HIRA

• Conducted on

  Date

• Prepared by

• Location
  Address

Complete all sections where applicable

• Site name and department carrying out task

  Dunbar Mechanical

  Dunbar Electrical

  Dunbar Production

• What is the task or activity being undertaken

• Location of task or activity

• Date and time RA created

  Date

• RA number

• Works Order number (if applicable)

• Who can be harmed during the task?

  Select Those doing the task Others in vicinity Visitors Members of the public

  • Those doing the task
  • Others in vicinity
  • Visitors
  • Members of the public

• To proceed with the Risk Assessment questions click on the '+' sign in green box below and scroll down

Risk Assessment Questions

• Hazard description (please select from the drop down list)

  Select Slips /Trips / Falls Noise Vehicle / Mobile Plant Dust Hazardous Substances Ergonomic Explosion Stress Temp Extremes Stored Energy Asbestos Disintegration Struck By a b c d e f g h i j k l m n o p q r s t u v w x y z 1 2 3 4 5 6

  • Slips /Trips / Falls
  • Noise
  • Vehicle / Mobile Plant
  • Dust
  • Hazardous Substances
  • Ergonomic
  • Explosion
  • Stress
  • Temp Extremes
  • Stored Energy
  • Asbestos
  • Disintegration
  • Struck By
  • a
  • b
  • c
  • d
  • e
  • f
  • g
  • h
  • i
  • j
  • k
  • l
  • m
  • n
  • o
  • p
  • q
  • r
  • s
  • t
  • u
  • v
  • w
  • x
  • y
  • z
  • 1
  • 2
  • 3
  • 4
  • 5
  • 6

• Hazard effect (what harm could result from the hazard?)

• Determine the Severity for the hazard effect

  

• What is the Severity Score

  1

  2

  3

  4

  5

• What are the existing control measures

• What is the H rating

  H1 - Eliminate

  H2 - Reduce

  H3 - Isolate

  H4 - Control

  H5 - PPE

• Identify the Likelihood of the hazard effect occurring

  

• What is the Likelihood of occurrence

  1

  2

  3

  4

  5

• Calculate the RR number (Severity score x Likelihood score) and select the relevant response

  Between 1 - 4

  Between 5 - 10

  11 or more

• Proceed with task with all control measures in place

• SSOW is mandatory requirement before task commencement

• STOP - It is not safe to undertake the task. Additional control measures are required before proceeding

• What are the additional control measures

• What is the H rating

  H1 - Eliminate

  H2 - Reduce

  H3 - Isolate

  H4 - Control

  H5 - PPE

• What is the Likelihood of occurrence

  1

  2

  3

  4

  5

• Calculate the new RR number (Severity score x Likelihood score) and select the relevant response

  Between 1 - 4

  Between 5 - 10

  11 or more

• Proceed with task with all control measures in place

• SSOW is a mandatory requirement before task commences

• STOP - It is not safe to undertake this task without Additional control measures being put in place. Inform Line Manager

• Are there any other Hazards

  Yes

  No

  N/A

• Proceed with next question by selecting ADD RISK ASSESSMENT QUESTIONS in blue box below

• Continue to next section by clicking on arrow labelled Next - Page 3 / 3 in bottom right hand corner

• Please answer Yes or No

• Other Associated Documents

  Select Permit to Work Required COSHH SSOW Method Statement

  • Permit to Work Required
  • COSHH
  • SSOW
  • Method Statement

• Assessor name

• Assessor signature

  Sign

• Date

  Date

• Supervisor name

• Supervisor signature

  Sign

• Date

  Date

• Others involved - Print name

• Sign name

  Sign

• Date

  Date

• Others involved - Print name

• Sign name

  Sign

• Date

  Date

• Others involved - Print name

• Sign name

  Sign

• Date

  Date

• Others involved - Print name

• Sign name

  Sign

• Date

  Date

• Issue number

• THIS DOCUMENT MUST BE RETAINED FOR A MINIMUM PERIOD OF 3 YEARS