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

Work at height- mechanical crew perform open flame work at the top of vessel using ladder and scaffolding too
Describe the location
where the activities are
Crane Operation- Crane lifted the load form the road side area and shifted it on the top of vessel
taking place
Main Road- Where vehicles move and also there is a side walkway for the pedestrian

Describe the activities

being performed

1) Salt absorber vessel where gases are filter

2) Crane shift the channel head of vessel on the top of vessel where mechanical crew fit it according to instructions
3) Fire extinguisher inspection all over the plant site by HSE officers.
4) Welding operation for sheets joining.
5)PTW checked by HSE officers daily

Describe the
equipment and/or
substances being used

Pre-purification unit
Grinder
Cutter
Welding machine
Lathe machine
Diesel generator

Describe the people

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

Project Manager
Area Manager
Mechanical Eng.
Electrical Eng
Chemical Eng
HSE Manager

(02)Grainding disk
(02)Cotton gloves
(01)Salt bags
(01)Crane 200 Tons
(01)
(01)

(20)
(20 pears)
(50 no)
(01)

(01)Electrical supervisor
(01)Fabricators
(01)Crane Operator and rigging crew
(01)
(01)
(01)

(02)
(6)
(6)

Risk assessment form

Equipment and
substances

Activities

Location

Description of hazard
and hazardous event

Who might be
harmed?

Work at height
Fall from height
Electric shock
Personal injury

Plant Manager
(01)
HSE inspector
(01)
Mechanical supervisor
(01)
Fitter(01)

Trained person
Full ppes
Housekeeping
Apply SSOW
Follow the TRA

Crane Operation
Falling Load
Properly damages
Personal injury
Main Road:
Slip and trip
Falling load
Personal injury

Riggers
(2)
HSE Inspector
(1)
Rigging Supervisor (1)
Management Crew (4)

Barricade Area in Half

road
Active person of HSE
monitor

Grander

Mechanical
Supervisor
Grinder operator
Management crew
Management crew
Mechanical Superviso

haering protection
machine guards
barrication
PPEs

Generator
Crane Operation

*Likelihood x Consequence = Risk

Current risk
rating*

What risk controls

are currently in
place?

Are further
controls needed?

Date to be
completed by

Residual risk
rating*

16

L
Barricade and tagged the next week
Area
100% tie off full body
Harness

Barricade Area in Half

road .
Active person of HSE
monitor

next week

electrical cables
insulation
continuous monitoring
maintenance schedule

next week

Marks

Risk Rating Calculator

Likelihood that hazardous event will occur

Consequence of hazardous event

very unlikely

insignificant no injury

unlikely

minor minor injuries needing first aid

fairly likely

moderate up to three days absence

likely

major more than seven days absence

very likely

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

Activities

Description of hazard
and hazardous event
Filling car with petrol,
leading to spillage

Who might be
harmed?
Person filling vehicle
and others on
forecourt

What risk controls

are currently in
place?
Auto pump cut off,
signage and plastic
gloves

Current risk
rating*
L
4

C
2

Are further
controls needed?

Date to be
completed by

Residual risk
rating*

R
8

L
Make available
paper towels, sand
and absorbent
material

By next week

C
2

R
6