Ref. No.

: Date: 10/20/2020
Rev.No.: 00 Page no. 01 of 01 GPL/HIRA/09
Hazard Identification & Risk Assessment Format

Activity: Vertigo test

Risk
Assessment
Risk Assessment existing

Non-Significant (NS)
additional
Control Measures

Ref. Of WI/ SOP :-

Legal Yes/No

Significant (S) /
Control
Measures
Sr. No. Activity Hazard Issues (Internal/External) Risk ( Probable Outcome) Existing Control Additional Control Measure Opportunities & Action Remark

Probability(P)

Probability(P)
Severity(S)

Severity(S)
Risk Level

Risk Level
(H/M/L) :

(H/M/L) :
1. Security guard to be deployed
Vehicle movement near vertigo test for traffic management.
Internal 1. Hit by vehicle P3 S3 H P2 S3 M Nil
scaffolding 2. Vehicle movement to be
stopped during vertigo test

1. Inspect scaffolding before use -

1. Falling from height
Unsafe scaffold Internal 2. Major injury Ensure safe access, proper P3 S3 H P2 S3 M Nil
support & railing

1. Ensure two anchorage point -

Absence of anchorage point for 1. Falling from height
scaffolding Internal 2. Major injury 40NB ms pipe at the center of P3 S3 H P2 S3 M Nil
platform & lifeline

1. Ensure supervision.
1. Safety helmet, safety shoes,
Climbing scaffolding without PPE Internal 1. Falling from height
full body harness to be worn P3 S3 H
2. Ensure presence of security P2 S3 M Nil
2. Major injury guard near access during vertigo
before climbing scaffolding test.

1. PPE awareness to be briefed

1. Falling from height before starting vertigo test.
Lack of awareness about use of PPE Internal P3 S3 H P2 S3 M Nil
2. Major injury 2. GPL induction video to be
shown

YES
1 Vertigo test

S
Damaged PPE Internal 1. Falling from height 1. PPE to be inspected before P3 S3 H P2 S3 M Nil
2. Major injury issuing to workers

1. Vertigo test to be carried out in

Poor illumination Internal 1. Falling from height day time only. Vertigo test P2 S2 M p1 S2 M Nil
2. Major injury should not be allowed after 6
pm.

Obstructed access Internal 1. Trip, fall, injury

1. Vertigo test scaffolding access P2 S2 M p1 S2 M Nil
to be kept free from obstructions

1. Ensure good housekeeping

Poor housekeeping Internal 1. Trip, fall, injury P2 S2 M P1 S2 M Nil
near vertigo test area

1. Grass cutting should be done

1) Insect/ Snake bite,
Grass near vertigo test area Internal Personal Injury regularly. P2 S3 M P1 S3 M Nil

RISK Calculation / Evaluatio

Probability (P) P/S S1 S2 S3 S4

P1: Improbable P1 L L M M

P2 : Remote P2 L M M H

P3 : Possible P3 M M H H

P4 : Probable P4 M H H H

A : Hazards must be avoided (or the level of risk reduced significantly and reliable by controls)
Severity (s)
B : Hazards should be avoided (or the level of risk reduced significantly and reliable by controls)
S1 : Negligible
C : Risk to be controlled as far as reasonably practicable
S2 : Minor
D : Risk is controlled as far as reasonably practicable .
S3 : Sever
-- : Acceptable risk
S4 : Extreme
LEGAL : If activity come under legal implecation (significant) than additional control measures is to be taken and has to be reviewed
periodically.
S : Significant
NS : Non - Significant.

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