Risk Assessment

Vessel / Department: Date: Assessment ID Number: 105

Assessment Area Operation / Activity Risk Assessment Team Signatures

Navigation Embarking Disembarking pilot Leader
Deck  Participant
This generic risk assessment may not be exhaustive. Ship specific and prevailing circumstances shall be considered. If
Engine additional hazards are associated with the task, appropriate control measures shall be implemented thus mitigating the risk Participant
Cargo factor to an acceptable level. The risk assessment should consider worst case scenarios and address personnel, including work-
Participant
rest hours; spares & tools; commissioning & testing; alternative arrangements if required and other applicable factors
Other (Specify)

Please fill the blank cells considering the rating guidelines of likelihood (L) and severity (S) which most applies to the hazard under assessment.

Risk Evaluation Further Risk Controls (input in case of risk above Risk Evaluation
Ref.No Hazard Impact Risk Controls in Place (RF= L x S) (RF=L x S) Comments
6,R>6)
L S RF L S RF

Vessel involved in accident, other vessel or offshore Officer in charge of pilot’s boarding Arrangements, written procedures, LSA in place,
1 Inadequate Procedures 4 1 4 0
structure damage, Injuries ladder checks, sufficient personnel for the operation

Vessel involved in accident, other vessel or offshore Review employee's past experience prior joining, Training procedures, crew evaluation
2 Incompetent personnel to perform 3 2 6 0
structure damage, Injuries reports, crew certification authentication checks, interview process prior employment

Relevant messages not understood, no clear

3 Communication Failure Checklist prior Arrival, Communication between Pilot boat-Bridge-Deck. 3 1 3 0
instruction, accident, injury

Planned maintenance and inspection of equipment prior use, appropriate materials

4 Defective Equipment Failure of equipment, man overboard, accident, injury
used.
3 1 3 0

Relevant messages not understood, no clear Written procedures/instructions, pilot card, master / pilot exchange information
5 Information Exchange Failure 4 1 4 0
instruction, accident, injury checklist,officer in charge in boarding area.

6 Slippery boarding surface Personnel defection, accident, injury Ladder free of oil , clean, boarding area clean, with anti slip paint, 4 1 4 0

7 Inadequate lighting at nights Not proper visibility,accident , injury Sufficient and operative deck lighting, Officer with appropriate flash light 4 1 4 0

Rigging supervised by responsible officer, double checked before use.Ensure

8 Incorrect rigging Failure of equipment, man overboard, accident, injury
freeboard height for applying correct rigging (pilot or combination ladder)
4 1 4 0

9 0 0

10 0 0

11 0 0
12 0 0
13 0 0
14 0 0
15 0 0

Likelihood ( L ) Severity (S)

To Personnel Health/Hygiene/Safety: To Environmental: To Property:
(1) Very Unlikely - practically impossible (1) Negligible (1) Negligible: <1 ltrs (1) Negligible < $10,000
(2) Unlikely: Might occur every 10-20 years (2) Minor: First aid case or minor health effect (2) Minor: 1-100 ltrs (2) Minor: $10,001 - $100,000
(3) Occasional: Might occur every 1-10 years (3) Significant: Medical treatment ashore (3) Significant:100-1000ltrs (3) Significant: $100,001 - $1,000,000
(4) Likely: Might occur once a year (4) Critical: Hospitalization, repatriation, disability (4) Critical: 1000-10000ltrs (4) Critical: $1,000,001 - $25,000,000)
(5) Certain: Might occur once every 6 months (5) Catastrophic: Fatal injury or disease (5) Catastrophic:>10000 ltrs (5) Catastrophic: More than $25,000,000

Acceptable 1-3 No further measures required. The task or activity can be carried out. Shipboard Operations Shore based

Acceptable 4-6 Acceptable; Review whether the risk factor can be reduced by implementing further risk controls. Requirements Y/N Comments Requirements Y/N Comments

Requires Risk Contact the relevant

Reviewed by: Date: 8 - 12 The risk factor should be reduced by implementing further risk controls prior to commencing the task. Contact MSI / TSI or SO
Director
Mitigation
Not acceptable:
Contact the Top
Requires Risk 15 - 25 Do not start or continue work. Contact the DPA
Management
Mitigation