Task Risk Assessment Form

FM-088 Version 4

Title: Cement unit maintenance Applicant: Short description of work to be carried out:
Work Area: Cement unit room Department: Drilling Service Leve 4
Work Permit no: Area Responsible Person:
TBT card no.: Department leader: Paul Best
Job (TM master) no: Sub-contractor / Client Schlumberger
Risk rating: low medium high
Steps Hazard Initial Risk Controls Residual Risk
Description Effect Persons at Risk Severity Likelihood Risk Rating Controls in order to reduce the risk Severity Likelihood Risk Rating
Break down the activity, task, job, project Describe all hazards for Describe the effects. Name all persons/ranks at risk. Persons Risk Matrix. Risk Matrix. Sum of the Describe the controls required to ensure Risk Matrix. Risk Matrix. Sum of the
etc. in individual steps. each step. not related to the task may also be No controls in No controls in severity and the residual risk is acceptable. Controls in Controls in severity and
affected. place. place. likelihood. place. place. likelihood.

Barriers are to be in place. Only

workgroup to be in area. PTW/Electrical
isilation certificate shall be performed -
Risk assessment - Toolbox to be discussed
Use of wrong procedure,lack of and Bridge informed.
Preparetion for job communication,simultanious Injury/death Personnel transiting 3 2 6 3 1 3
operations

Cement Unit must be switched off,

Preparation of job site Faulty settings/Mistakes made during Personal injury Schlumberger team 4 2 8
Electrical /Mechanical Isolation 4 1 4
preparation for maintenance certificate in place with appropriate
tags.

Full PPE to be worn and Correct working

practices to be followed at all times.
Personnel informed at the tool box to take
their time and not rush.
Belt Replacement on the Radiador and Nips and cuts to hands whilst using hand pinch point Personnel involved 4 2 8 4 1 4
cleaning tools

Ensure all crewmembers are aware about

the task, Full PPE to be used, make sure
the all hose are not under pressure before
Pressure hose inspection and replacemnt High pressure on hydraulic line Injury to Personnel Personnel involved 3 2 6 start any meintenance 3 1 3

double check if the unit is isolated, an

Trip of supply power, failure of eletrical approved tools shall be used
Power supply inspection electrocution Personnel involved 4 2 8 4 1 4
components, incorrect operation

make sure the people are aware of the

step with following task and familirized
Control unit inspection incorrect operation software unit malfuncion Personnel involved 3 3 9 with the type of unit. 3 1 3

Inform the bridge about the results.

Finished job Safe housekeeping Falls/slips/injury Personnel involved 4 2 8 Close the permit.Work area to be 4 1 4
cleaned and all tools to be removed
from the area

Residual risk of 12 present?

Shore management approval required. Yes Attach approval email to the TRA. Applicant Area Responsible Person Department leader OIM Sub-contractor Client Other: …
Received approval?
No Stop. Consider as high.

Residual risk high? Yes Change engineering design, reduce by substitution or further control measures required.
Sign (if applicable)

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Risk Assessment Matrix
FM-004
 TRA Participant List

TRA Title:

Date: Time: Place:

TRA Responsible Person:

Name (Block Letters) Dep/Discipline Date Signature