QHSET Documents Reviewed/Referred to How to use the form:

during the Pre-Task PAR Meeting 1. Crew performing task review ALL generic PAR considerations.
Policy No. Title ABAN 2. Review previous PARupdate(s) for useful information, which will help THIS task.
SAF 330.00 Process for Assessing Risk (Mandatory) HAZARD MANAGEMENT 3. Create new PARupdate with generic form and ALL considerations for this task.
4. Include planned TOFS as a task step(s)before any crucial activity in the Task
OUTLINE (HMO)
(Form 2 of 2 for Assessing Risk) 5. Identify potential Dropped Objects as a specific hazard during discussion
6. Carry out the task as per the plan. If any conditions change, STOP and RE-ASSESS!
7. Keep the original copy of the two PAR formsfor auditing purposes.

L- LIKELIHOOD S - SEVERITY R - RATING RESULT

CATEGORY DEFINITION CATEGORY DEFINITIONS H 3 6 9 Unacceptable

SEVERITY
LOW (1) Remote LOW (1) No Injury No damage No Pollution M 2 4 6 Tolerable
MED (2) Possible MED (2) First Aid Injury Minor Damage Minor Pollution L 1 2 3 Acceptable
HIGH (3) Probable HIGH (3) Lost Time Injury Major Damage Major Pollution L M H PAR Policy Reference

IS THERE A SAFER WAY TO COMPLETE THE JOB? ARE THERE ALTERNATIVES WITH LESSER RISK? LIKELIHOOD SAF 330.00

Rig: ABAN VIII Rig Job Risk Assessment Number ABAN8-ELE-54 Original Issue Date: 17-05-2015
Task Date 08.07.15 Crew: Elect, Mech & marine Electrical Date Last Revised: 08-07-2015
Task Pull out FWD Raw water pump For Dept. Head Approval (Initials)Prior Last Revised by
Navodaya / CE
Activity inspection/ repair connections to the Task starting: (Name/Position):
RISK REDUCTION MEASURE(S) Residual
TASK(Include Planned TOFS as a HAZARD(Including Potential Dropped (A Rescue Plan may be required Risk Acceptable?
STEP Tolerable?
specific Task Step) Object Hazards) e.g. Working at Height/Over
L S R Water/Confined Space) L S R
Review and update Risk Ensure that all participants are
Not all participants present while
1 Assessment & conduct a pre-task 2 3 6 present when conducting a risk 1 3 3 Tolerable
assessing risk.
meeting. assessment.
Ensure no obstructions to avoid
Trip hazard, Wrong / damaged
2 Visual inspection of work site and tools 2 3 6 trip hazards, certification of 1 3 3 Tolerable
tools, un-certified slings
tools & slings
Include electrical Isolation in
Fail to isolate may cause electric Isolate and lockout the starter
3 isolation certificate, get permit, 2 3 6 1 3 3 Tolerable
shock panel and check before start
isolate & LOTO
Remove Power plug and secure Failed to remove plug may damage Ensure all the plug is removed
4 2 3 6 1 3 3 Tolerable
the cable & plug on cable drum while pull out the pump and secured to cable spool
Time Out and confirm with
Person failing to complete all tasks crew that all tasks are
5 PLANNED TIME OUT for Safety as discussed, not identifying 2 3 6 completed and no other 1 3 3 Tolerable
hazards when seen. hazards identified, review all
further steps with crew before
SAF-019, 11April 2012, Reference SAF 330.00 Page 1 of 2
 continuing.
Standby at pump with tools to Failed to loose cable may damage Ensure the cable is free and
6 2 3 6 1 3 3 Tolerable
remove cable ties while lifting. cable secure to avoid damage.
Check Pump top JB is not crushed Top connection Junction box may Ensure the slings are away from
7 2 3 6 1 3 3 Tolerable
by lifting slings while lifting. brake while lifting with slings the JB and JB is safe
Assist while lifting the pump to fix
tower stopper & rewind cable in Injuries while fixing the stopper Ensure safe position and use
8 2 3 6 1 3 3 Tolerable
cable drum & fix cable drum lock in and slings proper PPE
each section of lift.
Secure the tower with safety sling after Pump and cable may damage or Ensure the pump tower is
9 2 3 6 1 3 3 Tolerable
completion of lifting. drop if the stopper fails secured with proper sling
Cut & remove the pump cable joint
10 and secure main cable to dismantle Figure injury 2 3 6 Use proper PPE 1 3 3 Tolerable
the pump from tower.
Inspect the motor condition, do
Electric shock while using Use proper PPE & discharge
11 winding resistance and insulation 2 3 6 1 3 3 Tolerable
resistance test. insulation tester leads after every use of tester
Remove tools and Housekeeping of
12 Trip & slip hazard 2 3 6 Clear & clean the area 1 3 3 Tolerable
area.

SAF-019, 11April 2012, Reference SAF 330.00 Page 2 of 2