RISK ASSESSMENT NARRATIVE Reference No.

Department/Company: Facility/Unit: Assessment Date: -

Location: Job Title: Issue Date/Rev No.

Page 1 of 16 OHSAS 18001 - RA Form Revision # 5, May 2015

 Reference
RISK ASSESSMENT FORM No.
BMDS - MS - 11 - 2017

Facility/ Assessment
Department/Company: BMDS TANK 901 10-Jan-17 -
Unit: Date:
Issue
Desludging and Cleaning Work on
Location: SITRA TANK FARM Job Title: Date/Rev - -
Tank 901 No.

Severity of Likeli
Consequen hood Additional
Residual Action
No. Activity / Job Task HAZARD CONSEQUENCE ce Existing Control Measures [Refer to RISK Control
Risk No. Risk No.
[Refer to the the Measures
Matrix] Matrix]

1 Desludging using Super Suker

Vaccum Tanker from out side
Plan activities to aviod ignition source
the man way
inside the tank bund area , Proper
earthing and bonding procedures ,
Vacuum tanker with
Fire/Explosion due to Avaliability of gas monitors , fire fighting No additional
the availability of 4 1 4 4 -
ignition of hydrocarbon equipments and fire watcher,Tanker required
hydrocarbon vapors
shall be parked outside the unit
boundary/minimum 75feetaway.
Evacatute the area and prcedures.

Wear PVC nitrile gloves,disposible

No additional
skin contact skin irritation 2 coverall & Wear UV protection glasses 1 2 2 -
required
(spartan - 91948)

Proper earthing to aviod ignition source

inside the tank bund area.Check /
inspect the earthing before start the No additional
Static electricity Electric shock 4 1 4 4 -
activity by the driver and site required
foreman.Follow Bapco emergency
procedures

Clamp all joints properly , check of all

hoses for leaks , operate the lecel slowly
No additional
spillage Environmental impact 2 to prevent sudden flow of the sludge , 1 2 2 -
required
provide fresh sand to contain and clean
spillage

Ensure gas testing by authorized AGT ,

Use H2S mointors and appropriate
Inhalation of toxic Asphyxiation , respirators , Entry restricted till the No additional
4 1 4 4 -
gases unconscoisness sludge is removed to a sufficient extend required
that the super connot remove any
further .

wear non slippery boots. Proper

housekeeping , spillage shall be No additional
Sliparry Floor Physical injury 2 1 2 2 -
absorbed using sand,Drip trays to be required
used.

Page 2 of 16 OHSAS 18001 - RA Form Revision # 5, May 2015

 Reference
RISK ASSESSMENT FORM No.
BMDS - MS - 11 - 2017

Facility/ Assessment
Department/Company: BMDS TANK 901 10-Jan-17 -
Unit: Date:
Issue
Desludging and Cleaning Work on
Location: SITRA TANK FARM Job Title: Date/Rev - -
Tank 901 No.

Severity of Likeli
Consequen hood Additional
Residual Action
No. Activity / Job Task HAZARD CONSEQUENCE ce Existing Control Measures [Refer to RISK Control
Risk No. Risk No.
[Refer to the the Measures
Matrix] Matrix]

2 Pushing the sludge with shovel

and squeegees towards the
suction hoses by B.A users.
Waterwashing , collecting and
removel of scales using fresh
air equipment water to be Suffocation due to
drained using vacuum Tanker or presence of toxic
pneumatically operated pumps. vapours and fumes
Use fresh air breating apparatus by only
cerfified personnels trained By
Bapco.Qualified Emergency rescur and
attender crew and equipment on stand
Damage to internal by , Rest breaks (crew rotation). No additional
organs / Death
4
Maintain check list by F,H&S
1 4
required
4 -
DeptForeman ensure standby B.A in
case of emargency.Proper Supervison.
Use only Brass shovel inside the tank to
aviod spark

Wear PVC nitrile gloves,disposible

Contact of product on Irritation to naffected No additional
2 coverall & Wear UV protection glasses 1 2 2 -
Skin , face and eye parts of body required
(spartan - 91948)

