Prepared by Approved by Rev.

Location of Job /Task Date JSA No

(Name) (Name & Signature) No

Operation/Job Description: Project:

Risk Assessment
STEP / EXISTING AND POSSIBLE L = Low
TASK OPERATION HAZARDS / OR CONSEQUENCES OF CONTROL / PRECAUTIONS RESPONSIBLE M = Medium
No. EXPOSURE H = High
Cons Prob Risk
Trips, slips, falling  Proper PPE to be used. STSL/Deck
 Inspect area for trip hazards. Officer/AB/Doctor
M L L
 Use route free from obstruction and a properly lit.
transfer casualty  Patient secured with straps.
1. Musculoskeletal injury  Crew to use manual handling techniques. Doctor/Crew
 Crew instructed by doctor how to carry on with
M L L
stretchers.
 Proper PPE to be used
2. Crew injury and/or due to lack of  Established radio channel for communication. Master/STSL/
communication  Radio check. Deck Officer
 Clear communication between CROP, Deck officer,
Bridge, S/V and team involved in operation.
Preparation  Communication only in English language. H L M
 PTW to be prepared, checklist filled up by
competent person.
 TBT to be done.

 Clear communication between STSL, CROP, Deck L M L

Operation delayed due to lack of
communication- casualty exposure to
the time and the weather
Preparation
officer, Bridge S12000, TESL, S/V and team
involved in operation- These people shall remain in
direct radio contact with each other during the
whole duration of the personnel transfer.
 The relevant responsible transfer Supervisor has
the control to instruct the personnel being
transferred Master/STSL/
 PTW to be prepared, checklist filled up by TESL/Deck
competent person. Officer/Doctor
 TBT to be done.
 Established by Master aspects of the two vessel
during the transfer (bow to stern or bow to bow).
 Compatibility analysis that confirms crane has
sufficient outreach length to vertically lower or raise
the PTB to or from the deck of the passive vessel
without interference or obstruction.
 MOB rescue team are established and FRC made
be ready for launching in case of emergency.
 Designated area have to be checked by relevant person Muster/STSL/
as below: CROP/Deck
Operation delayed due to obstructed of 1. of a suitable size for the basket and free from Officer
starting and landing area- casualty obstructions and debris
exposure to the time and the weather 2. have good visibility for the crane operator
3. be free from working activities and potential L M L
hazards
4. be controlled to prevent accidental interference
Muster have to contact with S/V is landing area have
been secured, free from any hazards or obstruction and
is S/V are ready to start operation.
 Only competent person with valid certifications can Muster/TESL/
Injury of person, fatality due to human be carry on with task. CROP/Deck
error  CROP additionally must have experience at least 6 officer H L M
months operating that type of crane.

