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Sheet1Remote(2)Low(4)Moderate(6)High(8)Very High(10)Likelihood(L)Severity(S)Part 1(3)2. Remote :Never occurred before or absence of past incident4. Low:Likely to occur once in 10 years6.Moderate:Likely to occur once in 5 years8. High:Likely to occur once in 1 years10. Very highLikely to occur once in 6 months or shorter2 Minor or No Event Injury : No symptoms or temporary DiscomfortEnvironment: No release4. ModerateInjury : First aid to Restricted workEnvironment: On site Impat, clean-up requiredProperty damage: More than $10.0006. MajorInjury : Loss time injury or illness leading to MCEnvironment: Off site impact, Permot limit exceededProperty damage: More than $100.0008 CriticalInjury : Permanent Disability or months of temporary disabilityEnvironment: Out site response, clean-up lasting weeks or monthsProperty damage: More than $1.000.00010. CatastrophicInjury : One or more fatalitiesEnvironment: Off site Impat, out site response, clean up lasting weeks or monthsProperty damage: More than $10.000.000Catastrophic(10)20Critical(8)16324864Major(6)1224364860Moderate(4)816243240Minor(2)48121620aHAZARD IDENTIFICATIONRISK EVALUATIONRISK CONTROLS/NWork Activitles/ Job stepsHazard/Environmental aspectPossible injury/Environmental impactExisting RiskResidual RiskPerson-in-Charge & Follow-up dateExisting Risk ControlSLRPN(SxL)Additional Risk ControlSLRPN(SxL)1Preparation works Delivery material (Temporary Barrier, sign boards equipment machine)Trapped hand and hit by equipmentInjury1.1 Safety induction for all related workers, engineers1.2 Workers must use PPE1.3 Warning barricade around areas when working 1.4 Checking all documents for machines, license of driver,check hand tools & materials before go in site1.5 Check cetification of operator excavator,roller machine...224Safety staff Engineer SMZSuppervisor sub.con2All machines.,hand tools.,equipment..Must checking before workingsafety officer53Install pump3.1 Electric shock3.2 Fire hazard during welding and cutting3.3 Trapped hand and hit by equipment3.4 Falling object (head/body injury) 3.5 Impact materials and lifting equipment with theInjury3.1 Cover by hard Barrier & install sign boards information all around working area3.2 Arrange materials & Equipment tidy3.3 Wear appropriate PPE for workers (ear plugs.....)3.4 Conduct Lock out - Tag out before works by Engineer & Safety SMZ3.7 Supervisor monitoring during work3.7Must have fire extinguisher nearby before working3.8 Electricals tools must checking before works & must flows standard for SMZ and checking by Safety3.9 Equipment & Tools hand must inspection before working Supervisor to ensure safe operation . Monthly maintenance of machine to be carried out46243.1 Welders man must have a certificate3.2 Protection for easy burned materials3.3 Fire wardens when welding and cutting steel pipes3.4 Working carefully3.5 Flammable materials cleaning away 10 meters awayMust watch fire so 1to 3 hours after hot work 3.6Workers use PPE full248Engineer & Safety officer Sub.con4Cleaning works areaDustInjury4.1 Clean carefull all working area4.2 Good housekeeping before, during & after working4.3 Access must be clear at all time for emergency exit/ purpose224Supervisor

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Sheet2Job Safety AnalysisCompany:Shimizu Corporation (VIET NAM)Procedure Number:No. 03No. 4CRUSHED ROCK WORKSConducted by: Site managerConducted by:Safety officerNo. 4No. 4SignatureSignatureSignatureNo. 4Type of Permit RequiredIn-House Training RequiredAdditional PPE required(Over and above the standard requirement )List Chemicals UsedList of Equipment Used (List or equipment following method statement)Permit-to-workYesSafety Induction Training(Mandatory)YesFace ShleldYesExcavatorNoRoof Access permitNoGMPTraining (Mandatory)NoChemical GogglesNoDump truckNoElectrical PermitNoFall Protection (if working at height activity is performed)NoRespiratorNoRoller machineYesConfined Space PermitNoConfined Spac Training (If confined space activity is performed)NoChemical Resistant BootsNoHand toolsYesHot Work PermitNoLOTO Training (if LOTO is executed)YesWelding GlovesYesCompactor machineYesExcavation PermitNoKevlar GlovesNoWorking at height permitNoChemical GlovesNoChemical permitNoSafety HelmetNoLOTO required?YesSafety HarnessNoRed tag permitYesSafety shoes / BootsYesHot work Permit FM GLOBALYesReflective vestYesLifting permitNoSafety glassYesSIPP PermitNoDust MasksYesPTP PermitNoRCR permitNoDemolition permitNoPiling permitNo