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
Relevant legal definitions
Activity
Hazard
Risk
Risk Assessment
Control Measure
Residual Risk
Likelihood
Severity
Risk Rating
ALARP (As Low As Reasonably Practicable)
Competent Person
Critical Task
Emergency
Incident
Near Miss
Personal Protective Equipment (PPE)
Safe Operating Procedure
Safe Work Method Statement
Safety Data Sheet (SDS)
Work Area
Workplace
Acceptable Risk
Administrative Controls
Engineering Controls
Elimination
Substitution
Isolation
Hierarchy of Controls
Job Safety Analysis (JSA)
Monitor
Review Date
Risk Matrix
Stakeholder
Task
Hazardous Operation
Risk Owner
Safety Critical Equipment
Corrective Action
Preventive Action
Dynamic Risk Assessment
Hazard
Risk
Risk Assessment
Control Measure
Residual Risk
Likelihood
Severity
Risk Rating
ALARP (As Low As Reasonably Practicable)
Competent Person
Critical Task
Emergency
Incident
Near Miss
Personal Protective Equipment (PPE)
Safe Operating Procedure
Safe Work Method Statement
Safety Data Sheet (SDS)
Work Area
Workplace
Acceptable Risk
Administrative Controls
Engineering Controls
Elimination
Substitution
Isolation
Hierarchy of Controls
Job Safety Analysis (JSA)
Monitor
Review Date
Risk Matrix
Stakeholder
Task
Hazardous Operation
Risk Owner
Safety Critical Equipment
Corrective Action
Preventive Action
Dynamic Risk Assessment
Clauses
Document Control
Activity Description
Scope of Assessment
Risk Identification
Risk Evaluation
Control Measures
Implementation Requirements
Emergency Procedures
Personal Protective Equipment
Training Requirements
Monitoring and Review
Responsibilities and Accountabilities
Environmental Considerations
Compliance Requirements
Equipment and Resources
Documentation Requirements
Communication Protocols
Change Management
Incident Reporting
Authorization and Approval
Activity Description
Scope of Assessment
Risk Identification
Risk Evaluation
Control Measures
Implementation Requirements
Emergency Procedures
Personal Protective Equipment
Training Requirements
Monitoring and Review
Responsibilities and Accountabilities
Environmental Considerations
Compliance Requirements
Equipment and Resources
Documentation Requirements
Communication Protocols
Change Management
Incident Reporting
Authorization and Approval
Relevant Industries
Manufacturing
Construction
Mining
Oil and Gas
Chemical Processing
Pharmaceuticals
Infrastructure Development
Transportation and Logistics
Utilities
Healthcare
Aerospace
Automotive
Warehousing
Food Processing
Waste Management
Energy Generation
Telecommunications Infrastructure
Heavy Engineering
Relevant Teams
Health Safety Environment
Operations
Production
Maintenance
Quality Assurance
Project Management
Risk Management
Compliance
Engineering
Facilities Management
Emergency Response
Technical Safety
Industrial Safety
Process Safety
Relevant Roles
Health and Safety Manager
Risk Assessment Specialist
Operations Manager
Site Supervisor
Project Engineer
Safety Coordinator
Production Manager
Maintenance Supervisor
Quality Control Manager
Environmental Health Officer
Industrial Hygienist
Compliance Officer
Plant Manager
Construction Supervisor
Process Safety Engineer
HSE Director
Technical Safety Specialist
Occupational Health Manager
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