Risk Assessment Form
Company : Department:
Assessment of
Risk
(in relation to
Harm Caused By The Hazard & Who Existing Risk Controls workplace
Condition That Develop the Hazard hazards) Inherent
No Workplace Hazards Might Be Harmed (in relation to workplace Risk
(in relation to workplace hazards)
(in relation to workplace hazards) hazards)
Risk
S P Level
R=SxP
Workplace- Obstruction Presence of obstructions like low head Presence of these obstruction may cause
space and sharp projections Minor Injury (cuts and bruises) to
Operatives/Personnel working in the area
Work Environment- Very high temperature generated during Operatives exposure to high temperature
Temperature the operation of the 5 turbines and other from turbine operation.
equipments Potential for 1) Dehydration / Collapse and
2) Skin burn due to heat
Electrical Hazard Generation of 20MV electricity daily Minor Injury to personnel like burns from
electric shock
Major injuries or Fatality to personnel due
to electrical accidents
Accidental fire 1- Damaged to property caused by
accidental fire from electric short circuits or
unsecured cables
2- Serious injuries, burns from the
accidental fire
3- Respiratory illness due smoke from
caused by the fire.
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RA Sample Form (NEW)
Site Name:
Re-evaluated
Risk
(in relation to Description of
workplace hazards) Monitoring
Further Risk Controls Required Residual
Risk
Required
(in relation to workplace hazards)
New (in relation fo
Risk residual risk)
S P
Level
R=SxP
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RA Sample Form (NEW)
Risk Assessment Form
Company : Department: Site Name:
Assessment of Re-evaluated
Risk Risk
(in relation to (in relation to Description of
Condition That Harm Caused By The Hazard Further Risk Controls
Existing Risk Controls workplace hazards) Inherent Required workplace hazards) Monitoring
Workplace Develop the Hazard & Who Might Be Harmed Residual
No (in relation to workplace Risk Risk
Required
Hazards (in relation to workplace (in relation to workplace (in relation to workplace
hazards) (in relation fo
hazards) hazards) hazards) New
Risk residual risk)
Risk
S P Level S P
Level
R=SxP
R=SxP
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RA Blank Form
Risk Assessment Matrix
Consequence Probability (P)
1 2 3
IMPROBABLE UNLIKELY POSSIBLE
Severity - Never heard of in Industry - Heard of in Industry
- Very unlikely - Not likely to occur
- Incident has occurred in
our company
(S) People Assets Environment Reputation
- Maybe exposed to hazard - Yearly or maybe exposed
to hazard infrequently
- Likely to occur sometime
- Monthly or exposed to
hazard several times
1 Slight Health
Effect/Injury
Slight Damage Slight Effect Slight Impact 1 2 3
2 Minor Health
Effect/Injury
Minor Damage Minor Effect Limited Impact 2 4 6
3 Major Health
Effect/Injury
Localised Damage Localised Effect
Considerable
Impact 3 6 9
4 Potential for 1-3
Fatalities
Major Damage Major Effect National Impact 4 8 12
5 Multiple Fatalities Extensive Damage Massive Effect
International
Impact 5 10 15
25 to 20 None Operable Evacuate Zone
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10 to 16 Intolerable Do not take the Risk
5 to 9 Undesirable Demonstrate ALARP before proceeding
2 to 4 Acceptable Proceed carefully with continuous improvement
1 Negligible Safe to Proceed
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ity (P)
4 5
LIKELY PROBABLE
- Happens several times per - Happens several times per
year in Industry year in our company
- Likely to occur several - Likely to occur repeatedly
times - Continuous exposed to
- Weekly or exposed to hazard
hazard often
4 5
8 10
12 15
16 20
20 25
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