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Name

End-of-course date

Training provider
Total
marks

Risk assessment form

Marks

Assessors name

Date

Description of process, activity or task to be risk assessed


ABDULLAHA HASHIM GAS COMPANY 2ND IND CITY DAMMAM SAUDI ARABIA
Describe the location
where the activities are
taking place

Describe the activities


being performed

WELDING , FABRICATION WORK , ELETRICAL WORK AND PAINTING ACTIVITY

Describe the
equipment and/or
substances being used

WELDING MACHINE , SAW MACHINE , DRILLING MACHINE ,

STAFF, WELDER , HELPER , SUPERVISOR


Describe the people
involved in these
activities (and others
who might be affected)

Risk assessment form

Equipment and
substances

Activities

Location

Description of hazard
and hazardous event

Who might be
harmed?

Current risk
rating*

What risk controls


are currently in
place?

Hazard in welder doing


welding on container and
flames are falling on
chemical drum

welder and helper


doing work in unsafe
condition near the
chemical drum

remove the chemical


drum or store it in a
proper chemical storage
area
4

Anyone in office could


suffer Electrical Shock or
burns if electrical cabling
or electrical equipment is
faulty.

Office Staff (9)


Managers (6)
Cleaner (1)
Office Boy (1)
All Visitors

Training is provided to
know how to position
screen properly and use
of
Glasses or lenses

Handling , Storage
Distribution of Chemicals

PPE , First aid


Unaware personal
working like risk of
skin due to chemical
contact risk of adverse
health due to
inhalation of chemical

*Likelihood x Consequence = Risk

Are further
controls needed?

Residual risk
rating*

16

12

L
Briefing & Training
with in 1 week
regarding fire and
chemical storage system
on site

Routine eye checkups.


with in 3 Days
Staff will be encouraged
to take regular breaks
from screen use.
All problems identified
in self assessment will
be
Actioned promptly No

Safe system of work

Date to be
completed by

Immediately

Marks

Risk Rating Calculator


Likelihood that hazardous event will occur

Consequence of hazardous event

very unlikely

insignificant no injury

unlikely

minor minor injuries needing first aid

fairly likely

moderate up to three days absence

likely

major more than seven days absence

very likely

catastrophic death

Action Level Table


Risk rating

Action

2025

Stop stop activity and take immediate action

1516

Urgent action take immediate action and stop activity if necessary, maintain existing controls rigorously

812

Action improve within specified timescale

36

Monitor look to improve at next review or if there is a significant change

12

No action no further action but ensure controls are maintained and reviewed

Example risk assessment

Activities

Description of hazard
and hazardous event
Filling car with petrol,
leading to spillage

Who might be
harmed?
Person filling vehicle
and others on
forecourt

What risk controls


are currently in
place?
Auto pump cut off,
signage and plastic
gloves

Current risk
rating*
L
4

C
2

Are further
controls needed?

Date to be
completed by

Residual risk
rating*

R
8

L
Make available
paper towels, sand
and absorbent
material

By next week

C
2

R
6