Location: Terga Date of Assessment:

Assessor(s): FRIDI.ALI System/Activity:

P
r
o
b
a
b
i
l
i
t
y
&
F
r
e
q
u
e
n
c
y
Definite 5 5 10 15 20
High 4 4 8 12 16
Moderate 3 3 6 9 12
Low 2 2 4 6 8
Negligible 1 1 2 3 4
1 2 3 4
Minor Serious Major Catastrophic
Severity
Key to Priorities
Medium Priority (5
days)
High Priority (2-3 days) Immediate
INTRODUCTION
The table below provides a simplified representation of the methodology used and the processes
Management) to be undertaken by OCIA and all Subcontractors in order to initiate, act on, review and effectively manage proje
IDENTIFICATION - Pre planning, Method
statement , Job safety analysis.
ASSESSMENT
Mitigation measure, Residual risk
Identify activities , Identify hazards Assess Impacts, Analyze Risk ,
Establish Mitigation Measures.
RISK ASSESSMENT FORM
Date of Assessment: 23-05-2010 Assessment No:
System/Activity: Assembly and adjustment of the metal frames
The table below provides a simplified representation of the methodology used and the processes involved in this Hazard Identification &
Management) to be undertaken by OCIA and all Subcontractors in order to initiate, act on, review and effectively manage proje ct-related risks
ASSESSMENT Impact, Risk factor,
Mitigation measure, Residual risk
IMPLEMENTATION &
COMMUNICATION
REVIEW & UP DATE
Assess Impacts, Analyze Risk ,
Establish Mitigation Measures.
Communication & Training Audit, Inspection & Up dating of Log.
Page 2 of 9
86 Rev: 0
djustment of the metal frames (B 68)
involved in this Hazard Identification & Risk Analysis Procedure (Risk
related risks throughout the Construction Phase.
REVIEW & UP DATE
Audit, Inspection & Up dating of Log.

Tasks Hazards Identified (include
the exposed groups)
Probability
1 - 5
Transfer of
equipment
Transfer device collide
with other things;
Oil leakage
4
Locate the crane Hitting injury 4
Transport Traffic risk
Collision with person
Collision device
3
RISK ASSESSMENT FORM
Probability Severity
1 - 4
Risk
1 - 20
Control Measures to be
Implemented
Probability
1 - 5
3 12 Chose a qualified driver before
work
Check the calibration of all
tools
Make sure the transport device
in good condition
2
3 12 Solid the ground
Reinforce the pads beneath the
outriggers
Check the around circumstance
before working
2
3 9 The trucks must respect:
The limited speed in the site
The circulation signs
The circulation plan (updated)
2
Page 3 of 9
Probability Severity
1 - 4
Risk
1 - 20
Residual
Risk
Date
Action
Completed
1 2
1 2
3 6

Tasks Hazards Identified (include
the exposed groups)
Probability
1 - 5
Movement of
traffic
Slip/trip/all
3
Lifting Fall from height and
hurt workers
Component fall down
Component collide
with other things
surrounded
Collision with person
Falling materials
Poor visibility for the
driver
Crane tilt
4
RISK ASSESSMENT FORM
Probability Severity
1 - 4
Risk
1 - 20
Control Measures to be
Implemented
Probability
1 - 5
3 9
All hose/ropes/cables in use
shall be secured to the side of
walkways and handrails
All unnecessary materials and
equipment to be immediately
removed from site
All exits and walkways to be
kept clear for use of personnel
High standard of housekeeping
to be maintained at all times
2
4 16
Lifting crane, wires should be
regularly calibrated, safe
working loads are announced
max speed at site is respected
for all vehicle
It is not allowed to work under
loads
Handling by qualified riggers
worn the related PPE and under
supervision
Qualified crane operator and
qualified rigger to operate
lifting work
Crane in calibrated period
Barricade the lifting area
2
Page 4 of 9
Probability Severity
1 - 4
Risk
1 - 20
Residual
Risk
Date
Action
Completed
2 4
3 6

