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Doc. n.

MOG 009- HSE- 24

RISK ASSESSMENT FORM Rev. 00 Date 14/03/2024

MOG BV. Ref. Doc. RSK-HSE-009-24

Project /
RAN° 09 Asset / GAZA Diesel Generator Running Test Location Gaza / Main deck /Port side Mellitah Date 14/March/2024
Activity

Residual Risk
Initial Risk Rating
Activity (with controls Additional Controls
ID Hazard What if? Hazard release Consequences Rating Standard Control Measures
Description in place)
L S RR L S RR Comment Responsible

 Poor arrangement and  Conduct pre-start TBT.


 Crew Lack of competency
managing of work.  Short delay  Use of proper PPE.
 Lack of supervision
 Improper procedures.  interruption of work.  Qualified supervisors.
 Un –prepare, damaged,
 Increasing potential of  Property damage  Establish means of communication.
un-certified and or failure Supervisors
physicals/ health /  Personal injury  Pre-visual examination of all equipment used. to ensure
Planning and of equipment’s for the that
preparing for environmental and assets  Tripped strained or  Starting/stopping the generator operation carried out by plan, proper
1 task Only Maint
Running test for the 2 3 6 1 2 2
risks due to lack of slip or and major selection of equipment and certified personal. authorized HSE
generator  Poor housekeeping person is
competency/supervision injury.  Only authorized personnel are permitted within the working working
 Equipment failure
/equipment selection.  Physical / health  Rescue plan established and roles agreed.
 improper gloves or baggy
 Damage of the equipment. injuries.  Life-saving equipment to be provided by HSE if needed
clothes
 Trip, slip, to fall hazardous.  Wear proper clothes and special gloves for the task
 Use approved equipment only
No possible to work at high
 High wind speed  Falling materials  Seeking of weather forecast before starting the task. Weather
wind speed forecast Marine
Environmental  Poor Visibility  Floor/ground is  Re-assess job/task during poor weather.
2 2 2 4 1 2 2 report
condition No possible to work at rainy HSE
 Rainy climate slippery, wet  Stop outside activity when the weather exceeding 30 Knots or heavy rain. provided if
climate needed

 Only experienced crew should be involved.


 Adequate supervision.
 Wear proper PPE.
 Ensure that crew are well aware about the instructions mentioned in the Supervisors
 Poor experience about
safety manual of the equipment. to ensure
testing diesel engines
that only
 Lack of/insufficient work  Diesel fuel leak  Work procedure must be reviewed by all involved parties.
 personal injury. authorized
procedure.  Inability to stop the engine  All safety shutdown signals to stop the engine incase of failure must be
Starting the  Property damage. and well
3 generator at rated  Lack of/insufficient engine in case of emergency 2 3 6 tested. 2 2 4 Maint
 Electrocution. experience
speed safety signals  Generator exceeds normal  Make sure the route is clear of obstructions.
 Explosion. personals
prechecking operating conditions.  Be aware of potential slippery surfaces.
at work
 Does not follow vendors’  Ensure equipment is tested & tagged for compliance with electrical safety
site.
prechecks for test run. testing requirements.
 Keep leads away from heat, oil, sharp edges or moving parts.
 Ensure the fuel cap is properly secured after refueling.
 Do not operate on faulty leads or equipment.
 Emergency response plan must be provided
 Poor Communication  Proper fire extinguisher should be provided at work site.
 Fire near workplace  Major injury HSE
 No Knowledge of  Equipment should be switched off immediately when any abnormal event ERP to be
4 Emergency events  property damage 2 4 8 1 4 4
 Tripping in the workshop provided MAINT
Emergency procedures observed.
 Flammable substances must be kept away from work area.

Risk Assessment Conditions Important Instructions Analysis of expressions used to calculate Risk Risk Rating SEVERITY(S)
Work Authorization Work Activity is High Risk:
Work has been authorized Y N
YESNO (L) Likelihood (S) Severity Risk Rating 1 2 3 4 5
Relevant SMS Sections: Insignificant – No
1 Very Unlikely 1
Injuries
SxL= RR 1 1 2 3 4 5

LIKELIHOOD (L)
No Fatigue 2 2 Minor – FAC R
Staff is adequately rested Y N
Unlikely Risk 2 2 4 6 8 10
3 3 Moderate - LTWC L
Fairly Likely Low (1,2,3,4) 3 3 6 9 12 15
Use of proper PPE 4 4 Significant Disability M
Staff is using proper PPE Y N
Likely Medium (5,6,8,9,10,12) 4 4 8 12 16 20
Relevant SMS Form (s) to be used: 5 5 Major Fatality H
Very Likely High (15,16,20,25) 5 5 10 15 20 25
Experienced staff How to assess Risk: Select Severity expression that applies to hazard WITH NO ControlsSelect appropriate likelihood with NO ControlsApply controls and RECALCULATE risk
Staff has task experience Y N

Item Further Actions to control residual risk Action Due Date Completion Date Risk Assessment Review & Approval
Date: 14/03/2024 Prepared By: GAZA Team

Date: 14/03/2024 Reviewed By:


- GAZA HSE SPV.

– HSE Coord.

– Terminal. SPT

Date: 14/03/2024 Approved By:


Muftah Elheba – OFM.

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