Name MILAN SHRESTHA End-of-course date 08/01/2016 Training provider ACE Training & Consulting

Total
marks

Risk assessment form

Marks

Assessor’s name Date

Description of process, activity or task to be risk assessed

Describe the location SHIP DECK,UNDERGROUND STORAGE TANK -BOROUGE POLYMERS,RUWAIS

where the activities are
taking place

Describe the activities SHIP TO SHIP(STS) & PRODUCT LIFTING(PMS,CRUDE,DIESEL),UNDER

LIFTING(PMS,CRUDE,DIESEL),UNDER GROUND TANK INSPECTION
being performed

Describe the DRY SAWDUST(USED TO TACKEL OIL SPILL ON DECK),DETERGENT(USED TO TACKLE SPILL OB DECK) AND ENSURE
equipment and/or GOOD HOUSEKEEPING
substances being used

Describe the people WITH AN UNATTENDED OIL SPILL ON DECK LIKEHOOD OF HAZARDOUS INCIDENT COULD AFFECT ALL LIFE ON BOARD
involved in these E.G; CARGO VESSEL SHIP(12-15 PEOPLE)
activities (and others
who might be affected)
 Risk assessment form

Marks
Description of hazard Who might be What risk controls Current risk Are further Date to be Residual risk
and hazardous event harmed? are currently in rating* controls needed? completed by rating*
place?
L C R L C R
HAZARD with an unattended temperature meter on the job training within 1 day
  n underground storage oil spill on deck checker briefing
  o
   i tank located under deck, likelihood of gas mask ssow immediately
   t
  a HAZARDOUS EVENT hazardous incident PPE 4 5 20 2 4 8
  c
  o inhaling of gaseous could affect all life on
   L content board(12-15 people)

HAZARD unaware personnel PPE prepare crew for within 1 week

highly flammable on board(4-6 people) Fire Fighting emergency(PTS)
  s
  e
   i materials Equipments launch the safety immediately
   t
   i HAZARDOUS EVENT borads if explosion
  v
   i 4 4 16 2 3 6
   t explosion or fire break occurs
  c
   A out

   d HAZARD all deck crew TPS alarm system immediately

  n  s
  a highly ocassionally 4 PPE
   t   e
  c
  n  nflammable,slippery people First Aid
  e  a HAZARDOUS EVENT 3 4 12   SSOW 1 4 4
   t
  m  s inhaling of gaseous
   i   b
  p
  u  u
  s content ,serious injury
  q
   E

*Likelihood x Consequence = Risk

Risk Rating Calculator
Likelihood that hazardous event will occur
1 very unlikely
2 unlikely
3 fairly likely
4 likely
5 very likely
Consequence of hazardous event
1 insignificant – no injury
2 minor – minor injuries needing first aid
3 moderate – up to three days’ absence
4 major – more than seven days’ absence
5 catastrophic – death

Action Level Table

Risk rating Action
20–25 Stop – stop activity and take immediate action
15–16 Urgent action – take immediate action and stop activity if necessary, maintain existing controls rigorously
8–12 Action – improve within specified timescale
3–6 Monitor – look to improve at next review or if there is a significant change
1–2 No action – no further action but ensure controls are maintained and reviewed

Example risk assessment

Description of hazard Who might be What risk controls Current risk Are further Date to be Residual risk
and hazardous event harmed? are currently in rating* controls needed? completed by rating*
place?
L C R L C R
  s Filling car with petrol, Person filling vehicle Auto pump cut off, 4 2 8 Make available By next week 3 2 6
  e
   i
   t
   i leading to spillage and others on signage and plastic paper towels, sand
  v
   i
   t forecourt gloves and absorbent
  c
   A material