The Activity Based Risk Assessment Form is a fundamental safety management tool required under Indian workplace safety legislation, particularly the Occupational Safety, Health and Working Conditions Code, 2020. This document should be completed before undertaking any new activity or when significant changes occur in existing processes. It captures crucial information about potential hazards, risk levels, control measures, and responsible parties. The form is designed to ensure systematic evaluation of workplace risks and compliance with legal requirements while promoting a safer working environment. It serves as both a planning tool and a legal record, demonstrating due diligence in risk management and worker protection. The document should be regularly reviewed and updated to reflect changing conditions or when incidents occur.
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1. Document Control Information: Form reference number, revision date, next review date, and document owner details
2. Activity Details: Specific description of the activity being assessed, location, and duration
3. Assessment Team: Names and roles of individuals conducting the risk assessment
4. Hazard Identification: Detailed list of potential hazards associated with the activity
5. Risk Evaluation Matrix: Standard risk matrix showing likelihood vs severity ratings
6. Initial Risk Assessment: Assessment of risks before control measures are implemented
7. Control Measures: Existing and proposed control measures to mitigate identified risks
8. Residual Risk Assessment: Assessment of remaining risks after implementation of control measures
9. Action Plan: Specific actions required, responsibilities, and timeframes
10. Monitoring and Review: Process for monitoring control measures and reviewing effectiveness
11. Sign-off and Approval: Signatures of assessment team, supervisor, and safety officer
1. Equipment Requirements: List of equipment needed and associated risks - include for activities involving specialized equipment
2. Environmental Impact Assessment: Environmental considerations and controls - include for activities with potential environmental impact
3. Emergency Response Procedures: Specific emergency protocols - include for high-risk activities
4. Training Requirements: Special training or certification needed - include when specific competencies are required
5. PPE Requirements: Detailed personal protective equipment specifications - include for activities requiring specific PPE
6. Permit Requirements: Work permits and authorizations needed - include for regulated or high-risk activities
1. Risk Matrix Guide: Detailed explanation of risk rating criteria and how to use the risk matrix
2. Hazard Checklist: Standard checklist of common hazards for reference
3. Control Measures Library: Reference guide of standard control measures for common risks
4. PPE Selection Guide: Matrix for selecting appropriate PPE based on hazard type
5. Incident Report Form: Template for reporting incidents or near-misses during the activity
6. Risk Assessment Review Log: Record of assessment reviews and updates
7. Related SOPs: List of relevant Standard Operating Procedures referenced in the assessment
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