HIRARC Work at Height

HIRARC FORM HAZARD IDENTIFICATION , RISK ASSESSMENT AND DETERMINING CONTROL FORM (HIRARC FORM)

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Department: PROJECT SAFETY

Function / Main Activity: WORK AT HEIGHT

HAZARD IDENTIFICATION

NO

Activity De Description

WORKING AT HEIGHT DURING CABLE LAYING AND PULLING ON THE CABLE TRAY

Hazard

CONTROL MEASURES

RISK  ASSESSMENT

Potential Of  Hazard

     y       t       i       l       i       b      a       b      o      r       P

Potential Risk

     y       t       i      r      e      v      e       S

      l      a       t      o       T

MAJOR GRAVITY

Date:

FALL FROM HEIGHT

INJU INJURY RY

OR

3

5

15

Controls Required i. PROVIDE PROPER AND

FATALITY

SAFE WORKING PLATFORM ii. PROVDE

1

PROPER

FALLING OBJECT

MAJOR INJURY

i. Work Work Supervisor  ii. Safety

Supervisor 

FMA (SHW) 1970, Reg. 12

 ACCESS AND

MINOR/ GRAVITY

Action By

Legal & Other  Requireme nts

5

3

EGRESS WITH

15

FMA (BOWEC) 1986, Reg. 15

HANDRAIL AND  ADEQUATE OVERHEAD PROTECTION

MECHANICAL

TRIP AND FALL DUE TO POOR HOUSEKEEPING

MAJOR INJURY

3

5

FMA (BOWEC) 1986, Reg. 9

15 1)

HOUSEKEEPING SHOULD BE DONE REGULARLY

iii. iii. Work Work Supervisor 

HIRARC FORM HAZARD IDENTIFICATION , RISK ASSESSMENT AND DETERMINING CONTROL FORM (HIRARC FORM)

Rev. 0 Page 1 of 1

Department: PROJECT SAFETY

Function / Main Activity: WORK AT HEIGHT 2)

Date: PROVIDE RAILING OR BARRICADE AT BUILDING EDGES

iv. Safety

Supervisor