HIRARC FORM

Conducted by

Company
Kedai Motor Mira
Process/Location

(name, designation)
Date: (from...to...)
Review date
RISK ANALYSIS

Approved by
Date
HAZARD IDENTIFICATION
No

Work activity

Hazard

Which can
cause/effect

1.

Pumping the
tyre

Noise

2.

Cutting metal

ER

HR RR

Noise-induced hearing None

loss

15

Adequacy of
existing risk
control
(Yes/No)
No

Short circuit

Electrocution

None

25

No

Trip / Fall

Ankle sprain
Fracture
Head injury
Death

None
None
None
None

5
3
2
1

2
2
4
4

10
6
8
4

No
No
No
No

Cutting blades

Cuts

Using plyer to hold the cut

object
Using plyer to hold the cut

Yes

Yes

Amputation

Existing risk control (if

any)

Next review date

RISK CONTROL
Recommendation

Noise-free
machine,
Silencer/Noise
absorber,
Alternate worker,
Ear plug, Ear
muff
Never overload
the plug &
socket, Proper
wire insulation,
Proper wiring,
Wear gloves,
Safety boot
Proper wiring
arrangement,
Warning signs
around hazard
area
Use auto-cutting
machine,
Readily-made

HIRARC FORM
Conducted by

Company
Kedai Motor Mira
Process/Location

(name, designation)
Date: (from...to...)
Review date
RISK ANALYSIS

Approved by
Date
HAZARD IDENTIFICATION

Next review date

RISK CONTROL

object
Flying objects

Sparks

Eye injury / Blindness

None

No

Bruises / Bleeding

None

12

No

Eye injury / Blindness

None

15

No

Burns

None

No

object, Safe work

practice, Wear
non-cut gloves
Readily-made
object, Keep
distance, Safe
work practice,
Wear goggles,
Face shield
Readily-made
object, Keep
distance, Safe
work practice,
Use protective
shield
Readily-made
metal, Use
working
chamber,
Emergency eye
wash, Wear
goggles
Readily-made
metal, Use
working
chamber,

HIRARC FORM
Conducted by

Company
Kedai Motor Mira
Process/Location

(name, designation)
Date: (from...to...)
Review date
RISK ANALYSIS

Approved by
Date
HAZARD IDENTIFICATION

Heat / High
temperature

3.

Wash and
lubricate
motorbike
components

Flammable
chemical

Toxic

Next review date

RISK CONTROL

Inhalation of
chemicals (metal
oxides, carbon
monoxide)

Ventilation

10

Yes

Hyperthermia

Fan and open space

Yes

Dehydration

None

No

Fire

15

Yes

Explosion

Presence of fire
extinguisher
None

No

Dermatitis

None

No

Emergency body
wash, Wear
gloves
Readily-made
metal, Use
working
chamber, Regular
health
monitoring, Wear
face mask
Readily-made
metal, Separate
heat-produced
work at the
outside
Drink water
regularly
Isolation or
proper storage,
Work place near
to water source,
Emergency door,
No smoking
while working
Wear gloves and
apron

HIRARC FORM
Conducted by

Company
Kedai Motor Mira
Process/Location

(name, designation)
Date: (from...to...)
Review date
RISK ANALYSIS

Approved by
Date
HAZARD IDENTIFICATION

Next review date

RISK CONTROL

Slip

Head injury

None

12

No

Environmental
pollution

Damage to ecosystem

Proper disposal

25

Yes

Ensure warning
signs, Ensure
regular floor
cleaning, Wear
rubber boots
Routine regular
disposal