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5. Work Activity Description (including the hazardous events involved): 6. Potential Harm to: 7. Initial Risk Rating
Record below the risk rating Severity Likelihood Risk Rating
Helideck surface friction test due. S L R
People (P) B 4 4B
Environment (E) -
B 4 4B
Assets (A)
Reputation (R)
Security (S) Record above the Highest Risk category of the PEARS
8. Lead Assessor Name: 9. Signature:
10 Date of Assessment: 11. Review Date:
12Employees at Risk:
Helideck team member / passenger / pilots
13. Others Who May Be At Risk:
Installation POB
14.Assessment Team Competency 15. Assessment Team Names and Positions Assessment Team Names and Positions
Requirements
1. Capt Banta – FOM Westar
2. Irzam -
16. HAZARD BEING ASSESSED: 19. Preliminary Risk Rating 20 CONTROL MEASURES 21. Residual 22 Accepted
18. P. E.
1
RISK ASSESSMENT
Severity Likelihood Risk
A. R. S.
S L Rating
R
17. THREATS
List the threats that if not controlled could lead
to a hazard being released. Include whether
the threat releases the hazard against People,
Environment, Assets, Reputation or Security List at least one control measure per threat S L R X = reject
and mark with a P E A R or S accordingly. listed. = accept
1. Helicopter skidding B 4 Apply wind limitation factor for D 2 2D
helicopter take off and landing
2. Helicopter sliding B 4 Apply wind limitation factor for
helicopter take off and landing
3. Passesnger waliking slipping D 4 4D HLO to escercise extra coutius B 2 2B
handling pax
2
RISK ASSESSMENT
25. Closing Risk Rating – with all accepted controls fully implemented
Severity S Likelihood L Risk Rating R Comments regarding closing risk rating
Whenever the Friction test have been successfully carried out, all the hazard related to the
2 B 2B
topic issue are closed.
26. Does this Risk Assessment affect the safety Case? Should it be Yes/No Action by:
added into the safety case in Bowtie Form?
27. Assessment Accepted By: Position: Date:
Signature:
28. Comments/Recommendations/Other Documentation Attached
Notes:
1. Where appropriate, copies of the completed Risk Assessment are to be made available to those employees identified as being ‘At Risk’ in
order to allow them sight of the Control Measures identified for their safety.