FILE NO F-54

BRAVE ROYAL SHIP MANAGEMENT (BD) LIMITED BRSML/FORM-

Title: Risk Assessment Report

SEVERITY (The highest scale value for the four categories below is to be selected. As a minimum vessel must assign severity using the criteria
LIKELIHOOD
of Health & Safety as other categories may not be available.)

Scale Description Environmental

Scale Health and Safety Damage to Vessel / Property Financial Impact
Impact
3 Major Industry Reaction. Extensive
Fatality, Permanent Total Loss. Requiring lay up /
Extremel off hire, loss of charter, Blacklist by
3 Likely disability. Serious impact dry docking for major repairs. Spill/ discharge
y one or more Oil Majors
on Public Claims from 3rd Parties in water
Harmful Cost >100 K $
Serious injury or multiple
Affecting sea worthiness,
minor injuries requiring
2 repaired with or without shore Minor off hire
2 Unlikely hospitalisation or
Harmful assistance. Leading to condition Spill on deck Cost 5K – 100K $
requiring treatment
of Class.
ashore.
1 Accidental
Not affecting sea worthiness, discharge within
1 Highly Unlikely Slightly Simple First Aid Cost < 5K $
repairable by ship staff containment
Harmful trays
The risk factor score which is a product of the likelihood and severity factors is categorized as follows to determine the tolerance level.
L SEVERITY Score Description of tolerance level of risk factor

I Slightly harmful Harmful Extremely 1 Trivial risk. No further action is required. Proceed with the work
K harmful
E 1 2 3 2 Tolerable risk. Can be tolerated, but make sure that it does not become
L worse. Have a responsible officer supervising the work intermittently.
I Highly 1 1x1=1 1x2=2 1x3 =3 3-4 Moderate risk. Take action but subject it being reasonable and sensibly
H unlikely Trivial risk Tolerable risk Moderate risk possible. A responsible officer must supervise the work continuously.
O Unlikely 2 2x1=2 2x2=4 2x3=6 6 Substantial risk. Discuss with Company’s office for the precautions to take.
O Tolerable risk Moderate risk Substantial risk A responsible officer must supervise the work continuously.
D Likely 3 3x1=3 3x2=6 3x3=9 9 Intolerable risk. The work cannot be accepted and the work/activity must
Moderate risk Substantial risk Intolerable risk NOT continue.

(This page is for the purpose of providing reference to the risk assessment form and explaining the assignment of likelihood, severity scale and
how the resultant risk factor is derived. This page may not be attached to each risk assessment form. )
FILE NO F-54
BRAVE ROYAL SHIP MANAGEMENT (BD) LIMITED BRSML/FORM-
Title: Risk Assessment Report

RISK ASSESSMENT FORM

Vessel: MV. NAZIA JAHAN Date:
Work Activity: BUNKERING Master: CAPT. MD LUTFUR RAHMAN
Ref No: NZJ/ENG/RA/2020/0085 Chief Engineer: MD ABDUL KUDDUS
No. Hazard associated with activity Possible Consequence Existing Controls/Safeguards Severit Likelihoo Risk
y d Factor
01 OIL SPILLAGE ENVIROMENTAL POLLUTION CONTINUOSLY GANGWAY DUTY AND 3 1 3
AND DEMURRAGE SOUNDING CHECKING.
ALL SOPEP ITEMS READY FOR ANY
SPILLAGE ACCIDENTS
02 FALL DOWN MAY CAUSE PERSONNEL USING OF SAFETY GEARS 2 1 2
INJURY EVEN DEATH WHILE ACCORDINGLY
BOARDING THE BERGE FOR
SOUNDING

(Attach page if additional hazards are applicable)

Additional Control Measures / Comments proposed by the company
FILE NO F-54
BRAVE ROYAL SHIP MANAGEMENT (BD) LIMITED BRSML/FORM-
Title: Risk Assessment Report

Hazard no. Additional controls/precautions Responsible person Action due Date completed
01-03 PRE-BUNKERING METING CARRIED OUT C/E
03 MONITORING TANK SOUNDING 4/E
01-02 ALL SAFETY MEASURES TAKEN. 2/E
(Attach page as necessary if additional controls are applicable)
Permit to work:
Yes No
Has the work considered to be performed?  
Has this risk assessment been sent to the Company prior carrying out the intended task?  
(If the risk factor is obtained “6”, this risk assessment is required to be sent to Company for their suggested controls/precautions/comments prior
carrying out the intended work. For all other risk factors obtained, this form is required to be sent to the Company at the end of the month for the
purpose of review and record keeping)
Additional controls / precautions / Company’s comments (attach additional pages as necessary)

Name: MD ABDUL KUDDUS Sign :