HAZARD IDENTIFICATION & RISK ASSESSMENT (HIRA)

OHS-PR-09-03-F02 (A) HIRA-Hazard ID and Risk Assessment Form and Register

Operating Area: WOA Project Name: Connection reinforcement of Jabal Al-Omar S/S, Makkah.
Contractors: CEPCO Project Type: UGC Contract No.: 4400017663
Risk Assessment (Baseline and full RA)
TASK/ACTIVITY/PROCESS NAME: OTDR (Optical Time Domain Reflectometer) Testing DEPARTMENT/AREA: SEPDC
RA Number: RA-JBO-OTDR-09 DATE: 17-09-2024
SEVERITY / CONSEQUENCE (Impact/Hazard Effect) (Where an event has more than one ' Loss Type ', choose the ' Consequence' with the highest rating)
Loss Type Additional "Loss Types" may exist for
an event: Identify & rate accordingly
(1) Insignificant (2) Minor (3) Moderate (4) Major (5) Catastrophic

(S/H) Harm to People (Safety/Health) First Aid Case/Exposure to Minor Health Risk Medical Treatment Case/Exposure to Major Health Risk Loss Time Injury / Reversible Impact on Health Single Fatality or Loss of Quality of Life / Irreversible impact on Health Multiple Fatalities / Impact on health Ultimately Fatal

Material Environment harm (RST) Serious

(EI) Environmental Impact Minimal environment harm incident with workplace Material Environment harm (RST) Major environmental incident (RLT) Major environmental harm – Incident Irreversible
environmental harm incident (RMT)
(BI/MD) Business Interruption / Material / Fire
No disruption to operation / 1000 SR to Less than 10k SR Brief Disruption to Operation / 10k SR to Less Than 100k SR Partial Shutdown/100k SR to Less than 1M SR Partial Loss of Operation/1M SR to Less than10M SR Substantial or Total Loss of Operation / 10M SR and more
Damage & Other Consequential Losses
LIKELIHOOD Examples (Consider Near-Hits as well as actual events) RISK RATING / PROFILE
The unwanted event has occurred frequently : Occurs in order of (1) or more
(5) ALMOST CERTAIN
per year & is likely to reoccur within 1 year
5 (M) 10 (H) 15 (Ex) 20 (Ex) 25 (Ex)
The unwanted event has occurred infrequently : Occurs in order of less than
(4) LIKELY
once per year & is likely to reoccur within 5 yrs.
4 (M) 8 (H) 12 (H) 16 (Ex) 20 (Ex)
The unwanted event has occurred in the business at some time: or could
(3) POSSIBLE
happen within 10 years.
3 (L) 6 (M) 9 (H) 12 (H) 15 (Ex)
The unwanted event has occurred in the business at some time: or could
(2) UNLIKELY
happen within 20 years.
2 (L) 4 (M) 6 (M) 8 (H) 10 (H)
The unwanted event has never known to occur in the business or it is highly
(1) RARE
unlikely to occur within 20 years.
1 (L) 2 (L) 3 (L) 4 (M) 5 (M)
RA TEAM (Names) DESIGNATION SIGNATURE RISK RATING RISK LEVEL GUIDELINES FOR RISK MATRIX
Stop operation and review controls- Eliminate, avoid risk & implement high
1. ABDUL BASHEER HSE ENGINEER 15 to 25 (Ex) - Extreme priority action plans

Proactively manage & implement specific controls/action plans-Review after 7

2. MOHAMMED NASIR DAGRIRI ELECTRICAL QAQC ENGINEER 8 to 12 (H) - High days

Actively manage & monitor – Additional controls is advised & review after 14
3. SAAD ALLAH ELECTRICAL ENGINEER 4 to 6 (M) - Medium days

4. 1 to 3 (L) - Low Risk acceptable – Monitor & manage as appropriate with frequent review

Review by: MUSTAFA HARBA (SM) Signature: Date: 18-09-2024 APPROVED BY / MANAGER or SUPERVISOR: MOHAMMED KATTA DATE: 19-09-2024 NEXT REVIEW DATE: 18-09-2025

