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Nordrubicon: Risk Assessment Worksheet

This risk assessment worksheet evaluates the risks associated with cleaning cargo holds on the ship Nordrubicon. It identifies hazards such as falling, equipment failure, unauthorized actions, misuse of equipment, and weather conditions. For each hazard, it assigns a consequence level from 1-4 and likelihood level from 1-4 to determine an initial risk level from 4-16. It then lists control recommendations to reduce the risks, such as using safety harnesses and life lines, securing loose objects, and ensuring proper supervision. The risks are reassessed after controls and most are reduced, with continuous monitoring identified as the action required. The worksheet is signed by the master, head of department, and supervisor.

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Mihailescu Iulian
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924 views2 pages

Nordrubicon: Risk Assessment Worksheet

This risk assessment worksheet evaluates the risks associated with cleaning cargo holds on the ship Nordrubicon. It identifies hazards such as falling, equipment failure, unauthorized actions, misuse of equipment, and weather conditions. For each hazard, it assigns a consequence level from 1-4 and likelihood level from 1-4 to determine an initial risk level from 4-16. It then lists control recommendations to reduce the risks, such as using safety harnesses and life lines, securing loose objects, and ensuring proper supervision. The risks are reassessed after controls and most are reduced, with continuous monitoring identified as the action required. The worksheet is signed by the master, head of department, and supervisor.

Uploaded by

Mihailescu Iulian
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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ANNEX II Form 67 “Risk Assessment Worksheet” Revision: 1 Issued: 01/06/2011

RISK ASSESSMENT WORKSHEET


01-31.12.2020

Name & location of equipment,


Ship NORDRUBICON machinery, task or work activity Cargo holds cleaning
Prepared by: Team
Department / Rank / Name:
Deck / Chief Officer / Manike A. Composition: Bosun and Deck Crew

Consequences X Likelihood = Risk BEFORE AFTER

Risk Control Recommendation


Hazard Identified C L R Action Taken To Mitigate
C L R Action Key

Personnel Experience of Working Aloft, Careful


Inspection of Ladder, Safety Harnesses and Life Lines. Continuous
Falling from the Height, Personal Injury 4 1 4 4 1 4
Good Housekeeping. PPE, Life Lines and Safety Monitoring
Harnesses to be Used Wherever Necessary.
Continuous
Falling Equipment / Objects, Personnel Injury 4 1 4 All Tools to be Safely Secured. No Loose Objects. 2 1 2
Monitoring

Equipment Inspection, Suitable Leads, Chafe Protection. Continuous


Stage / Chair Failure 4 1 4 4 1 4
Good Housekeeping. Monitoring

Continuous
Uncoordinated or Unauthorized Actions 4 1 4 Very Careful Liaison With Other Parties. 4 1 4
Monitoring

Personal Awareness, Training, Supervision, Ensure Continuous


Misuse of Equipment 4 1 4 2 1 2
Proper Tools are Used. Monitoring

Continuous
Weather Conditions 2 1 2 Monitor Forecasts, Personal Awareness, Supervision 2 1 2
Monitoring

Safety Instruction, Description of the Procedures for All


Human Error, Fatique, Lack of Experience or Training 4 1 2 2 1 2 NONE
Crewmembers Involved Before Job is Started

Master Head Of Department Supervisor


Signature Signature Signature

REEDEREI NORD GMBH 1


ANNEX II Form 67 “Risk Assessment Worksheet” Revision: 1 Issued: 01/06/2011

RISK ASSESSMENT GUIDELINE

C x L = R
RISK C ONSEQUENCES
CRITERIA LEVEL 1 LEVEL 2 LEVEL 3 LEVEL 4 LEVEL 5

SAFETY First Aid Case – FAC Restricted Work Case – RWC Lost Time Injury – LTI Partial Disability / Single Fatality Multiple Fatalities

HEALTH Health Treatment Onboard Health Medical Treatment Health Repatriation Case Single Health Related Fatality Multiple Health Related Fatality

Minor Impact – effect to small Long Term Impact – severe


ENVIRONMENT Low Impact – no lasting effect
area
Medium Term Impact Long Term – effect to large area
effect on sensitive area
Minor failure – vessel taken out Moderate failure – vessel taken Major failure – vessel taken out Very serious failure – vessel
OPERATIONAL ISSUE No impact on vessel’s operation
of service for < 1 day out of service for 1 - 7 days of service for 7- 15 days taken out of service > 15 days

MEDIA ATTENTION No Coverage Local Coverage Regional Coverage National Coverage International Coverage
IKELIHOOD

1 – RARE SLIGHT – 1 SLIGHT – 2 MINOR – 3 MINOR – 4 MODERATE – 5

2 – UNLIKELY SLIGHT – 2 MINOR – 4 MODERATE – 6 MODERATE – 8 HIGH – 10

3 – POSSIBLE MINOR – 3 MODERATE – 6 MODERATE – 9 HIGH – 12 EXTREME – 15

4 – LIKELY MINOR – 4 MODERATE – 8 HIGH – 12 EXTREME – 16 EXTREME – 20

5 – CERTAIN MODEARTE – 5 HIGH – 10 EXTREME – 15 EXTREME – 20 EXTREME – 25


L

R ISK

ACTION KEY
SLIGHT 1-2 No action is required.

MINOR 3-4 No additional controls are required, however monitoring is required to ensure no changes in circumstances.
Maximum efforts should be made to reduce a risk / job to be performed under direct supervision of Officer.
MODERATE 5-9
Job can ONLY be performed after - AUTHORIZATION FROM OFFICE VERIFICATION TEAM - (Technical and Safety Department)
Maximum efforts should be made to reduce a risk / job to be performed under direct supervision of Senior Officer.
HIGH 10 - 14
Job can ONLY be performed after - AUTHORIZATION FROM OFFICE VERIFICATION TEAM - (Technical and SafetyDepartment)
EXTREME 15 - 25 INTOLERABLE RISK – JOB IS NOT AUTHORIZED.

REEDEREI NORD GMBH 2

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