Hazard Identification and Risk Analysis

HIRA Information

• HIRA Title

• Department

  Select Cargo Inflight Services Flight Operations Ground Operations IT Supply Chain - Catering Maintenance & Engineering Operations Logistics

  • Cargo
  • Inflight Services
  • Flight Operations
  • Ground Operations
  • IT
  • Supply Chain - Catering
  • Maintenance & Engineering
  • Operations Logistics

• Reference

• Date of Assessment

  Date
• Location
  Address

Part 1(A) Associated Hazardous Events:

• Please add hazardous event

Event

• Event

• Likelihood

  1 Extremely Improbable

  2 Extremely Remote

  3 Remote

  4 Probable

• Severity

  1 Minor

  2 Major

  3 Hazardous

  4 Catastrophic

• Risk Index = Likelihood x Severity

  Acceptable: 1-3

  Review: 4-6

  Unacceptable: 8-16

Part 1(C) Additional Information

• Additional Supporting Information

• Participants

Employee

• Staff Number

• Name

Part 2 Hazard Safeguards

• Hazardous Event

Event

• Describe Event

• Risk Index = Likelihood x Severity

  Acceptable: 1-3

  Review: 4-6

  Unacceptable: 8-16

• Existing Safeguards

Safeguard

• Safeguard

• Document Reference

• Is Existing Mitigation Adequate?

  Yes

  No

• Suggested Solution(s) to Improve Procedure

  Off

  On

• Describe the Solution when applicable:

Part 3 Action Management Summary

• Action Item

Item

• Safeguards Improvement Detail

• Person Responsible for Completing Action

• Agreed Target Date

  Date

• Date Action Form Sent

  Date

• Completion Date

  Date

Assessor

• Name

• Date

  Drawing

• Signature

  Sign

Department Manager

• Name

• Date

  Date

• Signature

  Sign

Corporate Safety &Risk Manger

• Name

• Date

  Date

• Signature

  Sign

Part 4 Action Form

• Part 4 Action Form

Procedure

• From (Assessor):

• To (Department Manager):

• The following suggested procedure improvement has been identified during a recent risk analysis to reduce the risk associated with:

• Procedure Improvement Detail:

• Procedure Improvement:

  Agreed

  Rejected

• Target Date

  Date

• Department Manager's Response:

• Name

• Signature

  Sign

• Date

  Date