Identify the hazard on the given task and conduct assessment of the actual site condition, all identified risk should provide with a plan to eliminate or control the risk.
HAZARD IDENTIFICATION CONTROL RISK RISK REDUCTION ACTION PLAN

Consequence

Consequence

Risk Ranking
Risk Issue

Likelihood

Likelihood
Controls

Ranking
(Improve Existing Controls/ Follow up By Whom (Name)
Item #

Work Activity (Possible Incident) (What can go wrong)

(Process, Equipment, Materials)
Hazards Existing Controls Implement new controls) & By When (Date)
Implemented
(Accident/ Ill health to person, fire or property (Yes / No)
loss)

1 Obtain Permit to Work ⬧ Unauthorized work to be performed ⬧ Accident resulting serious injury or death to ⬧ Permit to Work shall be obtained as a pre- ⬧ Permit Receiver shall be trained and
within a defined location and boundary worker requisite to perform work authorized by the Manager to receive a
⬧ Work shall not be started until duly approved Permit to Work
Permit to Work is available at site and that Safety ⬧ Permit Receiver shall be responsible to Site Manager
Toolbox meeting was conducted oversee for the safety of all workers under his Site Engineer
3 2 6 2 1 2 YES
⬧ Work shall not proceed without the presence of Permit to Work Safety Engineer
approved Permit to Work with the Permit Receiver Supervisor/ Foreman.
overseeing the activity

1 HIRA-Hazard ID and Risk Assessment Form and Register OHS-PR-09-03-F02 (A) Rev. 0 Revision Date (May 2021)
 ⬧ Significant property and appurtenances ⬧ A safe work practice shall be implemented to ⬧ All workers attending the toolbox meeting
damage reduce the possibilities of accident / incident shall sign on the attendance sheet attached
⬧ Permit Receiver and Permit Issuer shall visit to the specific Permit to Work
Site Manager
together at the site to ensure that workplace
Site Engineer
hazards are adequately identified and mitigating 2 2 4 2 1 2 YES
Safety Engineer
measure shall be established
Supervisor/ Foreman.

⬧ Uncontrolled personnel entering a ⬧ Loss of production ⬧ Permit to Work shall be displayed at the ⬧ All workers shall attend the toolbox Site Manager
restricted location worksite meeting on a daily basis conducted by the Site Engineer
⬧ Permit Receiver shall not leave the area for the 2 2 4 Supervising Engineer, Foreman and Permit 2 1 2 YES
Safety Engineer
whole duration of work Receiver Supervisor/ Foreman.
⬧ Significant cost due to damages ⬧ Permit Receiver shall account all workers under ⬧ Permit Receiver and all workers shall not Site Manager
his Permit to Work before the start of work 2 2 4 start with the work without the written 2 1 2 Site Engineer YES
approval Permit to Work Supervisor/ Foreman.
⬧ Unidentified hazards with unplanned ⬧ Governmental violation ⬧ Manager, Supervisor, Foreman and all workers ⬧ Permit Issuer and Permit Receiver shall
safety mitigating measures shall adhere to all requirements set forth in the conduct site visit to identify actual situation
Site Manager
Permit to Work, Risk Assessment, Method and identify hazard to establish accurate and
Site Engineer
Statement, Job Safety Procedure and other 3 2 6 appropriate control measures 3 1 3 YES
Safety Engineer
relevant safety practices and standards
Supervisor/ Foreman.

⬧ Inadequate coordination and area control ⬧ Environmental complaint ⬧ Site Manager, Supervising Engineer, Foreman ⬧ Permit Receiver and all workers shall not
protocol shall designate a Permit Receiver competent start with the work without the written Site Manager
enough to take responsibility in securing the 4 2 8 approval Permit to Work 3 1 3 Site Engineer YES
Permit to Work Supervisor/ Foreman.

