Page 1 Safety

ROYAL COMMISSION RISK ASSESSMENT FORMAREA / PROJECT:Buffer Zone

Contract #:021-C05R

DATE Assessed:29/12/2014

RA No: RISK ASSESSMENT: Instellation of water and Fire Line Reviewed date: 29/12/2014

Hydro TestSPECIFIC LOCATION

Presure Pump

Se

r N

o.

PR

OB

AB

ILIT

Y (

P)

SE

VE

RIT

Y (

S)

RIS

K S

CO

RE

RIS

K R

AT

ING

WITH CONTROLS

PR

OB

AB

ILIT

Y (

P)

SE

VE

RIT

Y (

S)

RIS

K S

CO

RE

RIS

K R

AT

ING

Responsible Person

Hyd

ro T

est

Explosion Death, Fatality 3 5 15 H 1 2 2 L

Death, Fatality 3 5 15 H 1 2 2 L

6- Additional PPE:

PROBABILITY (P) SEVERITY SEVERITY

1 Unlikely 1 First Aid or slight injury 1 2 3 4 5

2 Rare 2 Recordable, medical and restricted work

Pro

bab

ility

(P

) 1 1 - Low 2 - Low 3 Low 4 - Low 5 - Med

3 Possible 3 Lost time injury or permanent disability 2 2 - Low 4 - Low 6 - Medium 8 - Medium 10 - High

4 Likely 4 3 3 Low 6 - Medium 9 - Medium 12 - High 15 - High

5 Very Likely 5 multiple fatalities 4 4 - Low 8 - Medium 12 - High 16 - High 20- High5 5 - Medium 10 - High 15 - High 20- High 25 - High

Name Designation Date

Prepared by: ROBY.K.THOMAS H S E MANAGER 29/12/2014

Reviewed by: MAGDY ELSHERIBING CONSTRUCTION MANAGER 30/12/2014

Approved by: KULDEEP TYAGI PROJECT MANAGER 30/12/2014

TASK / OPERATION /

ACTIVITY DESCRIPTION:

TOOLS & EQUIPMENT IN USE:

Tasks(What one does in logical steps)

Hazards identified with each task

(What can hurt one / others?)

Harm / Consequence / Parties affected (What can

happen / go wrong)Current Controls / Safeguards (What do we

do to prevent incidents?)

Additional & or Site Controls (What additional could we do to reduce the

risk?)

1-Area Shall be demarcated Properly. 2-Display safety signboard for preventing unauthorized Entrance. 3-Make sure all pipe supports are in good condition and have been inspected. 4-All hoses must be tied down. 5-Water temperature must be more than 60 F 6-The Hydrostatic -presurizing pump is completed with safety relief valve. 7-Wear Proper P P E . 8-Ensure the gage meter is caliberated by third party & Certificate should be keep in site safety office. 9-Safety relief valve to be caliberated

Site engineer & Site safety officers make

sure all safety precuations

implemented before start Job

Engineer/Safety officer/ Forman.

Uncontrolled releasing of Energey or water

1-Start depressurization by opening gradually the vent valve.Do it slowly 2-Do not open the drain valve if the vent valve if still closed.This is to avoid vacum condition inside the Pipe line. 3-Open the lowest drain point to completely remove water from the pipe line. 5-Ensure that no remaining presure trapped inside the pipe line. 6-

Site engineer & Site supervisors.

Engineer/Safety officer/ Forman.

Risk Rating = Probability x Severity

Single fatality or permanent disablity of 3 or more person