Doc No.

: FM0013G
Risk Assessment and Job Hazard Analysis Form Version: 32

RISK ASSESSMENT / JOB HAZARD ANALYSIS (JHA) FORM

Notes:
1 Prepare new JHA or review existing JHA. Get shore team to review JHA if the task is new or non-routine.
2 Use Hazards and Control Measure Examples (RF0785G) as a guide for Hazards and Control Measures
3 Refer to Risk Tools Handbook (SP2122G) or High Voltage Procedure (SP2269G).
4 Refer to Hazard & Environmental Aspect Identification and Operational Risk Management (SP2752G)
5 File in binder C/O #5

Vessel Name If new JHA, Date prepared If review based on existing JHA, Date JHA updated (DD/MM/YYYY)
(DD/MM/YYYY)

Description of Task Location of Task

OPERATION OF LATHE MACHINE E/R WORKSHOP

Team Composite

Rank Name Rank Name Rank Name

Person In Charge Safety Coordinator

Rank Name Rank Name
 Risk Assessment and Job Hazard Analysis Form Doc No.: FM0013G
Version 32

Description of Task (*Do not fill below box. Text populated from
C - Consequence (1 - 5)
front page)
OPERATION OF LATHE MACHINE L - Likelihood (1 - 5)

RR - Residual Risk (Consequence x Likelihood)

Note: Insert more row if required.
No. Steps or Tasks Hazards Control Measures C L RR
Lack of knowledge. Personnel not aware Only trained and competent person will be allowed to use lathe machine with
of correct operation and potential dangers proper PPE .
Prepare lathe machine for associated with operation of rotating Do not overload lathe machine. Ensure peronnel using lathe machine knows how to
1 3 2 6
operation machinies. operate lathe correctly and according to manufactures instructions.

1.Loose clothing, wearing rings, chains 1.Ensure personnel are fully familiar with procedure about to be carried out.. Use
etc while using lathe could result in correct tools for the work.
running nip point (rotating equipment) / Avoid loose clothing that could be caught by moving parts. Removed any ring/s,
Hand or arm contact with moving parts at chains before starting working on Lathe.
the point of operation / Material kick back 2. Ensure personnel always put down safety cover when the lathe is in use. Use
or ejection from the point of operation. faceshields to prevent struck by any flying particles from the lathe usage in order to
2.Not putting down protect any eye injury.
2 Operating lathe machine the safety cover for the chuck. Not 3. Start Lathe machine at slow speed first. Then slowly increase the speed as 3 2 6
wearing Proper PPE. These could result required.
in struck by a moving object / flying object
projected towards personnel/eye injury

Not wear proper PPE while removing Ensure lathe machine is stopped prior removing debris.Use proper gloves and PPE
metal debris could result in finger cuts / while removing metal waste/ remains from the lathe. Ensure lathe is switched off /
3 Operating lathe machine hand injury. emergency stop pressed while removing the metal waste 3 1 3

Cleaning of machined Hot material and swarf The machine elements maybe hot, allow it to cool down before removing the work
4 elements and removal of piece or swarf 2 1 2
debris
When cleaning the machine components Ensure lathe machine is stopped and power down the breaker.
and clearing out the debris, personnel Use suitable cleaning tools, such as brush for removing debris. Use proper PPE.
could sustain finger injury. - If the Activate emergency stop.
Securing lathe machine and machine was not switched off properly, it Ensure all swarf is removed and lathe machine elements such as tools are secure,
5 could acidentally start due to auto the chuck is free. 2 1 2
switching off supply
program and result in finger injury

6 0
7 0
8 0
9 0
10 0
11 0
12 0

HSE Statement - to be communicated at Toolbox Talks

1. Any person can stop the job at any time if they feel their own safety or the safety of others is or may be compromised.
2. If the conditions of this job change or an unexpected situation arises, personnel involved should suspend the work and inform their supervisor immediately.
 Doc No.: FM0013G
Risk Assessment and Job Hazard Analysis Form Version: 32

Note: Complete this section only if Isolation and Lockout is required. Insert more rows if required.

