RISK ASSESSMENT FORM

Company Conducted By (Date) Group 1

Task Renewal of Pump Room Bulkhead

Approved By (Date) 21/06/2006 Next Review Date 21/06/2009

1. Hazard Identification 2. Risk Evaluation 3. Risk Control Reference

No. Task Step Hazard Possible Existing Risk Control Additional Action Officer Document for

Severity

Likelihood

Risk Level
Accident/III Risk Control (Follow-up Date) Reference
Health & Measure
Persons-at-
risk
1 Entry into confined -Lack of Asphyxiation -Entry permit approval 5 1 M -
space (pump room oxygen -Gas Check
& cargo tank) -Portable gas detector

-Lack of Bodily Injury -Provide lighting at tank 3 1 L -

lighting entry and along
passageway
-Gas leak Unconscious -Portable gas detector 5 1 M -

-Tripping & Bodily Injury -Barricade of opening 3 1 L -

falling -Ensure passageway
clear of obstruction

Association of Singapore Marine Industries

No. Task Step Hazard Possible Existing Risk Control Additional Action Officer Document for

Severity

Likelihood

Risk Level
Accident/III Risk Control (Follow-up Date) Reference
Health & Measure
Persons-at-
risk
2 Cut deck access -Fire & Bodily Injury -Valid hot work permit 5 2 H -Double check -Supervisor in-
opening explosion -Barricade of opening hot work area charge
(Hard Barricade) before start -Safety Officer
work
-Falling Bodily Injury -Barricade in cargo tank 3 1 L -
-Weld support on 4 side

3 Lifting of plate -Falling Bodily Injury -Qualify rigger 5 1 M -To check -Supervisor in-
object -Inspection of valid and lifting gear charge
good condition of lifting before lifting
gear

-Caught in- Bodily Injury -Wear leather gloves 4 2 M

between -Maintain communication

4 Cutting of damage -Fire Bodily Injury -Valid hot work permit 5 2 H -To check -Supervisor in-
bulkhead explosion -Barricade of hot work combustible charge
area matter around
hot work area

-Falling Bodily Injury -Ok tag for staging 5 1 M -Dye check on -Supervisor in-
hazard -Weld eye piece to dye tag before charge
bulkhead lifting operation
-Lifting gear to be tested
and in working condition
5 Removal of cut -Falling Bodily Injury -Qualify Rigger 3 1 M -Barricade -Supervisor In-
steel plate to shore Hazard -Lifting Supervisor affect lifting charge
-Valid lifting gear and in area
good working condition

Association of Singapore Marine Industries

 -Caught in- Bodily Injury -Wear glove 4 1 M -
between -Used tag line
-Keep people away form
lifting area

6 Lifting of new plate -Falling Bodily Injury -Qualify Rigger 5 1 M -Barricade Supervisor In-
from shore to cargo Hazard -Lifting Supervisor affect lifting charge
hold -Valid lifting gear and in area
good working condition

-Caught in- Bodily Injury -Wear glove 4 1 M -

between -Used tag line
-Keep people away form
lifting area

7 Fitting & Welding of -Fire & Bodily Injury -Valid hot work permit 5 2 H -Double check -Supervisor in-
Bulkhead explosion -Barricade of opening hot work area charge
(Hard Barricade) before start -Safety Officer
work
-Falling Bodily Injury -Barricade in cargo tank 3 1 L -
-Weld support on 4 side

Association of Singapore Marine Industries

 RISK ASSESSMENT FORM
Company Marine Pacific Conducted By (Date) Foreman / Supervisor (19/06/2006)

Task Shellplate Renewal in No. 6 C.O.T

Approved By (Date) Hull Section Manager (21/06/2006) Next Review Date 20/06/2009

1. Hazard Identification 2. Risk Evaluation 3. Risk Control Reference

No. Task Step Hazard Possible Existing Risk Control Additional Action Officer Document for

Severity

Likelihood

Risk Level
Accident/III Risk Control Follow-up Date) Reference
Health & Measure
Persons-at-risk

1. Steelwork -Fire, Bodily Injury -Qualified personnel to do 5 1 M Barricade the Hull Supervisor/
-Marking Explosion work area (both in Lifting Supervisor/
-Cutting -Hot work tools must be and out of Safety Officer
-Fitting checked and tested tank)
-Welding
-Grinding -Falling Bodily Injury -Lifting gears must be 5 1 M
-Lifting object checked and tested

2 Testing / NDT -Falling Bodily Injury -Apply permit 4 2 M

(Vacuum Test, -Barricade the area
X-ray Visual)
-Hose Bodily Injury -Use whip arrestor 4 2 M
Burst

