QHSE Reference How to use the form:

1. Crew performing task review ALL generi c JRA considera tions .

Number Title ABAN 2. Review previ ous JRA upda te(s ) for useful informati on, whi ch will help THIS task.
SAF 110.00 General Safety Rules 3. Crea te new JRA upda te wi th generi c from and ALL considera tions for this task.
TRM 101.20 Texas Deck Operation
JOB RISK ASSESSMENT 4. Ca rry out task as per plan. If any condi tions change, STOP a nd RE-ASSESS!
TRM 101.23 Installing Surface BOP Stack
5. Keep ori ginal copy of Job Risk Assessment for audi ting purposes.
TRM 105.21 Working Over Water

L- LIKELIHOOD S - SEVERITY R - RATING RESULT

CATEGORY DEFINITION CATEGORY DEFINITIONS H 3 6 9 Unacceptable

SEVERITY
LOW (1) Remote LOW (1) No Injury No dama ge No Pollution M 2 4 6 Tolerable
MED (2) Possible MED (2) Fi rs t Aid Injury Minor Dama ge Minor Pollution L 1 2 3 Acceptable
HIGH (3) Probable HIGH (3) Los t Time Injury Ma jor Damage Ma jor Polluti on L M H JRA Policy Reference
IS THERE A SAFER WAY TO COMPLETE THE JOB? ARE THERE ALTERNATIVES WITH LESSER RISK? LIKELIHOOD SAF 330.00

Rig; Name of Rig Rig Job Risk Assessment Number Original Issue Date: Oct 15, 2009
Crew: Drill Date Last Revised:
Activity Nipple Up Diverter and Riser Dept Head Approval: Last Revised by: Name of Person
Residual
Risk Accepta ble?
Step Task Hazard Risk Reduction Measure Tolerable?
L S R L S R
Ensure that all participants are
Review and update Risk Assessment Not all participants present
1 2 3 6 present when conducting a risk 1 3 3 Tolerable
& conduct a pre-task meeting. while assessing risk.
assessment.
Ensure that Issuing Authorities on all
Obtain required initial Cold Work Permits being signed without Permits and Certificates visually
2 2 3 6 1 3 3 Tolerable
Permit. visual inspection of work site. inspect the work site as specified on
the permit and certificate.
Double check that we have all the
Prepare tools, inspect equipment, and Poor planning, equipment equipment r eady. Inspect all
3 safety equipment. failure. 2 3 6 equipment and check for 1 3 3 Tolerable
certification.

Attach slings and remove slings from Pinch points between riser and
Careful hand placement.
4 riser. slings. 2 3 6 1 3 3 Tolerable

Lift up and lower into slot at an angle Damage to equipment below Shut down wells adjacent, weld stops
5 2 3 6 1 3 3 Tolerable
due to height restrictions. and personnel in place on riser to stop slings from

Form No. SAF-019, 1 September 2009, Refer to SAF 330.00 Page 1 of 2

 slipping.

Gather all participants and review the

6 PLANNED TIME OUT for Safety
Place gasket and attach bolts.
7 adapter. Pinch points with bolts
Participants forgetting steps
and hazards prior to a critical
task.
Poor communication while
slacking down the diverter
and flanges.
risk assessment prior to carrying out
2 3 6 1 3 3 Tolerable
a critical task. Also explain that if any
new hazards arise to call a time out.
Insure gasket is clean and area in
which it is placed. Careful hand
placement. Ensure there is a
2 3 6 1 3 3 Tolerable
signalman or radio while slacking off
the diverter or riser.

Integrate the persons operating

Attach Beebe winches to diverter, Loss of control, pinch points
Beebe winches under one supervisor.
8 remove straps. from hooks and shackles. 2 3 6 1 3 3 Tolerable
Careful hand placement.

Remove bolts and lift from stump & Dropped objects, hook does not
All personnel stand clear, tidy area.
transfer and lower slowly. Align and properly latch; diverter
9 2 3 6 Ensure the hook catches properly. 1 3 3 Tolerable
place bolts in place. swinging.

Use ropes to transfer wire rope from

Remove Beebe winches and secure Dropped objects and trapped
hand winches to stack. Careful hand
10 diverter with 4 hand winches. fingers. 2 3 6 1 3 3 Tolerable
placement.

Dropped objects, trapped

Clear personnel, use tag lines. Careful
Lift diverter lines using Beebe winch fingers when slinging,
hand placement. Inspect the
11 and air tuggers. equipment not inspected 2 3 6 1 3 3 Tolerable
equipment befor e use.
properly.

Form No. SAF-019, 1 September 2009, Refer to SAF 330.00 Page 2 of 2