Location: TERGA Date of Assessment:

Assessor(s): A.FRIDI System/Activity:

INTRODUCTION
The table below provides a simplified representation of the methodology used and the processes
Management) to be undertaken by OCIA and all Subcontractors in order to initiate, act on,
IDENTIFICATION - Pre planning, Method
statement , Job safety analysis.
ASSESSMENT
Mitigation measure, Residual risk
Identify activities , Identify hazards Assess Impacts, Analyze Risk ,
Establish Mitigation Measures.
P
r
o
b
a
b
i
l
i
t
y
&
F
r
e
q
u
e
n
c
y
Definite 5 5 10 15 20
High 4 4 8 12 16
Moderate 3 3 6 9 12
Low 2 2 4 6 8
Negligible 1 1 2 3 4
1 2 3 4
Minor Serious Major Catastrophic
Severity
Key to Priorities
Medium Priority (5
days)
High Priority (2-3 days) Immediate
RISK ASSESSMENT FORM
Date of Assessment: 02-08-2010 Assessment No:
System/Activity: Transformers Oil Treatment
The table below provides a simplified representation of the methodology used and the processes involved in this Hazard Identification & Risk Analysis Procedure (Risk
Management) to be undertaken by OCIA and all Subcontractors in order to initiate, act on, review and effectively manage project-related risks
ASSESSMENT Impact, Risk factor,
Mitigation measure, Residual risk
IMPLEMENTATION &
COMMUNICATION
REVIEW & UP DATE
Assess Impacts, Analyze Risk ,
Establish Mitigation Measures.
Communication & Training Audit, Inspection &
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118 Rev: 0
involved in this Hazard Identification & Risk Analysis Procedure (Risk
related risks throughout the Construction Phase.
REVIEW & UP DATE
Audit, Inspection & Updating of Log.

Tasks Hazards Identified (include
the exposed groups)
Probability
1 - 5
Transfer of
equipment
Transfer device collide
with other things;
Oil leakage
4
Transport Traffic risk
Collision with person
Collision device
3
Movement of
traffic
Slip/trip/all
3
RISK ASSESSMENT FORM
Probability Severity
1 - 4
Risk
1 - 20
Control Measures to be
Implemented
Probability
1 - 5
3 12 Chose a qualified driver before
work
Check the calibration of all
tools
Make sure the transport device
in good condition
2
3 9 The trucks must respect:
The limited speed in the site
The circulation signs
The circulation plan (updated)
2
3 9
All hose/ropes/cables in use
shall be secured to the side of
walkways and handrails
All unnecessary materials and
equipment to be immediately
removed from site
All exits and walkways to be
kept clear for use of personnel
High standard of housekeeping
to be maintained at all times
2
Page 3 of 6
Probability Severity
1 - 4
Risk
1 - 20
Residual
Risk
Date
Action
Completed
1 2
3 6
2 4

Tasks Hazards Identified (include
the exposed groups)
Probability
1 - 5
Pimping Oil Burst piping
Oil spill
Hit of persons by
projected parts
4
RISK ASSESSMENT FORM
Probability Severity
1 - 4
Risk
1 - 20
Control Measures to be
Implemented
Probability
1 - 5
3 12 Checking before the start of
the operation the state of the
pipes and the quality of
fitting
Avoid placing the pipes
circulated area
Avoid or external collision on
the pipes
signaling pipe with bright colors
place the specific safety signs
Working awareness and tool
box meetings
Training of
sprayers/formulation
Safety wires to be connected in
all hoses couplers
All hose and cables to be
checked prior to use to ensure
that they are in good working
condition
2
Page 4 of 6
Probability Severity
1 - 4
Risk
1 - 20
Residual
Risk
Date
Action
Completed
2 4

Tasks Hazards Identified (include
the exposed groups)
Probability
1 - 5
High pressure
Static electricity
4
Electricity Electrocution 3
RISK ASSESSMENT FORM
Probability Severity
1 - 4
Risk
1 - 20
Control Measures to be
Implemented
Probability
1 - 5
3 12 All hose clamps to be checked
priori to use to ensure that they
are in good working condition
and they are properly secured
with spring clip, etc
Regular tool box talks to be
conducted during operations
Working party awareness in
adjacent areas
Warning signs
Daily housekeeping
2
4 12 Protect electrical equipment
from ingress of water
Identify equipment risk
Warning notices
Verification of electric cables
before the start of work by an
electrician
2
Page 5 of 6
Probability Severity
1 - 4
Risk
1 - 20
Residual
Risk
Date
Action
Completed
2 4
3 6

Tasks Hazards Identified (include
the exposed groups)
Probability
1 - 5
Environmental
Leaking oil on soil 3
Assessor Print :
RISK ASSESSMENT FORM
Probability Severity
1 - 4
Risk
1 - 20
Control Measures to be
Implemented
Probability
1 - 5
3 9 Checking the condition of
equipments before beginning
the work
ventilation Workstation
making the retention of spill
oil
Daily housekeeping
Predict the absorbent in case
overflow the oil
2
Sign: Date:
Page 6 of 6
Probability Severity
1 - 4
Risk
1 - 20
Residual
Risk
Date
Action
Completed
2 4