2 Mobilization of OTDR testing ⬧ Improper loading & unloading of materials ⬧ Fall of loaded materials resulting to damage ⬧ All materials will be ensured properly loaded ⬧ Vehicles shall be loaded only up to its
Site Manager
equipment and accessories of property or injury and secured prior transportation capacity, no overloading shall be allowed
Site Engineer
⬧ Banks man/flagman shall be made available to 3 2 6 2 1 2 YES
Safety Engineer
guide and/or assist operators
Supervisor/ Foreman.

⬧ Improper handling of materials ⬧ Can lead to musculoskeletal disorder ⬧ Facilitate training for manual handling. ⬧ Staff training is provided with regard to
⬧ Observe proper posture during manual lifting, manual handling techniques and procedures
pushing, pulling, etc. to minimize exposure to these hazards.
⬧ Worker shall lift materials closer to the body and ⬧ Safety shoes and gloves with a good grip to Site Manager
load shall not exceed half of the workers weight be worn by workers at all times. Site Engineer
⬧ Large materials shall be carried by minimum of 2 2 4 ⬧ Use of mechanical aids to assist the 2 1 2
Safety Engineer
YES
two person manual handling operation such as trolleys, Supervisor/ Foreman.
pallet jacks or forklifts.

⬧ Heavy and bulky materials ⬧ Body sprain ⬧ Worker shall carry materials below 50kg or half ⬧ Use lift truck (manual or electric) to lift
⬧ Ill health of his body weight whichever is lower materials if it is available
⬧ Damage to property ⬧ For weight excess in 50 kg shall be lifted by ⬧ Follow lift truck safety usage procedure at Site Manager
minimum of two personnel all times Site Engineer
⬧ Worker must wear appropriate working gloves 2 2 4 2 1 2 YES
Safety Engineer
when handling or carrying heavy and bulky Supervisor/ Foreman.
structure

⬧Poor condition of delivery vehicle ⬧ Vehicle failure during travel resulting to ⬧ Only approved, inspected and in good working ⬧ Equipment certification and registration
vehicular accident condition vehicles shall be used on transporting must be secured and available
manpower, materials and equipment. ⬧ Inspections using the prescribed checklists Site Manager
⬧ All materials will be ensured properly loaded shall be done in all equipment and Site Engineer
3 2 6 3 1 3 YES
and secured prior transportation accessories prior utilization Safety Engineer
Supervisor/ Foreman.

2 HIRA-Hazard ID and Risk Assessment Form and Register OHS-PR-09-03-F02 (A) Rev. 0 Revision Date (May 2021)
 ⬧ Manual Handling ( improper ) ⬧ Can lead to musculoskeletal disorder ⬧ Only worker having the capability to carry load ⬧ Proper supervision from the supervisor
are allowed to do manual handling. must be observed.
⬧ Team lifting is required if the load is too heavy,
large or bulky. Site Manager
⬧ Safety shoes and gloves with a good grip to be Site Engineer
worn by workers at all times. 2 2 4 1 1 1 YES
Safety Engineer
⬧ Use of mechanical aids to assist the manual Supervisor/ Foreman.
handling operation such as trolleys, pallet jacks or
forklifts.

⬧ Dropping of load resulting to foot injury ⬧ Worker shall carry materials below 50kg or half ⬧ Use lift truck (manual or electric) to lift
of his body weight whichever is lower materials if it is available
⬧ For weight excess in 50 kg shall be lifted by ⬧ Follow lift truck safety usage procedure at Site Manager
minimum of two personnel all times Site Engineer
3 2 6 2 1 2 YES
⬧ Worker must wear appropriate working gloves Safety Engineer
when handling or carrying heavy and bulky Supervisor/ Foreman.
structure

⬧ Awkward positioning during handling and ⬧ Musculoskeletal injury from repetitive ⬧ Observed proper posture during carrying/lifting ⬧ Close supervision required, supervisor and
lifting motion including bending, stretching, reaching, of tools and materials foreman must be present at site.
lifting heavy or in awkward position ⬧ Work rotation of workers ⬧ In house training to be given to the Site Manager
⬧ Provide and use or appropriate PPE (clear glass, workers for the specific activity Site Engineer
3 2 6 1 1 1 YES
hard hat, safety shoes, hand gloves etc.) Safety Engineer
Supervisor/ Foreman.

