Task Based Risk Assessment form ‫ا!ستمارة مهمة ت!!قييم! ا!!

لمخاطر‬
TBRA #:0068 !‫رقم‬ PTW #: ‫رقم! ت!!صريح ا!!لعمل‬ Location of work: ‫ موقع! ا!!لعمل‬Drill floor, Cantilever
Rev 2 17 June 2020

Pull out of hole dual string completion tubing and CAM System
Running Diesel Power Pack
Has the site been visited? ‫هل‬ TBRA team leader: TBRAToolpusher & Driller
!‫ت!!متزياره! ا!!لموقع‬ Tick off relevant energies that must be controlled
(Yes / No): (!‫ ال‬/ !‫) ن!!عم‬ ‫قم بتحديد نوع الطاقه المنبعثه و التي يجب السيطره عليها‬
Is the task described in a Step-By-Step Procedure (SSP)? Energy in motion ‫ا!!لطاقة‬
‫هل تم وصف المهمه في اجاء الخطوه بخطوه‬ x !‫ا!!لحركيه‬
2.5 Red Zone Risk Assessment Chemical ‫ك!يميائية‬
When personnel are required to work in the Red Zone a TBRA must be produced
describing what work will be carried out, equipment may be used during the work. Radiation ‫إشع!اع‬
The TBRA shall be reviewed and discussed in the pre-job meeting. x Electrical !‫ك!هربائيه‬
As a minimum, the following shall be discussed in the TBRA meeting:
x Gravity ‫ا!!لجاذبية‬
• It shall be clearly established what each individual’s task will be in the red zone.
• Personnel will be advised of the high-risk areas in the red zone, and these areas x Heat/Cold ‫ ا!!لبرودة‬/ ‫ا!!لحرارة‬
must be avoided at all times, if reasonably practicable.
Biological !‫ا!!لعضويه‬
• Personnel shall be advised and shown which remotely operated equipment will be
used in the red zone while they are carrying out their work.
• Any remotely operated equipment that is not specified in the TBRA meeting may
not be used while personnel are in the red zone unless the ongoing work is stopped
and the TBRA is revisited. Before resuming, it must be determined if the work in the
red zone can continue safely with the extra equipment operating.
x Pressure ‫ا!!لضغط‬

Tasks in order of sequence Related hazard Risk before Corrective actions to Responsible Risk after
corrective actions corrective actions
‫المهام في ترتيب تسلسلى‬ ‫المخاطر ذات الصلة‬ ‫المخاطر قبل اإلجراءات‬ Eliminate / Control / Protect against the for actions ‫المخاطر بعد‬
‫التصحيحية‬ hazard ‫ا!!إلجراءات‬ ‫المسؤول عن‬ ‫اإلجراءات التصحيحية‬
!‫ا!!لتصحيحيه‬ ‫اإلجراءات‬
Con Prob Risk Con Prob Risk
(1-5) (A-E) level ‫ الحمايه من المخاطر‬/ ‫ التحكم‬/ ‫ازاله‬ (1-5) (A-E) level

Toolbox meeting with all crew (TBRA) Misunderstanding, not familiar with 4A •Raise PTW, ask feedback, ask question, DRILLER 4D
jobs, new crew member, teamwork TP
4 A 4 D
call T.O.F.S CSG CREW

Check lifting equipment, single joint Damaged equipment , potential to cause 3 B 3B Maintain tools and equipment, fix or report FM 4D 4D
elevators, dual elevator, power tongs, dual a DROPs or injure personel. any damage to supervisor if found. A/D
slips and tuggers before starting job. DRILLER
Damage to TDS service loop/ electrical Only use correct colour coded lifting TP
cables. equipment.

Tongs engaging in open position. Power Ensure to position casing power tongs where
pack cannot be turned off during the hang off cable from tuggers doesn’t come
emergency. in contact with the service loops/ cables
Check and Verify ESD and Interlocks.
Ensure strap handles are installed on Power
Tongs

Take string weight with elevators, open
slips (Franks operator). POOH dual string
in hole. Set dual slips and remove power
elevators. At this point, Derrickman will
connect single joint elevators to 1 joint at a
time ensuring safety pin is properly
installed.
Slips being set on wrong place -
damage to tools or lost string downhole.
Damaged control hoses
Tubing dropped in hole.
Derrickman getting hands trapped
4 C 4C Ensure slips are correct type and set in correct DRKMAN 4D 4D
place (Franks to verify ) FLMAN
DRILLER
Slips/Elevator operator to give clear signal to
driller when opening or closing slips/elevator
Proper hand placement and Driller to monitor
Derrickman at all times on camera

Use safety clamp as required when weight gets

less close to surface

Use power tong to break out connections. Hand / crush injury while moving tong 3 B 3B Only use green handles to mvoe & operate FM 4D 4D
Break out one single at a time. While & closing around pipe. power tong. Only assist when asked to do so. A/D
unscrewing, stabber will guide/steady joint Ensure strap handles are installed on Power CSG CREW
until lifted by driller, prior to repeating Change dies when necessary. Splinters Tongs
process with second joint. Break out second when changing dies
joint, and guide out of stump. Floormen to Proper body position. Use full PPE with
install protectors. Joint popping out when picking up faceshield.

Pinch/crush points when installing Derrickman to steady joint to prevent threads

single joint elevators hanging up

Driller to monitor on camera and stabber to

signal and watch hand placement
Lay down 2 joints of tubing in V door Struck by object 4 C 4C Keep clear when driller lowers load, , don’t A/D 4D 4D
simultaneously using single joint elevators stand under the load. Obey RED ZONE. FM
connected to bails on TDS Trapped fingers/hands
Watch hand placement
Manual handling, back strain, pinch
points between joints Keep back straight and bend from legs.

