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RISK ASSESSMENT FORM

Conducted By (Date)

Company
Task

Renewal of Pump Room Bulkhead

Approved By (Date)

21/06/2006

2. Risk Evaluation
Existing Risk Control

Risk Level

Entry into confined


space (pump room
& cargo tank)

Possible
Accident/III
Health &
Persons-atrisk

Likelihood

1. Hazard Identification
Hazard

Severity

No. Task Step

Next Review Date

21/06/2009

3. Risk Control
Action Officer
Additional
(Follow-up Date)
Risk Control
Measure

-Lack of
oxygen

Asphyxiation

-Entry permit approval


-Gas Check
-Portable gas detector

-Lack of
lighting

Bodily Injury

-Gas leak

Unconscious

-Provide lighting at tank


entry and along
passageway
-Portable gas detector

-Tripping &
falling

Bodily Injury

-Barricade of opening
-Ensure passageway
clear of obstruction

Association of Singapore Marine Industries

Group 1

Reference
Document for
Reference

Lifting of plate

Cutting of damage
bulkhead

Removal of cut
steel plate to shore

-Double check
hot work area
before start
work
-

-Supervisor incharge
-Safety Officer

-To check
lifting gear
before lifting

-Supervisor incharge

-To check
combustible
matter around
hot work area

-Supervisor incharge

-Dye check on -Supervisor indye tag before charge


lifting operation

-Barricade
affect lifting
area

Existing Risk Control

-Fire &
explosion

Bodily Injury

-Valid hot work permit


-Barricade of opening
(Hard Barricade)

-Falling

Bodily Injury

-Barricade in cargo tank


-Weld support on 4 side

-Falling
object

Bodily Injury

-Qualify rigger
-Inspection of valid and
good condition of lifting
gear

-Caught inbetween

Bodily Injury

-Wear leather gloves


-Maintain communication

-Fire
explosion

Bodily Injury

-Valid hot work permit


-Barricade of hot work
area

-Falling
hazard

Bodily Injury

-Falling
Hazard

Bodily Injury

-Ok tag for staging


-Weld eye piece to
bulkhead
-Lifting gear to be tested
and in working condition
-Qualify Rigger
-Lifting Supervisor
-Valid lifting gear and in
good working condition

Association of Singapore Marine Industries

Risk Level

Cut deck access


opening

Action Officer
(Follow-up Date)

Possible
Accident/III
Health &
Persons-atrisk

Likelihood

Additional
Risk Control
Measure

Hazard

Severity

No. Task Step

-Supervisor Incharge

Document for
Reference

Lifting of new plate


from shore to cargo
hold

Fitting & Welding of


Bulkhead

-Caught inbetween

Bodily Injury

-Wear glove
-Used tag line
-Keep people away form
lifting area

-Falling
Hazard

Bodily Injury

-Qualify Rigger
-Lifting Supervisor
-Valid lifting gear and in
good working condition

-Barricade
affect lifting
area

-Caught inbetween

Bodily Injury

-Wear glove
-Used tag line
-Keep people away form
lifting area

-Fire &
explosion

Bodily Injury

-Valid hot work permit


-Barricade of opening
(Hard Barricade)

-Falling

Bodily Injury

-Barricade in cargo tank


-Weld support on 4 side

-Double check
hot work area
before start
work
-

Association of Singapore Marine Industries

Supervisor Incharge

-Supervisor incharge
-Safety Officer

RISK ASSESSMENT FORM


Conducted By (Date)

Company

Marine Pacific

Task

Shellplate Renewal in No. 6 C.O.T

Approved By (Date)

Hull Section Manager (21/06/2006)

Steelwork
-Marking
-Cutting
-Fitting
-Welding
-Grinding
-Lifting
Testing / NDT
(Vacuum Test,
X-ray Visual)

Risk Level

2. Risk Evaluation
Existing Risk Control

Likelihood

1.

