Location Of The Work Performed:

L1,L2 & L3

Project / Work Description: MARKING & PARTITION

Risk Assessment Team (Name/s):

Date Conducted:

Next Review Date:

Approved By Supervisor / Reporting Officer:

(Name, Date & Signature)

RISK ASSESSMENT FORM

Identified
Hazards
Potential Effects of Hazard
Risk Analysis
Without Controls
Control Measures
Legal Requirement (Y/N )
Risk Analysis
With Controls
Residual Risk Comments
S
L
R
S
L
R
Emergency Situations
Poor emergency procedures.
Disruption to project
Personal injuries
Property damage
Worsening of an incident if dealt with incorrectly
6
6
36

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Project specific emergency plan established

Emergency plan reviewed periodically throughout life of project
Emergency procedure included in induction and reiterated in briefings and Tool box talks.
All work locations to have clear signage for emergency exits / assembly
Emergency contact details posted on site notice boards and office bulletin boards
Emergency facilities on standby ( ambulance / fire engine / clinic )
Trained First Aiders available throughout the site
first aid boxes available throughout the site
Liaison with civilian emergency services.
All Emergency responders to have specific training
Security at gates.

Y
6
2
12
Adequately controlled Risk
Employees New Starts
Inexperience of New Employees
Increased risk of unsafe activities
Potential poor quality works
Personal Injury
Property damage
4
4
16
HSSE Induction training prior to mobilisation
Specific HSSE Training in site rules and procedures.
Included in project HSSE training programs
Close supervision / use of buddy system
Pre planning of tasks assigned based on experience required
Issued with and trained in the use of appropriate PPE
Issued with helmet identification to indicate new employee
Tool box talks
4
2
8
Adequately controlled Risk
Survey and Mark out
Heat
Survey equipment falls

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Eye injury
Heat Stress / Cold Stressand Personal injury due to slip/trip/fall
Survey equipment falls due to wind or hit by transport
Eye injury (dust)

4
4
16
Isolate working area with barricades if possible,
Ensure area of work is clear of all debris
Foreman to inspect working area before allowing survey team on site
Legs of tripod to be securely bedded into ground and mercury accuracy to be checked.
No activity during wind or sand storm
No vehicles allowed within area
No lone working
Provision and use of appropriate PPE esp. eye protection
Use rebar Caps on survey sticks
Suitable training & Supervision

Adequately controlled Risk

Wild/Insects.
ContactwithScorpions,
Disease, Infection, Poison

4
4
16
I includeininduction
methodstatementandRiskassessment
Allworkersextracaution,avoidareaswhere

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likelytobepresent

4
2
8
Adequately controlled Risk
Night-works / Out Of Hours Working
Insufficient Lighting

- Property damage
- Personal Injury

6
6
36
Appropriate lighting provisions
Task specific lighting plans to be developed
Nominated person responsible per shift to ensure that all lighting is compliant
Tube lights to be set up so the light beam shines downwards to avoid any nuisance to other stakeholders / members of the public
Lights to have welded restrictors to ensure the light beam is downwards facing.
LightTowers erected on firm / level ground
An electrician / mechanic will be available for maintenance work.
First Aiders available
Emergency contact numbers posted.
Client permission to be obtained

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Y
Y
4
4
16
Adequately controlled Risk

Residual Risk ( R ) Ratings and Assessment

Intolerable Risk
Moderately Controlled Risk
Adequately Controlled Risk
Negligible Risk

60 - 100
32 - 48
12 - 24
0-8

Likelihood ( L )

Severity ( S )

Certain
Very Likely
Likely
May Happen

10
8
6
4

Multiple Fatalities
Single Fatality or permanent Disability
Major Injury loss of time >3 days
Minor or Serious Injury

10
8
6
4

Unlikely

Slight injury

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