Task Based Risk Assessment Form

TBRA #: SASBH2S#12 PTW: Location of work: RIG FLOOR AND CELLAR DECK

Task description: CHECK H2S CONCENTRATION DURING WIRELINE AND WELL TESTING

Briefing Responsibilities Tick off relevant energies that must be controlled

All job participants are present (including 3rd Party) x Mechanical

All necessary PTW documentation and checklists complete Electrical

All PPE, tools and equipment present, inspected and in good working
Pressure
order
Review Hand Safety hazards (specific pinch points and handling aids /
Temperature
methodologies / controls to eliminate risk exposure)
Review Dropped Object potential hazards (static and dynamic) Chemical
Question and challenge individuals understanding of responsibilities -
Biological
both job and risk control measures delegated
SSE's deliberately allocated responsibilities suitable to experience and
Radiation
paired with a mentor

Any change to the plan = STOP and regain control Sound

Set agreed 'Planned Break' to assess state of control x Dropped Objects (Gravity)

Plan to debrief on completion of the task - all involved x Motion

Risk matrix in TMS: DIR-00-0034 Risk Matrix - refer to DIR attachment

Tasks in order of sequence Related hazard Risk before Corrective actions Responsible for Risk after
corrective to actions corrective actions
actions Eliminate / Control / Protect against the
hazard

Con Prob Risk Con Prob Risk level

(1-5) (A-E) level (1-5) (A-E)

APPROACH WORK SITE AND SITE CONGESTED AREA 3b 15 BE VIGILANT H2S ENGINEER 2b 13.5
PREPARATION -OPEN HOLE -PPE
-SHARP EDGES - -CORRECT MANUAL LIFTING
MANUAL HANDLING TECHNIQUE
NOISE -WEAR DOUBLE HEARING
PROTECTION

CHECK H2S CONCENTRATION HIGH PRESSURE EQUIPMENT AREA 3b 15 RESPECT BARRICADED AREA H2S ENGINEER 2b 13.5
H2S GAS EXPOSURE WEAR SCBA DURING SAMPLING
TURN ON BLOWER
STAY UP WIND

Planned Planned Planned SWA

Participants in task: Printed name Signature Break Break Break (as app)
(Initials) (Initials) (Initials)

Other participants:

Other participants:

Other participants:

Other participants:

Other participants:

Other participants:

Work commence authorization: Printed name Signature Date and time

Supervisor in charge

Debrief:

Did we achieve a predictable out come?

What went right?

How could the job have been done better?

Lessons Learned:

file:///conversion/tmp/activity_task_scratch/606886315.xlsx
Action Items: (Update Procedures - TBRA):

file:///conversion/tmp/activity_task_scratch/606886315.xlsx
file:///conversion/tmp/activity_task_scratch/606886315.xlsx