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 )
|


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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