HAZARD IDENTIFICATION & RISK ASSESSMENT (HIRA)

OHS-PR-09-03-F02 (A) HIRA-Hazard ID and Risk Assessment Form and Register

Operating Area: Project Name:
Contractors: Project Type: Contract No.:
Risk Assessment (Baseline and full RA)
TASK/ACTIVITY/PROCESS NAME: PACU Installation DEPARTMENT/AREA:
RA Number: DATE:
SEVERITY / CONSEQUENCE (Impact/Hazard Effect) (Where an event has more than one ' Loss Type ', choose the ' Consequence' with the highest rating)
Loss Type Additional "Loss Types" may exist for
an event: Identify & rate accordingly
(1) Insignificant (2) Minor (3) Moderate (4) Major (5) Catastrophic
Loss Time Injury / Reversible Impact on Single Fatality or Loss of Quality of Life / Irreversible impact on
(S/H) Harm to People (Safety/Health) First Aid Case/Exposure to Minor Health Risk Medical Treatment Case/Exposure to Major Health Risk Multiple Fatalities / Impact on health Ultimately Fatal
Health Health
Material Environment harm (RST) Serious
(EI) Environmental Impact Minimal environment harm incident with workplace Material Environment harm (RST) Major environmental incident (RLT) Major environmental harm – Incident Irreversible
environmental harm incident (RMT)
(BI/MD) Business Interruption / Material / Fire Partial Shutdown/100k SR to Less than 1M
No disruption to operation / 1000 SR to Less than 10k SR Brief Disruption to Operation / 10k SR to Less Than 100k SR Partial Loss of Operation/1M SR to Less than10M SR Substantial or Total Loss of Operation / 10M SR and more
Damage & Other Consequential Losses SR
LIKELIHOOD Examples (Consider Near-Hits as well as actual events) RISK RATING / PROFILE
The unwanted event has occurred frequently : Occurs in order of (1) or more
(5) ALMOST CERTAIN
per year & is likely to reoccur within 1 year 5 (M) 10 (H) 15 (Ex) 20 (Ex) 25 (Ex)
The unwanted event has occurred infrequently : Occurs in order of less than
(4) LIKELY
once per year & is likely to reoccur within 5 yrs. 4 (M) 8 (H) 12 (H) 16 (Ex) 20 (Ex)
The unwanted event has occurred in the business at some time: or could
(3) POSSIBLE
happen within 10 years. 3 (L) 6 (M) 9 (H) 12 (H) 15 (Ex)
The unwanted event has occurred in the business at some time: or could
(2) UNLIKELY
happen within 20 years. 2 (L) 4 (M) 6 (M) 8 (H) 10 (H)
The unwanted event has never known to occur in the business or it is highly
(1) RARE
unlikely to occur within 20 years. 1 (L) 2 (L) 3 (L) 4 (M) 5 (M)
RA TEAM (Names) DESIGNATION SIGNATURE RISK RATING RISK LEVEL GUIDELINES FOR RISK MATRIX
Stop operation and review controls- Eliminate, avoid risk & implement high
1. 15 to 25 (Ex) - Extreme priority action plans
Proactively manage & implement specific controls/action plans-Review after 7
2. 8 to 12 (H) - High days
Actively manage & monitor – Additional controls is advised & review after 14
3. 4 to 6 (M) - Medium days

4. 1 to 3 (L) - Low Risk acceptable – Monitor & manage as appropriate with frequent review

Review by: Signature: Date: APPROVED BY / MANAGER or SUPERVISOR: DATE: NEXT REVIEW DATE:
Identify the hazard on the given task and conduct assessment of the actual site condition, all identified risk should provide with a plan to eliminate or control the risk.
HAZARD IDENTIFICATION CONTROL RISK RISK REDUCTION ACTION PLAN

Risk Issue

Consequence

Consequence

Risk Ranking
Likelihood

Likelihood
(Improve Existing Controls/ Controls

Ranking
Work Activity Follow up By Whom (Name)
Item #

(Process, Equipment, Materials)

