نموذج تقييم المخاطر HAZARD IDENTIFICATION AND RISK CONTROL
HAZARD IDENTIFICATION
AND RISK CONTROL
Job Title :( (العمل …………………………………………………………………………………….. Location:
Water filter
Reported By :( تم بمعرفة)……………………………… …..…Dept. :(
الادارة) ………….………
Day/Date: ………………………………………...…
|
Acceptable
|
Residual Risk
|
Done By
|
Method(s) of
control
|
Risk
Evaluation
|
Hazard
Effect(s)
|
Potential
Hazardous Task(s)
|
|||||
|
N
|
Y
|
R.V
|
S
|
P
|
R.V
|
S
|
P
|
||||
|
|
Y
|
8
|
4
|
2
|
Administration
|
Periodical
maintenance of the filter
|
24
|
4
|
6
|
Serious
injury
|
Health
hazards
(stuck
of the filter)
|
|
|
Y
|
8
|
4
|
2
|
Cafeteria
boy
|
Daily
housekeeping
|
32
|
4
|
8
|
Serious
injury
|
Biological hazards
(alga formation due to bad
housekeeping)
|
|
|
Y
|
16
|
8
|
2
|
Electrical
dept.
|
Periodical
check on the electrical and wiring system of the heater
(At least
monthly).
|
48
|
8
|
6
|
Single
fatality
|
Electrical hazards (failure
of the isolation of the power cable )
|
We have considered the need for engineering change and
/or processes shut down before this task is carried out. We believe, however,
that the measures we have specified are adequate to reduce the overall risk to
an acceptable level without further safeguards, and we recommended that work
should proceed.
We are not satisfied with the safeguards available to
control risk and we recommend that this task should not proceed until further
risk control measure can be developed.
Conclusion/Comments: ……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………
Name:
………………………… Signature: …………………….. Reviewed
by HSE dept.
Name: ……………………….
P: probability S:
severity R.V: Risk value Signature: ……………………
R.V= S xP
Date: …………………………
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