Hazard Identification & Risk Assessment (HIRA) - Checklist

Site Name TVI Engineer Name Date

Site ID Vendor Engineer Name Time of Start of Audit
Tower type Tower Ht/Building Ht Time of End of Audit

Risk Assessments & Safe Systems of Work

Ø A task specific ‘pre work’ (before starting on site) hazard identification audit to be undertaken.
Ø Identify all foreseen risks and hazards relating to the work area, as a basis for task specfic risk assessments.
Ø As part of the process, only a trained & competent person should identify safe systems of work.
Ø Communicate control measures intended to minimise risks to all the stakeholders & ensure to discuss the identified risks with his supervisor before execution.

Primary Checks :
Safety Railing and Safety Ladder Available Not Available
Formwork/Falling Safety Required Not required
Certified from : Certificate No.1) 2]
Certification of TSP Team for E and H works Available Not Available

Full Body Safety Harness - for Waist positioning belt - for

Safety Shoes Safety Helmet
working @ height working @ height
PPE kits availbility for team Like,Safety Cotton Hand Gloves -
Electrical Safety Gloves - for Ant-Static Strap - for
shoes,helmet,Reflector jacket,Safety Working @ height/tower Safety Spectacles - for working @ height
electrical work electrical work
Harness,Required tools.etc during Summer times
Please Specify : Count of Persons : Count of Available PPE Kit:
All PPE used shall be ISI/CE/EN approved and
others
as per defined specifications.

Remarks
PPE kit Condition Fit Unfit

Working time : During Summer work at height most likely to be start in Morning
Surrounding Temperature Favourable Not Favourable between 6 AM to 10 AM.& During the winter Same to Started 10AM
to 2PM.
High Body Temperature Fatigue Vision Issues Physical Impairment Remarks :

Team Health and Hygiene Check Restlessness Cold and Cough Allergy Specify Allergy (If Any) :
Height Phobia Drugs/Alcohol Intake Mentally Unfit
Others :

Briefing of Safety Requirement at site to team Listened Attentively Not Listened attentively

Contents list including expiry date of each item :Antiseptic cream or solution, alcoholic swabs, iodine solution
First Aid Kit Available Not Available Triangular, cotton crepe, roller, finger bandages,Analgesic cream,Adhesive plasters (various sizes), adhesive plaster
tape,Dressing scissors, tweezers, forceps,Cotton wool, absorbent gauze, first aid dressings,Safety pins

Risk Analysis (No Controls) Risk analysis (With Controls)

No. Hazard Effect Control Measures Evaluation
Severity Likelihood Risk Severity Likelihood Risk
Travel Safety - Employee
Traffic regulations, Driver safety instructions,
1 travelling in vehicles to reach Injury due to accident 5 4 20 5 3 15
pre & post trip vehicle checklist.
work place.
Use of approved PPE, Certified manpower from
2 Work on tower Fatal accident 5 4 20 approved agencies, review of safety measures 5 1 5
with employee before commencing work.
Material Movement - Carrying
material like GSM Mounts,
Instructions of safe material handling &
3 Microwave Mounts etc. from Falling object 4 4 16 4 2 8
training, Supervision
bottom to top of the
Tower/Pole/Mast by hand.
Qualified electrical technicians, Insulated power
Working with electrical tools and shoes, Electrical isolation process,
4 equipment without proper Electric Shock 5 3 15 Electrical safety training, Planned preventive 5 2 10
earthing & PPEs maintenance for earthing and other electrical
installations.
Use of approved PPE, Certified manpower from
Attack by birds/animals on approved agencies. Identify Bird nest / beehive
5 Major Injuries 5 4 20 5 2 10
tower at height on tower or surrounding tower & inform site
owner.
Nails or sharp objects in Awareness & training to work on tower, use of
6 Major Injuries 4 3 12 4 1 4
climbing or working path PPEs
Sickness due to working in
Implementation in open
extreme conditions, for
environement and personnels Protective clothing, Standing Instructions to
7 example too hot or too cold or 4 4 16 4 2 8
are exposed to extreme stop work in adverse weather conditions.
extreme rain or dusty
weather conditions
environment.
I/We,hereby declare that during site execution successfully followed HIRA process and as per above checklist investigated and found work can be started at site as it is fulfill all requirements for safety according to Hazard Identification and Risk assesment .

TVI Site Engineer Signature Vendor Site Engineer Signature

TVI Project Engineer : Vendor Project Engineer :

Employee ID : Employee ID :
Contact No : Contact No :