Project Name: xxx RA Ref No.: xxx RA compilation Date: Review date: Date: Compiled by: Reviewed by: Approved by: Overall Task Details Temporary Falsework for formwork support. Classed as Temporary Works Relevant Applicable MAS: • 01411 – MEWP’s; • 00236 - Housekeeping Additional Training required: Temporary Works Coordinator to be designated NOC’s Required for task: RISK SCORE CALCULATOR Use the Risk Score Calculator to Determine the Level of Risk of each Hazard What would be the CONSEQUENCE of an occurrence be? What is the LIKELIHOOD of an occurrence? Hierarchy of Controls Frequent/Almost certain (5) Continuous or will happen frequently Often (4) 6 to 12 times a year Likely (3) 1 to 5 times a year Possible (2) Once every 5 years Rarely (1) Less than once every 5 years Can the hazard be Eliminated or removed from the work place? Catastrophic (5) Multiple Fatalities High 25 High 20 High 15 Medium 10 Medium 5 Can the product or process be substituted for a less hazardous alternative? Serious (4) Class 1 single fatality High 20 High 16 High 12 Medium 8 Low 4 Can the hazard be engineered away with guards or barriers? Moderate (3) Class2 (AWI or LTI) or Class 1 Permanently disabling effects High 15 High 12 Medium 9 Medium 6 Low 3 Can Administration Controls be adopted I.e. procedures, job rotation etc. Minor (2) Medical attention needed, no work restrictions. MTI Medium10 Medium 8 Medium 6 Low 4 Low 2 Can Personal Protective Equipment & Clothing be worn to safe guard against hazards? Insignificant (1) FAI Medium10 Medium 4 Low 3 Low 2 Low 1 No Specific Task Step (In sequence of works) Hazard Details Consequence/Risk Initial Risk Rating Control Measures Residual Risks Additional Control Measures RR P S RR 1 Access to work areas by personnel and plant. Material delivery to work area; • Vehicles and workers in same working area; • Storage of materials for falsework; • Use of plant – forklift etc.; • Collision with plant or vehicles and live traffic;ac • Workers struck by plant, very high risk of fatality; • Workers struck by plant; • Poor or unsafe storage, collapse; • Untrained operators; 4 5 20 HIGH i. Worker pedestrian routes to be designed and implemented with clear signage; ii. Instruction to workers at induction on use of access routes around the project; iii. All plant and operators to be Third Party certificated by approved body; iv. Flagmen to be used to control personnel (only on roads below 80kph); v. Falsework materials stored correctly, no more than 2 pallets high and banded together when transporting; vi. In traffic enclosed areas suitable welfare and first aid facilities shall be implemented to minimized worker movements; vii. The Logistics plan shall clearly illustrate access and egress points; Workers not complying with controls All supervision to monitor operation; Regular topic in TBT’s Low 2 Use of powered access equipment for assembly of false-work (if required) • Use of MEWP (Mobile Elevated

1. HEALTH SAFETY AND ENVIRONMENT Author: Approved:
RISK ASSESSMENT: ACT/HSE/RA 001 USE OF FALSEWORK – TEMPORARY SUPPORT
Issued: Rev. Date:
Revision: 0
Page 1 of 2 HSEQ -Rev-01(Jan-2023)
No
Specific Task Step
(In sequence of
works)
Hazard Details Consequence/Risk
Initial Risk
Rating Control Measures Residual Risks
Additional Control
Measures
RR
P S RR
1
Access to work areas
by personnel and
plant.
