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RA Templates - Tank Cleaning PDF
RA Templates - Tank Cleaning PDF
Severity
Likelihood
Risk Level
Accident/III Risk Control Follow-up Date) Reference
Health & Measure
Persons-at-risk
Severity
Likelihood
Risk Level
Accident/ Ill Risk Control (Follow-up Date) Reference
Health & Measure
Persons-at-
risk
2 Preparation Falling object Bodily injury -Valid / Tested lifting 4 2 M NIL NIL
of material equipment
for cleaning -Qualified rigger and
and man signaler
power -Barricade falling zone
Electrocution Fatality Ensure electrical 5 1 M NIL NIL
equipment in good
condition
Ergonomic Back injury Adequate people for jobs 3 2 M Correct lifting Supervisor
manual handling technique
Falling of person Bodily injury -Barricades 3 2 M NIL NIL
-Falling protector must be
anchor to rigid point
Severity
Likelihood
Risk Level
Accident/ Ill Risk Control (Follow-up Date) Reference
Health & Measure
Persons-at-
risk
4 Housekeeping Falling object Bodily injury -Lifting equipment valid 4 2 M Correct lifting Supervisor
and tested technique
Severity
Likelihood
Risk Level
Accident/III Risk Control Follow-up Date) Reference
Health & Measure
Persons-at-risk
1.1 Inspection by Lack of Asphyxiation -Permit to work system 5 1 M NIL Supervisor SMS -PTW
Supervisor Oxygen -Carry gas meter
Falling from Fatality -Provide a ladder 5 2 H -Secure the Project Manager
height -Provide adequate lighting ladder
-Ladder must
provide by
scaffolder
1.2 Slip, trip and Bodily injury -Maintain good 3 3 M NIL Supervisor SMS
fall housekeeping Work
-Provide adequate lighting instruction
2.1 Transport Struck by Fatality Only trained forklift 5 2 H Only appointed Supervisor SMS
equipment to industrial operator to operate the forklift operator Work
on board vehicle forklift to operate instruction
vessel forklift
2.2 Falling object Fatality Assign trained rigger to do 5 1 M Lifting Lifting Supervisor SMS
during lifting lifting work. Supervisor Lifting
Follow lifting procedure must be procedure
present on site
Page 1 of 3
1. Hazard Identification 2. Risk Evaluation 3. Risk Control Reference
No. Task Step Hazard Possible Existing Risk Control Additional Action Officer Document for
Severity
Likelihood
Risk Level
Accident/ Ill Risk Control (Follow-up Date) Reference
Health & Measure
Persons-at-risk
3 Set up Struck by Bodily injury -Provide handhold for air 2 3 M NIL NIL
equipment moving winch and pump
equipment -Wear hand gloves
4 Work Commencement
4.1 Pump out Struck by Bodily injury -Ensure that all hose 2 3 M NIL NIL
water whipping connections are tightened
hose from properly.
pump -Provide hose arrestor
-Discharge water to drain
4.2 Clean the Slippery Bodily injury -Wear rubber boot 2 3 M NIL NIL
mud surface due -Walkway must be free 3 3 M NIL NIL
to flooding form slippery hazard
4.3 Scrape the Struck by Foreign particles -Down hand (hard) 3 3 M Nil NIL
loose scale object in eyes scrapping
(Rust) -Avoid standing directly
below loose scale
-Wear goggles and PPE
4.4 Removed Struck by PPD – -Keep clear from lifted mud 4 2 M NIL NIL
mud and falling objects Permanent bags
scale bag Partial Disability -Avoid lifting more than 1
from chain bag
locker Caught by PPD – -Provide hand hold for 4 2 M NIL NIL
moving winch Permanent winch wire rope
wire rope Partial Disability -Keep hands away moving
wire rope
Manual Back injury Adopt correct lifting 3 3 M NIL NIL
handling method
Page 2 of 3
1. Hazard Identification 2. Risk Evaluation 3. Risk Control Reference
No. Task Step Hazard Possible Existing Risk Control Additional Action Officer Document for
Severity
Likelihood
Risk Level
Accident/ Ill Risk Control (Follow-up Date) Reference
Health & Measure
Persons-at-risk
4.5 Hose down Electrocution Fatality All hand lamp and portable 5 1 M NIL NIL
the chain electrical equipment must
locker be tested by electrician
User must check ensure
that equipment is free from
defect
4.6 Re-pump out Struck by Bodily injury -Ensure that all hose 2 3 M NIL NIL
water whipping connections are tightened
hose from properly.