Isolation Coordinator (1) Isolation Coordinator (2)

Rank: Rank:
Name: Name:

Note: Record time manually

Time (HHMM)
Equipment / Point Isolated Lock No.
Isolation De-Isolation
 Doc No.: FM0013G
Version: 32

Reference: Risk Matrix (SP0622G)

Consequences
Level 1 Level 2 Level 3 Level 4 Level 5

First Aid Case Lost time injury /

Single fatality / Severe
Safety (FAC) / Medical Restricted Work Moderate Multiple fatalities
permanent partial
Treatment Case Case (RWC) permanent partial
disability
(MTC) disability

Health Medical
Health Repatriation
Health Treatment Treatment Case
Health Case (HRC) or Single health fatality Multiple health related
Onboard Case (HMTC) - Onboard
Admission to fatalities
(HTOC) or Ashore (Same
Hospital
Day Release)

Short to medium Medium to long term Long term impact.

Low impact with no Temporary effect / term impact, local effect / large area Lasting impairment of
Environment last effect, minimal Minor effect to area affected, no affected some ecosystem. Widespread
area exposed. small area effect on impairment of effect. Severe impact on
ecosystem. ecosystem. sensitive area.
Risk Criteria

Major operational
Minor damage or Moderate damage impact resulting in
Notable incident
loss resulting in or loss resulting in asset being taken out
with no impact / Very serious operational
asset being taken asset being taken of service between 15
Slight impact impact resulting in asset
out of service out of service to 30 days / PSC or
Process Loss / resulting in asset being taken out of
between 1 to 24 between 1 and 15 Flag state detention /
Operational being taken out of service > 30 days / Very
hours / Minor days / Moderate Major ISM non-
Impact / Asset service upto 1 hour serious damage or loss
damage or loss to damage or loss to conformity / Major
Damage or Loss / Slight damage or to asset / cargo with
asset / cargo with asset / cargo with damage or loss to
loss to asset / cargo direct cost more than
direct cost between direct cost between asset / cargo with
with direct cost less 2,000,000 USD.
10,000 to 200,000 200,000 and direct cost between
than 10,000 USD.
USD. 500,000 USD. 500,000 and
2,000,000 USD.

Public / Media No coverage Local coverage Regional coverage National coverage International coverage
Attention
Has not occurred in
1 - Rare the company in last 8 Slight (1) Slight (2) Minor (3) Minor (4) Moderate (5)
years

Has not occurred in

2 - Unlikely the company in last 3 Slight (1) Minor (4) Moderate (6) Moderate (8) High (10)
years

Has not occurred in

*Likelihood 3 - Possible the company in last Minor (3) Moderate (6) Moderate (9) High (12) Extreme (15)
year

Occurrs several times

4 - Likely per year in the Minor (4) Moderate (8) High (12) Extreme (16) Extreme (20)
company

Occurrs several times

5 - Almost certain per year on each Moderate (5) High (10) Extreme (15) Extreme (20) Extreme (25)
ship / location
Slight (1 - 2) Risk Tools: Take 5 / Toolbox talk required.
Minor (3 - 4) Risk Tools: Take 5 / Toolbox talk required. Monitoring is required to ensure no changes in circumstances
Risk Tools: Permit to Work (If required) / JHA / Toolbox Talk / Take 5 - Person in Charge and Safety Coordinator must be
Moderate (5 - 9) appointed.

Action Key Risk Tools: Permit to Work / JHA / Toolbox Talk / Take 5
Person in Charge and Safety Coordinator must be appointed.
High (10 - 12) Job can only be performed after authorisation from the shore team, and after additional controls required under the
circumstances. Person In Charge must be present for the toolbox talk and perform an onsite review of the PTW/JHA.

Extreme (15 - 25) Intolerable risk. Job is not authorised.

* Refer to HSEQ Hazards Database (RF0941G) as a guide for 'likelihood' information.