Hazards (Possible Incident) (What can go wrong) Existing Controls Implement new controls) & By When (Date)
Implemented
(Accident/ Ill health to person, fire or property (Yes / No)
loss)
1 Obtain Permit to Work ⬧ Unauthorized work to be performed within ⬧ Accident resulting serious injury or death to ⬧ Permit to Work shall be obtained as a pre- ⬧ Permit Receiver shall be trained and
a defined location and boundary worker requisite to perform work authorized by the Manager to receive a
⬧ Work shall not be started until duly approved Permit to Work
Site Manager
Permit to Work is available at site and that Safety ⬧ Permit Receiver shall be responsible to
Site Engineer
Toolbox meeting was conducted 3 2 6 oversee for the safety of all workers under his 2 1 2 YES
Safety Engineer
⬧ Work shall not proceed without the presence of Permit to Work
Foreman / Supervisor
approved Permit to Work with the Permit Receiver
overseeing the activity

⬧ Significant property and appurtenances ⬧ A safe work practice shall be implemented to ⬧ All workers attending the toolbox meeting
damage reduce the possibilities of accident / incident shall sign on the attendance sheet attached to
⬧Permit Receiver and Permit Issuer shall visit the specific Permit to Work Site Manager
together at the site to ensure that workplace Site Engineer
3 2 6 3 1 3 YES
hazards are adequately identified and mitigating Safety Engineer
measure shall be established Foreman / Supervisor

⬧ Uncontrolled personnel entering a ⬧ Loss of production ⬧ Permit to Work shall be displayed at the worksite ⬧ All workers shall attend the toolbox
Site Manager
restricted location ⬧ Permit Receiver shall not leave the area for the meeting on a daily basis conducted by the
Site Engineer
whole duration of work 3 2 6 Supervising Engineer, Foreman and Permit 3 1 3 YES
Safety Engineer
Receiver
Foreman / Supervisor

⬧ Significant cost due to damages ⬧Permit Receiver shall account all workers under ⬧ Permit Receiver and all workers shall not Site Manager
his Permit to Work before the start of work 3 2 6 start with the work without the written 3 1 3 Site Engineer YES
approval Permit to Work Safety Engineer
⬧ Unidentified hazards with unplanned safety ⬧ Governmental violation ⬧ Manager, Supervisor, Foreman and all workers ⬧ Permit Issuer and Permit Receiver shall
mitigating measures shall adhere to all requirements set forth in the conduct site visit to identify actual situation
Site Manager
Permit to Work, Risk Assessment, Method and identify hazard to establish accurate and
Site Engineer
Statement, Job Safety Procedure and other 3 2 6 appropriate control measures 3 1 3 YES
Safety Engineer
relevant safety practices and standards
Foreman / Supervisor

1 HIRA-Hazard ID and Risk Assessment Form and Register OHS-PR-09-03-F02 (A) Rev. 1 Revision Date (Dec 2024)
 ⬧ Inadequate coordination and area control ⬧ Environmental complaint ⬧ Site Manager, Supervising Engineer, Foreman ⬧ Permit Receiver and all workers shall not
Site Manager
protocol shall designate a Permit Receiver competent start with the work without the written
Site Engineer
enough to take responsibility in securing the Permit 3 2 6 approval Permit to Work 3 1 3 YES
Safety Engineer
to Work
Foreman / Supervisor

2 Site preparation, mobilization of ⬧ Lack of safety awareness and knowledge ⬧ Physical Injury from poor safety awareness ⬧ Obtain valid permit to work. ⬧ Close supervision required, supervisor and
materials, tools and equipments. for the job ⬧ Ensure that all workers are given a HSE induction foreman must be present at site.
prior to deployment on site. ⬧ Take precautionary actions to make safe
⬧ Conduct safety toolbox meeting and discussed work environment.
Site Manager
the work procedures prior to start of work.
Site Engineer
⬧ Ensure that all workers are provided with all the 3 2 6 2 1 2 YES
Safety Engineer
required Personal protective equipment for
Foreman / Supervisor
minimum and general requirements.