1. Hazard Identification
Task Step
Hazard
Possible
Accident/III
Health &
Persons-at-risk

Severity

No.

Next Review Date

-Fire,
Explosion

Bodily Injury

-Qualified personnel to do
work
-Hot work tools must be
checked and tested

-Falling
object

Bodily Injury

-Lifting gears must be


checked and tested

-Falling

Bodily Injury

-Apply permit
-Barricade the area

-Hose
Burst

Bodily Injury

-Use whip arrestor

-Radiation

Bodily Injury

-Barricade affected areas


-Install blinkers and
prominent signs

Association of Singapore Marine Industries

Foreman / Supervisor (19/06/2006)

20/06/2009
3. Risk Control
Action Officer
Additional
Follow-up Date)
Risk Control
Measure

Barricade the
area (both in
and out of
tank)

Hull Supervisor/
Lifting Supervisor/
Safety Officer

Reference
Document for
Reference

RISK ASSESSMENT FORM


Conducted By (Date)

Company

Group 3

Task

Renewal of tank top plates

Approved By (Date)

Lift out old plate


to lift in new
plate

Fit new plate

-Fire/
Explosion

-Asphyxiation

-Smoke
and Fumes
-Falling
object

-Burns (sparks)

-Struck by
object

-Bodily Injury

Association of Singapore Marine Industries

-Bodily Injury

-Fire watch
-Valid hot-work tools
-Good ventilation
-General lighting
-Remove combustible
materials
-Trained signal and rigging
man
-Presence of lifting
supervisor
-Cordon off affected area
-Tag-line
-Trained rigging and
signalman
-Lifting gear in good
condition
-Presence of lifting
supervisor
-Cordon off affected area

Risk Level

Crop out
damaged plate

2. Risk Evaluation
Existing Risk Control

Likelihood

1. Hazard Identification
Task Step
Hazard
Possible
Accident/III
Health &
Persons-at-risk

Severity

No.

Next Review Date

3. Risk Control
Action Officer
Additional
Follow-up Date)
Risk Control
Measure

Additional
access to be
provided

Production
Supervisor/
Hull Supervisor/
Contractor
Supervisor

Additional
marshals to
clear off the
area

Lifting Supervisor /
Contractor
Supervisor

Provide the
right fitters, do
not crowd
around work
area

Production
Supervisor/
Hull Supervisor/
Contractor
Supervisor

Reference
Document for
Reference

Welding of new
plate

-Strong ventilation
-Good condition of tool
-Fire watch
-Eyes protection

-Electric Shock
Electrocution

-Hand gloves
-Good earthing for welding
set

-Fire/ Fumes

-Asphyxiation
-Burns

-Ventilation
-Filter mask to wear
-Hand gloves

-Excessive
noise

-Noise induced
deafness

-Ear plugs

-Noise

-Noise induced
deafness

-Ear plugs

-Flying
sparks

Bodily Injury

-Safety glasses
-Dust masks
-Face shield
-Grinder protective

Gouging

Grinding

-Fire/ Fumes

Association of Singapore Marine Industries

-Asphyxiation
-Burns

Risk Level

2. Risk Evaluation
Existing Risk Control

Likelihood

1. Hazard Identification
Task Step
Hazard
Possible
Accident/ Ill
Health &
Persons-at-risk

Severity

No.

3. Risk Control
Additional
Action Officer
Risk Control
(Follow-up Date)
Measure

-Visual checks
on welding
tools before
commence
-Good
ventilation in
tank
-Ensure good
housekeeping/
cleaning
-Visual checks
on welding
tools before
commence

Site Supervisor

-Good
ventilation in
tank
-Ensure good
housekeeping/
cleaning
-Check on
workers PPE
(ear plugs)
-Check on
workers PPE
(ear plugs)
-Good
ventilation in
tank
-Ensure good
housekeeping/
cleaning

Site Supervisor

Site Supervisor

Site Supervisor
Site Supervisor
Site Supervisor

Reference
Document for
Reference

RISK ASSESSMENT FORM


Conducted By (Date)

Company

Group 5

Task

To remove and renew all the platform support &


gratings in E/room

Approved By (Date)

ABC

Cleaning E/R
Bottom

Cutting, fitting
and welding of
platform
support.

