RISK ASSESSMENT NO: 001
HAZARD IDENTIFICATION AND RISK ASSESSMENT
Company Name: Site Area: Revision 0
Prepared By: Date: Signed:
AML HSE Approval: Date: Signed:
AML DEPT Manager Date: Signed:
Approval:
Scope:
Lookup Detail: User selects one Consequence and one Likelihood (result is determined automatically)
Consequence
1 2 3 4 5
Minor Medium Serious Major Catastrophic
First Aid Injury MTI RWI LTI Fatality
$10k - $100k $100k - $500k $500K – $2M $2M – $20M > $20M
A - Almost Certain HIGH
>1 per week (>25%)
MODERATE 11 EXTREME 20 EXTREME 23 EXTREME 25
16
B - Likely HIGH HIGH
1/week – 1/month (10-25%) MODERATE 7 EXTREME 21 EXTREME 24
12 17
Likelihood
C - Possible LOW HIGH HIGH
1/month – 1/year (1-10%)
MODERATE 8 EXTREME 22
4 13 18
D - Unlikely LOW LOW HIGH HIGH
1/year – 1/10 years (0.1-1%) MODERATE 9
2 5 14 19
E - Rare LOW LOW LOW HIGH
< 1/10 years (0.1%) MODERATE 10
1 3 6 15
Revision: 00 P a g e 1O f 2
This document is uncontrolled once printed
RISK ASSESSMENT NO: 001
Hazard Identification and Risk Assessment for cutting with gas
Residual
Initial Risk
Risk Action Completed
Score
Score
Task or Hazard or Risk Proposed Control
Item
Activity (Potential danger) Measure
Likelihood
Likelihood
Conseque
Conseque
Rating
Rating
Risk
Risk
nce
nce
By Date By Date
Make sure person is
Connecting Explosion, injury or death properly trained, bottles are Welder Welder
Before Before
gas bottles handled properly,
1 Incident / Accident due to lack of 5 3 A 1 1 L starting starting
connection is properly
knowledge / competency the Job the Job
done. Inspect for leakage,
insect lines for leakage
Use proper PPE, keep
bottles distance from
Explosion, injury or death Every Every
cutting area keep nicked Welder Welder
time time
2 Cutting metals Accident / incident due to wrong 3 1 A lights away from compress 1 1 L
before before
procedure. gas bottles always keep fire
Cutting Cutting
extinguisher around work
area.
Stop cutting activities,
Explosion, injury or death remove empty bottle, Before Before
Replacing gas Welder Welder
3 2 1 A replace with fill bottle, 1 1 L resumin resumin
bottle Accident / incident due to wrong
properly check for leacks g cutting g cutting
procedure.
Always make sure to
Slip, trips and fall properly roll hoses and Welder Before Welder Before
4 Housekeeping 2 1 A store in a very secure 1 1 L leaving leaving
Incident due to poor housekeeping condition. remove every job area job area
unnecessary items
Revision: 00 P a g e 2O f 2
This document is uncontrolled once printed