Name End-of-course date Training provider

Total
marks

Risk assessment form

Marks

Assessors name Date

Description of process, activity or task to be risk assessed

Describe the location ABDULLAHA HASHIM GAS COMPANY 2ND IND CITY DAMMAM SAUDI ARABIA
where the activities are
taking place

Describe the activities WELDING , FABRICATION WORK , ELETRICAL WORK AND PAINTING ACTIVITY
being performed

Describe the WELDING MACHINE , SAW MACHINE , DRILLING MACHINE ,

equipment and/or
substances being used

Describe the people STAFF, WELDER , HELPER , SUPERVISOR

involved in these
activities (and others
who might be affected)
 Risk assessment form

Marks
Description of hazard Who might be What risk controls Current risk Are further Date to be Residual risk
and hazardous event harmed? are currently in rating* controls needed? completed by rating*
place?
L C R L C R
Hazard in welder doing welder and helper remove the chemical Briefing & Training with in 1 week
welding on container and doing work in unsafe drum or store it in a regarding fire and
Location

flames are falling on condition near the proper chemical storage chemical storage system
chemical drum chemical drum area 4 4 16 on site 2 4 8

Anyone in office could Office Staff (9) Training is provided to Routine eye checkups. with in 3 Days
suffer Electrical Shock or Managers (6) know how to position Staff will be encouraged
Activities

burns if electrical cabling Cleaner (1) screen properly and use to take regular breaks
or electrical equipment is Office Boy (1) of from screen use.
faulty. All Visitors Glasses or lenses 4 3 12 All problems identified 2 1 3
in self assessment will
be
Actioned promptly No
Equipment and

Handling , Storage Unaware personal PPE , First aid Safe system of work Immediately
Distribution of Chemicals
substances

working like risk of

skin due to chemical
contact risk of adverse 3 3 9 3 3 6
health due to
inhalation of chemical

*Likelihood x Consequence = Risk

Risk Rating Calculator
Likelihood that hazardous event will occur
1 very unlikely
2 unlikely
3 fairly likely
4 likely
5 very likely
Consequence of hazardous event
1 insignificant no injury
2 minor minor injuries needing first aid
3 moderate up to three days absence
4 major more than seven days absence
5 catastrophic death

Action Level Table

Risk rating Action
2025 Stop stop activity and take immediate action
1516 Urgent action take immediate action and stop activity if necessary, maintain existing controls rigorously
812 Action improve within specified timescale
36 Monitor look to improve at next review or if there is a significant change
12 No action no further action but ensure controls are maintained and reviewed

Example risk assessment

Description of hazard Who might be What risk controls Current risk Are further Date to be Residual risk
and hazardous event harmed? are currently in rating* controls needed? completed by rating*
place?
L C R L C R
Filling car with petrol, Person filling vehicle Auto pump cut off, 4 2 8 Make available By next week 3 2 6
Activities

leading to spillage and others on signage and plastic paper towels, sand
forecourt gloves and absorbent
material