-Radiation Bodily Injury -Barricade affected areas 5 1 M

-Install blinkers and
prominent signs

Association of Singapore Marine Industries

 RISK ASSESSMENT FORM
Company Group 3 Conducted By (Date)

Task Renewal of tank top plates

Approved By (Date) Next Review Date

1. Hazard Identification 2. Risk Evaluation 3. Risk Control Reference

No. Task Step Hazard Possible Existing Risk Control Additional Action Officer Document for

Severity

Likelihood

Risk Level
Accident/III Risk Control Follow-up Date) Reference
Health & Measure
Persons-at-risk

1 Crop out -Fire/ -Asphyxiation -Fire watch 5 1 M Additional Production

damaged plate Explosion -Valid hot-work tools access to be Supervisor/
-Good ventilation provided Hull Supervisor/
-General lighting Contractor
-Smoke -Burns (sparks) -Remove combustible 3 2 M Supervisor
and Fumes materials
2 Lift out old plate -Falling -Bodily Injury -Trained signal and rigging 5 1 M Additional Lifting Supervisor /
to lift in new object man marshals to Contractor
plate -Presence of lifting clear off the Supervisor
supervisor area
-Cordon off affected area
-Tag-line

3 Fit new plate -Struck by -Bodily Injury -Trained rigging and 4 2 M Provide the Production
object signalman right fitters, do Supervisor/
-Lifting gear in good not crowd Hull Supervisor/
condition around work Contractor
-Presence of lifting area Supervisor
supervisor
-Cordon off affected area

Association of Singapore Marine Industries

 1. Hazard Identification 2. Risk Evaluation 3. Risk Control Reference
No. Task Step Hazard Possible Existing Risk Control Additional Action Officer Document for

Severity

Likelihood

Risk Level
Accident/ Ill Risk Control (Follow-up Date) Reference
Health & Measure
Persons-at-risk

4 Welding of new -Fire/ Fumes -Asphyxiation -Strong ventilation 1 2 L -Visual checks Site Supervisor
plate -Burns -Good condition of tool on welding
-Fire watch tools before
-Eyes protection commence
-Good
ventilation in
tank
-Ensure good
housekeeping/
cleaning
- -Electric Shock -Hand gloves 5 1 M -Visual checks Site Supervisor
Electrocution -Good earthing for welding on welding
set tools before
commence

5 Gouging -Fire/ Fumes -Asphyxiation -Ventilation 5 1 M -Good Site Supervisor

-Burns -Filter mask to wear ventilation in
-Hand gloves tank
-Ensure good
housekeeping/
cleaning
-Excessive -Noise induced -Ear plugs 4 2 M -Check on Site Supervisor
noise deafness workers PPE
(ear plugs)
6 Grinding -Noise -Noise induced -Ear plugs 4 2 M -Check on Site Supervisor
deafness workers PPE
(ear plugs)
-Flying Bodily Injury -Safety glasses 4 2 M -Good Site Supervisor
sparks -Dust masks ventilation in
-Face shield tank
-Grinder protective -Ensure good
housekeeping/
cleaning
Association of Singapore Marine Industries
 RISK ASSESSMENT FORM
Company Group 5 Conducted By (Date) XYZ

Task To remove and renew all the platform support &

gratings in E/room

Approved By (Date) ABC Next Review Date 21/06/2009

1. Hazard Identification 2. Risk Evaluation 3. Risk Control Reference

No. Task Step Hazard Possible Existing Risk Control Additional Action Officer Document for

Severity

Likelihood

Risk Level
Accident/III Risk Control Follow-up Date) Reference
Health & Measure
Persons-at-risk

1 Remove -Material Bodily Injury -Barrication 2 3 M -Install -Hull Supervisor

platform handling signboard
(portable)
-Tripping Bodily Injury -Barrication 2 3 M -Friction floor
mat
2 Cleaning E/R -Fire and Bodily Injury -PPE 2 2 L -
Bottom explosion -No hotwork at surrounding
vicinity
-Falling / Bodily Injury -Barrication 2 2 L -
Tripping -Good safety shoe (sole)
3 Cutting, fitting -Fire and Bodily Injury -Valid Hotwork Permit 5 1 M -
and welding of explosion/ -Firewatch
platform fumes -Fire clothes/Lines
support. -Ventilation/Lighting
-Material Bodily Injury -Tag lines 4 2 M -
handling -Hand gloves

-Falling/ Bodily Injury -Barrication 4 2 M -

tripping -Signboard

Association of Singapore Marine Industries

 1. Hazard Identification 2. Risk Evaluation 3. Risk Control Reference
No. Task Step Hazard Possible Existing Risk Control Additional Action Officer Document for

Severity

Likelihood

Risk Level
Accident/ Ill Risk Control (Follow-up Date) Reference
Health & Measure
Persons-at-risk

4 Lifting and cut- Falling Bodily Injury -Qualified signalman 5 1 M Cordon off Supervisor
off support and object -Lifting gears checked affected area
platform and -Use guide ropes
lifting new -Keep clear from path
platform

5 Install new -Material Bodily Injury -Tag line 2 3 M -

platform handling -Barrication
(change plate)
-Tripping/ Bodily Injury -Barrication 4 2 M -
Falling

Association of Singapore Marine Industries

 RISK ASSESSMENT FORM
Company Group 6 Conducted By (Date)

Task Renewal of Steel plate IWO cargo dome

Approved By (Date) Next Review Date

1. Hazard Identification 2. Risk Evaluation 3. Risk Control Reference

No. Task Step Hazard Possible Existing Risk Control Additional Action Officer Document for

Severity

Likelihood

Risk Level
Accident/III Risk Control Follow-up Date) Reference
Health & Measure
Persons-at-risk

1 Pre-job -Lack of Asphyxiation -Ventilation and lighting 5 1 M -

inspection and oxygen -Gas meter
marking -Gas checking periodically
-Toxic gas Overcome by gas 5 1 M -
2 Preparation for -Defective -Fire expose by -Periodical checking of 5 1 M -Elevation of -Trade Supervisor
hot work tools gas leak and cutting tools (2 weeks) gas hoses and
oxygen and welding tools (30 separation of
enrichment days) hoses/ cables
-Explosion
-Lifting -Bodily Injury -Use valid lifting tools 5 1 M -
tools

Association of Singapore Marine Industries

 1. Hazard Identification 2. Risk Evaluation 3. Risk Control Reference
No. Task Step Hazard Possible Existing Risk Control Additional Action Officer Document for

Severity

Likelihood

Risk Level
Accident/ Ill Risk Control (Follow-up Date) Reference
Health & Measure
Persons-at-risk

3 Fitting, welding -Fire and -Burn to person -PTW System 5 2 H -Zinc sheet, -Trade Supervisor
and grinding off explosion fibre cloth and
new plate additional
watchman,
equipment

-Finger and -Hand and finger -Hand glove 3 3 M Nil

hand injury
caught in
between

-Falling -Multiple injury -Body harness 5 1 L Nil

from height -Valid scaffold tag (OK tag)
-Proper accessing to
location

4 Vacuum test -Falling -Multiple injuries -PPE (ear plug) 5 1 M Nil

from height -Noise inducted -Ensure good working
deafness condition tools.
-Burst of air line

Association of Singapore Marine Industries

 RISK ASSESSMENT FORM
Company Group 7 Conducted By (Date) Group 7

Task Renew BHD IWO Pump Room

Approved By (Date) Section Manager (21/6/2006) Next Review Date 21/6/2009

1. Hazard Identification 2. Risk Evaluation 3. Risk Control Reference

No. Task Step Hazard Possible Existing Risk Control Additional Action Officer Document for

Severity

Likelihood

Risk Level
Accident/III Risk Control Follow-up Date) Reference
Health & Measure
Persons-at-risk

1 Remove - Contact - Skin Irritation -Sample test for asbestos 3 2 M Cordon off Hull supervisor
Insulation with - Asbestosis -If asbestos, engage area
hazardous approved contractors
substance -Respiratory Protection
-

2 Cutting of Fire -Damaging of -Permit to work 5 1 M Additional fire Hull supervisor

existing BHD EQs -Provide firecloth to protect watch men
-Injury cause by EQ with radio
fire -Fire watch men

3 Removal of Falling Bodily injuries PPE (Handgloves) 2 2 M Refer to SWP Hull supervisor
scraps materials

Association of Singapore Marine Industries

 1. Hazard Identification 2. Risk Evaluation 3. Risk Control Reference
No. Task Step Hazard Possible Existing Risk Control Additional Action Officer Document for

Severity

Likelihood

Risk Level
Accident/ Ill Risk Control (Follow-up Date) Reference
Health & Measure
Persons-at-risk

4 Transportation Falling -Body injury -Certified lifting equipment 4 2 M -Cordon off Lifting Supervisor
of new BHD to materials -Property (color coded) area when
site damage -Trained lifting Supervisor/ lifting in
Signalmen progress
-Alert men
working nearby

