HAZARD INDENTIFICACTION AND RISK ASSESSMENT                                                                               TGPL-AD-HSE01       TEM001
Name of Project:-                                                                                                                                                                      Date-
Location-
Type of Activity/Condition:
                                                                                                                             *Assessment
                                                                                                                                                                                 Residual risk (after control
                                                                                              Inherent risk (with no controls)
Type of Hazards                    Consequence /                                                                                                                                          assessment )
                                      Impact                                                                                                                                               Risk
                                                          R                                                                                                                        R                     Future control
                                                   I P                            Current control measures(P)                         Current control measures( I)         I P           Categor
                                                         (IxP)                                                                                                                   (IxP)                     measures
                                                                                                                                                                                              y
• Exposure to                                                    • Carry out the Hazard      Identification and risk assessment   • Ensure wearing of appropriate
Road Traffic                                                     and implement identified control measures                        PPE as per risk exposure
• Improper use                                                   • Carry out tool box talk                                        • Ensure availability of first aid box
of tools, tackels Fatality                         4 3    12     • Comply with the permit to work system as applicable            and person trained in first aid          4 2     8     Medium
&   equipment                                                    • Ensure the job is performed by trained and      competent      treatment.
•   Struck with                                                  person                                                           • Ensure identification of    nearby
moving                                                           • Ensure supervison of safety critical job by safety             emergency medical aid facilities
equipment                                                        competent supervisor                                             • Ensure that contigency plan is in
• Exposure                                                       • Ensure material, tool and equipment required for               place
of/damage to                                                     performing the job are fit for purpose.                          • Ensure availability of required fire
underground                                                      • Ensure proper barricading and display of safety/warning        extinguisher and person trained in
                     body injury                   4 3    12                                                                                                               3 2     6     Medium
power line, fuel                                                 signages                                                         fire fighting
line, other                                                      • Restrict unauthorized entry in work area/trench.               • Seek help of fire department as
utilities.                                                       • Follow good housekeeping practices                             required
• Falling/slipping                                               • Proper back filling   i.e watering, compaction and site        • Seek help of ambulance services
of object or pipe                                                restoration done as per procedure                                as required
on body                                                          • Provide Steps, Ladder or Ramp for Safe exit from               • Earthing/grounding of the
• Malfunctioning                                                 Excavated trench.                                           equipment/machine
of machine           Asset/Property damage         4 4    16     • Keep excavated soil at safe distance from the trench edge • Power cable strike alert system is 3 2              6     Medium
mechanisms/                                                      • Water removed to control the level of accumulating water       available.
break down                                                       • Ensure provision of entry and exit from the trench.            • Collect Bentonite waste from Site
• Diesel Filling &                                               • Proper boring/pulling plan decided based on pipe size and and disposed it off at identified
•Handling
  Exposurein to
             HDD Fatality                          5 4    20      • Ensure
                                                                 HDD       appropriate break/time off
                                                                     hole size.                            between the working    •land
                                                                                                                                     Provision
                                                                                                                                        fill site of drinking water at     5 3 15          High
 Dust
 machine                                                                                       hours.                             site.
• Exposure to                                                                                                                     • Use of special respiratory mask
sun heat                                                                                                                          at suspected areas where potential
• Exposure to                                                                                                                     of soil contamination
chemical                                                                                                                          • Ensure wearing of appropriate
contaminated                                                                                                                      PPE as per risk exposure
soil/liquid/toxic
gases
Dust                                                                                                hours.                          site.
• Exposure to                                                                                                                       • Use of special respiratory mask
sun heat                                                                                                                            at suspected areas where potential
• Exposure to                                                                                                                       of soil contamination
chemical                                                                                                                            • Ensure wearing of appropriate
                    occupational illness (Heat Stress,
contaminated                                                                                                                        PPE as per risk exposure
                    Sunburn, Dehydration, lung dieses, skin 4 3     12                                                                                                   4 2   8   Medium
soil/liquid/toxic
                    dieses etc… )                                                                                                                                                           Hierachy of controls:
gases
                                                                                                                                                                                            1. Elimination - remove
• Exposure to
                                                                                                                                                                                            the hazard;
vibration/high
                                                                                                                                                                                            2. Substitution - replace
noise of breaking
                                                                                                                                                                                            a process or a
equipment.
                                                                          Identify and implement Controls & Recovery measures to reduce the Risk to ALARP and provide documented            substance with a less
                                                                  15-25
 HIRA Prepared Contractor Supervisor: (Name and Sign)                     demonstration of ALARP by Bow-Tie or equivalent methodology                                                       hazardous one;
         By                                                               Identify and implement Controls and Recovery measures to reduce the Risk to As Low As Reasonably Practicable      3.Engineering -
                                                              08 - 12
                    TPE: (Name and Sign)                                  (ALARP).   provide documented demonstration of ALARP by Bow-Tie or equivalent methodology                         redesigning equipment
                                                       04 - 06 Manage for continuous improvement through the effective implementation of HSE management System                              or a process;
HIRA Reviewed By
               TGPL In-charge/AIC/DIC: (Name and Sign) 01 - 03 Manage for continuous improvement, although business may set lower priority for further Risk reduction                       4. Administration -
Review during Shift change:                                                                                                                                                                 training, instructions,
DD/MM/YYYY and 00:00 Hrs                                  Contractor: (Name and Sign)                                               TPIA/PMC: (Name and Sign)                               safe working
                                                                                                                                                                                            TGPL: (Namepractices;
                                                                                                                                                                                                         and Sign)
Review during Shift change:                                                                                                                                                                 5. Personal Protective
DD/MM/YYYY and 00:00 Hrs                                  Contractor: (Name and Sign)                                               TPIA/PMC: (Name and Sign)                               Equipment
                                                                                                                                                                                            TGPL:     -Helmet,
                                                                                                                                                                                                  (Name  and Sign)
Review during Shift change:                                                                                                                                                                 Safety Shoes, etc.
DD/MM/YYYY and 00:00 Hrs                                  Contractor: (Name and Sign)                                               TPIA/PMC: (Name and Sign)                               TGPL: (Name and Sign)
Review during Shift change:
DD/MM/YYYY and 00:00 Hrs                                  Contractor: (Name and Sign)                                               TPIA/PMC: (Name and Sign)                               TGPL: (Name and Sign)
Review during Shift change:
DD/MM/YYYY and 00:00 Hrs                                  Contractor: (Name and Sign)                                               TPIA/PMC: (Name and Sign)                               TGPL: (Name and Sign)
Review during Shift change:
                                                                                                                                                                                            TGPL: (Name and Sign)
DD/MM/YYYY and 00:00 Hrs                                  Contractor: (Name and Sign)                                               TPIA/PMC: (Name and Sign)