HIRARC FORM

HAZARD IDENTIFICATION , RISK

ASSESSMENT AND RISK CONTROL Rev. 0

PROVISION OF SAFETY SIGNAGE FOR PROJECT FORM

(PACKAGE 14-SS68) (HIRARC FORM)
Page 1 of 4

Department: FAB Engineering & Construction

Function / Main Activity: Site Survey Activity Date: 30/10/2019
Sdn. Bhd
Prepared By: Reviewed and Approved By:
Name Designation Signature
Mason Bin Jamari Project Manager
Muhammad Nasrun Project Engineer IPT HSE (Name and Stamp)
Mohd Syazwan Safety Site Supervisor

RISK
ACTIVITY HAZARD RESIDUAL
N° HAZARD VALUE CONTROL MEASURES RESPONSIBLE
DESCRIPTION EFFECT RISK
R=SxL
1. Mobilization of Miss information Loss of property 3=3X1 - Obtain approval for site material 2=2X1 DPSSB
material, gate pass from DPSSB personnel Personnel,
equipment and before entering to site. ESE
(Management
machinery . - Ensure all machinery, equipment Team, Operator,
and tools are inspected. HSE)
- Ensure all related document
provided.
- Brief/Discuss the logistic planning in
the toolbox talk.

2. Entering the Communication No information 3=3X1 - Ensure all worker are attended 2=2X1 DPSSB
work area about work to be safety induction by DPSSB. Personnel,
- To apply PTW (Cold work) permit ESE
carried out (Management
before start this activity. Team, HSE, All
- Brief/Discuss the work activity in worker)
the toolbox talk.

Slip, trip and fall Physical injuries 3=3X1 - All workers are compulsory to wear 2=2X1 ESE
 (Minor cut, basic PPE. (Site Supervisor,
tripping) - Perform regular housekeeping HSE, All
before and after work start. Worker)
- Proper material arrangement must
be practices at all times.

3. Selection of Lack of Physical injuries, 3=3X1 - Ensure all tools are inspected by 2=2X1 DPSSB
(HSE),
proper tools ; knowledge Property damage DPSSB. ESE
theodolite, - Survey equipment must have (HSE, Site
calibration certificate. Supervisor,
automatic level. Storekeeper,
- Ask superior for more information
Worker)
on using any tools.
- Supervisor need to supervise the
work at all the time.
- Wear PPE.

4. Site survey Miss Physical injuries, 3=3X1 - All work crew must understand 2=2X1 ESE
(HSE, Site
work and level communication Property damage work sequence and briefed during Supervisor,
marking. toolbox meeting. Worker)

Ergonomic Back pain, collapse 6=3X2 - Worker to apply with the right 2=2X1 ESE
(Site Supervisor,
(continuous and position when working. Foreman,
repetitive - Ensure sufficient energy during Workers)
awkward body perform continuous task (Buddy
posture) System).
- Ensure this work perform in buddy
system / job rotation.

Excessive hot Heat Stress 6=3X2 - Ensure work perform in buddy 2=2X1 ESE
(Site Supervisor,
weather system / job rotation. Foreman,
- Drink sufficient fluids to avoid Workers)
dehydrate.
Lightning Serious injuries, 12 = 4 X 3 - To immediate stop activity if 4=2X2 ESE
(Site Supervisor,
Fatality instructed by supervisor and go to Foreman,
 nearest ‘safe haven’ (lightning Workers)
arrestor) point.
- To ensure all workforce evacuate to
safe haven point.
Slip, trip and fall Physical injuries 3=3X1 - All workers are compulsory to wear 2=2X1 ESE
(Minor cut, basic PPE. (Site Supervisor,
tripping) - Perform regular housekeeping HSE, All
before and after work start. Worker)
- Proper material arrangement must
be practices at all times.

5. Demobilization Miss information Loss of property 3=3X1 - Obtain approval for site material @ 2=2X1 DPSSB
of material, machinery removal gate pass from Personnel,
equipment, DPSSB personnel before out. ESE
(Management
machinery etc. - Ensure all machinery, equipment Team, Operator,
and tools is belongs to contractor. HSE)
- Brief/Discuss the logistic planning in
the toolbox talk.

6. Housekeeping Sharp Physical injuries 3=3X1 - Wear suitable hand glove. 2=2X1 ESE
(Site Supervisor,
object/edges - No storing surplus at the access Foreman,
way. Worker)

Slip, trip and fall Physical injuries 3=3X1 - Comply with basic PPE 2=2X1 ESE
(Site Supervisor,
requirements. Foreman,
- Perform housekeeping after finish Worker)
work.
Ergonomics Back pain, collapse 6=3X2 - To brief workers on good lifting 2=2X1 ESE
(Site Supervisor,
method. Foreman,
- Use mechanical aid if object lifted is Worker)
too heavy.

  LIKELIHOOD
PEOPLE ASSETS Extremely unlikely Very Unlikely Occasional Probable frequent
R
 requires multiple Possible or known to Event or near miss or common or repeating
Remote Possibillity

ATE
Risk to safety failures occur having occurred occurrence
Financial Risk
    1 2 3 4 5
high multiple   5          
SEVERITY 

  single fatality   4          
medium Disability   3 Low   medium   high
  lost time injury   2          
low     1