Front sheet 1 of ____

INSTALLATION: MIKE-MIKE WCC No : DATE: TRA REF No :

DEPARTMENT/SYSTEM/LOCATION: PHE ONWJ West Area RISK ASSESSMENT TEAM (FIRST NAMED - TRA TEAM LEADER)
LOCATION/ AREA: MMC AREA NAME SIGNATURE POSITION

REASON FOR ASSESSMENT: Demolish and install pipeline TRA T/L

NO OF PERSONS INCLUDED IN TASK: 4-6 Persons

EXPECTED DURATION OF THE TASK: 2 Days
DRAWING NUMBERS:
RISK TASK RISK ASSESSMENT (NORMAL) OPERATING RISK ASSESSMENT (ORA)
ASSESSMENT
TYPE ISOLATION RISK ASSESSMENT (IRA)

REFERENCES AND OTHER RELEVANT INFORMATION:

- MM ERP
- Isomatric drawing number ___________
- P&Id Number ____________________ I TRA Team Leader confirm that the risk for the task describe have been reviewed
- Work packages number ______________ and the controls which are recommended reduce the risk to ALARP and I
consider it is safe so the task can proceed.
NAME (PRINT):

SIGNATURE

TASK DESCRIPTION; DATE:

- Prepare material/set up lifting tools I am satisfied that the controls identified when put into place will reduce the risk
- Demolish piping level to ALARP. The task/ action/change is permitted to proceed.
- Install New Piping CONFIRM & APPROVED BY
- Housekeeping
Ops TA/ Ops/ Drilling
OIM/ SC Ops Director
Wells TA Manager
NAME
(PRINT)
SIGNATURE

DATE
Task Risk Assessment Worksheet
TASK DESCRIPTION SUMMARY: TRA REF No.:

8. PERSON OR
REPSONSIBLE

CLOSED?
ACTIONS
9.

10. ALARP
6. INITIAL

11.
2. SUB TASK RESIDUAL

ROLE
1. 3. HAZARD 5. EXISTING CONTROL RISK
ACTIVITY / 4. HAZARD EFFECT 7. LIST ALL CONTROL MEASURES REQUIRED (RECOMMENDATION) RISK
No. DESCRIPTION DESCRIPTION MEASURES

E P R E P R
Hazard Effect Rating

PERSONAL PROPERTY ENVIRONMENTAL DAMAGE

INJURY DAMAGE
Fatality Major Loss >$5M Total Loss of Containment

Likely Permanent Disability
Hospital Stay
DAFWC / Restricted Work Case /
Medical Treatment
Simple First Aid Injury
Significant Damage Loss $500k Significant Loss of Containment.
to $5M 100bbl, Limited ability to control
Moderate Damage Loss $100k Significant Loss of Containment
to $500k
> 100bbl only Workplace affected
Minor Loss $10k to $100k Minor Loss of Containment
< 100bbl only Workplace affected
Loss <$10k Slight Loss of Containment < 1bbl

Probability Rating

PROBABILITY GUIDELINES (P) RATING

Will occur more than once per quarter HIGH

OR (H)
nearly every time
Will occur at least once per year, but MEDIUM
less than quarterly
OR (M)
sometimes
Will occur less than once per year LOW
OR (L)
hardly ever
EFFECT (E) RATING

E
Risk Matrix

Hazard Effect (E)

A B C D E
P
r
o H 15 14 13 9 4
b
a
b
i
l M 12 11 10 5 3
i
t
y

( L 8 7 6 2 1
P
)