pump -Provide hose arrestor
-Discharge water to drain
5 Inspection Asphyxiation Fatality -Permit to work system 5 1 M NIL NIL SMS -PTW
done by -Carry gas meter
owner Falling from Fatality -Provide a ladder 5 2 H -Secure the Project Manager
height -Provide adequate lighting ladder
-Ladder must
provide by
scaffolder
Slip, trip and Bodily injury -Maintain good 3 3 M NIL NIL SMS
fall housekeeping Work
-Provide adequate lighting instruction
6 Transport all Struck by Fatality Only trained forklift 5 2 H Only appointed Supervisor SMS
equipment industrial operator to operate the forklift operator Work
back to vehicle forklift to operate instruction
workshop forklift
Falling object Fatality Assign trained rigger to do 5 1 M NIL NIL SMS
during lifting lifting work. Lifting
Follow lifting procedure procedure
Page 3 of 3
RISK ASSESSMENT FORM
Company Group 3 Conducted By (Date) 10/05/2006
Severity
Likelihood
Risk Level
Accident/III Risk Control Follow-up Date) Reference
Health & Measure
Persons-at-risk
3 Check location Lack Suffocation or Conduct gas check 5 1 M Minimum one Supervisor
to be cleaned oxygen asphyxiation gas meter
carrier per
work group
Severity
Likelihood
Risk Level
Accident/ Ill Risk Control (Follow-up Date) Reference
Health & Measure
Persons-at-risk
4 Disinfect the Overcome Disorientation & Use supplied airline mask 3 1 L Use water Supervisor
tank with by Unconscious and refer to MSDS based
chemical chemical chemical
fumes
5 Demuck and Overcome Unconscious Use supplied airline mask 3 3 M Extractor fan Supervisor
dispose by toxic and gas meter
gas build
up
Severity
Likelihood
Risk Level
Accident/III Risk Control Follow-up Date) Reference
Health & Measure
Persons-at-risk
1 Before Communication May carry out All trade supervisor to 5 1 M Make sure all SRM
Highlight in breakdown incompatible attend meeting trade
VSCC Meeting date/time work supervisors
attend meeting
2 Gas free Fire & Fatality Gas monitoring 5 1 M Conduct Safety personnel
certificate to be Explosion regular gas
obtained monitoring
Severity
Likelihood
Risk Level
Accident/ Ill Risk Control (Follow-up Date) Reference
Health & Measure
Persons-at-risk
4 Mobilize Struck by Bodily injury Trained rigger and signaler 3 3 M Conduct Supervisor
equipment and object toolbox briefing
manpower
Rash act Bodily injury Familiarise inexperienced 3 3 M Buddy system Supervisor
worker with work for new
environment workers
5 Work-in- Fumes & Dizziness Permit-to-work for tank 3 3 M Regular gas Safety personnel
Progress gas cleaning monitoring
Identify exact
location for Lack of Asphyxiation Provide adequate forced 5 1 M Carry portable supervisor
cleaning oxygen ventilation gas detector
Slip & Fall Bodily injury Provide adequate lighting 3 3 M NIL NIL
6 Residual oil to Slip & Fall Bodily injury Provide adequate lighting 3 2 M Standby Supervisor
be pumped out sawdust, oil
dispenser
Gas & Dizziness Provide adequate forced 3 3 M Regular gas Safety personnel
Fumes ventilation monitoring
Excessive Noise Induced PPE 4 3 H Conduct noise Safety Officer
noise Deafness monitoring
7 Cleaning of Slip & Fall Bodily injury Provide adequate lighting 3 2 M Standby Supervisor
sludge sawdust, oil
manually dispenser
Gas & Dizziness Provide adequate forced 3 3 M Regular gas Safety personnel
Fumes ventilation monitoring
Skin Dermatitis Wear rubber gloves & 2 2 L NIL
irritation barrier cream
Severity
Likelihood
Risk Level
Accident/ Ill Risk Control (Follow-up Date) Reference
