Location: Terga Date of Assessment:

Assessor(s): FRIDI.ALI System/Activity:

INTRODUCTION
The table below provides a simplified representation of the methodology used and the processes
Management) to be undertaken by OCIA and all Subcontractors in order to initiate, act on, review and effectively manage proje
Phase.
IDENTIFICATION - Pre planning, Method
statement , Job safety analysis.
ASSESSMENT
Mitigation measure, Residual risk
Identify activities , Identify hazards Assess Impacts, Analyze Risk ,
Establish Mitigation Measures.
P
r
o
b
a
b
i
l
i
t
y
&
F
r
e
q
u
e
n
c
y
Definite 5 5 10 15 20
High 4 4 8 12 16
Moderate 3 3 6 9 12
Low 2 2 4 6 8
Negligible 1 1 2 3 4
1 2 3 4
Minor Serious Major Catastrophic
Severity
Key to Priorities
Medium Priority (5
days)
High Priority (2-3 days) Immediate
RISK ASSESSMENT FORM
Date of Assessment: 14-07-2010 Assessment No:
System/Activity: Installation fuel oil conditioning equipment
The table below provides a simplified representation of the methodology used and the processes involved in this Hazard Identification &
Management) to be undertaken by OCIA and all Subcontractors in order to initiate, act on, review and effectively manage proje ct-related risks
ASSESSMENT Impact, Risk factor,
Mitigation measure, Residual risk
IMPLEMENTATION &
COMMUNICATION
REVIEW & UP DATE
Assess Impacts, Analyze Risk ,
Establish Mitigation Measures.
Communication & Training Audit, Inspection & Up dating of Log.
Page 2 of 5
98 Rev: 0
conditioning equipment (C03)
involved in this Hazard Identification & Risk Analysis Procedure (Risk
related risks throughout the Construction
REVIEW & UP DATE
Audit, Inspection & Up dating of Log.

Tasks Hazards Identified (include
the exposed groups)
Probability
1 - 5
Transfer of
equipment
Transfer device collide
with other things;
Oil leakage
4
Locate the crane Hitting injury 4
Transport Traffic risk
Collision with person
Collision device
3
RISK ASSESSMENT FORM
Probability Severity
1 - 4
Risk
1 - 20
Control Measures to be
Implemented
Probability
1 - 5
3 12 Chose a qualified driver before
work
Check the calibration of all
tools
Make sure the transport device
in good condition
2
3 12 Solid the ground
Reinforce the pads beneath the
outriggers
Check the around circumstance
before working
2
3 9 The trucks must respect:
The limited speed in the site
The circulation signs
The circulation plan (updated)
2
Page 3 of 5
Probability Severity
1 - 4
Risk
1 - 20
Residual
Risk
Date
Action
Completed
1 2
1 2
3 6

Tasks Hazards Identified (include
the exposed groups)
Probability
1 - 5
Movement of
traffic
Slip/trip/all
3
forklift Crushing of person
Orderly person by gear
Component fall down
Collision with person
Falling materials
3
RISK ASSESSMENT FORM
Probability Severity
1 - 4
Risk
1 - 20
Control Measures to be
Implemented
Probability
1 - 5
3 9
All hose/ropes/cables in use
shall be secured to the side of
walkways and handrails
All unnecessary materials and
equipment to be immediately
removed from site
All exits and walkways to be
kept clear for use of personnel
High standard of housekeeping
to be maintained at all times
2
4 12
Beep back
Officer commanding the ship
maneuver through regulatory
actions to avoid accidents
Forbids the person to move near
the gear
Mark the area of operations of
forklift
The load must be stable on the
forklift
2
Page 4 of 5
Probability Severity
1 - 4
Risk
1 - 20
Residual
Risk
Date
Action
Completed
2 4
3 6

Tasks Hazards Identified (include
the exposed groups)
Probability
1 - 5
Use tools Hand injuries
crushed fingers
smooth head against the
frame
3
Environmental
Pollution the air:
Exhaust gas, The dust
Leaking oil or diesel
machines on soil
3
Assessor Print :
RISK ASSESSMENT FORM
Probability Severity
1 - 4
Risk
1 - 20
Control Measures to be Implemented
Probability
1 - 5
3 9 ensure protection adequate PPE
(gloves, helmet, goggles, harness
2
3 9
Checking the condition of
equipments before beginning
the work
ventilation Workstation
2
Sign: Date:
Page 5 of 5
Probability Severity
1 - 4
Risk
1 - 20
Residual
Risk
Date
Action
Completed
2 6
2 4