Use crane with 2 slings and remove bundles No clear banksman causing 3 B 3B Assign a signalman with Hi vis jacket 4D 4D
of 4 each for each string in V-door. miscomunication.
Know the weight of load and use rated and
Incorect rated slings for job. tested lifting gear

Load swinging uncontrolled Use tag line, keep clear from v-door area,
always have clear escape route. Obey the RED
Being hit by load , possible serious ZONE policy.
injury FM
Use double wrap on sling for rig floor tugger
No Safety pin on shackles. Potential when removing bundles from V-door
DROP

Potential for DROPS. Periodic inspection All areas contain Potential DROPS 3 C 3C All persons are to be aware of potential 4D 4D
of all lifting gear (min 3 hrs) throughout DROPS.
task
Red Zone policy must be obeyed .
FM
If in doubt - STOP and check out.

RUNNING DIESEL POWER PACK

Visual Inspection of unit Equipment faulty/failure, hoses not 3 B 3B Competent person to visually inspect unit is fit for 3rd party 4D 4D
installed correctly use and ensure all hoses fitted correctly and supervisor
Pumping hydraulic oil and air by hand and run Pinch Points / Musculoskeletal Injuries / 4 B 4B lined up hand and body placement, adopt proper
Correct 3rd party 4D 4D
Unit Sprains / Strains manual handling techniques, use correct ppe for supervisor
the task i.e. impact gloves, competent personnel
to perform task

Equipment Failure 4 B 4B Pre user checks on all equipment for defects, do 3rd party 4D 4D
not use defective equipment supervisor
Fire, Explosion 3 B 3B Gas test to be carried out and marked on PTW, 3rd party 4D 4D
Continuos Gas monitoring and PTW/extension supervisor
sheet updated every 1hr
Appropriate fire extinguisher present at worksite
and located ready to use.

Spills 4 B 4B Spill kit to be located near unit, All Spills MUST 3rd party 4D 4D
be reported immediately and cleaned up using supervisor
the correct method, all hazardous waste
disposed of correctly. Turn off machinery pre
clean up
Kick start engine power pack Slip and Trips 4 B 4B Proper body position and hand placement, 3rd party 4D 4D
supervisor

overexertion 3 B 3B Keep and practice good kinetics if manouvering 3rd party 4D 4D

hose supervisor

Fire, Explosion, 3 D 3D trained operative to start unit and explain how to 3rd party 4D 4D
shut down in emergency, supervisor

Spill 4 B 4B Spill kit to be located near unit, All Spills MUST 3rd party 4D 4D
be reported immediately and cleaned up using supervisor
the correct method, all hazardous waste
disposed of correctly. Turn off machinery pre
Run Diesel Power Pack and unit Inuries. Electric shocks 4 B 4B Test ESD. unit to be suitably grounded / earthed. 3rd party 4D 4D
clean up
supervisor
5 B 5B Keep away from engine compartment, operator 3rd party 5D 5D
Burns Sparks supervisor
to monitor engine tempreture on consol.
3 B 3B Trained operative to start unit and explain how to 3rd party 4D 4D
Fire shut down in emergency, supervisor
Shutdown power pack and disconnect hose. Equipment failure 3 B 3B Trained personnel to shutdown unit on 3rd party 4D 4D
completion of works. Operator carry out his own supervisor
companies equipment failure policies, inform rig
floor of any complications unit is having.
4 B 4B Slowly release pressure from hose in a 3rd party 4D 4D
High pressure on hoses controlled manner and ensure no other persons supervisor
present.
4 B 4B 3rd party 4D 4D
Static electricity supervisor
Assessment team members:
‫أعضاء فريق التقييم‬
Authorizing signatures: ‫ا!!لتوقيع!ات‬ Printed name 9‫السم‬99‫ا‬ Signature 9‫لتوقيع‬99‫ا‬
Supervisor:
‫مشرف العمل‬
TBRA Leader:
‫الشخص القائم بعمل الخطه‬
Other participants:
‫المشاركين اآلخرين‬
Other participants:
‫المشاركين اآلخرين‬
Other participants:
‫المشاركين اآلخرين‬
Other participants:
‫المشاركين اآلخرين‬
Other participants:
‫المشاركين اآلخرين‬
Safety officer (Optional) :
‫ى‬
( ‫مندوبا!!لسالمة )اختيار‬
Work commence authorization: Printed name 9‫السم‬99‫ا‬ Signature 9‫لتوقيع‬99‫ا‬ Date and time ‫لتوقيت‬99‫ و ا‬9‫ليوم‬99‫ا‬
‫ المصرح ببدء العمل‬Distribution: All copies of the
related Permit To Work form
Section Leader: shall have a copy of this form
‫رئیس القسم‬ attached. Filing: the original
TBRA form shall be filed on
board.
‫ن‬9‫جبا‬99‫الصلىي‬99‫ا‬
‫لحفار‬99‫حفظ علىمتنا‬99‫ ي‬TBRA: :9‫لتوزيع‬99‫ا‬
‫لمتعلقة‬99‫لعملا‬99‫صريح ا‬999‫لنسخ منت‬99‫ ا‬9‫جميع‬
‫سخة من‬99‫حتوىعلىن‬999‫نت‬9‫جب‬99‫ي‬
‫ا‬ 9‫لمهمه‬99‫ ا‬9‫ذه‬9‫ه‬999‫ب‬
‫لحفظ‬99‫ ا‬. ‫لنموذج‬99‫هذا ا‬