⬧ Poor housekeeping ⬧ Tripping and fall on the same level due to ⬧ Housekeeping to be done before, during and ⬧ Warning signs and safety barricades shall
waste accumulation after each activity. be used whenever a slip, trip or fall hazard
⬧ Hoses / cables shall be positioned in such a way has been identified but cannot be corrected
Site Manager
that it will not create obstruction on the access and or removed immediately
Site Engineer
work areas 2 2 4 ⬧ Keep work area free from loose tools and 2 1 2 YES
Safety Engineer
⬧ Regular inspection of the working area to be materials.
Supervisor/ Foreman.
done by the supervisor to ensure that the working
area is safe.

⬧ Poor access and egress ⬧ Physical injury due to slips, trips and falls ⬧ Access pathways to be kept clear from any ⬧ Any obstructions shall be moved and kept
obstruction. materials away from any access.
⬧ Each excavation must be provided with proper ⬧ Provision of proper work access (i.e. ladder
access and egress or scaffold)
Site Manager
⬧ Clear walkways, work areas of equipment, tools ⬧ Mark, identify, or barricade other
Site Engineer
from construction debris and other materials. 3 2 6 obstructions. 2 1 2 YES
Safety Engineer
⬧ Hard hats and safety shoes must be worn by
Supervisor/ Foreman.
workers at all times.

⬧ Adverse weather condition ⬧ Heat stress ⬧ Continuous monitoring of weather condition as ⬧ Heat stress monitoring will be
⬧ Exposure to weather and temperature ⬧ Heat exhaustion part of the planning for the activity implemented
extreme ⬧ Faint and collapse ⬧ Work shall be stopped during extreme weather ⬧ Temperature and humidity monitoring thru
⬧ Dehydration condition environmental meter Site Manager
⬧ Cold drinking water will be provided for all ⬧ Work interval or breaks for concerned Site Engineer
involved personnel 2 2 4 personnel to limit exposure to direct sunlight 1 1 1 YES
Safety Engineer
⬧ Ensure that rest area or shelter to be arranged Supervisor/ Foreman.
at workplace area

3 Preparing the site, setting up of ⬧ Miscommunication between work teams ⬧ Physical injury due to simultaneous activity ⬧ Proper coordination and communication shall be ⬧ Conduct toolbox meeting before each
OTDR testing equipment and observed between other groups. work to begin to discuss dewatering work
accessories ⬧ Activities that has the potential to impact each procedure
other shall not be done simultaneously in same Site Manager
area. 2 2 4 2 1 2 Site Engineer YES
⬧ Ensure that areas are inspected prior to Supervisor/ Foreman.
approval of permit to work.

⬧ Lack of Supervision ⬧ Struck by vehicle ⬧ Close supervision required, Supervisor and ⬧ Do not assign workers without attending
⬧ Damage to property Foreman must be present at site. toolbox meeting Site Manager
⬧ Accident resulting injury to worker ⬧ Ensure that all workers understand the work 3 2 6 2 1 2 Site Engineer YES
procedure Supervisor/ Foreman.

3 HIRA-Hazard ID and Risk Assessment Form and Register OHS-PR-09-03-F02 (A) Rev. 0 Revision Date (May 2021)
 ⬧ Pressure from management instruction ⬧Workplace Stress ⬧ Proper planning and scheduling of activities shall ⬧ Line managers are aware of their roles and
be done. responsibilities under the Project's
⬧ Staff aware of their roles and responsibilities in management of work-related stress policy
relation to work-related stress through information and carry these out. Site Manager
and training. 2 2 4 1 1 1 Site Engineer YES
⬧ Staff are made aware that they can refer Supervisor/ Foreman.
themselves to Occupational Health should they
require professional support