Interruption to breathing Hold Airline while walking,Provide proper No additional

Damage to Airline 4 1 4 4 -
air supply causing panic lighting,Maintain daily checklist required

Access ways will be clear from

No additional
Tripping injury to body 3 hoses,provide proper explosion proof 1 3 3 -
required
lighting, Maintain good housekeeping

Use fresh air breating apparatus by only

cerfified personnels trained By
Bapco.Qualified Emergency rescur and
attender crew and equipment on stand
Traces of vapours Damage to internal by , Rest breaks (crew rotation). No additional
4 1 4 4 -
and fumes organs / Death Maintain check list by F,H&S required
DeptForeman ensure standby B.A in
case of emargency.Proper
Supervison.Use 3M 7800 full face
respirators with 3M6003 filters .

Page 3 of 16 OHSAS 18001 - RA Form Revision # 5, May 2015

 Reference
RISK ASSESSMENT FORM No.
BMDS - MS - 11 - 2017

Facility/ Assessment
Department/Company: BMDS TANK 901 10-Jan-17 -
Unit: Date:
Issue
Desludging and Cleaning Work on
Location: SITRA TANK FARM Job Title: Date/Rev - -
Tank 901 No.

Severity of Likeli
Consequen hood Additional
Residual Action
No. Activity / Job Task HAZARD CONSEQUENCE ce Existing Control Measures [Refer to RISK Control
Risk No. Risk No.
[Refer to the the Measures
Matrix] Matrix]

Wear PVC nitrile gloves,disposible

skin irritation if used in
Use of cut cleaner
prolonged period.
coverall & Wear UV protection glasses
No additional
3 (spartan - 91948)Refer to MSDS if there 1 3 3 -
required
is contact with the product of copy of
MSDS will be kept on site

3 Explosion proof lighting

All lights should be kept away from work
arrangement provided by Bapco
area and electrical sockect to be kept
away from water by keeping it on raised
No additional
Electric Shock Majore injury or Death 4 platform , Proper earthing of lighting 1 4 4 -
required
equipments, All electrical connection
through E.L.C.B, Daily check monitoring
of earth connection .

4 Manual Handling
Use correct method of lifting techniques,
Frequently or
Ensure suffucient crew , Do not put hand No additional
awkward movements Back/Wrist injury 3 1 3 3 -
/ finger in trap points , wear heavy duty required
of body
gloves

5 Transportation of materials
using Haib All tasks should carried out by
trained,andauthorized and competent
No additional
Incompetent operator Major injuries 4 Personnels,Ensure trained banks man , 1 4 4 -
required
Use correct access to entre obey bapco
traffic rules.

Only licenced operator is allowed to use No additional

failure of equipment Major injuries 4 1 4 4 -
haib. Use certified haib and lifting gears required

6 Movements of the vacuum

tanker around the work site maintanance shall be done regularly ,
Fire extingushal shall keot nearby ,
Fire due to No additional
Major injuries 4 depoly one fire watcher, compressor 1 4 4 -
overheating required
must kept away from flammable &
combustilble materials

Page 4 of 16 OHSAS 18001 - RA Form Revision # 5, May 2015

 Reference
RISK ASSESSMENT FORM No.
BMDS - MS - 11 - 2017

Facility/ Assessment
Department/Company: BMDS TANK 901 10-Jan-17 -
Unit: Date:
Issue
Desludging and Cleaning Work on
Location: SITRA TANK FARM Job Title: Date/Rev - -
Tank 901 No.

Severity of Likeli
Consequen hood Additional
Residual Action
No. Activity / Job Task HAZARD CONSEQUENCE ce Existing Control Measures [Refer to RISK Control
Risk No. Risk No.
[Refer to the the Measures
Matrix] Matrix]

Overturning or hitting Serious accidents Trained and experience operator on the

No additional
plant machinery and causing injury to man 4 job,Banks man to be present to guide 1 4 4 -
required
man and damage to asset the tank while reversing and parking.

