sample form-hirarc 10.11.2010

7/25/2019 Sample Form-HIRARC 10.11.2010

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nama company

M-3-00-A

Drafting Date : 8th September 2010 Drafter : Moh Ro!"y Ab #a"

Stanar $o% Re&% $o%

M-'(R-0)*3 5

1.Purpose

+o e!tab"i!h an maintain a proce,re for ongoing haar ientification. ri!/ a!!e!!ment an the imp"ementation

of nece!!ary contro" mea!,re! inc",ing ro,tine an non-ro,tine acti&itie! an faci"itie! in a"" ei!ting an ne ob

2.Scope +hi! proce,re i! app"icab"e for a"" ro,tine an non-ro,tine acti&itie! an faci"itie! in S(M hich a"!o inc",e!

acti&itie! carrie o,t by the contractor!. &enor! an &i!itor! ho!e or/ ta/e p"ace ithin S(M%

3.Definition Of Terms

3%1 aar

aar mean! !o,rce or !it,ation ith a potentia" for harm in term of h,man in,ry or i"" hea"th. amage

to property. amage to or/ p"ace en&ironment. or a combination of the!e%

3%2 aar 4entification

aar ientification mean! a proce!! of recogniing that a haar ei!t! an efine it! characteri!tic!%

3%3 Ri!/

Ri!/ mean! a combination of the "i/e"ihoo an con!e,ence! of a !pecifie haaro,! e&ent occ,rring%

3%6 Ri!/ A!!e!!ment

Ri!/ a!!e!!ment mean! o&era"" proce!! of e!timating the magnit,e of ri!/ an eciing hether or not the

ri!/ i! to"erab"e%

3%5 +o"erab"e Ri!/

+o"erab"e ri!/ mean! ri!/ that ha! been re,ce to a "e&e" that can be en,re by the organiation ha&ing

regar to it! "ega" ob"igation an it! on po"icy%

3%) 7S

7S mean! management !y!tem in 7cc,pationa" Safety an ea"th aim! to minimie an contin,a""y re,ce

incience of occ,pationa" in,rie!.i""ne!!e! an to integrate !afe or/ing practice! into a"" area! of organiatio

4.Related Standards

$o Stanar $ame Stanar $o

Title Planning for %azard 'dentification( Ris)*ssessment & Ris) +ontrol Procedure

4nterna" =!


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M-3-00-A


Stanar $o% Re&% $o%

M-'(R-0)*3 5

,.Responsi-ilities and *utorities

,.1 $%S /anager

)%1%1 Re!pon!ib"e to en!,re that ientification of haar an ri!/ in a"" epartment i! in accorance ith thi!

proce,re%

)%1%2 Re!pon!ib"e to appro&e the aar 4entification. Ri!/ A!!e!!ment an Ri!/ (ontro" 4RAR(9 form%

)%1%3 Re!pon!ib"e to initiate re&ieing of the 4RAR( at "ea!t once a year%

)%1%6 Re!pon!ib"e to en!,re that a"" !ignificant haar an ri!/ ha&e appropriate contro" mea!,re! in orer to

re,ce the ri!/ to a to"erab"e ri!/%

)%1%5 Re!pon!ib"e to en!,re that the obecti&e! an target !etting ba!e from the !ignificant haar an ri!/ re!

,.2 $%S Personnel

a!!e!!ment an ri!/ contro" accorance to the proce,re%

appro&e by the ES Manager%

a!!e!!ment an ri!/ contro" one by the Departmenta" ES 4ncharger%

,.3 Department /anager

)%3%1 Re!pon!ib"e to en!,re that a"" acti&ite! an faci"itie! ithin hi!>her epartment ha! been ientifie an

a!!e!! for it! !ignificant haar an ri!/%

)%3%2 Re!pon!ib"e to chec/e the 4RAR( form%

)%3%3 Re!pon!ib"e to en!,re a"" !ignificant haar an ri!/ ha&e an appropriate contro" mea!,re! inc",ing !et

,p the epartmenta" obecti&e! an program! in orer to re,ce the ri!/ to a to"erab"e ri!/%

, 4 D t $%S '


)%2%1 ES Dept er!onne"re!pon!ib"e to !,pport ; eec,te a"" the acti&itie! !,ch a! haar ientification. ri!

)%2%2 ES Dept er!onne" re!pon!ib"e to &erify the 4RAR( acti&itie! ith Departmenta" ES 4ncharger before

)%2%3 ES Dept er!onne"re!pon!ib"e to monitor an ,pate the progre!! of haar ientification. ri!/


3/21

M-3-00-A


Stanar $o% Re&% $o%

M-'(R-0)*3 5

. Procedure or) lo

operating in!tr,ction of machinerie!%


4/21

M-3-00-A


Stanar $o% Re&% $o%

M-'(R-0)*3 5


5/21

M-3-00-A


Stanar $o% Re&% $o%

M-'(R-0)*3 5

Score ?e&e" of Ri!/ Action to (ontro"

15-1) $ot +o"erab"e

Significant

7becti&e! an the corre!poning management program !ha"" b

e&e"ope an e!tab"i!he to contro" an pre&ent the ri!/!%

7perationa" contro" proce,re !ha"" be e!tab"i!he an e&e"op

11-16 igh

Significant

7perationa" contro" proce,re! or other re"e&ant !pecification !

e&e"ope an re&i!e to manage the ri!/%

Cor/er to contro"

the 4RAR( @orm or 4nformation an re!,bmit%


6/21

M-3-00-A


Stanar $o% Re&% $o%

M-'(R-0)*3 5

8%3 (,rrent (ontro" Metho

8%6 (orrecti&e Action > +ro,b"e Shooting

(on,ct interna" a,it once in Si month!%

8%5 Recor Retention +ime

8%5%1 #ob ?i!t to be /ept for < year!

