Severity Minor Injury Minor Injury Under 3 Day Over 3 day Injury Major Injury

FA On Site FA Off Site Injury (RIDDOR) Fatality

Likelihood 1 2 3 4 5
Unlikely 1 1 2 3 4 5
Possible 2 2 4 6 8 10
Likely 3 3 6 9 12 15
Very Likely 4 4 8 12 16 20
Highly 5 5 10 15 20 25
Likely
Damage/Polluti No Damage Minor Damage Lost Time Serious Damage Total Loss
on No Pollution Minor Pollution Damage Significant Major Incident
Lost time Pollution
Pollution

Residual Risk Categories

5-12 Medium Risk

1-4 Low Risk 15-25 High Risk
Review and ensure
Proceed and maintain all STOP requires additional
control measures are
control measures control measures
effective before
ACCEPTABLE proceeding UNACCEPTABLE

TOLERABLE

Risk Residual
Ranking Risk
Nature Possible LxS=R LxS=R Accept
Item Persons
of Effect of Control Measures Risk
No affected L S R L S R
Hazard Hazard Y/N
1 Slips, Trips All Lost time 3 2 6 All hoses, pipes and cables to be routed away from 2 2 4 Y
& Falls Personnel injury / minor walkways wherever practicable.
damage
Any potential trip hazards shall be highlighted with the use
of warning signs or labels

Form Ref: S104 Page 1 of 8 Rev 8: 26/03/09

 Risk Residual
Ranking Risk
Item Nature Persons Possible LxS=R LxS=R Accept
of Effect of Control Measures Risk
No affected L S R L S R
Hazard Hazard Y/N
Works site shall be kept in a clean and tidy condition at all
times to lessen the possibility of trip, slips and fall hazards.
2 Manual All Lost time 3 3 9 All personnel are to be trained in Manual Handling. 2 3 6 Y
Handling Personnel injury / minor
damage Assess all lifts, always seek assistance if required,
mechanical lifting devices to be used whenever possible.

All personnel shall take note of the labelling of equipment

regarding weight and shall follow guidelines as laid out in
SSOPs.
3 Use of All Serious Injury / 4 5 20 All personnel to have been trained in use of water jetting 2 5 10 Y
jetting Personnel, Fatality, major equipment and
equipmen third damage to follow Sureclean Safe Operating Procedure 01 Water
t parties Jetting

Those undertaken jetting operations are to wear full TST

suit, (over overalls) and metatarsal boots, hard hat with
visor and all other PPE deemed necessary by the
Supervisor/Engineer

Work area to be barriered off with warning signs and all

third parties to be kept clear of work area

Ensure that regular checks are carried out to assess

integrity and security of all hoses, fittings and accessories

Ensure that only the correct pressure fittings are used

which are compatible with hoses being used and which
have a safe working pressure which is greater than the
maximum pressure of the system

Always ensure that the jetting gun operative is in the line

of sight of the safety man at all times and that a Safety
Station or similar pressure relief device is incorporated in
the system to enable immediate release of pressure in an
emergency situation.

Form Ref: S104 Page 2 of 8 Rev 8: 26/03/09

 Risk Residual
Ranking Risk
Item Nature Persons Possible LxS=R LxS=R Accept
of Effect of Control Measures Risk
No affected L S R L S R
Hazard Hazard Y/N
To minimise fatigue within the Jetting Team regular rotation
of Personnel shall take place

All waste to be transferred to the dedicated disposal points

4 Working All Risk of injury 4 5 20 Care should be taken at all times when coupling and 2 5 10 Y
With Personnel or death to uncoupling hoses. Ensure hoses have been de-pressurised
Hoses Personnel prior to disconnecting
Under
Pressure Hoses are to be routed safely, securely tied off and
prevented from catching on sharp edges during operations.
Whip checks and R-pins are to be fitted. Suspended hoses
must be securely restrained to prevent them falling from
height

Only use hoses which are uniquely identified and hold a

current pressure test certificate

Ensure all hoses with cam lock fittings have the locating
clamps taped or tied to reduce the chance of accidental
un-coupling.
5 Working All Risk of injury 4 5 20 Only suitably trained and qualified personnel to operate 2 5 10 Y
With Personnel or death to engine driven machinery & equipment.
Mechanic Personnel
al Eqpt - Ensure that all applicable Mechanical and Electrical
Trapping Isolation tags are in place
Snagging
Use certified regularly maintained plant.

