A

Location: Terga Date of Assessment:

Assessor(s): FRIDI.ALI System/Activity:
P
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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,
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: 26-07-2010 Assessment No:
System/Activity: Fire Fighting system (F03)
The table below provides a simplified representation of the methodology used and the processes involved in this Hazard Identification & Risk Analysis Procedure (Risk
Management) to be undertaken by OCIA and all Subcontractors in order to initiate, act on, review and effectively manage project-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
110 Rev: 0
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
Erection and
dismantling of
scaffolding
Personnel falling from
height
4
RISK ASSESSMENT FORM
Probability Severity
1 - 4
Risk
1 - 20
Control Measures to be Implemented
Probability
1 - 5
4 16 Safeguards needed to control risk
to acceptable level
No erection/dismantling of
scaffolding shall be carried out
during the hours of darkness
Over the site scaffolding
operations shall cease in case of
high winds. Wind speed
maximum 20 knots
Safety belt/harness shall be worn
by scaffolders working over the
side
All gaps in scaffolding structure
shall be highlighted by tiger tape
Gaps in scaffold boards shall be
well secured
Scaffold boards shall be well
secured
Use of scafftag
Removal of garnet from boards to
avoid stress on scaffolding
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
Erection
Work at height
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 scaffolding
Tools put into the tools pocket
their capacity.
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
Work at height
Use tools Hand injuries
crushed fingers
smooth head against the
frame
3
Fire Explosion
Abrasive particles
3
RISK ASSESSMENT FORM
Probability Severity
1 - 4
Risk
1 - 20
Control Measures to be Implemented
Probability
1 -
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
3 9 ensure protection adequate PPE
(gloves, helmet, goggles, harness
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
5
Severity
1 - 4
Risk
1 - 20
Resi
dual
Risk
Date Action
Completed
2 4
3 6

Tasks Hazards Identified (include
the exposed groups)
Probability
1 - 5
Communication
miscommunication
between riggers and
crane operators
3
Waste control
Waste of cut
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
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
Waste material recycle bin will
set up and clear up regularly
To finish the work site clean
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 4
3 6
2 4