⬧ Lack of safety awareness and knowledge ⬧ Physical Injury from poor safety awareness ⬧ Ensure that all workers are given a safety ⬧ Take precautionary actions to make safe
for the job induction training prior to deployment on site. work environment.
⬧ Ensure that all workers are provided with all the ⬧ Ensure presence of safety personnel
required personal protective equipment’s for Site Manager
minimum and general requirements. Site Engineer
3 2 6 2 1 2 YES
⬧ Close supervision required, Supervisor and Safety Engineer
Foreman must be present at site. Supervisor/ Foreman.

⬧ Prolong exposure to extreme temperature ⬧ Heat exhaustion ⬧ Provide sufficient drinking water and scheduled ⬧ Provision of air-conditioned shelter if
⬧ Heat cramps breaks. needed
⬧ Heat stress ⬧ Drinking containers shall be protected from ⬧ Provide appropriate clothing during hot
⬧ Ill health to personnel direct exposure from the sunlight. weather
⬧ Provision of rest shelter. ⬧ Establish a complete heat illness
⬧ Avoid using dark color working outfit which prevention program
attracts heat, used light colored outfit. ⬧ Safety awareness / training related to heat Site Manager
⬧ Conduct temperature / humidity monitoring to stress, etc. Site Engineer
ensure safe working condition. 2 2 4 ⬧ Heat stress awareness training can be 1 1 1
Safety Engineer
YES
⬧ All personnel must undergo in a Heat Stress given to workmen, proper work rotation, Supervisor/ Foreman.
Awareness Training. drinking water facility and rest shelter to be
⬧ Post some heat stress campaign at the site to arranged
increase the workers awareness.

⬧ Poor material management ⬧ Personal injury due to slip and trip hazards ⬧ Aisles, stairs, and passageways shall be kept ⬧ Ensure proper housekeeping to avoid
from the obstruction of materials on access / clear from any obstruction or materials unnecessary materials
egress ⬧ Materials must not be carried in a manner that ⬧ Provide proper storage areas for hand
⬧ Permanent injury or ill health will provide obstruction in the way ahead tools
⬧ Materials shall be stored in designated areas
⬧ Materials and tools shall be stored away from Site Manager
exposed edges Site Engineer
3 2 6 2 1 2 YES
⬧ Hoses / cables shall be positioned in such a way Safety Engineer
that it will not create obstruction on the access and Supervisor/ Foreman.
work areas

⬧ Poor access and egress ⬧ Physical injury due to slips, trips and falls ⬧ Access pathways to be kept clear from any ⬧ Contact the site area in advance and agree
obstruction. that access to the specific area is acceptable
⬧ Any obstructions shall be moved and kept ⬧ Warning signs and safety barricades shall
materials away from any access. Keep work area be used whenever a slip, trip or fall hazard
free from loose tools and materials. has been identified but cannot be corrected
⬧ Each excavation must be provided with proper or removed immediately Site Manager
access and egress ⬧ Ladder should extend at least 1 meter or 5 Site Engineer
⬧ For a 5 meter depth trench or excavation, access 3 2 6 rungs from the natural ground level 2 1 2 YES
Safety Engineer
ladder shall be provided at every 10 meters ⬧ Avoid taking short cuts or jumping in and Supervisor/ Foreman.
horizontally out of excavation
⬧ Ladders must be secured when workers are
required to work inside the excavation

4 Start OTDR testing and data ⬧ Traffic Hazards ⬧ Struck by Vehicles and traffic collisions ⬧ Provision of proper traffic management such as ⬧ Provision of audible warning device and
gathering ⬧ Serious Injury designated routes for vehicles/ equipment and for lighting bacons for all vehicles particularly
⬧ Permanent disability pedestrian routes. heavy equipment Site Manager
⬧ Fatality ⬧ Adequate warning signs and barriers as ⬧ Provide defensive driving for all operators Site Engineer
3 2 6 2 1 2 YES
⬧ Damage to property boundaries for both routes. ⬧ Follow existing traffic rules inside the area. Safety Engineer
⬧ No excavation or backfilling works while testing Supervisor/ Foreman.
is ongoing