All equipment shall be function tested and certification

checked before use.
6 Contact All Serious injury 4 3 12 All personnel to have COSHH training. 2 3 6 Y
with Personnel
hazardous All personnel to apply wet barrier cream to all areas of
substance exposed skin on a regular basis.
s
All personnel to ensure they adhere to high standards of

Form Ref: S104 Page 3 of 8 Rev 8: 26/03/09

 Risk Residual
Ranking Risk
Item Nature Persons Possible LxS=R LxS=R Accept
of Effect of Control Measures Risk
No affected L S R L S R
Hazard Hazard Y/N
cleanliness.

7 Working All Risk of injury 4 5 20 All work to be carried out in accordance with 2 5 10 Y
in Personnel or death to Sureclean/Client Vessel Entry and Confined Space
confined Personnel Procedure (SSOP 02) a copy of which shall be available on
Spaces site.

Only personnel trained in confined space entry to

participate in this task.

Gas Monitors must be used to test air purity prior and

during work with in the confined space. The results of the
initial gas test must be recorded on the appropriate sheets.

Where BA equipment is being used, breathing air must be

of a suitable quality.

Lines of communication must be effective and maintained

at all times.

Ensure that diesel driven machinery is situated in an area

where exhaust fumes cannot enter confined space and
least noise disturbance shall be caused bearing in mind
local conditions and wind direction, etc

Adequate lighting must be supplied within the confined

space.

Personnel to be aware of underfoot conditions and

projecting/intruding internal surfaces in the confined space

Site Review Date Reviewed Dat Reviewed Date Reviewed Date

By: : By: e: By: : By: :

Name: Name: Name: Name:

Form Ref: S104 Page 4 of 8 Rev 8: 26/03/09

 Additional Site Hazards And Control Measures
Risk Residual
Ranking Risk
Ite Nature Possible LxS=R LxS=R Accept
Persons
m of effect of Control Measures Risk
affected L S R L S R
No. Hazard Hazard Y/N

Risk Assessment Briefing:

Briefing
Positio Signatur
carried out Date:
n: e:
by:

Attendees:
*I understand the contents of this risk assessment and my responsibility to comply with the control measures:

Name Signature* Date Name Signature* Date

Form Ref: S104 Page 5 of 8 Rev 8: 26/03/09

 QHSE Management System
Level 2
FORM NO. QHSEF 008
TITLE Risk Assessment

Risk Assessment Guidance Note

The Management of Health and Safety at Work Regulations 1999 requires

employers to carry out a suitable and sufficient assessment of the risks to
health and safety for all work activities.

Risk Assessments are undertaken to prevent accidents and ill health to

workers and other parties. They are also undertaken to prevent damage
to plant, machinery, property and the environment.

It is the responsibility of the Project Owner to ensure that each Sureclean

project has a Risk Assessment and that the Risk Assessment is included
in the Job Pack.

Risk Assessments shall be shown to clients and third parties (e.g. HSE) on
request and should be used in any Permit to Work process.

Each Risk Assessment looks at something which has the potential to harm
(the hazard) and identifies the likelihood of this happening and the
severity of the effect of the hazard. In the event that a risk cannot be
removed, control measures shall be put in place to reduce the risk to As
Low As Is Reasonably Practicable (ALARP).

This guidance note provides an outline on how to complete a Sureclean

Risk Assessment (Form Ref: S104).

It is imperative that Risk Assessments are carried out before all company
operations start.

The process for completion of a Risk Assessment shall be as follows:

1. Job number, date, clients name, location of work and the name of the
person undertaking the Risk Assessment (the Assessor) must be provided
on the front sheet of each Risk Assessment.

2. A brief Description of work to be carried out is to be filled in. E.g.

Removal of asbestos floor tiles from classroom 5.

3. Item No: Hazards shall be numbered from one onwards.

1. Nature of hazard: What risks are there on the way to, during and on
return from the project. E.g. mechanical, working at height, manual
handling, slips, trips and falls, environmental, electrical, biological,
chemical, etc.