Risk Level

Remove
platform
(portable)

2. Risk Evaluation
Existing Risk Control

Likelihood

1. Hazard Identification
Task Step
Hazard
Possible
Accident/III
Health &
Persons-at-risk

Severity

No.

Next Review Date

21/06/2009
3. Risk Control
Action Officer
Additional
Follow-up Date)
Risk Control
Measure

-Material
handling

Bodily Injury

-Barrication

-Install
signboard

-Tripping

Bodily Injury

-Barrication

-Fire and
explosion

Bodily Injury

-Falling /
Tripping
-Fire and
explosion/
fumes

Bodily Injury

-Material
handling

Bodily Injury

-PPE
-No hotwork at surrounding
vicinity
-Barrication
-Good safety shoe (sole)
-Valid Hotwork Permit
-Firewatch
-Fire clothes/Lines
-Ventilation/Lighting
-Tag lines
-Hand gloves

-Friction floor
mat
-

-Falling/
tripping

Bodily Injury

Association of Singapore Marine Industries

Bodily Injury

-Barrication
-Signboard

XYZ

-Hull Supervisor

Reference
Document for
Reference

Risk Level

2. Risk Evaluation
Existing Risk Control

Likelihood

1. Hazard Identification
Task Step
Hazard
Possible
Accident/ Ill
Health &
Persons-at-risk

Severity

No.

3. Risk Control
Additional
Action Officer
Risk Control
(Follow-up Date)
Measure

Lifting and cutoff support and


platform and
lifting new
platform

Falling
object

Bodily Injury

-Qualified signalman
-Lifting gears checked
-Use guide ropes
-Keep clear from path

Cordon off
affected area

Install new
platform
(change plate)

-Material
handling

Bodily Injury

-Tag line
-Barrication

-Tripping/
Falling

Bodily Injury

-Barrication

Association of Singapore Marine Industries

Supervisor

Reference
Document for
Reference

RISK ASSESSMENT FORM


Conducted By (Date)

Company

Group 6

Task

Renewal of Steel plate IWO cargo dome

Approved By (Date)

Preparation for
hot work

-Lack of
oxygen

Asphyxiation

-Toxic gas
-Defective
tools

Overcome by gas
-Fire expose by
gas leak and
oxygen
enrichment
-Explosion
-Bodily Injury

-Lifting
tools

Association of Singapore Marine Industries

Risk Level

Pre-job
inspection and
marking

2. Risk Evaluation
Existing Risk Control

Likelihood

1. Hazard Identification
Task Step
Hazard
Possible
Accident/III
Health &
Persons-at-risk

Severity

No.

Next Review Date


3. Risk Control
Action Officer
Additional
Follow-up Date)
Risk Control
Measure

-Ventilation and lighting


5
-Gas meter
-Gas checking periodically
5
5
-Periodical checking of
cutting tools (2 weeks)
and welding tools (30
days)

1
1

M
M

-Elevation of
gas hoses and
separation of
hoses/ cables

-Use valid lifting tools

-Trade Supervisor

Reference
Document for
Reference

Fitting, welding
and grinding off
new plate

-PTW System

-Zinc sheet,
fibre cloth and
additional
watchman,
equipment

-Finger and -Hand and finger


injury
hand
caught in
between

-Hand glove

Nil

-Falling
from height

-Multiple injury

-Body harness
-Valid scaffold tag (OK tag)
-Proper accessing to
location

Nil

-Falling
from height

-Multiple injuries
-Noise inducted
deafness
-Burst of air line

-PPE (ear plug)


-Ensure good working
condition tools.