7 Refueling of equipments
Physical injury/property Swith off equipment while No additional
Fire/explosion 4 1 4 4 -
damage refueling.Proper earthing. required

8 Operation of Fuel driven

All equipment should be kept at a
compressor and other
distance to prevent exposure of high No additional
equipments Noise Moderate - NIHL 2 1 2 2 -
noise level, Noise signages to be posted required
and ear protection must worn.

Proper maintanance of equipment to be

carried out,Inspection tags to be affixed
Toxic gas Co,smoke with all equipment to be checked daily No additional
Moderate - Asphyxiation 3 1 3 3 -
from exhaust by the operator,Compreeors and other required
equipments must kept away form work
area.

9 Poor hose management The hoses of compressor should not

Lost time / Non lost No additional
slip trip & fall 3 cross the walk ways , hoses to be laid 1 3 3 -
Time injury required
appropriatly to aviod tripping hazard.
No additional
0 0 -
Norequired
additional
0 0 -
Norequired
additional
0 0 -
required
No additional
0 0 -
Norequired
additional
0 0 -
Norequired
additional
0 0 -
Norequired
additional
0 0 -
Norequired
additional
0 0 -
Norequired
additional
0 0 -
Norequired
additional
0 0 -
Norequired
additional
0 0 -
required

Page 5 of 16 OHSAS 18001 - RA Form Revision # 5, May 2015

 Reference
RISK ASSESSMENT FORM No.
BMDS - MS - 11 - 2017

Facility/ Assessment
Department/Company: BMDS TANK 901 10-Jan-17 -
Unit: Date:
Issue
Desludging and Cleaning Work on
Location: SITRA TANK FARM Job Title: Date/Rev - -
Tank 901 No.

Severity of Likeli
Consequen hood Additional
Residual Action
No. Activity / Job Task HAZARD CONSEQUENCE ce Existing Control Measures [Refer to RISK Control
Risk No. Risk No.
[Refer to the the Measures
Matrix] Matrix]

No additional
0 0 -
Norequired
additional
0 0 -
Norequired
additional
0 0 -
required
No additional
0 0 -
Norequired
additional
0 0 -
Norequired
additional
0 0 -
Norequired
additional
0 0 -
Norequired
additional
0 0 -
Norequired
additional
0 0 -
required
No additional
0 0 -
Norequired
additional
0 0 -
Norequired
additional
0 0 -
Norequired
additional
0 0 -
Norequired
additional
0 0 -
Norequired
additional
0 0 -
Norequired
additional
0 0 -
Norequired
additional
0 0 -
Norequired
additional
0 0 -
Norequired
additional
0 0 -
Norequired
additional
0 0 -
Norequired
additional
0 0 -
Norequired
additional
0 0 -
Norequired
additional
0 0 -
Norequired
additional
0 0 -
Norequired
additional
0 0 -
required
No additional
0 0 -
Norequired
additional
0 0 -
Norequired
additional
0 0 -
required

Page 6 of 16 OHSAS 18001 - RA Form Revision # 5, May 2015

ACTION ITEM TRACKING FORM Reference No.

Department/Company: BMDS Facility/Unit: - Assessment Date: 17/10/16 -

Location: - Job Title: - Issue Date/Rev No. - -

Action Item No.

0
ACTION PLAN

ADDITIONAL CONTROL ACTION BY / TARGET VERIFICATION /

NO. ACTION TO BE TAKEN DEPARTMENT SIGNED BY
MEASURE SIGNATURE DATE CLOSURE DATE

10

11

12

13

14
RISK ASSESSMENT TEAM APPROVAL Reference No. BMDS - MS - 11 - 2017

Department/Company: BMDS Facility/Unit: TANK 901 STF Assessment Date: 10-Jan-17 -

Desludging and Cleaning

Location: SITRA TANK FARM Job Title: Issue Date/Rev No. -
Work on Tank 901

I have participated in the review and approval of this Risk Assessment

Badge
Department/Company: Name Job Title Signature Date
Number

BMDS Sabari Rajan C 43973 HSE OFFICER

BMDS Ansari C 19559 BMDS Supervisor

SDMM

SDMM

OS&E

HSE

HSE

Page 8 of 16 OHSAS 18001 - RA Form Revision # 5, May 2015

RISK ASSESSMENT TEAM APPROVAL Reference No. BMDS - MS - 11 - 2017

Department/Company: BMDS Facility/Unit: TANK 901 STF Assessment Date: 10-Jan-17 -