⬧ Miscommunication between work teams ⬧ Physical injury from simultaneous activity ⬧ Proper coordination and communication shall be ⬧ Close supervision required, supervisor and
Site Manager
observed between work teams. foreman must be present at site.
Site Engineer
⬧ Activities that has the potential to impact each 3 2 6 ⬧ Take precautionary actions to make safe 3 1 3 YES
Safety Engineer
other must be avoided and stop. work environment.
Foreman / Supervisor

⬧ Incorrect manual handling/ lifting of ⬧ Muscular injuries (back pain, strain, fractures) ⬧ Ensure correct body positioning and manual ⬧ Provide material handling equipment for
material ⬧ pinch/crash points resulting hand injuries lifting procedures. transport of heavy and large materials /
Site Manager
⬧ Only 20 kg allowed lifting by an individual. Use equipment.
Site Engineer
buddy system if load exceed. 3 2 6 ⬧ Provide Manual handling Training to the 2 1 2 YES
Safety Engineer
⬧ Use hand protection (cotton gloves minimum) workers.
Foreman / Supervisor
during handling of materials.
⬧ Keep hands away from pinch/crash points
⬧ Poor Access/Egress ⬧ Physical injury from slip, trips & fall ⬧ Access pathways to be kept clear from any ⬧ Any obstructions shall be moved and kept
obstruction. materials away from any access. Keep work Site Manager
⬧ Conduct housekeeping before, during and after area free from loose tools and materials. Site Engineer
3 2 6 3 1 3 YES
work to ensure free ⬧ Provision of proper work access (i.e. ladder Safety Engineer
⬧ Access/egress. or scaffold) Foreman / Supervisor

⬧ High ambient temperature ⬧ Heat Stress (stroke, cramps, skin rashes etc.) ⬧ Provide sufficient ventilation (i.e. AC, blower, fan ⬧ Conduct temperature/humidity monitoring
etc.) to ensure safe working condition.
⬧ Provide sufficient drinking water and scheduled ⬧ All personnel must undergo in a Heat Stress Site Manager
breaks. Awareness Training. Site Engineer
3 2 6 2 1 2 YES
⬧ Drinking containers shall be protected from direct ⬧ Post some heat stress campaign at the site Safety Engineer
exposure from the sunlight. to increase the workers awareness. Foreman / Supervisor
⬧ Provision of rest shelter area if outside the
building.
3 Material transport and positioning ⬧ Uneven / loose ground area at the site ⬧ Delay of work for not reaching the location. ⬧ Ensure competency of driver for long journey and ⬧ Rectify uneven and loose ground, dispatch Site Manager
of lifting equipment truck maneuvering payloader and roller compactor to make the Site Engineer
3 2 6 3 1 3 YES
path even and compacted Safety Engineer
Foreman / Supervisor
⬧ Congested / obstructed / stiff site access for ⬧ Damage to property once the equipment ⬧ Good planning and site access preparation before ⬧ Prepare a Journey Management Plan to plan Site Manager
vehicle toppled. the materials reached the site. ahead favourable route, identify road hazard Site Engineer
3 2 6 3 1 3 YES
⬧ Equipment breakdown can cause by the stiff and rectify road condition Safety Engineer
access Foreman / Supervisor
⬧ Loose binder after long journey ⬧ The risk of fall, property damage and major ⬧ During rest / break time, the driver should check ⬧ Competent person shall inspect binder for
injuries for the damage / loose binder and no the materials, binder, vehicle, etc. proper installation
rack. ⬧ Proper arrangement of materials and good
Site Manager
housekeeping must be observed
Site Engineer
⬧ During rest / break time, the driver should check 3 2 6 3 1 3 YES
Safety Engineer
the materials, binder, vehicle, etc.
Foreman / Supervisor
⬧ Proper arrangement of materials and good
housekeeping must be observed

