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FAREAST SHIPMANAGEMENT HONGKONG LIMITED ISSUE 1 REV 0 PAGE 1/2

SHIPS FILE NO M65 OFFICE FILE NO NA FORM NO: 6.9 DATE 20.06.2010
RISK ASSESSMENT: APPENDIX-1-A PROCEDURE SECTION: 6.9

RISK LEVEL
RISK ASSESSMENT
Severity/ Slightly Harmful Extremely
Likelihood Harmful Harmful
Ships Name RA No A-02/2017 Likely Moderate Substantial Intolerable
Risk 3 Risk 4 Risk 5
Work Activity Enclosed Space- Entry into ballast water tank Unlikely Tolerable Moderate Substantial
Risk 2 Risk 3 Risk 4
Hazard Identification Possible Consequences Controls Required Highly Minimal Tolerable Moderate
Analyse/review/Assess – WHAT Unlikely Risk 1 Risk 2 Risk 3
IF? a. Select the expression for likelihood which most
applies to the hazard. (1st column)
Decision b. Select the expression for severity which most applies
to the hazard (1st row)
c. Cross reference using the above table to determine the
level of risk. E.g. the likelihood = unlikely, and
Monitor / Review severity = harmful, then risk level 3
Implement d. If risk level is 3 or above then additional controls are
(Who Responsible /Next Review / By Whom)
required

No Hazards associated Possible Existing Control / Severity Likelihood Risk Level Additional
with Activity Consequences Safeguards Controls Rq’d.
Y/N
1. Toxic Gases Death, loss of Permit system Extremely Highly unlikely 3 Yes
consciousness, (checklist), ventilation Harmful
asphyxiation and supervision by
officer
2. Lack of oxygen Death, loss of Permit system Extremely Highly unlikely 3 Yes
consciousness, (checklist), ventilation Harmful
asphyxiation and supervision by
officer
3. Slip, trip and fall Injury or death Permit system Extremely Highly unlikely 3 Yes
Harmful
Copyrights: Far East Ship Management Limited, Hong Kong. All rights reserved
Any unauthorized reproduction of this manual, in any form is prohibited
FAREAST SHIPMANAGEMENT HONGKONG LIMITED ISSUE 1 REV 0 PAGE 2/2
SHIPS FILE NO M65 OFFICE FILE NO NA FORM NO: 6.9 DATE 20.06.2010
RISK ASSESSMENT: APPENDIX-1-A PROCEDURE SECTION: 6.9

Additional Control Measures

Hazard Further action if necessary (Additional Severity Likelihood Risk Level After Remedial action Date
No Controls) Additional due Completed
Controls
1. Continuous ventilation, Monitoring every Harmful Highly 2 Vessel Remarks:
hour, emergency equipments SCBA sets, Unlikely
resuscitation sets ready at entrance.
Monitoring each person entry on bridge and
also at the entrance. Personal gas meter
2. Continuous ventilation, Monitoring every Harmful Highly 2 Vessel Remarks:
hour, emergency equipments SCBA sets, Unlikely
resuscitation sets ready at entrance.
Monitoring each person entry on bridge and
also at the entrance personal gas meter.
3. Lighting should be enough and also to be Harmful Highly 2 Vessel Remarks:
intrinsically safe. Duty officer make sure Unlikely
that proper PPE is used by working staff.

Additional Comments:
1. Vessel can make additional remarks, the Risk assessment form must be filed with the permit and to be discussed with all staff involved.
2. Form will be reviewed every year through Master review of Risk assessment and also internal audits.

Office Comments:

Signed Chief Officer/Chief Engineer Master Date

Copyrights: Far East Ship Management Limited, Hong Kong. All rights reserved
Any unauthorized reproduction of this manual, in any form is prohibited

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