Desludging and Cleaning

Location: SITRA TANK FARM Job Title: Issue Date/Rev No. -
Work on Tank 901

Page 9 of 16 OHSAS 18001 - RA Form Revision # 5, May 2015

RISK ASSESSMENT ACKNOWLEDGEMENT and COMMUNICATION Reference No. BMDS - MS - 11 - 2017

Department/Company: BMDS Facility/Unit: TANK 901 STF Assessment Date: 10-Jan-17 -

Desludging and Cleaning

Location: SITRA TANK FARM Job Title: Issue Date/Rev No. - -
Work on Tank 901

I have read and understood the hazards and controls associated with this / my job
Badge
Department/Company Name Job Title Signature Date
Number

Page 10 of 16 OHSAS 18001 - RA Form Revision # 5, May 2015

 Health, Safety and Environment Matrix
Table 1 16-25 Immediate short term mitigation required, long term risk mitigation plan must be developed and implemented

Risk Assessment Matrix 12-15 Short term interim risk mitigation required, long term risk mitigation plan must be developed and implemented
8-10 Additional long-term risk reduction required. If no further action can be reasonably taken, senior management approval must
then be required
4-6 Risk is tolerable if reasonable safeguards, controls and management systems are confirmed to be in place and consistent with the
LIKELIHOOD
relevant requirements of the risk mitigation recommendations
The likelihood of consequences 1-3 Managed risk, no further reduction is required
Index
occurring is:
Multiple occurrences have happened
5 Frequent 5 10 15 20 25
frequently in the industry; probability >80%
Occurs more than once or twice per year, is
continuous or certain to occur; probability 4 Likely 4 8 12 16 20

O
O
D
H
K
E
50%-80%
L

L
I

I
Likely to occur once every two years or more;
3 Occasional 3 6 9 12 15
probability 10%-50%

Likely to occur once or more in life of

2 Possible 2 4 6 8 10
facility/organization; probability 1%-10%
Unlikely to occur but known in industry;
1 Remote 1 2 3 4 5
probability .1%-1%
CONSEQUENCES
RISK CATEGORIES FOR ASSESSING
1 2 3 4 5
CONSEQUENCES
Incidental Minor Moderate Serious Catastrophic

Lost Time/ Non Lost Major injuries: single fatality,

First aid injury (e.g.
Time injury (e.g. sprains, amputations, major fractures,
minor cuts and bruises, Multiple fatalities or
fracture, cut, lacerations, multiple injuries, or health
Workforce No impact or minor First Aid injury eye irritation from dust) Multiple permanent
burns or bruises) or effects: severely life
Operational

or very minor health disabilities

health effect (i.e. shortening disease,
People

Health & effect

Safety deafness or dermatitis) occupational illness

Cause several serious Single or more fatalities

Creates minor public Results in one injury to
Public No public impact injuries that can cause public that can create huge
attention but no injuries public but not serious
panic public panic
HAZARDS:
WORK PLACE HAZARDS:
Access/Egress
Adverse weather
Electrical hazards
Electrical shocks
Ergonomic problems
Excessive use of mouse
Extended work hours
Fire/Explosion
Glaring light
Heating
Hot working environment
Improper storage/stacking
Long exposure to DCS/PC monitors
Obstruction
Office ergonomics
Poor housekeeping
Poor lighting
Poor ventilation
Restricted working space
Sharp edges
Sitting for a long period
Slippery area
Slips, trips and falls
Static electricity
Thermal comfort
Traffic routes
Use of office equipment / tools
Working environment
CHEMICAL HAZARDS:
Acid Burn
Acid splash
Asphyxiation
Charging chemicals to the system
Chemical burn
Chemical explosion
Chemical fumes
Chemical spillage
Chemical Splash
Cleaning - spillage of Steamate
Contact with gas
Contact with hot materials
Contact with liquids
Corrosive materials
Diesel spill
Exposure to <300 ppm H2S
Exposure to 300 ppm to <1,000 ppm H2S
Exposure to chemical dust
Exposure to chemicals
Exposure to Chlorine
Exposure to DEA
Exposure to dust
Exposure to fumes
Exposure to gases
Exposure to grease
Exposure to hydrocarbons