Material delivery to
work area;
 Vehicles and
workers in same
working area;
 Storage of materials
for falsework;
 Use of plant – forklift
etc.;
 Collision with plant or vehicles and
live traffic;
 Workers struck by plant, very high
risk of fatality;
 Workers struck by plant;
 Poor or unsafe storage, collapse;
 Untrained operators;
4 5
20
HIGH
i. Worker pedestrian routes to be designed and implemented with clear
signage;
ii. Instruction to workers at induction on use of access routes around the
project;
iii. All plant and operators to be Third Party certificated by approved body;
iv. Flagmen to be used to control personnel (only on roads below 80kph);
v. Falsework materials stored correctly, no more than 2 pallets high and
banded together when transporting;
vi. In traffic enclosed areas suitable welfare and first aid facilities shall be
implemented to minimized worker movements;
vii. The Logistics plan shall clearly illustrate access and egress points;
Workers not
complying with
controls
All supervision to monitor
operation;
Regular topic in TBT’s
Low
2
Use of powered access
equipment for
assembly of false-work
(if required)
 Use of MEWP
(Mobile Elevated
Work Platform –
cherry picker)
 Unauthorised operation of the
MEWP;
 Failure due to use of un-certificated
MEWP;
 Overturning due to incorrect siting;
 Collapse of MEWP onto structure
due to incorrect siting/positioning;
 MEWP striking structure;
 Material fall from height;
 Incident due to poor MEWP
maintenance;
4 4
16
HIGH
i. The HLG Logistics and Construction team shall ensure the correct
size and type of MEWP for the task is to be used for the task;
ii. The HLG Logistics team / HSE Officers shall undertake visual
checks of all MEWP’s and operator certificates when arriving on
site;
iii. All MEWP’s shall be Third Party Certificated by a DM approved inspector,
with copies available in work area. New equipment shall be used where
practicable;
iv. MEWP shall not be used for lifting materials, only for assembling false-
work;
v. All terrain MEWP shall be used, on compacted level ground as illustrated
on Logistic Plan;
vi. All existing structures shall be protected by barriers etc. to prevent
damage;
vii. Drop zones implemented and barriers installed around working MEWP’s;
viii. MEWP work platform to be kept clean, and damage to switches etc. to be
reported immediately to management;
ix. Daily checks taken before work commences, leaks, warning sirens,
cables, tyres etc.;
Machine
breakdown
Hydraulic fluid spill
Machine isolated and
quarantined until repaired.
Spoil removed and treated as
hazardous waste
Low
Project Name: xxx
RA Ref No.: xxx
RA compilation
Date:
Review date:
Date:
Compiled by:
Reviewed by:
Approved by:
Overall Task Details
Temporary Falsework for formwork support. Classed as Temporary Works
Relevant Applicable MAS:
 01411 – MEWP’s;
 00236 - Housekeeping
Additional Training required:
Temporary Works Coordinator to be designated
NOC’s Required for task:
RISK SCORE CALCULATOR
Use the Risk Score Calculator to Determine the Level of Risk of each Hazard
What would be the
CONSEQUENCE
of an occurrence be?
What is the LIKELIHOOD of an occurrence? Hierarchy of Controls
Frequent/Almost certain (5)
Continuous or will happen
frequently
Often (4)
6 to 12 times a year
Likely (3)
1 to 5 times a year
Possible (2)
Once every 5 years
Rarely (1)
Less than once every 5
years
Can the hazard be Eliminated or removed
from the work place?
Catastrophic (5)
Multiple Fatalities
High 25 High 20 High 15 Medium 10 Medium 5
Can the product or process be substituted for
a less hazardous alternative?
Serious (4)
Class 1 single fatality
High 20 High 16 High 12 Medium 8 Low 4
Can the hazard be engineered away with
guards or barriers?
Moderate (3)
Class2 (AWI or LTI) or Class 1
Permanently disabling effects
High 15 High 12 Medium 9 Medium 6 Low 3
Can Administration Controls be adopted
I.e. procedures, job rotation etc.
Minor (2)
Medical attention needed, no work
restrictions. MTI
Medium10 Medium 8 Medium 6 Low 4 Low 2 Can Personal Protective Equipment &
Clothing be worn to safe guard against
hazards?