Work interfering with other jobs- clash of  Before starting operation Muster and all section Master/STSL/
work leader responsible for location and vicinity of Doctor
H L M
location to be informed to avoid any interference.
 Work Permit to be issued.
Fatality or injury due to failure of critical  The safety gear (lifting sling, shackles etc.) to be STSL/ Deck
components which are inadequate checked for integrity. They must be available on officer/ CROP
L L L
inspected, maintenance or exceed site in sufficient number.
equipment limitations. Fall from height.  Visual check.
Recommended as below: Muster/CROP
Preparation  Wind speed less than 15 Knots at 10 meters
above sea level;
Weather Condition  Sea state must have maximum significant
waves less than 1.5 meters; H L M
 Maximum rolling movement of the Stand by
Vessel of 3 degrees (single amplitude);
 Visibility must be such that all persons involved
in the transfer are able to see each other.
Slips, falls, personnel injury, basket Proper PPE to be used,
slung improperly Personnel to be instructed/trained on proper way to STSL/Deck
Hook up basket hook up basket Officer
3. Inspect area for trip hazards
L L L
Competent person to inspect rigging;
Fill up checklist
4. Trips, slips, falling.  Proper PPE to be used. STSL/Deck H L M
 Inspect area for trip hazards Officer/ Doctor
 Proper illumination to provide before starting
operation.
 Doctor must check patient and secured straps on a
stretchers
 Stretchers are properly secured according to
ESVAGT guidelines and good practice to the
Personnel and casualty ESVGT.
embarking basket  Competent person must perform inspection of strap
tighteners
 Musculoskeletal injury  Crew to use manual handling techniques.
 Crew instructed by doctor how to carry on with CREW/STSL/
M L M
stretchers. Deck Officer
 Proper PPE to be used
Man basket overloading  Personal transfer capacity is 4 persons If is
STSL/Deck
medivac two person and casualty on a stretchers L L L
Officer/CROP
 max transfer capacity 500kg.
 Lifejackets to be distributed and checked if worn
properly
Personnel not wearing proper PPE/ wear  Personnel basket transfer briefing must carry on
before start operation STSL/Deck
incorrectly. Webbing are not in used or H L M
 Embarkation area to be checked Officer/SV crew
used improperly
 Rope webbings are fitted with fast click buckle
straps
5.  Clear communication between CROP, Deck officer, STSL/Deck
Area is not ready on board of s/v to
Bridge, S/V. Officer/ CROP/
receive basket, deck crew on board of L M L
 S/V crew to give “GOOD TO GO” signal no one SV crew /
s/v not ready to assist landing
else BRIDGE
STSL/Deck
Dropped objects Luggage compartment, check personnel for loose items Officer/ CROP/ M L L
SV crew
 Bridge keep sharp lookout
Loss of lee during the transfer result in  Clear communication
Master/DP H L M
Basket transfer from S12k to
excessive vessel motion  Authorization for personnel transfers can only be
s/v and reverse given by the Master.
Loss of control due to lack of  Only competent person with valid certifications can CROP/STSL/ H L M
experience, inadequate training or failure be carry on with task. DECK OFFICER
to follow safe techniques or the transfer  CROP additionally must have experience at least 6
plan months operating that type of crane.
 Two tug lines with proper length in use
 The relevant responsible transfer Supervisor has
the control to instruct the personnel being
transferred
 The operator must have a good view of the person
hoisted.
 weather condition to be check before start
operation
  MOB rescue team are established and FRC made
be ready for launching in case of emergency.
 Check weather condition before start operation
 Keep at all time lee side for S/V
 Only competent person with valid certifications can
be carry on with task.
 Proper PPE to be used
 Life jacket to be used
 Where necessary, SOLAS immersion and anti
exposure suits are required to be used above 45°
parallel and where water temperature is below
Injury or fatality due to crushing, 10°C
 The Crane Operator shall have a full and STSL/DECK
6. pinching, impact, fall from height or
OFFICER/CROP
H L M
drowning unobstructed view of the take-off and landing area
as well as the full lifting trajectory
 Lifting and lowering of the personnel shall be
conducted above open sea whenever possible, not
above the deck of the vessel.
 The Crane Operator will pay out sufficient lifting line
slack to ensure that the transfer basket is not
affected by any motion of the vessel
 The relevant responsible transfer Supervisor has
Basket transfer from S12k to the control to instruct the personnel being
s/v and reverse transferred
 Personnel must not leave the transfer basket until
instructed to do so by the receiving transfer
Damage to materials and equipment Stored in the proper manner and visual inspection prior
7. Unhook & stow basket
to storage
CROP L L L
Consequen Accidental consequences Accidental consequences for property and Probability Descripti
Definition Risk Value Action / Time scale Risk Level Probability
ce Level for bodily injuries environment Level on

Loss of or severe damage to rig requiring

immediate abandonment. Immediate: - Before
Fatality or Multiple Serious A common event that is likely to occur
High Loss of or severe damage to structures. Damage High Frequent High work is started or Consequence
Injuries one or more times per year.
leading to loss of containment over 25Te of allowed to continue
Hydrocarbons.
Damage to critical rig plant/equipment preventing
normal operations. An event is likely to occur one or more Controls to be in place
Lost Time Accidents or
Medium Damage to structures causing delay to normal Medium Probable times during operations or equipment Medium as soon as is High M H H
Single Serious Injury
operations. design life. practicable
Loss of containment under 25T of Hydrocarbons.
Operations continue with reduced efficiency.
Consider the cost
Minor injuries excluding Damage to plant/equipment with no delay to An event is not likely during operations
Low Low Unlikely Low benefits of improved Medium L M H
lost time accidents operations. or equipment design life.
controls
1Te discharge of Hydrocarbons to environment..
Low L L M

All personnel involved in this job must sign the JSA to confirm attendance to the pre-job meeting and to acknowledge their duties and
responsibilities:

Workgroup members:

Name & Surname Position Signature

PPE Requirements (Tick box):

Helmet Boots Rubber/Special Face Shield Other

gloves
Eye Harness and Breathing Ear Protectors
Protection Lanyard Apparatus
(Clear)
Coverall Harness and Mask w/Gas Yellow
Fall Arrestor Filter Wellington
Rubber Boots
High Work Vest / Mask w/Dust Welder’s mask
Impact Inflatable Life Filter
Gloves Jacket
High Protective / Apron Knee Pads
Dexterity Disposable
gloves Suit