RISK ASSESSMENT FORM

Ships/Dept. Name: Work / Activity Details : BUNKERING Sect.1. Risk Assessment Table
Severity** Rating (A) of consequences with (Refer Table in Sect.2) existing controls

RA-01
Rev No.* 00 Date: XX-XX-XXXX

xxx

RA no*:

New Likelihood Rating(B1) (after additional control)

New Severity Rating(A1) (after additional control)

Residual Risk ( A1 x B1)

Likelihood** Rating (B) (Refer Table in Sect.2)

Sub Task/Activity

Hazards Identified

RA Criteria (People/Environment/ Property/Process)

Consequences

Existing Control Measures

Additional Controls (if any)

Person Responsible

Approach of bunker barge

Wrong approach of Barge.

Property

Collision Damage to ship structure

1.Necessary fendering and closely observing the approach of bunker barge, 2. Ship side clear on the intended side of barge berthing. 3.Weather conditions monitored 4.Communication established with barge. 5. Duty Officer & other Qualified Personnel standby.

1. Master to personally supervise Bunker Barge Movements. 2. Engines standby.

Master

Prior approach of barge

Environment

Oil pollution from ruptured fuel tank

As above + SOPEP gear ready

Rev: 01

Page 1 of 8

Decision to proceed with work Y/N

Agreed time frame

Risk Level** (A X B)

RISK ASSESSMENT FORM

Severity** Rating (A) of consequences with existing controls

RA-01

New Likelihood Rating(B1) (after additional control)

New Severity Rating(A1) (after additional control)

Residual Risk ( A1 x B1)

Likelihood** Rating (B) (Refer Table in Sect.2)

Sub Task/Activity

Hazards Identified

RA Criteria (People/Environment/ Property/Process)

Consequences

Existing Control Measures

Additional Controls (if any)

Person Responsible

Mooring Operation double banking

Rope over -tensioning, parting and related accidents

People

Personal Injury

1.Supervised by Duty Officer 2.Mooring ropes in good condition 3.Safe Mooring practices 4.Good communication 5.PPEs

(Refer Table in Sect.2)

Moorings not tended to changing draft/tide

Environment

Relative movement between own vessel and barge resulting in hose rupture and pollution.

Frequent tending of moorings supervised by Duty Officer

Opening connections, fitting spool piece/hose.

Oil spill from manifold/hose or from connection during bunkering Use of wrong or worn out tools during securing of connections Unsafe Hose Crane operation

Environment

Pollution/Fines

People

Personal Injury

1. Bunkering Checklist followed. 2.High level of Supervision. 3. Experienced personnel involved in bunkering operation. 4. New joints used and all bolts fitted. 1.Proper tools kept ready prior operation. 2.PPEs 3.Controls as above 1.Crane operated by experienced person. 2.Sling checked for wear & tear 3.Good communication Damage to crane or ship fittings

1.People 2.Property

1.Personal Injury 2.Property

4 3

1 1

4 3

Rev: 01

Page 2 of 8

Decision to proceed with work Y/N

Agreed time frame

Risk Level** (A X B)

RISK ASSESSMENT FORM

Severity** Rating (A) of consequences with existing controls

RA-01

New Likelihood Rating(B1) (after additional control)

New Severity Rating(A1) (after additional control)

Residual Risk ( A1 x B1)

Likelihood** Rating (B) (Refer Table in Sect.2)

Sub Task/Activity

Hazards Identified

RA Criteria (People/Environment/ Property/Process)

Consequences

Existing Control Measures

Additional Controls (if any)

Person Responsible

Damage 1)Sufficient Qualified personnel & strict manifold watch under C/Es supervision through out bunkering. 2)Compliance to SMS bunkering procedures and checklist TEC/006. 3) Bunker lines pressure tested & maintained as per PMS. 4) SOPEP Gear standby 5) Soundings taken instead of relying on remote gauges. 6) Compliance to bunker policy on max. intake per tank. 1.PPEs 2. Good Lighting 3.Prompt cleaning 4.Cordon off slippery areas 1.Elimination of Ignition sources 2.Intrinsically safe equipments 3.No smoking signs. 4.Precautions against overflow 1. Addnl. Special precautions as given in TOM- 2.02.07 watch for signs of fatigue, stay clear of airpipes, against wind direction when ullaging, gas tests on deck, medical emergency equipment ready.

