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HSE PROCEDURE Doc. No. NUS-HSE-RAC/01

RISK ASSESSMENT AND CONTROL Rev 03
PROCEDURE Date 26/07/2016

Hazard Analysis and Risk Control Record

Doc ref: Task/Process Assessed:

Date: Assessment Team:
Operation:
HAZARD INITIAL RISK CONTROL MEASURES RESIDUAL RISK

Hazard Description Loss List all Current and Planned Control Measures, taking into Account all

Likelihood

Likelihood
Risk Level

Risk Level
Category Contributing and Escalating Factors

Severity

Severity
Activity Steps and Worst Case
Consequences with no Population
Prevention or Mitigation Affected Current and Planned Prevention Current and Planned Mitigation
Measures in Place Measures to reduce Likelihood Measures to reduce Severity
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HSE PROCEDURE Doc. No. NUS-HSE-RAC/01
RISK ASSESSMENT AND CONTROL Rev 03
PROCEDURE Date 26/07/2016

Hazard Analysis and Risk Control Record

Prepared by Position Date:

Approved by Position Date: