Maintain daily housekeeping ⬧ Maintain daily proper housekeeping
outside the excavation area. ⬧ Foreman must designate 1 or 2 persons to Site Manager
maintain good housekeeping. Site Engineer
3 2 6 3 1 3 YES
Safety Engineer
Supervisor/ Foreman.

⬧ Ladder and hand tools that block in the ⬧ Getting injured from hard objects blocking ⬧ Housekeeping shall be done before, during and ⬧ Additional person for housekeeping if
walkway the walkway after the job necessary. Site Manager
⬧ Designated access shall be free from any Site Engineer
obstruction 3 2 6 3 1 3 YES
Safety Engineer
Supervisor/ Foreman.

8 Closing of Permit to Work ⬧ Poor housekeeping ⬧ Environmental complaint ⬧ Permit Receiver shall ensure that housekeeping ⬧ Supervisor to monitor their respective area
⬧ Accident resulting serious injury or death to in done before, during and after the work for housekeeping before and after the
worker ⬧ All waste materials generated from the work activity
shall be disposed properly and shall not be left ⬧ Enough waste bins shall be provided
unattended at the worksite
⬧ All materials used at the site such as chemicals, Site Manager
flammable and combustible materials shall be Site Engineer
3 2 6 3 1 3 YES
stored at the designated storage at the end of Safety Engineer
each day Supervisor/ Foreman.

5 HIRA-Hazard ID and Risk Assessment Form and Register OHS-PR-09-03-F02 (A) Rev. 0 Revision Date (May 2021)
 ⬧ Undisposed waste materials ⬧ Governmental violation ⬧ Mobile equipment shall properly parked on a ⬧ Supervising Engineer and Foreman shall
⬧ Accident resulting serious injury or death to designated equipment laydown adhere to the proper housekeeping and
worker ⬧ All materials used at the site such as chemicals, storage of materials at the designated
⬧ Significant cost due to damages flammable and combustible materials shall be location
stored at the designated storage at the end of ⬧ Site Manager shall be responsible on the
each day effective implementation of the Permit to
⬧ Electrical equipment shall be properly secured, Work
distribution board closed and padlocked ⬧ Permit Issuer shall visit the work location to Site Manager
⬧ Permit Receiver shall account all worker under verify good housekeeping was conducted Site Engineer
3 2 6 3 1 3 YES
his Permit to Work and ensure all have signed out before closing the Permit to Work Safety Engineer
on the attendance sheet and clear of the area Supervisor/ Foreman.

⬧ Unaccounted workers ⬧ Governmental violation ⬧ Security/guard should be mobilized ⬧ TBT for all the workers and proper
⬧ Loss of production ⬧ Log in and out should be implemented, log book monitoring
must be provided and always available ⬧ Training for the security/guard pertaining to
⬧ Coordination between HR and PMT for new log in and out Site Manager
workers, induction should be provided ⬧ Site Manager shall be responsible on the Site Engineer
3 2 6 3 1 3 YES
effective implementation of the Log in log out Safety Engineer
system Supervisor/ Foreman.

⬧ Inadequate communication ⬧ Accident resulting serious injury or death to ⬧ Regular coordination meeting should be done for ⬧ Practice constant communication between
worker communication PMT
Site Manager
Site Engineer
2 2 4 2 1 2 YES
Safety Engineer
Supervisor/ Foreman.

⬧ Poor storage of chemical, flammable and ⬧ Significant property and appurtenances ⬧ Permit Receiver shall ensure that proper storage ⬧ Must have chemical holder with proper
combustible materials and etc. damage of chemical is done before, during and after the training
⬧ Governmental violation work ⬧ SDS must be available
⬧ Environmental complaint ⬧ All waste materials generated from the work ⬧ Supervision and monitoring by the
⬧ Accident resulting serious injury or death to shall be disposed properly and shall not be left supervisor must take place
worker unattended at the worksite
⬧ Significant cost due to damages ⬧ Safety information on how to handle chemical Site Manager
materials must be posted Site Engineer
3 2 6 3 1 3 YES
⬧ All materials used at the site such as chemicals, Safety Engineer
flammable and combustible materials shall be Supervisor/ Foreman.
stored at the designated storage at the end of
each day

⬧ Unattended unsafe condition ⬧ Loss of production ⬧ All unsafe condition must be identified by the ⬧ TBT should be done and all pending unsafe
⬧ Accident resulting serious injury or death to safety rep. and must be rectified right away. condition must be discussed
worker ⬧ Area with un attended unsafe condition must be ⬧ Supervising Engineer and Foreman shall
identified adhere to the proper rectification of the open Site Manager
observation Site Engineer
3 2 6 3 1 3 YES
⬧ Site Manager shall be responsible on the Safety Engineer
effective implementation Supervisor/ Foreman.