(Refer Table in Sect.2)

Receiving Bunkers

Leakage or overflow of oil

Environment

Oil Pollution

1.CE personally checking line settings prior every interruptions in operations. 2. CE closely monitoring topping up. 3. Scupper plugs checked for effective sealing.

Ch. Engnr.

People

Slips and Falls from spilled oil

Flammable atmosphere

People/Property

Fire/ Explosion

Exposure to H2S when taking bunkers with high sulphur content

People

Personal Injury

Rev: 01

Page 3 of 8

Decision to proceed with work Y/N

Agreed time frame

Risk Level** (A X B)

RISK ASSESSMENT FORM

Severity** Rating (A) of consequences with existing controls

RA-01

New Likelihood Rating(B1) (after additional control)

New Severity Rating(A1) (after additional control)

Residual Risk ( A1 x B1)

Likelihood** Rating (B) (Refer Table in Sect.2)

Sub Task/Activity

Hazards Identified

RA Criteria (People/Environment/ Property/Process)

Consequences

Existing Control Measures

Additional Controls (if any)

Person Responsible

Bunker Quantity and Quality disputes

Ineffective monitoring may result in receiving less quantity bunkers

Process

Off-hire/claims

1. Bunker barge soundings to be checked before & after bunkering. 2. NOP issued 1. Samples to be collected & sealed /signed as per SMS procedures and sent to lab for analysis. 2. NOP issued 3. Bunkers not to be consumed until confirmation received from lab that fuel is fit for use. 4. Minimum reserve of old stock bunkers maintained. 5. Mixing with previous bunkers avoided. 1..Bunker shore lab analysis includes tests for high TAN to detect fatty acids and further tests if TAN high. TOM -1.11.03 2. Controls as above Hose to be emptied and valves closed, Suitable spill containments to be in place, Proper communication to be established with barge personnel

(Refer Table in Sect.2)

Bunker quality Off spec.

Property

Damage to Engines

Presence of high fatty acids in bunkers of W. African coast

Property

Damage to Engines

Hose Disconnection

Leakage of oil on deck

Environment Pollution

Rev: 01

Page 4 of 8

Decision to proceed with work Y/N

Agreed time frame

Risk Level** (A X B)

RISK ASSESSMENT FORM

Severity** Rating (A) of consequences with existing controls

RA-01

New Likelihood Rating(B1) (after additional control)

New Severity Rating(A1) (after additional control)

Residual Risk ( A1 x B1)

Likelihood** Rating (B) (Refer Table in Sect.2)

Sub Task/Activity

Hazards Identified

RA Criteria (People/Environment/ Property/Process)

Consequences

Existing Control Measures

Additional Controls (if any)

Person Responsible

Wrong or worn tools, improper use

People

Personal Injury

Same as for opening hose connection above All bolts fitted tightly. Joint condition ensured good 3. Supervision by Duty Engineer.

(Refer Table in Sect.2)

Manifold Blank not fitted back properly

Environment

Pollution - from leaks when bunker taken on other manifold

2.

Casting off the barge

Mooring related accidents

People

Personal Injury

Same as described above for Mooring operation.

*Numbering guidance: a. New RA No. if it is a fresh case. b. Old RA No. with new date if no change is hazards. c. Old RA No. inserting Rev. No & new date if there are additional Hazards (Refer Sect 1.6 of RA/MOC Manual for details) ** Refer RA Matrix (Sect.2 Table 1,2,3,4 of this Form and Sec. 1.5 of the RA/MOC Manual) for Hazards / Consequences Evaluation(Likelihood/Severity) to People, Environment and/or Property / Commercial aspects as applicable to arrive at ratings of (A) & (B). *** Refer Risk Level table (Sect.2 Table 5 of this form) and Sect 1.4.7 of the RA & MOC Manual .If results are either in yellow or red consider additional measures to mitigate the risk. Contingency Plans to limit the impact of unplanned occurrences/ failure of control measures to be discussed and recorded in the section below. During review of the RA process, if scope for improvement of the documented QHSE procedure for the operation/activity is identified, same should be recorded in the comments section below and office notified for appropriate action. Contingency Plans : Comments : Signed: Ref. Contingency Plans Manual Sec. 2.03.01.01 Oil Pollution

Rev: 01

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Decision to proceed with work Y/N

Agreed time frame

Risk Level** (A X B)