5 Installation Falling -Body injury -Certified lifting equipment 3 3 M -Cordon off Hull Supervisor
material area

6 Welding / Fire -Eye injury -PPE (headshield, 5 1 M Housekeeping Hull Supervisor

Grinding -Bodily injury goggles)
-Property -Hot work permit
damage -Fire watchmen

Electrocution -Electrocuted -Safe working tools 1 3 L - -

Association of Singapore Marine Industries

 RISK ASSESSMENT FORM
Company Group 8 Conducted By (Date) Group 8 (21/6/2006)

Task Partial Renewal of Funnel Casing

Approved By (Date) 21/06/2006 Next Review Date 20/06/2009

1. Hazard Identification 2. Risk Evaluation 3. Risk Control Reference

No. Task Step Hazard Possible Existing Risk Control Additional Action Officer Document for

Severity

Likelihood

Risk Level
Accident/III Risk Control Follow-up Date) Reference
Health & Measure
Persons-at-risk

1 Check or mark -Falling -Minor injury / -Safe staging with checklist 2 1 L - -

hotwork area Sprain -Wear Safety Belt
-Provide ventilation

-Overcome -May become -Gas Check 3 1 L - -

by CO2 unconcisous

- Contact -Burnt injury -Wear handgloves 2 1 L - -

with hot
surface
2 Prepare -Trip or fall -Bodily injuries / -Good housekeeping 2 1 L -
hotwork / lifting/ sprain -Safe staging with check
hand tools list M

-Caught in- -Finger injury -Safe manual handling 2 3 M -Tool box Supervisor
between -Wear leather gloves briefing
3 Cut and remove -Fire -Bodily Injuries -Hotwork Permit 5 1 M Cordon off Supervisor
the plate as area
marked -Fall -Bodily Injuries -Safe staging 2 1 L
-Hit by -Bodily Injuries -Use handgloves 2 2 L

Association of Singapore Marine Industries

 1. Hazard Identification 2. Risk Evaluation 3. Risk Control Reference
No. Task Step Hazard Possible Existing Risk Control Additional Action Officer Document for

Severity

Likelihood

Risk Level
Accident/ Ill Risk Control (Follow-up Date) Reference
Health & Measure
Persons-at-risk

4 Install / fit the -Handling -Major injury -Safe lifting equipment 3 2 M Cordon off Supervisor
plate hazard -PPE (Gloves) area

-Falling -Bodily Injuries -Put all tools in toolbox 2 2 L

object
5 Clear the area -Caught in- -Bodily injuries -Correct manual lifting 2 2 L - Supervisor
or ensure good between -PPE (gloves)
housekeeping

-Flying -Minor injuries -PPE (safety goggles) 2 2 L

particles

Association of Singapore Marine Industries

 RISK ASSESSMENT FORM
Company Group 9 Technology Conducted By (Date) Mr Steven Koh
Mr Daniel
Task Renewal of Hatch Coaming Plate I.W.O No. 7 Mr Gilbert
cargo hold at 2nd deck
18/06/2006
Approved By (Date) Mr C.Y. Wong Next Review Date 20/06/2009
21/06/2006

1. Hazard Identification 2. Risk Evaluation 3. Risk Control Reference

No. Task Step Hazard Possible Existing Risk Control Additional Action Officer Document for

Severity

Likelihood

Risk Level
Accident/III Risk Control Follow-up Date) Reference
Health & Measure
Persons-at-risk

1 Inspection & -Falling -Bodily Injuries -Body harness 5 1 M -Strong and -Steelwork
Marking from height proper supervisor
anchoring
points
-Falling -Bodily Injuries -Tool container 5 1 M -
objects

2 Gas cutting -Fire and -Bodily Injuries -Permit to work system 5 1 M -Fibre-cloth to -Steelwork
explosion -Property -Checked tools required contain supervisor
damage -Tool container straying sparks
-Fire-watchman -Fire
extinguisher

3 Removal of -Falling -Bodily Injuries -Anchor to a secured point 5 1 M -Cordon off -Steelwork
existing plate from height area and Supervisor
and lifting of signboards -Lifting Supervisor
new plate -Falling -Bodily Injuries -Qualified signalman 5 1 M
objects -Check lifting appliances

Association of Singapore Marine Industries

 1. Hazard Identification 2. Risk Evaluation 3. Risk Control Reference
No. Task Step Hazard Possible Existing Risk Control Additional Action Officer Document for

