Risk Assessment/Management Form

Ref:
Section / Dept: civil ,Contractor: Activity: Risk Assessment for Backfilling Location:

ility
Sl No. Basic Job Steps Potential Hazard Consequence Current control measure Ri

Probab
Initial Additional Ri

Probab

Residu
ility

al risk
sk Risk control s
rat measure k
in ra
P E A R P E A R
g ti
Vehicles to be used for n
g
backfilling(Dumper/Tractor-
Vehicle
1 Mechanical Failure Get Injury Trolley/JCB)to be checked for 1 0 1 1 2 2
Inspection
proper condition of brake atleast
once a day before start of activity
Hit to a No person should stand under the
person/Equipment/Ve swing area and on the dallah of the
hicle dumper
Metallic stopper available with
Loading of vehicles to be used to protect
2 Get Injury/Fatality 1 0 1 0 2 2
materials accidental rolling
Rolled down of
vehicle Physical barriers like slippers to be
used to prevent vehicles rolling
down a slope

The vehicle should follow the traffic

2 0 1 1 2 4
rule

The vehicle must be in good

condition

Transportation Hit to a
3 Get Injury/Fatality License holder operator can operate
of material person/Vehicle the vehicle

No undulation of road

No overtaking at site
All overhead are to be isolated/
removed

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ity

risk
Sl No. Basic Job Steps Potential Hazard Consequence Current control measure Ri

Probabil
Initial Additional Ri

Probabil

Residual
ity
sk Risk control s
rat measure k
in ra
g
P E A R ti
P E A R
n
Toppled/Tilting of Safe access shall be provided for g
vehicle unloading the sand/soil
Backfilling/
Collapse of soil/pits Use stopper at the time of unloading 2 0 2 1
4 Unloading of Get Injury/Fatality 2 4
material at site
No motor boy will stay behind the
Hit to a person
vehicle and maintained safe
/vehicle
distance from the vehicle

Guide by a supervisor to avoid such

risk
1 0 1 1 2 2

No person shall work in levelling

Levelling by Hit to a person and
5 Get Injury/Fatality area
machine Structure damage
Checking of live lighting cable

All the work must be done under

strict supervision

Only authorised experience person

shall be deployed in the job with
safety shoe , helmet, jacket, goggles
and rubber hand gloves
Electrical injury Get Injury/Fatality 2 0 0 1 2 4

Operating of Proper earthing to be provided and it

6 Earth should be checked by authorised
compactor electrician at regular intervals

Effects on lungs Use of good quality nose mask

1 0 0 1 2 2
Dust exposure during long time
exposure
Use of ear plug 1 0 0 0 2 2
Emission of noise Hearing loss

Prepared By Approved By Reviewed By

Contractor Contractor

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