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Document code no.

Name of the Region : MANGALOREName of the Site : ESSEL WILLCONName of the Department : HSEHSE01000

GF

Name of the document :Format # 02 - For Initial Occupational Health & Safety Review (IOHSR)Page no.

001OF0013

GUIDELINESFOR FILLING UP OF THE FORMAT

A.1Guidance Criteria for Filling up the Columns

A.2 Hazard identification, risk assessment & determining risk control worksheets

A.3Determining risk likelihood guidance criteria

A.4Determining risk severity level guidance criteria

A.5Risk prioritization indicator

A.6Definition of level of risks

A.1 GUIDANCE CRITERIA FOR FILLING UP THE COLUMNS

Column #Description

1Write the Serial Number

2Mention the Name of Activity. Example Excavation, Shuttering

3Mention Type of Hazard. Example , Fall of Person, Fall of Material , Collapse of Structure

4Mention Category of Hazard. Accidental/Physical/Chemical/Ergonomical/Biological

5Mention Type of Risk Example , Injury, cuts Burins

6Mention The Conditions. Whether Direct Control or Indirect Control

7Mention The Condition , Whether Regular Activity or Non Regular Activity

8Refer A.3

9Refer A.4

10Refer A.5 and A.6

11Refer A.5 and A.6

12Refer A.5 and A.6

13Mention Input for Control , LC Legal Concern , DC Domino Concern, CC- Chronic Concern

14Indicate Hierarchy of Controls- : E Elimination, S Substitution, EC Engineering Control; AC Administrative Control; PPE Personal Protective Equipment

15Mention the Applicable Control Procedure Number

A.2 HAZARD IDENTIFICATION, RISK ASSESSMENT & CONTROL MEASURES WORKSHEET

S

No

ActivityHazard IdentificationResidual Risk AssessmentIs Risk level

acceptable

(Yes/No)

(*)Input for Controls (LC/DC/CC)Hierarchy of ControlsControl Measures

Type of Hazard

Category of HazardsType of Risk

ConditionsRisk Priority Number

Total =

L x SRisk

PrioritizationESECACPPE

D/IR/NRLikelihood

(L)Severity

(S)

12345678910111213141516171819

Construction of Scaffolding

1Earth Excavation Stuck against /stuck inAccidentalInjury ,Major cutsD4312SubstantialNLCNNYYYEmergency alarm, Safety control equipment in machinery, work permit, back horn of the machinery, Safety shoe, Display boards

Fall of person/animals into trenchesAccidentalInjury ,permanent disabilityD3515SubstantialNLCNNYYYDisplay board, barricade, safety shoes & helmet

Exposure to high noisePhysicalHearing impairmentD339ModerateYLCNNNYYdisplay boards, air muff

2Erection Unstable GroundAccidentalInjury ,Major cuts, casualtyDR3412SubstantialNLCNNYYYBarricade, work permit, safety shoe and helmet

Power Lines(electrocution)AccidentalElectrical shock, ill healthD3412SubstantialNLCNNYYYinsulated power supply , Proper Earthing, Work permit, Safety PPEs

Fall of objectsAccidentalInjury ,Major cutsD339ModerateY--NNNYYDisplay boards, Scaffolding Inspection, safety shoe & helmet

OverturningAccidentalInjury , cutsD3412SubstantialN--NNNYYDisplay boards, safety shoe & helmet

Fall from HeightAccidentalInjury ,Major cuts ,casualtyD3412SubstantialNLCNNYYYSafety belt, , work permit

Collapse of scaffoldingAccidentalInjury ,Major cuts, casualtyD3515SubstantialN--NNYYYHSE audit, Safety belt, hand gloves, work permit, First aid kit, Mockdrill

3Hot WorkFire due to improper handling of oxy - acetylene cylinderAccidentalInjury, major burnsDR3412SubstantialNDC,LCNNYYYFire extinguisher, fire detectors, display boards, Fire suit

Fall of molten metal while weldingAccidentalInjury, major burnsD339ModerateY--NNNYYApron, Work permit

4Material handlingStriking against any objectAccidentalInjury, cutsDR

339ModerateYLCNNNYYAwareness training, aprons, safety shoe & handgloves

Fall of objectsAccidentalInjury ,Major cutsD339ModerateY--NNNYYDisplay boards, safety shoe & helmet

OverturningAccidentalInjury , cutsD3412SubstantialN--NNNYYDisplay boards, , safety shoe & helmet

5Whilst working on scaffoldSlips & trips of personAccidental Bodily harm ie. eye injury, head

injury,DR339ModerateY--NNNYYSafety Shoes, Safety helmet

Falling from scaffoldAccidentalBody InjuryD339ModerateYCCNNNYYTool box talks, Safety shoe. Helmet & safety belt

OverloadingCollapse / fall Major Injuries D236Moderate YNNNYYDisplay the capacity,HSE audit Work permit, Training

ElectrocutionAccidentalElectrical shock, ill healthD3412SubstantialNLCNNYYYEmergency plan , Proper Earthling, Work permit, Safety PPEs

6Erection/alteration or

dismantle of scaffold

Unintentional collapse of a structureAccidentalInjury ,major cuts, casualtyDNR2510SubstantialN--NNNYYWork permit, safety PPEs

People or objects falling from heightAccidentalInjury ,Major cutsD3412SubstantialNLCNNNYYWork permit, safety PPEs

People or object exposed to high noisePhysicalHearing impairmentD236ModerateY--NNYYYAir muff, Work permit, Acoustic enclosures for high noise machineries.