Insignificant (1)
FAI
Medium10 Medium 4 Low 3 Low 2 Low 1

2. HEALTH SAFETY AND ENVIRONMENT Author: Approved:
RISK ASSESSMENT: ACT/HSE/RA 001 USE OF FALSEWORK – TEMPORARY SUPPORT
Issued: Rev. Date:
Revision: 0
Page 2 of 2 HSEQ -Rev-01(Jan-2023)
No
Specific Task Step
(In sequence of
works)
Hazard Details Consequence/Risk
Initial Risk
Rating Control Measures Residual Risks
Additional Control
Measures
RR
P S RR
3
Falsework installation
(Classified as
Temporary Structures)
 Works at Height;
 Manual Handling;
 Worker competency;
 Injury from Fall from Heights;
 Injury from falling objects;
 Manual Handling injuries;
 Incorrect Design and Erection of
falsework resulting in collapse;
 Use of unsupervised or untrained
personnel to erect falsework;
 Erection of Falsework;
4 4
16
High
i. Safety harness and lanyard are to be used and hooked off to a secure
anchor point;
ii. No shock lanyard to be used below 6m in height;
iii. All hand tools to be tied off when working at height;
iv. Falsework to be protected when adjacent to traffic routes with suitable
barriers, and indicated by signage;
v. Correct manual lifting techniques of falsework communicated to workers;
vi. The erection of temporary structures shall be undertaken by a competent
persons under control of the designated Temporary Works Supervisor in
accordance with the TW designer’s requirements;
vii. All workers to be briefed and TBT by supervision daily before shift
commences;
viii. Falsework shall be sited on graded, compacted, level ground erected to
standards, with consideration given to soil erosion from heavy rain etc.;
ix. Area below to be clear of workers during erection, barriers and signage
to be implemented;
x. Falsework to be inspected daily before work by designated Temporary
Works Co-ordinator;
xi. Written report weekly on falsework by Engineers, document filed;
xii. Falsework inspected after damage or incident likely to affect structural
stability such as high winds, heavy rain or electrical storm;
xiii. No alterations to falsework by untrained persons;
xiv. No overloading of falsework, TWC shall follow design SWL when
distributing materials;
xv. Ensure good standard of lighting, at night, for the work area.
Incident due to
protection barrier
removal
No removal of protection
barriers without prior approval
from management.
Low
4
Dismantling of false-
work
 Works at Height;
 Manual Handling;
 Worker competency;
 Injury from Fall from Heights;
 Injury from falling objects;
 Manual Handling injuries;
 Use of unsupervised or untrained
personnel to erect falsework;
4 4
16
High
i. A dismantling Method Statement shall be produced and approved before
dismantling is undertaken, to ensure safe removal;
ii. The falsework shall be systematically removed as per approved Method
Statement and undertaken by competent persons.
iii. No deviation from the Method Statement will be undertaken without prior
Temporary Works Coordinator approval;
Workers not
adhering to
procedure;
Supervision to constantly
monitor workers;
Low
5
Maintenance of
Falsework
 Adverse weather;
 Falsework erected
for long periods;
 Collapse of falsework due to
alterations;
 Damage to falsework due to
incident or adverse weather;
 Incident due to removal of
protection barriers.
 Unapproved amendments to
design;
3 3
9
Med
i. Falsework checked after heavy rains, severe winds etc., stand by pumps
to be available as required;
ii. Weekly recorded inspections undertaken;
iii. Implemented warning signage maintained;
iv. Housekeeping inside falsework to be maintained, all rubbish and waste
material to be removed daily;
v. All falsework amendments authorized by Temporary Works Coordinator;
Falsework
damaged by
weather or
collision
Quarantine area until design
checks undertaken and
reviewed by TWC
Low
6
Worker exposure to
direct sun whist
working on falsework
(as applicable)
 Workers exposed to
high summer
temperatures;
Worker ill health due to:
 Heat exhaustion,
 Heat stroke;
 Heat Stress.
3 4
12
High
i. Summer Hour Working plan to be designed and implemented;
ii. Municipality summer working hours observed and implemented
(12.30pm to 3.00pm restricted in direct sunlight);
iii. Workers instructed regarding working in the heat and signs of heat
exhaustion etc. at Induction;
iv. Recovery cool rooms established on site;
v. Cool welfare areas established in all locations;
vi. Cool fresh water and electrolyte supplements to be maintained in all
areas;
vii. Pipe welders etc. provided with localised shelters;
New workers
bought onto site
Regular topic in Toolbox Talks Low