Health & Measure
Persons-at-risk
8 Wiping down Slip & Fall Bodily injury Provide adequate lighting 3 2 M Standby Supervisor
the surface sawdust, oil
manually dispenser
Gas & Dizziness Provide adequate forced 3 3 M Regular gas Safety personnel
Fumes ventilation monitoring
Skin Dermatitis Wear rubber gloves & 2 2 L NIL
irritation barrier cream
9 Pack the sludge Gas & Dizziness Provide adequate forced 3 3 M Regular gas Safety personnel
bags Fumes ventilation monitoring
Slip & Fall Bodily injury Provide adequate lighting 3 2 M Standby Supervisor
sawdust, oil
dispenser
10 Dispose sludge Slip & Fall Bodily injury Provide adequate lighting 3 2 M Standby Supervisor
bags on deck to sawdust, oil
sludge bin dispenser
Severity
Likelihood
Risk Level
Accident/ Ill Risk Control (Follow-up Date) Reference
Health & Measure
Persons-at-risk
11 Remove sludge Struck by Bodily injury Proper material handling to 3 3 M Conduct Supervisor
to shore falling be adopted toolbox briefing
object
12 Final inspection Gas & Dizziness Provide adequate forced 3 3 M Monitor gas Safety Officer &
by safety Fumes ventilation from bell Trade Foreman
assessor / mouth & drop
production line (change of
supervisor condition)
Severity
Likelihood
Risk Level
Accident/III Control Measure Follow-up Date) Reference
Health &
Persons-at-risk
Severity
Likelihood
Risk Level
Accident/ Ill Risk Control (Follow-up Date) Reference
Health & Measure
Persons-at-risk
4 Inspection Slip & Fall Bodily injury Arrange more lighting and 3 3 M NIL NIL
ventilation
Severity
Likelihood
Risk Level
Accident/III Risk Control Follow-up Date) Reference
Health & Measure
Persons-at-risk
1 Gas free Fire & Fatality Gas monitoring 5 1 M Conduct regular Safety personnel
certificate to be Explosion gas monitoring
obtained
2 Permit-to-Work Lack of Asphyxiation - Continuous ventilation 5 1 M Work group Supervisor
for tank entry oxygen - Explosion Proof Lighting bring along
Portable Gas
Detector /
torchlight
3 Mobilize Struck by Bodily injury Trained rigger and 3 3 M Conduct Supervisor
equipment and object signaler toolbox briefing
manpower
Rash act Bodily injury Familiarise inexperienced 3 3 M Buddy system Supervisor
worker with work for new workers
environment
4 Identify exact Fumes & Dizziness Permit-to-work for tank 3 3 M Regular gas Safety personnel
location for gas cleaning monitoring
cleaning
Lack of Asphyxiation Provide adequate forced 5 1 M Carry portable supervisor
oxygen ventilation gas detector
Slip & Fall Bodily injury Provide adequate lighting 3 3 M NIL NIL
Severity
Likelihood
Risk Level
Accident/III Risk Control Follow-up Date) Reference
Health & Measure
Persons-at-risk
5 Residual oil to Slip & Fall Bodily injury Provide adequate lighting 3 2 M Standby Supervisor
be pumped out sawdust, oil
dispenser
Gas & Dizziness Provide adequate forced 3 3 M Regular gas Safety personnel
Fumes ventilation monitoring
Excessive Noise Induced PPE 4 3 H Conduct noise Safety Officer
noise Deafness monitoring
6 Cleaning of Slip & Fall Bodily injury Provide adequate lighting 3 2 M Standby Supervisor
sludge sawdust, oil
manually dispenser
Gas & Dizziness Provide adequate forced 3 3 M Regular gas Safety personnel
Fumes ventilation monitoring
Skin Dermatitis Wear rubber gloves & 2 2 L NIL
irritation barrier cream
7 Wiping down Slip & Fall Bodily injury Provide adequate lighting 3 2 M Standby Supervisor
the surface sawdust, oil
manually dispenser