4 Lifting / installation of PACU unit ⬧ Dilapidated equipment ⬧ Property damage, fatality or injuries during ⬧ All heavy equipment shall be inspected by the ⬧ All heavy equipment operator and driver
and cage ladder ⬧ Damage or defective condition of the operation of the equipment. authorized operator on a daily basis to ensure that shall be oriented with the proper use on how
equipment equipment is in good working condition before to fill out the daily inspection checklist
using to the site ⬧ Lease equipment and operator must be
⬧ Heavy equipment shall not be used if found any from establish company
defects or damage that might affect its safe ⬧ Pre-selection of equipment and operator Site Manager
operation should establish Site Engineer
⬧ Repair of heavy equipment shall not be done on 3 2 6 2 1 2 YES
Safety Engineer
the site. It must be brought to the designated work Foreman / Supervisor
shop and only certified mechanic shall make repair
of the equipment
⬧ Select and mobilize only good condition
equipment

2 HIRA-Hazard ID and Risk Assessment Form and Register OHS-PR-09-03-F02 (A) Rev. 1 Revision Date (Dec 2024)
 ⬧ Incompetent rigger or signal man ⬧ Serious accident that may result to severe ⬧ Provision of certified rigger with proper ⬧ Periodic written examination for both rigger
⬧ Poor communication between the rigger injury or death identification (different color of helmet, reflective and operator
and operator ⬧ Significant loss to property vest, etc.) ⬧ Third party training for rigger levelling,
Site Manager
⬧ Damage to adjacent structure ⬧ Ensure the competency level of operator and consider the 10T, 40T, etc.
Site Engineer
rigger regarding the international hand signal 3 2 6 ⬧ Toolbox meeting shall be conducted before 2 1 2 YES
Safety Engineer
⬧ Operator, equipment and rigger shall have valid the start of lifting activity
Foreman / Supervisor
and updated third party certification

⬧ Struck by or collision with other equipment ⬧ Vehicular accident ⬧ Barricade lifting radios and provide proper notice ⬧ Establish safe distance between heavy
or structure during lifting and swing of boom ⬧ Accident resulting Injury to personnel and sign boards equipment
⬧ Property damage of adjacent structure or ⬧ Each heavy equipment shall be designated with a ⬧ Designate dedicated person to control
appurtenances signal man or spotter to guide the operator of the heavy equipment movement and prioritizing
its blind spot or out of the line of sight its operation
⬧ Crane safety feature to detect proximity of other ⬧ Site management plan shall be prepared,
equipment shall be tested, checked and in good approved and implemented to avoid property
condition damage and personnel accident
⬧ Crane’s safety feature to stall once unsafe Site Manager
situation occur must be in good operating condition Site Engineer
and shall not be bypassed unnecessarily 4 2 8 4 1 4 YES
Safety Engineer
⬧ Establish equipment access and shall be free from Foreman / Supervisor
any obstruction
⬧ Designate parking area
⬧ Designate location for unloading of materials
Designate spotter and flagman to guide all
equipment and personnel movement