Tasks Hazards Identified (include
the exposed groups)
Probability
1 - 5
Lifting
RISK ASSESSMENT FORM
Probability Severity
1 - 4
Risk
1 - 20
Control Measures to be
Implemented
Probability
1 - 5
Proper lifting tools
Make sure lifting wok operated
in good weather
Mark the area of operations of
the crane
Officer commanding the ship
maneuver through regulatory
actions to avoid accidents
Control of the safety catch hook
the slings
Ensure the crane on his
dashboard that the load weight
does not exceed the maximum
allowed
Ban the person be under a
suspended load
Defining the radius of the rotary
crane
Prohibit the movement of
people around the handling
Stop the lifting operation in
strong winds exceed the 50km
/h and heavy rain
Not lifting at night
Page 5 of 9
Probability Severity
1 - 4
Risk
1 - 20
Residual
Risk
Date
Action
Completed

Tasks Hazards Identified (include
the exposed groups)
Probability
1 - 5
Work at height
(Scaffolding and
Man basket)
Falls from height
Falling objects
material and tools
falling down
Pipe rack fall down
4
RISK ASSESSMENT FORM
Probability Severity
1 - 4
Risk
1 - 20
Control Measures to be
Implemented
Probability
1 - 5
4 16 Prohibition to work at heights of
night
Prohibit work at height if the
weather affected the safety of
persons
Protection of persons with
safety harnesses
the scaffolding should be based
on graded soil with good
foundation
Protect a guard with a height of
1.15 m
Protect with an end-board 10 to
15 cm high
All gaps in scaffolding structure
shall be highlighted by tiger
tape
the scaffolding boards shall be
well secured
Use of scafftag
Removal of garnet from boards
to avoid stress on the
scaffolding
Tools put into the tools pocket
their capacity.
2
Page 6 of 9
Probability Severity
1 - 4
Risk
1 - 20
Residual
Risk
Date
Action
Completed
3 6

Tasks Hazards Identified (include
the exposed groups)
Probability
1 - 5
Work at height
(Scaffolding and
Man basket)
Welding Burn
Sting
Glare
Gas and smock
Fire and/or Explosion
the gas cylinder
4
RISK ASSESSMENT FORM
Probability Severity
1 - 4
Risk
1 - 20
Control Measures to be Implemented
Probability
1 - 5
Erection in accordance with the
requirement
It is forbidden to exceed the
prescribed load on the Man
basket
All man baskets will be load
tested and certified.
All man baskets will not be
overloaded and will be used
inside
4 16 Port PPE: Face shield or goggles,
gloves, aprons and leggings
Respiratory protection
Aeration of the workspace
Dilution of gas and smoke with
ventilation
Cleanliness of welding at risk of
abrasive particles
check valve and Pressure of gas
cylinder
Leak Detection Gas cylinders and
hoses
2
Page 7 of 9
Probability Severity
1 - 4
Risk
1 - 20
Residual
Risk
Date
Action
Completed
3 6

Tasks Hazards Identified (include
the exposed groups)
Probability
1 - 5
Communication
miscommunication
between riggers and
crane operators
3
Electricity
Electrocution
3
Fire Explosion
Abrasive particles
3
RISK ASSESSMENT FORM
Probability Severity
1 - 4
Risk
1 - 20
Control Measures to be Implemented
Probability
1 - 5
3 9
Only the designated riggers who
are allowed to communicate with
the crane operators.
Operators and riggers will use
hand held radios at all times and
will be sure that they use the
same frequency prior to lifting.
2
4 12
Protect electrical equipment from
ingress of water
Identify equipment risk
Warning notices
Verification of electric cables
before the start of work by an
electrician
2
3 9
Check the cleanness of the
workplace
Site emergency plan to be
followed in event fire or
explosion.
All personnel to be inducted and
aware of emergency procedures.
Installation of fire extinguishers
visible and accessible
No smoking or naked lights
2
Page 8 of 9
Probability Severity
1 - 4
Risk
1 - 20
Residual
Risk
Date
Action
Completed
2 4
3 6
3 6

Tasks Hazards Identified (include the
exposed groups)
Probability
1 - 5
Use tools Hand injuries
crushed fingers
smooth head against the
frame
3
Environmental
Pollution the air: Exhaust
gas, The dust
Leaking oil or diesel
machines on soil
3
Assessor Print :
RISK ASSESSMENT FORM
Probability Severity
1 - 4
Risk
1 - 20
Control Measures to be Implemented
Probability
1 - 5
3 9 ensure protection adequate PPE
(gloves, helmet, goggles, harness
2
3 9
Checking the condition of
equipments before beginning
the work
ventilation Workstation
2
Sign: Date:
Page 9 of 9
Probability Severity
1 - 4
Risk
1 - 20
Residual
Risk
Date
Action
Completed
2 6
2 4