Gas & Dizziness Provide adequate forced 3 3 M Regular gas Safety personnel
Fumes ventilation monitoring
Skin Dermatitis Wear rubber gloves & 2 2 L NIL
irritation barrier cream
Severity
Likelihood
Risk Level
Accident/III Risk Control Follow-up Date) Reference
Health & Measure
Persons-at-risk
8 Pack the sludge Gas & Dizziness Provide adequate forced 3 3 M Regular gas Safety personnel
bags Fumes ventilation monitoring
Slip & Fall Bodily injury Provide adequate lighting 3 2 M Standby Supervisor
sawdust, oil
dispenser
9 Dispose sludge Slip & Fall Bodily injury Provide adequate lighting 3 2 M Standby Supervisor
bags on deck to sawdust, oil
sludge bin dispenser
Severity
Likelihood
Risk Level
Accident/III Risk Control Follow-up Date) Reference
Health & Measure
Persons-at-
risk
1 Highlight -Language barrier Miscommunica Minimum supervisory 3 2 M Supervisor PJM
VSCC Meet -Competency tion leading to level must attend VSCC trained in
problem incompatible SSSC should
works attend
2 Provide Lack of oxygen Asphyxiation Provide portable gas 5 1 M Regular gas Safety personnel
ventilation & detector monitoring
lighting
Slip & Fall Bodily injury Use butterworth opening 3 3 M Designate safe Supervisor
to lay out lighting instead access
of manhole
3 Display entry -Display at wrong Incompatible Chargehand and 3 2 M Must hang at Supervisor
permit at location work supervisor level to strategic
location -No display display permit location near
work site
4 Display entry Failed to display Missing person -Ensure all person 2 3 M Closely Supervisor
tag correctly tag unaccounted deposit tag upon entry monitor
-Team leader to ensure compliance
all tags are displayed
Severity
Likelihood
Risk Level
Accident/ Ill Risk Control (Follow-up Date) Reference
Health & Measure
Persons-at-
risk
5 Check Falling hazard Bodily injury - Use torchlight and 3 3 M NIL NIL
access ladder clipping hammer
- Provide alternative
access if found
unsafe
Severity
Likelihood
Risk Level
Accident/III Risk Control Follow-up Date) Reference
Health & Measure
Persons-at-risk
1 Open manhole Fall from Fatality Barricade the opening 5 1 M NIL NIL
in way of Fuel height -‘U’ Stand
Oil Bunker Tank -Erect barricade staging
Fumes and Asphyxiation Follow the Safe Work 5 1 M NIL NIL
gases Procedure
2 Arrange Struck by Bodily injury Trained rigger & signaler 2 2 L NIL NIL
ventilation falling
objects
3 Highlight in the Permit NA -Gas free 1 1 L NIL NIL
VSCC meeting application -Permit to work system
and apply entry not correct
permit (Location /
date)
4 Identify the job Falling Bodily injury -Arrange adequate lighting 4 2 M Conduct Supervisor
location from height –Proper access toolbox briefing
-Lack of Asphyxiation Adequate ventilation 5 1 M Arrange Supervisor
oxygen additional gas
-Fumes / meter
gas
Severity
Likelihood
Risk Level
Accident/ Ill Risk Control (Follow-up Date) Reference
Health & Measure
Persons-at-risk
6 Remove sludge Struck by Bodily injury Proper manual handling of 3 3 M Conduct tool Supervisor
bags from the falling material box briefing
tank objects
7 Inspection Slip & Fall Bodily injury Arrange more lighting and 3 3 M NIL NIL
ventilation
Severity
Likelihood
Risk Level
Accident/III Risk Control Follow-up Date) Reference
Health & Measure
Persons-at-risk
3 Entry into Wing Falling and Bodily injuries Maintain steady descend 3 2 M Proper Supervisor and
Ballast Tanks. tripping of ladder supervision of group leader
hazard work and
movement.
