2/9/2021

RISK ASSESSMENT SHEET

C:\Users\a9y150\Desktop\[Internal Cleaning.xlsx]RA EN

RISK ASSESSMENT SHEET

PTW N°: TASK: Date:

RA N°: Internal cleaning of Nitrogen seprator Location:

R= CxP Residual Risk

Activity N° Activity Desccription Hazards Action N° Control Measures
C P R C P R
1.1.1 Obtain authorization access for vehicle .
1.1.2 Flag man to guide vehicle mouvment
Vehicles access to site
1 1.1 Vehicles mouvment 3 2 6 1.1.3 GB driving procedure to be followed 3 1 3
preparation
1.1.4 Pay attention to neighboring installations
1.1.5 Respect speed limit
2.1.1 Use conform and adequat equipments and tools
Check Tools & Equipments before use and never use
2.1 Tools/Equipments 3 2 6 2.1.2 2 1 2
defectuous tools
All equipments and tools will be inspected and listed
2.1.3
prior to use.
2.2.1 Ensure the pump shutdown
2.2 Electricity 3 3 9
2.2.2 Establish electrical isolation certificate
2.3.1 Ensure a Positive Isolation is done
2.3 Pression 3 3 9 2.3.2 Ensure P=0 2 1 2
2.3.3 Establish isolation certificate
2.4.1 Continous Ventilation
2.4.2 Continous atmosphere monitoring (O2 and LEL)
2.4.3 Confined sapce Entry PTW
2 Internal cleaning
2.4.4 Ensure good lightning (ADF Lightning 24 V)
Trained Standby Man at the entrance to permanetly
2.4.5
ensure the survey of the operation since the start to
2.4.6 The operator must wear a safety harness attched to a life line.
Ensure good communication between the operator
2.4 Confined Space 3 3 9 2.4.7 3 1 3
and standby Man.
2.4.8 Provide Adequat Emergency Kit (Resperatory apparatus)
2.4.9 Barricade the area and use safety signage
2.4.10 Ensure a close supervision by HSE agents
Attendance permanently of 02 intervention agents
2.4.11
during the job

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 2/9/2021
RISK ASSESSMENT SHEET

Regular rest break to be taken and personal must

2.4.12
continual rehydrate as required during the task.
2.4.13 Rescue Plan if required.
2.5.1 Use conform and inspected scaffold and clear access
2.5.2 Barricade the area and use safety signage
2.5 Working at height 3 2 6 3 1 3
2.5.3 Safety Harness to be worn and properly anchored
2.5.4 Use appropriate method to transport tools and materials
1.4.1 Arrange the workplace and clear any unnecessary objects
1.4.2 Wearing adequate PPE
2.6 Falling,slipping
3 3 9 1.4.3 Use safe access (gateways and gratings) 3 1 3
and injury hazard
1.4.4 Do not climb above or cross pipes
1.4.5 Immediately wipe off spills of liquid or oil
Provide a fire extinguisher nearby the compressor
1.6.1 Connect the grounding of compressor
1.6.2 Connection points for hoses to be fitted with whip check.
2.6 Use compressor
Additional specific PPE to be worn (Waterproof
with High pressure 2 4 8 1.6.3
coveralls, goggles,Full face visor). 2 1 2
water cleaining
2 1.6.4 Area to be barricaded off and signages posted.
Internal cleaning 1.6.5 Minimize the personal.
1.7.1 Wear adequate PPE.
2.7 Dropped Objects 3 2 6 2 1 2
1.7.2 Ensure good arrangment of tools.
1.8.1 Use adequate method of handling materials and tools
2.8 Manual Handling 2 2 4 1.8.2 Wear adeqaut PPE 3 1 3
1.8.3 Use Handling gloves
Personnel involved in cleaning shall wear hearing
2.9 Noise 3 2 6 1.9.1 2 1 2
protection during the cleaning.
Utilize bags or tarpaulin to collect and transfer the
1.10.1
2.10 Pollution 3 2 6 contaminated sand to lay down EX petrofac 2 1 2
1.10.2 Spill cleaning
1.11.1 Drain the cleaning water into the sump
2.11 Housekeeping 3 2 6 1.11.2 Ensure a good arrangement of workplace 3 1 3
1.11.3 Keep the workplace clean and tidy
* C = Consequence : 1 Slight : 2 Moderate : 3 Serious : 4 Disastrous / P = Probability : 1 Very Unlikely : 2 Unlikely : 3 Likely : 4 Inevitable
RISK = C x P : 1 – 3 LOW 4 – 9 MEDIUM 12 – 16 HIGH

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 RISK ASSESSMENT SHEET 2/9/2021

RISK ASSESSMENT SHEET

PTW N: TASK: Date:

Internal cleaning Location:

RA N°:

RA N° RISK ASSESSMENT SUMMARY PTW N°

WO: TASK: Eriction of Scaffolding LOCATION:
Action
Responsibilit Done?
Additional Requirements (before the job can start) numbers Due by date
y (Y/N)
(from RA
Process Isolation Certificates?
Safety System Isolation Fire & Gas - (Enter on log)?
Physical Isolations (Instruments & / or Mechanical)
Electrical Isolation Certificates?
Other Certificates of Procedures?
Guidance Documents?
Material Safety Data Sheets (MSDSs)?
Special Personal Protective Equipment?
Hot Work Permit and / or Cold Work Permit
Entry into Confined Space Permit?
HV Electrical Permit?
RISK ASSESSOR (PERFORMING ISSUING APPROVED BY (issuing
HSE CO-ORDINATOR
AUTHORITY) AUTHORITY authority)
Name: Name: Name: Name:
Date: Date: Date: Date:
Signed: Signed: Signed: Signed:
 RISK ASSESSMENT SHEET

PTW N: TASK: INTERNAL CLEANING Date:

Internal cleaning Location:

RA N°:

Blank sheet to fill in case of:

RA N° :
On site Modification / Additional information PTW N° :

Activity Activity Hazards R= C X P(*) Action Control Measures Residual Risk

No Description C P R No C P R

Notes: All modifications / additions must be countersigned by the Work Permit Issuer, HSE and the Work Supervisor.
Any changes in conditions must be explained to the team performing the work in progress.