TANKERS OCEAN SHIPMANAGEMENT INC.

RISK ASSESSMENT FORM Code: RA-246 Version 0

Vessel: MORALITY Task Category: Work Activity: Issue Date:
ALL / SAFETY Flooding April 19
Risk Assessment Conditions Important Instructions Analysis of expressions used to calculate Risk Risk LIKELIHOOD (L)
Work Authorization Work Activity is High Risk:  YES  NO (S) Severity (L) Likelihood Risk Rating Rating 1 2 3 4 5
Work has been authorized Y N
Relevant SMS Sections: 1 Negligible 1 Improbable SxL= RF 1 1 2 3 4 5
No Fatigue 2 Minor 2 Remote RF Risk 2 2 4 6 8 10

SEVERITY (S)
Staff is adequately rested  Y N See relevant SMS Sections
3 Significant 3 Possible L Low 3 3 6 9 12 15
Use of proper PPE 4 Critical 4 Likely M Medium 4 4 8 12 16 20
Staff is using proper PPE Y N Relevant SMS Form(s) to be used : 5 Catastrophic 5 Certain H High 5 5 10 15 20 25
Experienced staff Relevant Form to be used How to assess Risk :  Select Severity expression that applies to hazard WITH NO Controls 
Staff has task experience Y N Select appropriate likelihood with NO Controls  Apply controls and RECALCULATE risk

HAZARD DESCRIPTION Risk Rating Risk Rating

Risk CONTROL MEASURES TO BE TAKEN Risk
No (Assume NO CONTROLS to (SxL = RR) (SxL = RR)
L/M/H (To Reduce the Risk and calculate the residual/FINAL Risk Rating) L/M/H
initially assess risks) S L RR S L RR
Reduce speed or alter course if necessary, sound all cargo/ballast tanks & void spaces to determine
Poor judgment /
1 5 3 15 High approximate rate of water ingress, extend of flooding, alternative plan to recover if any, flooding checklist, 5 2 10 Medium
misunderstood directions
prepare for abandoning.
Delays in crew alert / Muster stations, alert vessels in vicinity, alert coastal stations, notify the Office and take all necessary
2 4 3 12 Medium 4 1 4 Low
notification actions as per flooding checklist.
Clear instructions, established communication with Emergency and Support squads, require assistance if
3 Inadequate communication 4 3 12 Medium 4 2 8 Medium
necessary, flooding checklist.
Where possible pump-out flooded space(s) using ship's fixed pumping system, use portable equipment if
4 Incorrect use of equipment 4 3 12 Medium 4 2 8 Medium
necessary, flooding checklist.
5 equipment failure 4 3 12 Medium Preventive maintenance plan, regular checks and tests. 4 2 8 Medium
6 Cargo contamination 3 3 9 Medium Documented procedures / familiarization / drills and training / checklist for flooding. 3 1 3 Low
Incorrect record keeping Back up of VDR/S-VDR data, official log books, documented procedures and instructions / Checklist.
7 2 3 6 Medium 2 2 4 Low
during incident
8 Increasing list 5 3 15 High Handle ballast or/and cargo to reduce the list and delay the flooding. 5 2 10 Medium

Item Further Actions to control residual risk Action Due Date Completion Date Risk Assessment Review & Approval
Date: Prepared/Reviewed By: CH/OFF
SHMAGIN ALEXANDER

Date: Approved By: MASTER/

PANCHUK OLEH