4 HIRA-Hazard ID and Risk Assessment Form and Register OHS-PR-09-03-F02 (A) Rev. 0 Revision Date (May 2021)
 ⬧ Miscommunication between work teams ⬧ Physical injury due to simultaneous activity ⬧ Proper coordination and communication shall be ⬧ Conduct toolbox meeting before each
observed between other groups. work to begin to discuss dewatering work
⬧ Activities that has the potential to impact each procedure Site Manager
other shall not be done simultaneously in same Site Engineer
area. 2 2 4 1 1 1 YES
Safety Engineer
⬧ Ensure that areas are inspected prior to Supervisor/ Foreman.
approval of permit to work.

⬧ Lack of Supervision ⬧ Struck by vehicle ⬧ Close supervision required, Supervisor and ⬧ Do not assign workers without attending Site Manager
⬧ Damage to property Foreman must be present at site. toolbox meeting Site Engineer
⬧ Accident resulting injury to worker ⬧ Ensure that all workers understand the work 3 2 6 2 1 2
Safety Engineer
YES
procedure Supervisor/ Foreman.
⬧ Pressure from management instruction ⬧Workplace Stress ⬧ Proper planning and scheduling of activities shall ⬧ Line managers are aware of their roles and
be done. responsibilities under the Project's
⬧ Staff aware of their roles and responsibilities in management of work-related stress policy
relation to work-related stress through information and carry these out. Site Manager
and training. Site Engineer
2 2 4 1 1 1 YES
⬧ Staff are made aware that they can refer Safety Engineer
themselves to Occupational Health should they Supervisor/ Foreman.
require professional support

⬧ Cave in due to vibration and accumulated ⬧ Collapse of excavation, resulting to ⬧ Check the condition of excavation at all times ⬧ Close supervision required, supervisor and
water personnel injury , Fatality or Property damage for possibility of collapse or cave-in of excavation foreman must be present at site.
walls. When deeper than 1.5 meter must be sloped ⬧ Training on working at excavation and Tool
/ benched or shored depending on type of Box talk should be provided to the workers
materials which are being excavated prior to start the work.
⬧ If equipment is being used above the trench ⬧ Report any signs of cave-ins to supervisor.
then no operatives should be in the trench when ⬧ Provide proper illumination or blinker
the machine is in use lights along the excavation in order to be Site Manager
⬧ All excavated materials must be moved at least identified during night time. Site Engineer
(1) one meter away from the edge of excavation or 3 2 6 ⬧ Do not store materials or plant adjacent to 2 1 2 YES
Safety Engineer
totally removed from the site. excavation. Supervisor/ Foreman.
⬧ Provide temporary sum pit and sub pump to
removed water inside excavation.
⬧ Excavation must be properly barricaded
physically, and DANGER DEEP EXCAVATION SIGNS
are provided.

5 Housekeeping and clearing the ⬧ Scattered materials and tools ⬧ Slip, trip and fall ⬧ Housekeeping will be done at the start and end ⬧ Checklist shall be used for stacking and
work area ⬧ Personal injury of every shift storage practices. Site Manager
⬧ Finger and foot injury. ⬧ Pathways shall be cleared at all times ⬧ Proper PPE suitable for the job such as Site Engineer
⬧ Tools will be kept in proper storage area when 3 2 6 safety shoes, dust mask, goggles, gloves, and 2 1 2 YES
Safety Engineer
not in use high visibility vest to be worn by workers at Supervisor/ Foreman.
all times.
⬧ Dust, bad odor, and fumes ⬧ Inhalation of dust and other particulates ⬧ Waste bins shall be provided and segregated as ⬧ Housekeeping program will be put in place
per standard ⬧ Proper PPE suitable for the job such as Site Manager
⬧ Regular disposal of waste to avoid accumulation safety shoes, dust mask, goggles, gloves, and Site Engineer
2 2 4 high visibility vest to be worn by workers at 1 1 1 YES
Safety Engineer
all times. Supervisor/ Foreman.