RISK ASSESSMENT FORM

Head of The Department Reviewers Comments: Signed: Date

RA-01

Name / Position / Signature

Date

SECT 2: Risk Ranking Matrices & Risk Level Tables

(Severity of)Consequence-A TABLE 1 : SHIPBOARD - PEOPLE FAC: First Aid Case Likelihood Of Consequence)-B Rating Happened several times per annum in a location/ship (Very likely) Happened several times per annum within the company (Likely) Happened within our company at least once (Unlikely) Heard Within the industry (Highly unlikely) 5 4 3 2 1 5 4 3 2 LTI: Lost Time Incident 2 10 8 6 4 Hospital: Injury requiring Hospitalization or LTI >24hours 3 15 12 9 6 Perm Disability: Injury resulting in permanent disability 4 20 16 12 8 Fatality: Injury resulting in death 5 25 20 15 10

Never heard within the industry (Almost NIL chances)

(Severity of)Consequence-A TABLE 2 : SHIPBOARD -ENVIRONMENT Likelihood Of Consequence)-B Rating

Happened several times per annum in a location/ship (Very likely) Happened several times per annum within the company (Likely) Happened within our company at least once (Unlikely) Heard Within the industry (Highly unlikely) Nil to Sea: Contained onboard Sheen on Sea: Evidence of loss to sea Les than 1m3 to Sea 1 to 5 m3 to Sea More than 5 m3 to Sea

5 4 3 2

1 5 4 3 2

2 10 8 6 4

3 15 12 9 6

4 20 16 12 8

5 25 20 15 10

Never heard within the industry (Almost NIL chances)

TABLE 3 : SHIPBOARD -PROPERTY / COMMERCIAL USD 1000, Customer Complaint / off hire < 2 hours > USD 1000 < USD 5000 / Off Hire< 4 Hours / slight damage

(Severity of)Consequence-A > USD 5000 < USD 10000 / Off hire > 4 hours / cargo contamination / > USD 10000 < USD 100000 / P&I or H&M claim / off hire > one day > USD 100000, P&I or H&M claim / off hire > one week

Rev: 01

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RISK ASSESSMENT FORM

Likelihood Of Consequence)-B Rating
Happened several times per annum in a location/ship (Very likely) Happened several times per annum within the company (Likely) Happened within our company at least once (Unlikely) Heard Within the industry (Highly unlikely)

RA-01
moderate damage 3 15 12 9 6 4 20 16 12 8 5 25 20 15 10

5 4 3 2

1 5 4 3 2

2 10 8 6 4

Never heard within the industry (Almost NIL chances)

Rev: 01

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RISK ASSESSMENT FORM

TABLE 4 :

RA-01

(Severity of) Consequence (To be defined)\#* - A Negligible

Rating 1 5 4 3 2 1

RA - MATRIX FOR MOC Likelihood Of Consequences-B

Minor
2 10 8 6 4 2

Moderate
3 15 12 9 6 3

Major
4 20 16 12 8 4

Catastrophic
5 25 20 15 10 5

Very likely Likely Unlikely Highly unlikely Almost NIL chances

5 4 3 2 1

Table 5: Risk Levels 1-7

Meaning

Action

Tolerable

Risk is acceptable and job can be undertaken. Consideration may be given for further reduction of risk if reasonably possible. However, in case value is above 4, continuous monitoring is required to ensure existing controls are maintained.

8 - 11

Moderate

Efforts are to be made to reduce the risk by placing additional controls with an aim to bring down Risk Level to Green zone. Vessel: If the risk cannot still be brought down to green zone, job can be undertaken but with continuous and heightened monitoring. Office may be contacted for advice if deemed necessary. MOC: The approving Authority or HOD may be suitably consulted.

12 - 25

Substantial

Efforts are to be made to reduce the risk to green/yellow rating by placing additional controls and taking appropriate action as defined above. However in case final risk level remains in Red zone, work is not to be started without obtaining permission from the office. Office will advise the vessel about the action to be taken. For MOC the approving authority or HOD are to be consulted.

#*Note: The Severity and Likelihood of consequences may be interpreted/ evaluated under People, Environmental and Commercial aspects as applicable using the guidance for the Shipboard Operation Matrix detailed in Sec 1.5.1, 1.5.2 and 1.5.3 of the RA & MOC Manual and in Risk Level Matrices/Table preceding this page of this Form.

Rev: 01

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