Nil

Vacuum test

-Fire and
explosion

Association of Singapore Marine Industries

-Burn to person

Risk Level

2. Risk Evaluation
Existing Risk Control

Likelihood

1. Hazard Identification
Task Step
Hazard
Possible
Accident/ Ill
Health &
Persons-at-risk

Severity

No.

3. Risk Control
Additional
Action Officer
Risk Control
(Follow-up Date)
Measure

-Trade Supervisor

Reference
Document for
Reference

RISK ASSESSMENT FORM


Conducted By (Date)

Company

Group 7

Task

Renew BHD IWO Pump Room

Approved By (Date)

Section Manager (21/6/2006)

Risk Level

2. Risk Evaluation
Existing Risk Control

Likelihood

1. Hazard Identification
Task Step
Hazard
Possible
Accident/III
Health &
Persons-at-risk

Severity

No.

Next Review Date

Group 7

21/6/2009
3. Risk Control
Action Officer
Additional
Follow-up Date)
Risk Control
Measure

Remove
Insulation

- Contact
with
hazardous
substance

- Skin Irritation
- Asbestosis

-Sample test for asbestos


-If asbestos, engage
approved contractors
-Respiratory Protection
-

Cordon off
area

Hull supervisor

Cutting of
existing BHD

Fire

-Damaging of
EQs
-Injury cause by
fire

-Permit to work
-Provide firecloth to protect
EQ
-Fire watch men

Additional fire
watch men
with radio

Hull supervisor

Removal of
scraps

Falling
materials

Bodily injuries

PPE (Handgloves)

Refer to SWP

Hull supervisor

Association of Singapore Marine Industries

Reference
Document for
Reference

Risk Level

2. Risk Evaluation
Existing Risk Control

Likelihood

1. Hazard Identification
Task Step
Hazard
Possible
Accident/ Ill
Health &
Persons-at-risk

Severity

No.

3. Risk Control
Additional
Action Officer
Risk Control
(Follow-up Date)
Measure

Transportation
of new BHD to
site

Falling
materials

-Body injury
-Property
damage

-Certified lifting equipment


(color coded)
-Trained lifting Supervisor/
Signalmen

Lifting Supervisor
-Cordon off
area when
lifting in
progress
-Alert men
working nearby

Installation

Falling
material

-Body injury

-Certified lifting equipment

-Cordon off
area

Hull Supervisor

Welding /
Grinding

Fire

-Eye injury
-Bodily injury
-Property
damage

-PPE (headshield,
goggles)
-Hot work permit
-Fire watchmen

Housekeeping

Hull Supervisor

-Safe working tools

Electrocution -Electrocuted

Association of Singapore Marine Industries

Reference
Document for
Reference

RISK ASSESSMENT FORM


Conducted By (Date)

Company

Group 8

Task

Partial Renewal of Funnel Casing

Approved By (Date)

21/06/2006

Check or mark
hotwork area

Prepare
hotwork / lifting/
hand tools

Risk Level

2. Risk Evaluation
Existing Risk Control

Likelihood

1. Hazard Identification
Task Step
Hazard
Possible
Accident/III
Health &
Persons-at-risk

Severity

No.

Next Review Date

Group 8 (21/6/2006)

20/06/2009
3. Risk Control
Action Officer
Additional
Follow-up Date)
Risk Control
Measure

-Falling

-Minor injury /
Sprain

-Safe staging with checklist 2


-Wear Safety Belt
-Provide ventilation

-Overcome
by CO2

-May become
unconcisous

-Gas Check

- Contact
with hot
surface
-Trip or fall

-Burnt injury

-Wear handgloves

-Bodily injuries /
sprain

-Good housekeeping
-Safe staging with check
list

-Bodily Injuries

-Safe manual handling


-Wear leather gloves
-Hotwork Permit

-Bodily Injuries
-Bodily Injuries

-Safe staging
-Use handgloves

2
2

1
2

L
L

-Caught inbetween
Cut and remove -Fire
the plate as
marked
-Fall
-Hit by

Association of Singapore Marine Industries

-Finger injury

M
-Tool box
briefing
Cordon off
area

Supervisor
Supervisor

Reference
Document for
Reference

Clear the area


or ensure good
housekeeping

Risk Level

Install / fit the


plate

Likelihood

2. Risk Evaluation
Existing Risk Control
Severity

No.