5 Drilling works, fixing the bolts of Defective portable electrical tools. Accident from using damage tools ⬧ Supervisor/user inspection of hand or electrical ⬧ Tools and equipment inspection shall be
Site Manager
lighting system and small lightning tools before each use. done before the work start
Site Engineer
arrester ⬧ Avoid improvising connection to a DB that has all 3 2 6 3 1 3 YES
Safety Engineer
of its socket occupied. Inform supervisor if DB is
Foreman / Supervisor
full.
Inhalation of dust from drilling holes of Respiratory irritation ⬧ Workers shall be provided with approved dust ⬧ Provide mechanical ventilation at the Site Manager
foundation and anchorage points.. mask 3 2 6 workplace that would remove the fumes 3 1 3 Site Engineer YES
generated by the activity Safety Engineer
⬧ Exposure or contact with energized ⬧ Electric shock due to contact with energized ⬧ Only qualified and competent persons to work on ⬧ Defective tools and equipment shall not be
equipment equipment electrical equipment. used and must be return to store for
⬧ Ensure all electrical equipment/tools to be used replacement, repair or quarantined.
are in good condition. ⬧ Conduct training regarding electrical safety
⬧ Apply lock out / tag out if necessary to all workers to increase their awareness.
⬧ Inspect the power tools and its plug and cable ⬧ Post some campaigns regarding electrical Site Manager
prior each use to ensure it is in safe working safety. Site Engineer
condition. 3 2 6 ⬧ Use leather gloves for drilling works. 2 1 2 YES
Safety Engineer
⬧ Provide color coding to ensure the tools is ⬧ Use cotton gloves with rubber palm gloves Foreman / Supervisor
inspected and safe to use. for grinding and cutting works.
⬧ Use of hand protection (rubber gloves).
⬧ Inspect adjacent work area for any possibly
affected energized equipment and provide
necessary protection to avoid from being
electrocuted
6 Bolt tightening ⬧ Incomplete or uninspected scaffold and ⬧ Fall of materials/tools to personnel and ⬧ Use tool lanyard for hand tools. ⬧ Special training for safe use of ladders.
defective A-Frame ladders equipment below. ⬧ Effectively maintain barricade. ⬧ Temporary suspension of other group’s
⬧ Removal or protection of panels/equipment activity when the fall radius of the overhead
below the activity. activity also encroach or falls around the
⬧ Training and Supervision of personnel when using barricade.
full body harness.
⬧ Scaffolds and temporary platforms shall have Site Manager
inspection tag signed by a certified Scaffolding Site Engineer
3 2 6 2 1 2 YES
Inspector. Safety Engineer
⬧ A-frame ladder inspected and tag. Foreman / Supervisor
⬧ Clear safety glasses worn all the time when
hand(s) is working above the head.
⬧ Use scaffolding instead of ladder when it is
necessary and appropriate.
⬧ Polyester hand gloves for dexterity of the activity.

7 Painting works ⬧ Chemical / paint / thinner (exposure to the ⬧ Inhalation of hazardous chemical ⬧ Issuance of appropriate PPE’s (dust mask with ⬧ Hazardous chemical training
Site Manager
chemical during the preparation and process) ⬧ Skin irritation cause by the chemicals N95 or equivalent rating, etc.) ⬧ Procurement of PPE’s
Site Engineer
⬧ Appropriate hand and protective clothing 3 2 6 ⬧ Chemical risk assessment and registry 2 1 2 YES
Safety Engineer
⬧ Availability of Material Safety Data Sheet(MSDS) ⬧ Daily toolbox meeting
Foreman / Supervisor
at site

3 HIRA-Hazard ID and Risk Assessment Form and Register OHS-PR-09-03-F02 (A) Rev. 1 Revision Date (Dec 2024)
 ⬧ High temperature (outside areas more than ⬧ Expose to heat can cause illness and death ⬧ Adjust work timing and exposure of the workers ⬧ Provide appropriate clothing during hot
50deg.C) (other heat illness such as heat stroke, heat ⬧ Allow frequent rest time if needed weather
exhaustion, skin rashes, etc.) ⬧ Provide rest shelter with shade near to the ⬧ Establish a complete heat illness prevention
workplace program
⬧ Provide supplemental hydration powder or ⬧ Safety awareness / training related to heat
liquids stress, etc. Site Manager
⬧ Reminds to drink plenty of water Site Engineer
3 2 6 2 1 2 YES
⬧ Taking or recording the heat index at the Safety Engineer
workplace Foreman / Supervisor
⬧ Provide a drinking water cooler at site
⬧ Ensure that the equipment has standby fire
extinguisher
⬧ Nearby fire extinguisher shall be provided

8 Demobilization of Crane and Traffic block Vehicular accident ⬧ Assign spotter to guide the crane and trailer ⬧ Designate route for heavy equipment Site Manager
Trailers when exiting the work site movement and provide directional sign Site Engineer
3 2 6 3 1 3 YES
⬧ Segregated traffic flow Safety Engineer
Foreman / Supervisor
Struck to worker and adjacent structure ⬧ Accident resulting injury to personnel and ⬧ Access pathways to be kept clear from any ⬧ designate access for workers and minimize
Site Manager
significant property damage obstruction. workers near the route of heavy equipment
Site Engineer
⬧ Safety Signs indicating the heavy equipment 3 2 6 3 1 3 YES
Safety Engineer
access must be available and maintained
Foreman / Supervisor