8%5%2 4RAR( to be /ept for < year!%

*nne9es *ttacment

Attachment 1: aar 4entification. Ri!/ A!!e!!ment an Ri!/ (ontro" @"o%

Attachment 2: #ob ?i!t @orm%

Attachment 3: aar 4entification. Ri!/ A!!e!!ment an Ri!/ (ontro" 4RAR(9 @orm%


Re&ie the 4RAR( proce!! at "ea!t once a yearor after the e&ent of accient!>incient!%


7/21


8/21


9/21

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i"

age

1>)

%

he

%

7n"y


10/21

-015 REV 3

i"

age

2>)

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11/21

-015 REV 3

i"

age

3>)

ing

!


12/21

-015 REV 3

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age

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13/21

-015 REV 3

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age

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!fer%

engineering

t of

r&i!or!>

i"" ha&e to r

the ES Ma


14/21

-015 REV 3

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age

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15/21


16/21


17/21

nama company

Stanar $o% Re&% $o%

M-'(R-0)*3 5

%azard 'dentification( Ris) *ssessment and Ris) +ontrol lo +art

ha!e

Re"ate Department ES Dept Re"ate form

"an

Do

(hec/


@i"" =p #oES-@

Agree$otAgree

Dept ES 4ncharger! +o 4entifyActi&ite! ; @aci"itie! at their on

epartment 4nto #ob ?i!t @orm !,cha! 7S Re,irement. 4nfo ofroce!!.!e,ence of each ob.potenta"

haar ; ob faci"itie!

ES 4ncharger! @i"" 4n 4RAR( @orm

E&a",ate robabi"itie! > ?i/e"ihoo

7S Ri!/ Ran/ Matri +ab"e("a!!ification !,ch a! :Very ?i/e"y .

=n"i/e"y robabi"ty9 an !e&erity@rom $eg"igence to @ata"ity9

(hec/e anAgree

$ot Appro&e

E&a",ate +he Se&erity Ri!/("a!!ification9 !,ch a! @ata"ity.Maor or

Minor Accient

@i"" =p 4RES-@@-

ES er!onne" i"" anno,ce 4RAR(4entify to a"" epartment ES

4ncharger

Significant aar Matri +ab"e("a!!ification !,ch a! :$ot

to"erab"e.high.mei,m."o oracceptab"e%


18/21

age

1 > 1

! an note!

b ?i!t @orm-ES-0)9

AR( @ormES-0


19/21

nama companyForm No EHS-F

Rev. No

Rev. Date 04/0

JOB LISTDIVISION DEPT SECT

PREPARED CHECKED APPROVED

Signature

Name

Date

No Name of Job/Facilitie Pe!on "#o $oe F!e%&ency Name of S&t#e Job (R/NR/F) *ana


20/21

-EHS-06

1

5/2005

e!'io!/e!

nama company Form No EHS FF EHS 07


21/21

nama company Form No. EHS-FF-EHS-07Rev. No. 3

Revision Date 08/09/2010

HA,ARD IDENTIFICATION- RISK ASSESS*ENT AND RISK CONTRO.

Di'iion PREPARED 0 CHECKED 0 APPROVED 0

Name of Job/ (DEPT - EHS PIC) (MANAGER) (EHS MGR)

Dept A'ti'itie

Si+nat&!e

Section Title Pe!on "#o $oe t#e 1ob

Name

Name of S&pe!'io!/PIC

Date

SE23ENCE OF HA,ARD IDENTIFICATION C3RRENT RISK ASSESS*ENT RISK CONTRO.ASIC JO STEP RISK CONTRO. .E4A. AND

OTHER RECO**ENDED ACTION CO*P.ETION

HA,ARD EFFECTS PRO5 SEV5 RISK RE23IRE*ENTS ACTION 0 DATE

RANK

RISK RANKIN4 PROAI.IT0 SEVERIT0 HA,ARD .IST

Sore !eve" #ro$a$i"it% &n'e( Desri)tion Severit% &n'e( Desri)tion Dec!iption

15 - 16 Not *o era e+ER, !&E!,

Cou appen requent y 5 or more per Year F*!&*, Deat , Be r en, Loss amount > !"5# 1 # %sia aar NoiseHeatFirero en assFa o

11 - 14 Hi $%posures are e%&essi'e :;

sample form-hirarc 10.11.2010

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