Page 12 of 16
Exposure to liquid Nitrogen
Exposure to more than 1,000 ppm H2S
Exposure to NH3
Exposure to oils
Exposure to SO2
Exposure to Sulfur dust
Exposure to welding fumes
Flammable materials
Leaks
Release of Nitrogen
PHYSICAL HAZARDS:
Awkward posture
Broken glass
Contact with hot materials
Glaring light
Infrared emissions
Ionizing radiations
Manual lifting/handling
Needle stick
Non-Ionizing radiations
Personal noise exposure 80 dBA and peak of 135 dBC
Personal noise exposure 85 dBA and peak 137 dBC
Personal noise exposure 87 dBA and peak 140 dBC
Poor lighting
UV/IR radiation
Vibrations
Water Leak
Water Spill
EQUIPMENT HAZARDS:
Brazing
Cleaning
Contact with cold surfaces
Contact with hot surfaces
Caught in Between
Cutting pipes
Drowning
Entanglement
Excavation
Failure of drain cleaning (trapped Pipes)
Failure to isolate the systems
Fall of objects from height
Fall of persons from height
Falling from heights
Fall from ladders
Fall from ladders >6m
Head impact into low height pipes
High pressure
Pressure release
High voltage
Lose of LP Boiler
Maintenance of floors/stairs
Mechanical lifting operations
Operation of vehicles
Oxygen deficiency <16%
Person-vehicle interface
Power failure
Pressure Systems - Gases & Autoclaves

Page 13 of 16
Use of hand tools
PROCESS HAZARDS:
Propulsion of materials
Restricted working space
Steam leaks
Use of machines - moving parts hazards
OTHER HAZARDS:
Biological hazards
Circadian rhythm disorder
Collision
Exposure to asbestos
Exposure to insects and rodents
Confined spaces
Handling gas cylinders
Medical emergency
Musculoskeletal problem
Natural phenomena / calamity
Non-occupational hazards
Oil Spill
Psychological hazards
Road hazards
Splashing of hot waters
Stored energy
Toxic/poison
Visual stress

Page 14 of 16
CONSEQUENCES:
Ache/pain
Back and arm disorders
Back and neck pain
Back injuries
Burns
Bursting of sludge drain
Cancer
Carpel Tunnel Syndrome
Causes burns to any area of contact & destructive to upper respiratory tract
Cold burns
Cuts or lacerations
Death
Diseases and infections
Drowning
Environmental impact
Electrical Shock
Explosion
Eye burns
Eye cataract
Eye irritation
Eyestrain
Fatigue/stress
Fire
First aid injury
Fractures
Frost bite
Head injury
Heat dermatitis
Heat exhaustion
Heat stress
Heat stroke
Irritation to respiratory system
Irritation to respiratory system and eyes
Irritation to respiratory system, eyes and skin
Irritation to skin
Irritation to skin, and respiratory tract
Irritation to the eyes and throat
Lost Time/ Non Lost Time injury (i.e. sprains, fracture, cut, lacerations, burns or bruises) or health effect (i.e. deafness or d
Lower back injury
Lower performance
Major injuries (i.e. amputations, major fractures, multiple injuries) or health effects (i.e. severely life shortening disease, occ
May cause irritation to skin, eyes, and respiratory tract and may cause allergic reaction and breathing difficulties
Neck pain
NIHL
Nuisances smell
Oxygen deficiency
Phosgene
Physical injury
Psychological pressure
Redness of skin
Serious burns
Serious burns or death
Single or multiple fatalities or permanent disability
Slips or trips under insufficient lighting
Sprains and fractures
Sprints, cuts or fractures
Stinging eye irritation and nose or throat irritation
Toxic
Unconsciousness
Upper limb disorders

Page 15 of 16
Visual discomfort
Wrist pain and tense muscles

Page 16 of 16