SANTOKU SENPAKU CO., LTD.

RISK ASSESSMENT DEFINITION Form No. S-09.30.00, Rev.02

Definition of Frequency Index Definiton of Severity Index

Frequenc Severity
y Frequency Definition Index Severity Definition
Index (S.I.)
‐Failure that can be readily compensated by the
(F.I.)
Extremel Occur once every 10 years or once/enough for ten Insignifica crew
1 y years 1 nt ‐No significant harm to people, property or the
environment

‐Local damage to ship

2 Remote Occur once every 5 years 2 Minor
‐Marginal conditions for, or injuries to, crew

Reasonab
‐Major casualties excluding total loss
3 ly Occur once every 1 year 3 Major
‐Single fatality or multiple severe injuries
Probable
‐Total loss (actual loss and constructive total
4 Frequent Occur every month 4 Catastrophic loss)
‐Many fatalities
* See below Appendix 1 " Example of Severity Index".

Risk Level Matrix Chart Hazard identification

(Add F.I. LEVEL & S.I. LEVEL to decide Analyze/Review/ Possible consequences Control Required
"RISK LEVEL" ) Assess?

A 6L
Monitor/Review
###Frequent 5 7 8 (Who Responsible/Next Review/By Implement Decision
Whom)

A6 R
Reasonab
### ly 4 5 7 a. Select the expression for Frequency which most applies to the hazard ( 1st column)

F.I.
Probable

###Remote 3 4 5 P6 b. Select the expression for Severity which most applies to the hazard
c. Cross reference using the above table to determine the level of risk
Extremel e.g., the Frequency=Remote, and Severity=Minor, then the risk is Lev
### y 2 3 4 5
d. If the Risk Level 3 or less The work is permitt ( Green Zone)
F.I.
Insignificant Minor Major Catastrophic 4 or 5 Additional control is requi (Yellow Zone)
S.I.
As Low As Reasnablely Practicable>>
1 2 3 4
S.I.
6 or abov The work is prohibited (Red Zone)
* If the column of Additional control is "Yes", please proceed sheet B.

Appendix 1 " Example of Severity Index"

Physical injury SI Definition
Insignificant 1 Return to work in initial therapy
Minor 2 Return to work within 3 days (heal in less than 3 days)
Major 3 Disembarkation / Taking more than 4days to return to work (heal in more than 4 days)
Catastrophic 4 Death / disability / serious injury

Damage to equipment SI Definition

Insignificant 1 The damage can be repaired by the crew
Minor 2 The Damage needs maker to repair / Necessary specialist to repair
Major 3 Need to repair by docking
Catastrophic 4 It's necessary to replace broken equipment (can not repair)

Damage to vessels SI Definition

Insignificant 1 The damage can be repaired by the crew
Minor 2 The Damage needs maker to repair / Restriction to operation
Major 3 Need to repair by docking
Catastrophic 4 Stall / Serious damage /Total loss

Damage to environment SI Definition

Insignificant 1 Signs of oil leakage onboard
Minor 2 Oil spill of less than 10L onboard
Major 3 Oil spills of more than 10L onboard
Catastrophic 4 Outboard Oil Spill / Social impact(Social influence)

*PLEASE ONLY SUBMIT "REPORT FORM" TO COMPANY. THIS SHEET NOT NECESSARY TO ATTACH.
 SANTOKU SENPAKU CO., LTD.
RISK ASSESSMENT REPORT FORM Form No. S-09.30.00, Rev.02
Ship Name : M/V FERRUM AUSTRALIS SEA CONDITION : Mod
Assessor : Rank/Name/Sign : 1AE/ Khandakar Hamidur Rahman/ SHIP CONDITION : Laden
Master Approval : Name/Sign : Capt. Md Rafed Al Shad /
Date : 31st May' 2020. *Please fill in glay cell only. Other Cell protected. Please select most applicable work
activity category from below.

WORK ACTIVITY: OWS operation Key Shipboard Operation

Hazard Associated Possible Risk Level Additional

No. Existing Control safety measure S.I. F.I.
with Activity Consequences (Zone Color) Risk Control
Violation of Marine Confirm the local and international laws,
international laws. Pollutions ship must be enroute, Minimum distance
1 from nearest land. 2 2 4 REQUIRED

Additional Risk Control measure S.I. F.I. (Final) Risk Level

*If the risk level is 4 or more, (*If the risk level are 3 or less, you may leave blank)
additional risk control measure
to be considered in right column Confirmations from bridge for the distance from nearest land ship
to reduce the level of S.I. level speed, positions and Ship is out side the special area.
and/or F.I. level for the work to
change as practicable. 2 1 3
*Re-assess S.I./F.I. Level after
set up additional measure.

No. Hazard Associated Possible Existing Control safety measure S.I. F.I. Risk Level Additional
with Activity Consequences (Zone Color) Risk Control
Operation in Violations of Confirmation from the master the positon
restricted area regulations of ship is not within the special area
2 according to international & local
government regulation.
1 2 3 NOT
REQUIRED

Additional Risk Control measure S.I. F.I. (Final) Risk Level

*If the risk level is 4 or more, (*If the risk level are 3 or less, you may leave blank)
additional risk control measure
to be considered in right column
to reduce the level of S.I. level
and/or F.I. level for the work to
change as practicable. 0
*If the risk level is less than 3,
you may leave blank.