⬧ Unsecured electrical equipment, energized ⬧ Significant property and appurtenances ⬧ Permit Receiver shall ensure that housekeeping ⬧ Permit Receiver shall account all worker
equipment damage in done before, during and after the work under his Permit to Work and ensure all have
⬧ Accident resulting serious injury or death to ⬧ Electrical equipment shall be properly secured, signed out on the attendance sheet and clear
worker distribution board closed and padlocked of the area
⬧ LOTO procedure should be available and ⬧ Site Manager shall be responsible on the Site Manager
properly implemented effective implementation of the Permit to Site Engineer
3 2 6 3 1 3 YES
Work Safety Engineer
⬧ Monthly inspection and color code should Supervisor/ Foreman.
be implemented
⬧ Electrical equipment checklist and registry
should be updated
###
###

6 HIRA-Hazard ID and Risk Assessment Form and Register OHS-PR-09-03-F02 (A) Rev. 0 Revision Date (May 2021)
 SEVERITY / CONSEQUENCE (Impact/Hazard Effect) (Where an event has more than one ' Loss Type ', choo
Loss Type Additional "Loss Types" may exist for
an event: Identify & rate accordingly (1) Insignificant (2) Minor
Medical Treatment Case
(S/H) Harm to People (Safety/Health)
First Aid Case/Exposure to Minor Exposure to Major Health Risk
Health Risk

(EI) Environmental Impact

Minimal environment harm incident Material Environment harm (RST)
with workplace

(BI/MD) Business Interruption / Material / Fire Damage & No disruption to operation / 1000 SR Brief Disruption to Operation / 10k
Other Consequential Losses to Less than 10k SR SR to Less Than 100k SR

LIKELIHOOD Examples (Consider Near-Hits as well as actual events)

(5) ALMOST CERTAIN The unwanted event has occurred frequently : Occurs in order of (1)
or more per year & is likely to reoccur within 1 year 5 (M)
(4) LIKELY The unwanted event has occurred infrequently : Occurs in order of
less than once per year & is likely to reoccur within 5 yrs. 4 (M)
(3) POSSIBLE The unwanted event has occurred in the business at some time: or
could happen within 10 years. 3 (L)
(2) UNLIKELY The unwanted event has occurred in the business at some time: or
could happen within 20 years. 2 (L)
(1) RARE The unwanted event has never known to occur in the business or it is
highly unlikely to occur within 20 years. 1 (L)

RISK RISK LEVEL GUIDELINES FOR RISK MATRIX

RATING
Stop operation and review controls- Eliminate, avoid risk &
15 to 25 (Ex) - Extreme implement high priority action plans

Proactively manage & implement specific controls/action

8 to 12 (H) - High plans-Review after 7 days
Actively manage & monitor – Additional controls is advised
4 to 6 (M) - Medium & review after 14 days
Risk acceptable – Monitor & manage as appropriate with
1 to 3 (L) - Low frequent review
than one ' Loss Type ', choose the ' Consequence' with the highest rating)

2) Minor (3) Moderate (4) Major (5) Catastrophic

Treatment Case Loss Time Injury / Single Fatality or
o Major Health Risk Reversible Impact on Loss of Quality of Multiple Fatalities / Impact on
Health Life / Irreversible health Ultimately Fatal
impact on Health
Material Environment
ironment harm (RST) harm (RST) Serious Major environmental Major environmental harm –
environmental harm incident (RLT) Incident Irreversible
incident (RMT)
Partial Loss of
Operation/1M SR
on to Operation / 10k Partial Shutdown/100k To Less than10M SR Substantial or Total Loss of
ss Than 100k SR SR to Less than 1M SR Operation / 10M SR and more

RISK RATING / PROFILE

5 (M) 10 (H) 15 (H) 20 (Ex) 25 (Ex)

4 (M) 8 (H) 12 (H) 16 (Ex) 20 (Ex)

3 (L) 6 (M) 9 (H) 12 (H) 15 (Ex)

2 (L) 4 (M) 6 (M) 8 (H) 10 (H)

1 (L) 2 (L) 3 (L) 4 (M) 5 (M)

Area/Department
Date Compiled Date Revised
Compliled by:
Management Action
Priority Risk
Ref No. Description of Risk Action Responsible person
Rating Score
 Target Action
Responsible person
date complete