Issued by : QHSE Manager Revision No. : 0

Page 6 of 2
Authorised by : CEO & Chairman Date : 01st Jan, 10
 QHSE Management System
Level 2
FORM NO. QHSEF 008
TITLE Risk Assessment

2. Persons affected: If a hazard exists then who will be affected by it? E.g.
Operatives, the general public contractors, clients.

3. L: What is the Likelihood of the hazard occurring? Using the matrix

below or on the front sheet of the Risk Assessment, identify the Likelihood
of the hazard occurring. E.g. If it is Likely then enter number 3 in the
appropriate column.

Severity Minor Injury Minor Injury Under 3 Day Over 3 day Major Injury
FA On Site FA Off Site Injury (RIDDOR) Fatality
Likelihood 1 2 3 4 5
Unlikely 1 1 2 3 4 5
Possible 2 2 4 6 8 10
Likely 3 3 6 9 12 15
Very Likely 4 4 8 12 16 20
Highly 5 5 10 15 20 25
Likely
Damage/Polluti No Damage Minor Damage Lost Time Serious Damage Total Loss
on No Pollution Minor Pollution Damage Significant Major Incident
Lost time Pollution
Pollution

4. S: What is the likely Severity of the hazard occurring? Using the

Severity box at the top of the matrix use one of the definitions
provided to identify the Severity of the hazard and enter the number
which reflects the possible Severity outcome

8. R: Risk Ranking L X S = R. You should compare R with the values in

the boxes below the Risk Assessment Matrix. If the ranking is in the
acceptable range (1-4) then the existing control measures are
sufficient.

Residual Risk Categories

5-12 Medium Risk

1-4 Low Risk 15-25 High Risk
Review and ensure
Proceed and maintain all STOP requires additional
control measures are
control measures control measures
effective before
ACCEPTABLE proceeding UNACCEPTABLE
TOLERABLE

9. Control Measures: The Control Measures are any measures that are
either in place or are to be introduced to eliminate or reduce the risk.
Ideally a risk should be eliminated. To reduce the risk to an acceptable

Issued by : QHSE Manager Revision No. : 0

Page 7 of 2
Authorised by : CEO & Chairman Date : 01st Jan, 10
 QHSE Management System
Level 2
FORM NO. QHSEF 008
TITLE Risk Assessment

level, physical controls shall be used in addition to training, supervision,

instruction, information, PPE and/or RPE as necessary.

10.After applying the Control Measures, you must now reassess the risk (L
X S = R) but this time take the effectiveness of the Control Measures in
to consideration. The figure you had previously should be reduced if the
appropriate control measures were put in place.

11.Residual Risk: Taking the figure from section 10 (L X S = R) you should

now be able to tell if the risk is acceptable from the Residual Risk
Categories box on the Risk Assessment front sheet (see section 8
above). If the residual risk is acceptable or tolerable you may enter the
appropriate figure in this section. If not acceptable or tolerable, you will
need to keep reviewing the control measures until you are satisfied that
no more can be done to control or eliminate the risk. Under no
circumstances should work start if there is an unacceptable risk still
present.

12.The Risk Assessment must be approved by one of the following:

Projects Manager
Operations Manager
Technical Manager

13.Site Review - Additional Site Hazards and Control Measures. Once on

site the Site Supervisor shall review the Risk Assessment to check if the
assessment and its findings are still applicable. The Supervisor shall
record his review of the assessment by signing and dating the relevant
box. The original assessment can be amended by hand as necessary
with any additional hazards identified and control measures
implemented, added to the review table on the signature sheet of the
original Risk Assessment.

14.The Site Supervisor shall brief the project team on the contents of the
completed Risk Assessment and shall ensure that all present sign to
confirm that they have been briefed on, understand and will comply
with the control measures specified within the Risk Assessment.

Under no circumstances shall a work activity commence until such

time as an on-site risk assessment has been completed and
understood by all parties involved in the task.

Issued by : QHSE Manager Revision No. : 0

Page 8 of 2
Authorised by : CEO & Chairman Date : 01st Jan, 10