Hazard Associated Possible Risk Level Additional

No. Existing Control safety measure S.I. F.I.
with Activity Consequences (Zone Color) Risk Control
Oil content Marine Tested 15ppm alarm & 3-way v/v operation
discharge more pollutions, prior to start OWS found working good
3 than 15ppm. Violation of
marine
condition. 1 2 3 NOT
REQUIRED
regulation.
Additional Risk Control measure S.I. F.I. (Final) Risk Level
*If the risk level is 4 or more, (*If the risk level are 3 or less, you may leave blank)
additional risk control measure
to be considered in right column
to reduce the level of S.I. level
and/or F.I. level for the work to
change as practicable. 0
*If the risk level is less than 3,
you may leave blank.

No. Hazard Associated Possible Existing Control safety measure S.I. F.I. Risk Level Additional
with Activity Consequences (Zone Color) Risk Control
Malfunction of Accidental Tested 15ppm audio and visual alarm, oil
OWS ODM. dischage of oily sensing prove operation prior to start OWS.
4 water overboard Found working good condition. 2 2 4 REQUIRED

Additional Risk Control measure S.I. F.I. (Final) Risk Level

*If the risk level is 4 or more, (*If the risk level are 3 or less, you may leave blank)
additional risk control measure
to be considered in right column
to reduce the level of S.I. level
and/or F.I. level for the work to
change as practicable.
*If the risk level is 4 or more,
additional risk control measure
to be considered in right column If any abnormal condition observed during operation
to reduce the level of S.I. level immediately stopped OWS operation. To rectify the
and/or F.I. level for the work to
change as practicable.
*If the risk level is less than 3,
malfunction. 1 1 2
you may leave blank.
 SANTOKU SENPAKU CO., LTD.
RISK ASSESSMENT REPORT FORM Form No. S-09.30.00, Rev.02
Ship Name : M/V FERRUM AUSTRALIS SEA CONDITION : Mod
Assessor : Rank/Name/Sign : 1AE/ Khandakar Hamidur Rahman/ SHIP CONDITION : Laden
Master Approval : Name/Sign : Capt. Md Rafed Al Shad /
Date : 31st May' 2020. *Please fill in glay cell only. Other Cell protected. Please select most applicable work
activity category from below.

WORK ACTIVITY: OWS operation Dangerous work

Hazard Associated Possible Risk Level Additional

No. Existing Control safety measure S.I. F.I.
with Activity Consequences (Zone Color) Risk Control
Dry operation of Machinary frequently monitoring bilge tank sounding
bilge pump damage & OWS operation to avoid dry operation of
5 bilge p/p. 2 1 3 NOT
REQUIRED

Additional Risk Control measure S.I. F.I. (Final) Risk Level

*If the risk level is 4 or more, (*If the risk level are 3 or less, you may leave blank)
additional risk control measure
to be considered in right column
to reduce the level of S.I. level
and/or F.I. level for the work to
change as practicable. 0
*Re-assess S.I./F.I. Level after
set up additional measure.

No. Hazard Associated Possible Existing Control safety measure S.I. F.I. Risk Level Additional
with Activity Consequences (Zone Color) Risk Control
Overpressure Leakage Monitor all stage differential water
/Machinary pressure between inlet and outlet to
6 damage observe performance, Purge all chamber
during operation.
1 2 3 NOT
REQUIRED

Additional Risk Control measure S.I. F.I. (Final) Risk Level

*If the risk level is 4 or more, (*If the risk level are 3 or less, you may leave blank)
additional risk control measure
to be considered in right column
to reduce the level of S.I. level
and/or F.I. level for the work to
change as practicable. 1 1 2
*If the risk level is less than 3,
you may leave blank.

Hazard Associated Possible Risk Level Additional

No. Existing Control safety measure S.I. F.I.
with Activity Consequences (Zone Color) Risk Control
O/B valve Violation of After operation overboard valve must be
unattended. laws/Detention shut & locked and locks keys submit to the
7 by the PSC. master. Informed all personnel don’t run
ows without master permission.
2 1 3 NOT
REQUIRED

Additional Risk Control measure S.I. F.I. (Final) Risk Level

*If the risk level is 4 or more, (*If the risk level are 3 or less, you may leave blank)
additional risk control measure
to be considered in right column
to reduce the level of S.I. level
and/or F.I. level for the work to
change as practicable. 0
*If the risk level is less than 3,
you may leave blank.

No. Hazard Associated Possible Existing Control safety measure S.I. F.I. Risk Level Additional
with Activity Consequences (Zone Color) Risk Control

8 0 AUTO

Additional Risk Control measure S.I. F.I. (Final) Risk Level

*If the risk level is 4 or more, (*If the risk level are 3 or less, you may leave blank)
additional risk control measure
to be considered in right column
to reduce the level of S.I. level
and/or F.I. level for the work to
change as practicable.
*If the risk level is 4 or more,
additional risk control measure
to be considered in right column
to reduce the level of S.I. level
and/or F.I. level for the work to
change as practicable. 0
*If the risk level is less than 3,
you may leave blank.