Striking, overhead or underground servicesAccidentalInjury major cuts ,casualtyD2510SubstantialN--NNNYYWork permit, safety PPEs

Manual activity associated with demolitionErgonomicallyBody painD236ModerateY--NNNYYWork permit, safety PPEs

6Unauthorized accessObstruction for work/ chances of accidentsAccidentalInjuryDNR236ModerateYCCNNNYNDisplay board

7Adverse weatherHigh windAccidentalInjuryIDNR248ModerateYLCNNNYYAwareness training, work permit, Safety PPEs

8Use of ladder and step laddersFalls from ladders and step ladderAccidentalInjuryDR339ModerateYLCLCNNYYHSE inspection , safety belt

Objects dropped from laddersAccidentalInjury ,cutsDN33Moderate YLCNNNNYSafety helmet and safety shoe

9Use of mobile elevating work platformsFall of person or material from platformAccidentalInjury ,Major cutsDR3412SubstantialNLCNNNYYWork permit, safety belt, safety shoe & helmet

Overturning of platformsAccidentalInjury , cutsDR3412SubstantialNLCNNYYYSafety stopper, work permit, testing certificates, safety PPEs

Unintentional lowering of platformAccidentalInjuryDR339ModerateYLCNNYYYSafety stopper, work permit, testing certificates, safety PPEs

Striking against overhead obstructionsAccidentalInjury, casualtyDR3515SubstantialNLCNNNYYWork permit, HSE inspection, safety PPEs

10Use of mobile towerFall of a person or materialAccidentalInjuryDR339ModerateYLCNNNYYWork permit, safety belt

Collapse of towerAccidentalInjury, major cuts, casualtyDR

3515SubstantialNLCNNNYYHSE inspection , safety PPEs

Overturning of towerAccidentalInjury , cutsD3412SubstantialNLCNNYYYHSE inspection , safety PPEs, Guide ropes for tower

Physical injuryAccidentalInjury, cutsD339ModerateY--NNNYYWork permit, Safety PPEs

Note * Acceptable: - If Risk Assessed is Moderate or less (Refer A5)

Number of Low Risks

Number of Medium Risks

Number of High Risks (Potential Emergencies )

A.3DETERMINING RISK LIKELIHOOD GUIDANCE CRITERIA

LikelihoodWeightageCriteria

Highly Unlikely1It is un heard in the industry

Unlikely2It has rarely occurred in other construction companies

Likely3It has occurred in other construction company

Very Likely4It has occurred in other project sites of the company

Certain5It has occurred several times at the site location in a year

A.4DETERMINING RISK SEVERITY LEVEL GUIDANCE CRITERIA

Level of HarmWeightageHuman / CommunityAsset (Infrastructure/Equipment/

Machinery) DamageLevel Of Concerns

Insignificant1Momentary Discomfort / inconvenienceNo action requiredIndividual

Slightly Harmful

2Minor injuries (Non reportable) requires first-aidMinor damageLocal or Community

Harmful3Injuries, absence from the work less or equal to 48 hrs / temporary disabilityModerate damageGovernment Authorities

Very harmful4Major injuries, absence from the work more than 48 hrs / temporary disabilityMajor damagesIndustry/Competitor

Extremely Harmful

5Fatal / Permanent Disability / Chronic diseases. Major incidents involving large number of peopleSevere damages/complete destruction Global /International

A.5RISK PRIORITIZATION INDICATORS

Severity

Likelihood

Insignificant (1)SLIGHTLY HARMFUL (2)HARMFUL

(3)VERY HARMFUL

(4)EXTREMELY HARMFUL

(5)

HIGHLY UNLIKELY(1)TRIVIAL

(1)TRIVIAL

(2)TOLERABLE

(3)TOLERABLE

(4)MODERATE

(5)

UNLIKELY (2)TRIVIAL

(2)TOLERABLE

(4)MODERATE

(6)MODERATE

(8)SUBSTANTIAL

(10)

LIKELY (3)TOLERABLE

(3)MODERATE

(6)MODERATE

(9)SUBSTANTIAL

(12)SUBSTANTIAL (15)

VERY LIKELY

(4)TOLERABLE

(4)MODERATE

(8)SUBSTANTIAL

(12)SUBSTANTIAL (16)INTOLERABLE

(20)

CERTAIN (5)MODERATE

(5)SUBSTANTIAL (10)SUBSTANTIAL

(15)INTOLERABLE

(20)INTOLERABLE

(25)

A.6DEFINITION OF LEVEL OF RISKS

RISK LEVELACTION AND TIME SCALECATEGORY

TRIVIALContinue with the current activity. Monitoring is required to ensure that the controls are effectively maintained.Acceptable (Low Risk)

TOLERABLE

MODERATE

SUBSTANTIALUrgent action is required including engineering / operational controls / administrative controls / PPE / Signages / Training / Behavioral monitoringNot Acceptable (Medium Risk)

INTOLERABLEImmediate action should be taken. Work should not be started or continued unitl the impact / risk has been reduced.Not Acceptable (High Risk)

* All Intolerable Risks shall be considered as Potential Emergencies and Immediate Action shall be Planned/Taken to Reduce the Risk Levels.

PREPARED By APPROVED BY

NISANTH.THULASIDAS.MADHAVAN JOHN VICTOR