Assessors Name: Assessors signature: Location of Date of Review date:

Method
task/operation being Task Carried assessment: Ongoing
Statement Action by
Sajimon KK assessed: out by? 15 January 09
by When?
Site
Ref No: Rev – 02 – RA – 2009 - Depa Cross reference to N.B. Residual risk:
SSOW/method Other on site The risk left
statement: (Highlight SSOW/Method statement control measures after all control
one below) Ref No: may be required measures have
Page No: due to weather been put in
YES NO M/S 001 conditions/other place – see
Risk Persons at risk reasons at time risk matrix at
severity of footer:
E C P Oth
(before task/operation:
Activity/ Significant ers
controls Control measures Work must not
Operation hazard
are in required: start until the
place) risks have
been assessed:

Dust High Yes Yes Yes Prior to the ✔ Project Site Engineer E
29 Inhalation, commencement nsure that trained Manager
Foreign of the activity personnel will do the Supervisor
material task. Construction
House caught Manager Foreman
Keeping inside the ✔ P
Cleaning Eye. rovision for Personal Site Manager Charge hand
Protective Equipment
such as, mask intended Workers
Chemical High Yes Yes Yes for chemicals, goggles
exposure and cover-all clothing. HSE Manager Helpers Medium
( Fume
inhalation ) ✔ E
nsure that a personnel
doing the task is well
familiar with the
chemical, Material Safety
Data Sheets must be
reviewed thoroughly.

✔ P
Liquid Spill_ High Yes Yes Yes rovide proper ventilation
Slip, Trip on the area.
hazard
✔ B
arricade the area and
immediately contain /
remove spill.

1
RISK RATING MATRIX E = employees
C = contractors/subcontractors
Likelihood: 5 very likely 4 likely 3 fairly likely 2 unlikely 1 very unlikely
P = Public
Severity: 5 catastrophic 4 major 3 moderate 2 minor 1 insignificant QMS – Rev – 02 – RA – 2009
Sajimon KK – January 09
Assessors Name: Assessors signature: Location of Date of Review date:
Method
task/operation being Task Carried assessment: Ongoing
Statement Action by
Sajimon KK assessed: out by? 15 January 09
by When?
Site
Ref No: Rev – 02 – RA – 2009 - Depa Cross reference to N.B. Residual risk:
SSOW/method Other on site The risk left
statement: (Highlight SSOW/Method statement control measures after all control
one below) Ref No: may be required measures have
Page No: due to weather been put in
YES NO M/S 001 conditions/other place – see
Risk Persons at risk reasons at time risk matrix at
severity of footer:
E C P Oth
(before task/operation:
Activity/ Significant ers
controls Control measures Work must not
Operation hazard
are in required: start until the
place) risks have
been assessed:

✔ P
latform should be used to
carry out minor jobs at
height less than 2 meters.
Fall from High Yes Yes Only one person is
Height allowed working on step Low
ladder at a time.

House ✔ T
Keeping ool Box Talk should be
Cleaning given prior commencing
the activity.

✔ E
nsure that the person
Prolong skin High Yes Yes Yes doing the task is mentally
exposure/co and physical fit for the
ntact of job.
chemical,
skin ✔ P
irritation rovide Personal Protective
Equipment( Dust mask,
safety glass, rubber
Fire gloves)

✔ F
irefighting equipment to
be in place and accessible.

2
RISK RATING MATRIX E = employees
C = contractors/subcontractors
Likelihood: 5 very likely 4 likely 3 fairly likely 2 unlikely 1 very unlikely
P = Public
Severity: 5 catastrophic 4 major 3 moderate 2 minor 1 insignificant QMS – Rev – 02 – RA – 2009
Sajimon KK – January 09
Assessors Name: Assessors signature: Location of Date of Review date:
Method
task/operation being Task Carried assessment: Ongoing
Statement Action by
Sajimon KK assessed: out by? 15 January 09
by When?
Site
Ref No: Rev – 02 – RA – 2009 - Depa Cross reference to N.B. Residual risk:
SSOW/method Other on site The risk left
statement: (Highlight SSOW/Method statement control measures after all control
one below) Ref No: may be required measures have
Page No: due to weather been put in
YES NO M/S 001 conditions/other place – see
Risk Persons at risk reasons at time risk matrix at
severity of footer:
E C P Oth
(before task/operation:
Activity/ Significant ers
controls Control measures Work must not
Operation hazard
are in required: start until the
place) risks have
been assessed:

3
RISK RATING MATRIX E = employees
C = contractors/subcontractors
Likelihood: 5 very likely 4 likely 3 fairly likely 2 unlikely 1 very unlikely
P = Public
Severity: 5 catastrophic 4 major 3 moderate 2 minor 1 insignificant QMS – Rev – 02 – RA – 2009
Sajimon KK – January 09