⬧ Manual handling ( improper ) ⬧ Musculoskeletal injury from repetitive ⬧ Only worker having the capability to carry load ⬧ Provide and use of mechanical aids to
Site Manager
motion including bending, stretching, reaching, are allowed to do manual handling. assist the manual handling operation such as
Site Engineer
lifting heavy or in awkward position ⬧ Team lifting is required if the load is too heavy, 3 2 6 trolleys, pallet jacks or forklifts. 2 1 2 YES
Safety Engineer
large or bulky.
Supervisor/ Foreman.

⬧ Lifting of sharp edge materials resulting to ⬧ Proper PPE suitable for the job such as safety ⬧ Foreman to monitor and guide worker on
Site Manager
hand injury shoes, dust mask, goggles, gloves, and high the safe handling of tool, materials and
Site Engineer
visibility vest to be worn by workers at all times. 3 2 6 equipment 3 1 3 YES
Safety Engineer
Supervisor/ Foreman.

⬧ Vehicle traffic ⬧ Struck by Vehicles and traffic collisions ⬧ Suitable and sufficient barricades and safety ⬧ Proper PPE suitable for the job such as
signs to be installed around the working area. safety shoes, dust mask, goggles, gloves, and Site Manager
⬧ Availability of competent flagman to ensure safe high visibility vest to be worn by workers at Site Engineer
3 2 6 3 1 3 YES
and efficient traffic flow. all times. Safety Engineer
Supervisor/ Foreman.

5 HIRA-Hazard ID and Risk Assessment Form and Register OHS-PR-09-03-F02 (A) Rev. 0 Revision Date (May 2021)
 ⬧ Poor access and egress ⬧ Personal injury due to slip and trip hazards ⬧ Access pathways to be kept clear from any ⬧ Ensure proper housekeeping to avoid
from the obstruction of materials on access / obstruction. unnecessary materials
egress ⬧ Any obstructions shall be moved and kept
materials away from any access. Keep work area Site Manager
free from loose tools and materials. Site Engineer
2 2 4 2 1 2 YES
⬧ Ensure access & egress is free from any Safety Engineer
obstruction to prevent slip trip and fall. Supervisor/ Foreman.

⬧ Waste accumulation ⬧ Accident resulting to injury or ill health to ⬧ Dispose generated waste into the designated ⬧ Assign dedicated personnel to collect
worker waste disposal areas only. waste and unnecessary materials to dispose
Site Manager
⬧ Remove all materials, tools and generated appropriately to the dedicated trash bins
Site Engineer
waste after the work is done 3 2 6 2 1 2 YES
Safety Engineer
⬧ Provide trash bin in the work area in accordance
Supervisor/ Foreman.
with the classification of waste

6 Closing of Permit to Work ⬧ Poor housekeeping ⬧ Environmental complaint ⬧ Permit Receiver shall ensure that housekeeping ⬧ Supervisor to monitor their respective area
⬧ Accident resulting serious injury or death to in done before, during and after the work for housekeeping before and after the activity
worker ⬧ All waste materials generated from the work ⬧ Enough waste bins shall be provided
shall be disposed properly and shall not be left
unattended at the worksite Site Manager
⬧ All materials used at the site such as chemicals, Site Engineer
2 2 4 1 1 1 YES
flammable and combustible materials shall be Safety Engineer
stored at the designated storage at the end of Supervisor/ Foreman.
each day