Severity

Likelihood

Risk Level
Accident/ Ill Risk Control (Follow-up Date) Reference
Health & Measure
Persons-at-
risk
4 Fit-up of new -Falling from -Bodily Injuries -Body harness 5 1 M -Cordon off -Steelwork
plate height area and Supervisor
signboards
-Falling object -Bodily Injuries -Contain small items .eg. 5 1 M
wedges, dog piece
5 Welding, -Toxic fumes -Long term -Good ventilation 3 4 M -
Gouging and sickness
Grinding
-Noise induce -Deafness -Use of ear plugs/ muffs 3 4 M -
-Eye injury -Loss of -Use of eye protection 3 4 M -
eyesight (goggles)
-Electrocution -Death -Proper insulation of 5 1 M -
welding, gouging, grinding
tools
-Use 110V of electrical
tools
-Check on ELCB and
LVSP for electrical box
and welding set (AC)

Association of Singapore Marine Industries

 1. Hazard Identification 2. Risk Evaluation 3. Risk Control Reference
No. Task Step Hazard Possible Existing Risk Control Additional Action Officer Document for

Severity

Likelihood

Risk Level
Accident/ Ill Risk Control (Follow-up Date) Reference
Health & Measure
Persons-at-
risk
8 Closed back -Fire Refer to task Step 02 5 2 H -Double check Supervisor in
access explosion 3 1 L hotwork area charge
-Falling before work
start

Association of Singapore Marine Industries

 RISK ASSESSMENT FORM
Company Group 10 Conducted By (Date) Group 10

Task Partial renewal of aft bulkhead at Fr. 174

Approved By (Date) 21/06/2006 Next Review Date 20/06/2009

1. Hazard Identification 2. Risk Evaluation 3. Risk Control Reference

No. Task Step Hazard Possible Existing Risk Control Additional Action Officer Document for

Severity

Likelihood

Risk Level
Accident/III Risk Control Follow-up Date) Reference
Health & Measure
Persons-at-risk

1 Inspection of -Lack of -Suffocation Permit to work system 5 1 M Buddy System Supervisor

work and mark oxygen Entry permit
out with owner -Gas check
-Ventilation
-Lighting
Personal Gas Meter
-Falling -Bodily Injuries -Good lighting 4 2 M Individual torch Supervisor
hazard -Good housekeeping light
2 Cutting/Welding Fire Bodily Injuries -Valid hot work permit 5 1 M Cordon off Supervisor
upper deck -Fire watch area
plate

3 Lifting of upper Object Bodily Injuries -Only trained signalman/ 5 1 M Barricade area Lifting Supervisor
deck plates falling from rigger are allowed to do (cordoned off)
height lifting
-No one should be under
the load
-Check lifting equipment
(expiry)

Association of Singapore Marine Industries

 1. Hazard Identification 2. Risk Evaluation 3. Risk Control Reference
No. Task Step Hazard Possible Existing Risk Control Additional Action Officer Document for

Severity

Likelihood

Risk Level
Accident/ Ill Risk Control (Follow-up Date) Reference
Health & Measure
Persons-at-risk

4 Grinding of Flying object Finger and eye -Wear shield 3 2 M Good lighting Supervisor
work pieces injury -Grinder disc guard

5 Welding of new Fire Bodily Injuries -Valid hotwork permit 3 2 M Place of work Supervisor
plate -Good and valid welding free from
equipment (cables, holder) combustible
materials
Electrocution Bodily Injuries -Good and valid welding 3 2 M Place of work Supervisor
equipment (cables, holder) is dry

6 Housekeeping Tripping and Hand and finger Use proper equipment 3 2 M Supervisor
falling injury

Association of Singapore Marine Industries

 RISK ASSESSMENT FORM
Company Group 11 Conducted By (Date) Lim Teck Song
(21/06/2006)
Task Renewal of Bosun Store and Chain Locker Plating

Approved By (Date) ASMI Next Review Date 21/06/2009

1. Hazard Identification 2. Risk Evaluation 3. Risk Control Reference

No. Task Step Hazard Possible Existing Risk Control Additional Action Officer Document for

Severity

Likelihood

Risk Level
Accident/III Risk Control Follow-up Date) Reference
Health & Measure
Persons-at-risk

1 Cut and install Fire/ Bodily injuries -Validity of entry permit 5 1 M - -

access Explosion and hotwork permit
openings (Main -Firewatch and Firelines
Deck and -VSCC meeting
Bosun Store Falling Bodily Injuries -No loose object on 4 2 M -Cordon off the -Hull Supervisor
Deck) objects scaffolding area
-Provide barrication
(scaffold)
2 Removal of Falling Injury, death and -Qualify signalman and 5 1 M To put up -Hull Supervisor
plating and objects damaged vessel riggers warning sign to
installation of property -Validity of lifting gears keep clear
new plating -Pad eye to dye check
-Tackline to secure
-PPE

Association of Singapore Marine Industries