Lack of Fatality Maintain adequate 5 1 M Prolong Supervisors
oxygen ventilation & provide ventilation in
portable gas detector tank
Severity
Likelihood
Risk Level
Accident/ Ill Risk Control (Follow-up Date) Reference
Health & Measure
Persons-at-risk
Falling Bodily injuries Avoid standing directly 3 3 M Tool box Supervisor and
objects, below loose scales briefing for group leader
such as workers
rusty
scales.
4 Commence of Tripping & Bodily injury PPE 2 2 L NIL NIL
cleaning Slipping
hazard
Dropping of Bodily injuries Proper job co-ordination for 3 3 M Tool box Supervisor and
rusty locations briefing for group leader
scales workers
5 QC and owner Tripping Bodily injury Final house-keeping prior 2 2 L NIL NIL
representatives hazard inspection
inspection
6 Return of entry NIL NIL NIL NIL NIL NIL NIL NIL
and cleaning
permit. (Only
documentation)
Severity
Likelihood
Risk Level
Accident/III Risk Control Follow-up Date) Reference
Health & Measure
Persons-at-risk
1 Prep. of Pinch point Hand, leg injury Keep hands away form 2 2 L NIL NIL
equipment (caught in pinch points
-Winch between)
-Pumps
-Chemicals
-Rags
-Bum bags Chemical Eye irritation Safety goggles (PPE) must 2 2 L NIL NIL
-Scrapper splash into be worn while handling
-Scoop eye
Handling of Skin dermatitis Rubber glove to be use 2 2 L NIL NIL
chemicals only
2 Transport Speeding Collision with Driver must be trained 5 2 H Sent operator Head of Dept
equipment to structure or hit and observed speed limit for defensive
worksite using passer by in the yard driving
forklift
Toppling of Damage of All equipment are secure in 2 1 L NIL NIL
unsecured Equipment a metal cage
equipment/
uneven
ground
Severity
Likelihood
Risk Level
Accident/ Ill Risk Control (Follow-up Date) Reference
Health & Measure
Persons-at-risk
3 Lifting of Struck by Bodily injury Using of tag line to control 2 2 L NIL NIL
equipment to moving the swinging load
ship by crane object
Struck by Fatality - Trained rigger & 5 2 H Additional men Head of Dept &
dropped signalman to carry out deploy to guide Lifting supervisor
object operations only & control traffic
- Use valid lifting movement
equipment
4 Setting up Electric Shock to worker - Inspection of electrical 3 2 M Electrical Maintenance
equipment shock & Numbness equipment at store equipment to personnel
-Ventilation - 110V supply to be used be tagged after
-Lighting inspection
-Compress air Struck by Bodily injury - Whip arrestor to be used 3 2 M Use correct Immediate
hose compress to prevent back lash rating of whip Supervisor
connection air hoses - Shut off air manifold arrestor
when before disconnecting
connecting
Trip & fall Bodily injury Rubber boot to be worn 3 3 M NIL NIL
due to
slippery
floor
Lack of Asphyxiation - Adequate ventilation 5 1 M Regular gas Safety personnel
oxygen - Portable gas detector monitoring of
confined space
Fire hazard Fatal Use only explosion proof 5 1 M NIL NIL
due to sub- lightings
standard
lighting