EXAMPLE OF HIRARC FORM:
HIRARC FORM
Company: Weld Entp Conducted by: Mr. L(Supervisor) & Ms.
Process/Location: Welding workshop (Name,designation) S(Operator)
Approved by: Mr.K Date:(from….to…..) 22 September 20XX to 26 October
(Name,designation) (Manager) 20XX
Date: 23 October 20XX Review Date: Next Review Date:
1.HAZARD IDENTIFICATION 2.RISK ANALYSIS 3.RISK CONTROL
No. Work Activity Hazard Which can Existing Risk Likelihood Severity Risk Recommended PIC(Due
cause/effect Control(if Control Measures Date/status)
any)
1. Setup power Electrical Electric shock Safe work 1 3 3 Check wire
supply practice/Daily (Low) condition Ali(25 Oct
check 20XX/Completed)
2. Setup Gas Serious Safe work 1 3 3 Check for any Ali(25 Oct
acytelene/oxygen explosion injuries/Death practice/Daily (Low) leakage 20XX/Completed)
gas pressure check
3. Work piece Sharp Scrath/Cut Handling with 4 1 4 Wears welding Ali(27 Sept
preparation edge care (Low) gloves 20XX/Completed)
4. Start the welding Welding Upper body Wear PPE 4 1 4 Wears Ali(25 Sept
process spark exposure (Low) apron,workshop 20XX/Completed)
clothes
Fume (Fever/Coughing) Keep heads 5 2 10 Wear face shield Ali(25 Sept
off the fume (Medium) 20XX/Completed)
Arc rays Eye injuries Wear face 4 3 12 Wear face shield Ali(25 Oct
shield (Medium) which follow the 20XX/Completed)
SOP
Fire Burns/Serious Use welding 2 2 4 Careful while Ali(25 Oct
injuries gloves (Low) welding 20XX/Completed)
Gases Respiratory Avoid smells 5 2 10 General Ali(25 Oct
of toxic gases (Low) ventilation path 20XX/Completed)
5. Remove slag Welding Upper body Wear PPE 4 1 4 Wear apron,face N/a
from the work fragments exposure/Eye (Low) shield,safety glass
piece injuries and workshop
clothes
6. Finished weld Hot Burns Let it cool 4 1 4 Use plier to hold N/a
surface (Low) the work piece