9 Housekeeping/ Waste disposal ⬧ Improper handling ⬧ Physical injury from slip & trip ⬧ Proper Use of PPE’s ⬧ Hand protection safety awareness training
(Concrete & Woods) ⬧ contact with sharp edges ⬧ Hand injuries due to contacts with sharp tools ⬧ Manual handling & ergonomics orientation and campaign posters.
and object ⬧ Remove all materials, tools and generated waste ⬧ Cotton Gloves with rubber palm shall be
after the work is done. used when handling / working with any sharp
⬧ Provision of waste bin nearby the area to object. Site Manager
maintain the good housekeeping. ⬧ Waste to be segregated, properly labelled & Site Engineer
⬧ All workers engage in task must be provided with 3 2 6 barricaded 2 1 2 YES
Safety Engineer
required Hand gloves. ⬧ Use of backhoe/dump truck for disposal Foreman / Supervisor
⬧ Supervisor / foreman to ensure proper
monitoring of their activities for safe operation.

10 Closing of Permit to Work ⬧ Unsecured electrical equipment, energized ⬧ Significant property and appurtenances ⬧ Permit Receiver shall ensure that housekeeping ⬧ Proper supervision by the foreman and
equipment damage in done before, during and after the work Permit Receiver shall be done Site Manager
⬧ Electrical equipment shall be properly secured, Site Engineer
3 2 6 3 1 3 YES
distribution board closed and padlocked Safety Engineer
Foreman / Supervisor

⬧ Undisposed waste materials ⬧ Governmental violation ⬧ All waste materials generated from the work shall ⬧ Supervising Engineer and Foreman shall
Site Manager
Poor housekeeping be disposed properly and shall not be left adhere to the proper housekeeping and
Site Engineer
unattended at the worksite 3 2 6 storage of materials at the designated 3 1 3 YES
Safety Engineer
location
Foreman / Supervisor

⬧ Unaccounted workers ⬧ Accident resulting serious injury or death to ⬧ Permit Receiver shall account all worker under ⬧ Permit Receiver shall ensure that all Site Manager
worker his Permit to Work and ensure all have signed out workers are accounted using the toolbox Site Engineer
3 2 6 3 1 3 YES
on the attendance sheet and clear of the area attendance and they shall be clear of the area Safety Engineer
after the work Foreman / Supervisor
⬧ Inadequate communication ⬧ Loss of production ⬧ Site Manager shall be responsible on the effective ⬧ Permit Receiver shall clearly discuss the Site Manager
implementation of the Permit to Work 3 2 6 procedure during the first hour toolbox 3 1 3 Site Engineer YES
meeting Safety Engineer
⬧ Poor storage of chemical, flammable and ⬧ Environmental complaint ⬧ All materials used at the site such as chemicals, ⬧ Permit Receiver and Permit Issuer shall visit Site Manager
combustible materials and etc. flammable and combustible materials shall be the area to ensure materials are stored and Site Engineer
3 2 6 3 1 3 YES
stored at the designated storage at the end of each housekeeping is properly done Safety Engineer
day Foreman / Supervisor
⬧ Unattended unsafe condition ⬧ Significant cost due to damages ⬧ Permit Issuer shall visit the work location to verify ⬧ Mobile equipment shall properly parked on Site Manager
good housekeeping was conducted before closing a designated equipment laydown Site Engineer
3 2 6 3 1 3 YES
the Permit to Work Safety Engineer
Foreman / Supervisor
0 ⬧ Safe Work Procedures 0 0 0
0 ⬧ Safe Work Procedures 0 0 0

4 HIRA-Hazard ID and Risk Assessment Form and Register OHS-PR-09-03-F02 (A) Rev. 1 Revision Date (Dec 2024)