Risk Assessment Template

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RISK ASSESSMENT

Name of Company : Date :


Project’s Name : Prepared By / Designation :
Residual
Responsibility
Activity/ Storage Risk Reference Risk
SN Who is at risk Hazard Risk Severity Likelihood Control Measures
Process Rating Document
S L
R
 Not
following/observing Minor to
traffic rules severe  Give clear instruction to
 Improper Manual injury or workers to follow or
Workers and the Handling fatality observe traffic rules.
1. Mobilization 5 3 15 5 1 5
nearby people  Improper or  Workers are given
Loading/unloading damage TBT/training in Manual
of materials. to Handling.
 Improper storing of property.
materials.
Minor to • Give clear instruction
severe to workers to follow the
• Falling injury or specifics for safely
Setting up the Workers and the • Electrocution fatality operating a manlift
2 manlift nearby people • Tip- Over or
5 3 15
• Ensure workspace
5 1 5
• Collisions damage and heights are
to appropriate.
property

Bringing the
3 materials on top of
the roof

Modification of
4
the Pipeline

5 Cleaning

6
(Severity = S)

Insignificant (1) Minor (2) Moderate (3) Major (4) Catastrophic (5)

Rare (1) 1 2 3 4 5

Possible (2) 2 4 6 8 10
(Likelihood = L)

Likely (3) 3 6 9 12 15

Often (4) 4 8 12 16 20

Frequent /Almost
5 10 15 20 25
Certain (5)

15 – 25 Extreme risk Activity or industry not proceed in current form

Activity or industry should be modified to include remedial planning


8 – 12 High risk
and action and be subject to detailed EHS assessment

Activity or industry can operate subject to management and or


4–6 Moderate risk
modification

1 -3 Low risk No action required, unless escalation of risk is possible

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