1. Hazard Identification
Task Step
Hazard
Possible
Accident/ Ill
Health &
Persons-at-risk
-Handling
hazard

-Major injury

-Safe lifting equipment


-PPE (Gloves)

-Falling
object
-Caught inbetween

-Bodily Injuries

-Put all tools in toolbox

-Bodily injuries

-Correct manual lifting


-PPE (gloves)

-Flying
particles

-Minor injuries

-PPE (safety goggles)

Association of Singapore Marine Industries

3. Risk Control
Action Officer
Additional
(Follow-up Date)
Risk Control
Measure

Cordon off
area

Supervisor

Supervisor

Reference
Document for
Reference

RISK ASSESSMENT FORM


Conducted By (Date)

Company

Group 9 Technology

Task

Renewal of Hatch Coaming Plate I.W.O No. 7


cargo hold at 2nd deck

Approved By (Date)

21/06/2006

Next Review Date

2. Risk Evaluation
Existing Risk Control

Inspection &
Marking

Risk Level

1. Hazard Identification
Task Step
Hazard
Possible
Accident/III
Health &
Persons-at-risk

Likelihood

18/06/2006

Severity

No.

Mr C.Y. Wong

Mr Steven Koh
Mr Daniel
Mr Gilbert

-Falling
from height

-Bodily Injuries

-Body harness

-Falling
objects

-Bodily Injuries

-Tool container

20/06/2009
3. Risk Control
Action Officer
Additional
Follow-up Date)
Risk Control
Measure

-Strong and
proper
anchoring
points
-

-Steelwork
supervisor

Gas cutting

-Fire and
explosion

-Bodily Injuries
-Property
damage

-Permit to work system


-Checked tools required
-Tool container
-Fire-watchman

-Fibre-cloth to
contain
straying sparks
-Fire
extinguisher

-Steelwork
supervisor

Removal of
existing plate
and lifting of
new plate

-Falling
from height

-Bodily Injuries

-Anchor to a secured point

-Cordon off
area and
signboards

-Steelwork
Supervisor
-Lifting Supervisor

-Falling
objects

-Bodily Injuries

-Qualified signalman
-Check lifting appliances

Association of Singapore Marine Industries

Reference
Document for
Reference

Welding,
Gouging and
Grinding

Risk Level

Fit-up of new
plate

Likelihood

2. Risk Evaluation
Existing Risk Control
Severity

No.

1. Hazard Identification
Task Step
Hazard
Possible
Accident/ Ill
Health &
Persons-atrisk

3. Risk Control
Action Officer
Additional
(Follow-up Date)
Risk Control
Measure

-Falling from
height

-Bodily Injuries

-Body harness

-Falling object

-Bodily Injuries

-Toxic fumes

-Long term
sickness

-Contain small items .eg.


wedges, dog piece
-Good ventilation

-Noise induce
-Eye injury

-Deafness
-Loss of
eyesight
-Death

3
3

4
4

M
M

-Electrocution

Association of Singapore Marine Industries

-Use of ear plugs/ muffs


-Use of eye protection
(goggles)
-Proper insulation of
welding, gouging, grinding
tools
-Use 110V of electrical
tools
-Check on ELCB and
LVSP for electrical box
and welding set (AC)

-Cordon off
area and
signboards

-Steelwork
Supervisor

Reference
Document for
Reference

Refer to task Step 02

-Fire
explosion
-Falling

Association of Singapore Marine Industries

5
3

2
1

Risk Level

Closed back
access

Likelihood

2. Risk Evaluation
Existing Risk Control
Severity

No.