⬧ Undisposed waste materials ⬧ Governmental violation ⬧ Mobile equipment shall properly parked on a ⬧ Supervising Engineer and Foreman shall
⬧ Accident resulting serious injury or death to designated equipment laydown adhere to the proper housekeeping and
worker ⬧ All materials used at the site such as chemicals, storage of materials at the designated
⬧ Significant cost due to damages flammable and combustible materials shall be location
stored at the designated storage at the end of ⬧ Site Manager shall be responsible on the
each day effective implementation of the Permit to Site Manager
⬧ Electrical equipment shall be properly secured, Work Site Engineer
distribution board closed and padlocked 3 2 6 ⬧ Permit Issuer shall visit the work location 2 1 2
Safety Engineer
YES
⬧ Permit Receiver shall account all worker under to verify good housekeeping was conducted Supervisor/ Foreman.
his Permit to Work and ensure all have signed out before closing the Permit to Work
on the attendance sheet and clear of the area

⬧ Unaccounted workers ⬧ Governmental violation ⬧ Security/guard should be mobilized ⬧ TBT for all the workers and proper
⬧ Loss of production ⬧ Log in and out should be implemented, log book monitoring
must be provided and always available ⬧ Training for the security/guard pertaining Site Manager
⬧ Coordination between HR and PMT for new 3 2 6 to log in and out 2 1 2 Site Engineer YES
workers, induction should be provided ⬧ Site Manager shall be responsible on the Supervisor/ Foreman.
effective implementation of the Log in log out
system
⬧ Inadequate communication ⬧ Accident resulting serious injury or death to ⬧ Regular coordination meeting should be done ⬧ Practice constant communication between Site Manager
worker for communication 3 2 6 PMT 3 1 3 Site Engineer YES
Supervisor/ Foreman.
⬧ Poor storage of chemical, flammable and ⬧ Significant property and appurtenances ⬧ Permit Receiver shall ensure that proper storage ⬧ Must have chemical holder with proper
combustible materials and etc. damage of chemical is done before, during and after the training
⬧ Governmental violation work ⬧ SDS must be available
⬧ Environmental complaint ⬧ All waste materials generated from the work ⬧ Supervision and monitoring by the
⬧ Accident resulting serious injury or death to shall be disposed properly and shall not be left supervisor must take place
worker unattended at the worksite Site Manager
⬧ Significant cost due to damages ⬧ Safety information on how to handle chemical Site Engineer
3 2 6 2 1 2 YES
materials must be posted Safety Engineer
⬧ All materials used at the site such as chemicals, Supervisor/ Foreman.
flammable and combustible materials shall be
stored at the designated storage at the end of
each day

6 HIRA-Hazard ID and Risk Assessment Form and Register OHS-PR-09-03-F02 (A) Rev. 0 Revision Date (May 2021)
 ⬧ Unattended unsafe condition ⬧ Loss of production ⬧ All unsafe condition must be identified by the ⬧ TBT should be done and all pending unsafe
⬧ Accident resulting serious injury or death to safety rep. and must be rectified right away. condition must be discussed
worker ⬧ Area with un attended unsafe condition must be ⬧ Supervising Engineer and Foreman shall Site Manager
identified adhere to the proper rectification of the open Site Engineer
3 2 6 3 1 3 YES
observation Safety Engineer
⬧ Site Manager shall be responsible on the Supervisor/ Foreman.
effective implementation
⬧ Unsecured electrical equipment, ⬧ Significant property and appurtenances ⬧ Permit Receiver shall ensure that housekeeping ⬧ Permit Receiver shall account all worker
energized equipment damage in done before, during and after the work under his Permit to Work and ensure all have
⬧ Accident resulting serious injury or death to ⬧ Electrical equipment shall be properly secured, signed out on the attendance sheet and clear
worker distribution board closed and padlocked of the area
⬧ LOTO procedure should be available and ⬧ Site Manager shall be responsible on the Site Manager
properly implemented effective implementation of the Permit to Site Engineer
3 2 6 2 1 2 YES
Work Safety Engineer
⬧ Monthly inspection and color code should Supervisor/ Foreman.
be implemented
⬧ Electrical equipment checklist and registry
should be updated

7 HIRA-Hazard ID and Risk Assessment Form and Register OHS-PR-09-03-F02 (A) Rev. 0 Revision Date (May 2021)