HAZARD IDENTIFICATION , RISK ASSESSMENT AND DETERMINING CONTROL FORM (HIRARC FORM) Department: PROJECT SAFETY Function / Main

Activity: WORK AT HEIGHT

RISK ASSESSMENT

HIRARC FORM Rev. 0 Page 1 of 1 Date:

CONTROL MEASURES

HAZARD IDENTIFICATION

Probability

NO

Activity Description WORKING AT HEIGHT DURING CABLE LAYING AND PULLING ON THE CABLE TRAY

Hazard

Potential Of Hazard

Potential Risk
MAJOR

Controls Required
i. PROVIDE PROPER AND SAFE WORKING PLATFORM

Action By

Legal & Other Requireme nts

Severity
5

GRAVITY

FALL FROM HEIGHT

INJURY FATALITY

OR

15

Total

i. Work Supervisor
ii. Safety

1
MINOR/ GRAVITY FALLING OBJECT MAJOR INJURY

ii. PROVDE PROPER ACCESS AND

Supervisor

FMA (SHW) 1970, Reg. 12

15

EGRESS WITH HANDRAIL AND ADEQUATE OVERHEAD PROTECTION

FMA (BOWEC) 1986, Reg. 15

MECHANICAL

TRIP AND FALL DUE TO POOR HOUSEKEEPING

MAJOR INJURY

15
1) HOUSEKEEPING SHOULD BE DONE REGULARLY

FMA (BOWEC) 1986, Reg. 9

iii. Work Supervisor

HAZARD IDENTIFICATION , RISK ASSESSMENT AND DETERMINING CONTROL FORM (HIRARC FORM) Department: PROJECT SAFETY Function / Main Activity: WORK AT HEIGHT
2)

HIRARC FORM Rev. 0 Page 1 of 1 Date:

PROVIDE RAILING OR BARRICADE AT BUILDING EDGES

iv. Safety

Supervisor