1. Hazard Identification
Task Step
Hazard
Possible
Accident/ Ill
Health &
Persons-atrisk

H
L

3. Risk Control
Action Officer
Additional
(Follow-up Date)
Risk Control
Measure

-Double check
hotwork area
before work
start

Supervisor in
charge

Reference
Document for
Reference

RISK ASSESSMENT FORM


Conducted By (Date)

Company

Group 10

Task

Partial renewal of aft bulkhead at Fr. 174

Approved By (Date)

21/06/2006

Inspection of
work and mark
out with owner

Permit to work system


Entry permit
-Gas check
-Ventilation
-Lighting
Personal Gas Meter
-Good lighting
-Good housekeeping
-Valid hot work permit
-Fire watch

Cutting/Welding
upper deck
plate

Lifting of upper
deck plates

-Lack of
oxygen

-Suffocation

-Falling
hazard
Fire

-Bodily Injuries

Object
falling from
height

Association of Singapore Marine Industries

Bodily Injuries

Bodily Injuries

-Only trained signalman/


rigger are allowed to do
lifting
-No one should be under
the load
-Check lifting equipment
(expiry)

Risk Level

2. Risk Evaluation
Existing Risk Control

Likelihood

1. Hazard Identification
Task Step
Hazard
Possible
Accident/III
Health &
Persons-at-risk

Severity

No.

Next Review Date

Group 10

20/06/2009
3. Risk Control
Action Officer
Additional
Follow-up Date)
Risk Control
Measure

Buddy System

Supervisor

Supervisor

Individual torch
light
Cordon off
area

Barricade area
(cordoned off)

Supervisor

Lifting Supervisor

Reference
Document for
Reference

Grinding of
work pieces

Flying object

Finger and eye


injury

-Wear shield
-Grinder disc guard

Good lighting

Supervisor

Welding of new
plate

Fire

Bodily Injuries

-Valid hotwork permit


-Good and valid welding
equipment (cables, holder)

Supervisor

Electrocution Bodily Injuries

-Good and valid welding


equipment (cables, holder)

Place of work
free from
combustible
materials
Place of work
is dry

Tripping and
falling

Use proper equipment

Housekeeping

Association of Singapore Marine Industries

Hand and finger


injury

Risk Level

No.

Likelihood

2. Risk Evaluation
Existing Risk Control
Severity

1. Hazard Identification
Task Step
Hazard
Possible
Accident/ Ill
Health &
Persons-at-risk

3. Risk Control
Action Officer
Additional
(Follow-up Date)
Risk Control
Measure

Supervisor
Supervisor

Reference
Document for
Reference

RISK ASSESSMENT FORM


Conducted By (Date)

Company

Group 11

Task

Renewal of Bosun Store and Chain Locker Plating

Approved By (Date)

ASMI

Cut and install


access
openings (Main
Deck and
Bosun Store
Deck)

-Validity of entry permit


and hotwork permit
-Firewatch and Firelines
-VSCC meeting
-No loose object on
scaffolding
-Provide barrication
(scaffold)
-Qualify signalman and
riggers
-Validity of lifting gears
-Pad eye to dye check
-Tackline to secure
-PPE

Removal of
plating and
installation of
new plating

Fire/
Explosion

Bodily injuries

Falling
objects

Bodily Injuries

Falling
objects

Injury, death and


damaged vessel
property

Association of Singapore Marine Industries

Risk Level

2. Risk Evaluation
Existing Risk Control

Likelihood

1. Hazard Identification
Task Step
Hazard
Possible
Accident/III
Health &
Persons-at-risk

Severity

No.

Next Review Date

Lim Teck Song


(21/06/2006)

21/06/2009
3. Risk Control
Action Officer
Additional
Follow-up Date)
Risk Control
Measure

-Cordon off the


area

-Hull Supervisor

To put up
warning sign to
keep clear

-Hull Supervisor

Reference
Document for
Reference

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