MARAN GAS MARITIME INC.

RA 002

CHAPTER 13

RISK ASSESSMENT FORM

RISK MANAGEMENT
Operation / Work activity being assessed:
Generated by: Vessel
RA Code number:

D.O TANK INSPECTION/ CLEANING (ENCLOSED SPACE ENTRY)

Routine
Non-routine

Office

(record the name)

ALTERNATIVE WAYS TO CONDUCT THE WORK (Prior to deciding to proceed with the work always ensure that all other alternatives methods
for carrying out the job have been identified and documented )

No alternative ways available for this task.

FREQUENCY CATEGORY

CONSEQUENCE CATEGORY

Frequent - Possibility of
repeated incidents
Probable - Possibility of
isolated incidents

More often than

once per voyage
Once per year

Occasional- Possibility of
occurring sometime

Once per 5 years

Remote- Not likely to occur

Once per 10 years

Very unlikely- Practically

impossible

Once per 30 years

or more

CECONSEQUEN

1
2
3
4

Human losses / fatalities

Major pollution /
Full scale response

Serious injury to
personnel

Moderate pollution/
Significant resources commitment

Number of minor
injuries / Medical
treatment for personnel

Little pollution /
Limited response of short duration

Little cost or damage

($10000 $ 100000)

Slight impact

Few minor injuries

Minimum pollution /
Little or no response needed

Minimum cost /
damage
< $10000

Zero impact

1
L (1)
L (2)

RISK MATRIX
FREQUENCY
2
3
L (2)
L (3)
M(4)
M(6)

4
M (4)
H(8)

5
M (5)
H(10)

L(3)

M(6)

H(9)

H(12)

H(15)

M(4)

H(8)

H(12)

H(16)

H(20)

Excessive/ high cost

damage >$1000000
Moderate cost or
damage
(100000 1000000$)

Major national &

international impact
Considerable
impact

High=Intolerable Risk Medium=Tolerable Risk Low=Negligible Risk

Risk Assessment
Risk Identification
No

Hazard

Inadequate work planning

Issue No. / Date: 1 / 02.07

Risk Analysis
Potential
hazardous event

Delays/
confusion/ crew
injury / property
damage

Initial risk
evaluation

Existing control measures

a. Working plan will be

communicated prior the job
commencement to the participants,
as defined in SMS Ch. 7.9.2.
b. A pre-job toolbox meeting will be
carried out among all personnel
involved with the job, in order to
discuss and analyze the identified
hazards. All people involved in the
job should countersign the RA.
c. Form P-001 for entry in
enclosed space should also be
issued. The Permit must be
completed/ signed by the Master,

Revision No. / Date: 2 / 05.14

Page 1 of 6

MARAN GAS MARITIME INC.

RA 002

CHAPTER 13

RISK ASSESSMENT FORM

Risk Assessment
Risk Identification

No

Hazard

Risk Analysis
Potential
hazardous event

Crew fatigue/ Lack of experience of the

personnel carrying out the job

Crew injury,
delays

Slips, trips, falls

Crew injury

Issue No. / Date: 1 / 02.07

Existing control measures

the Responsible Officer and the

person entering the space or
authorized team leader.
d. After the work break, the job will
be resumed only when the
supervisor is ensured that the
control measures are still valid.
a. Only well-rested personnel will
participate in the job.
b. Experienced personnel will
participate in the job.
a. PPE will be used throughout the
whole job execution. Head torches
to be worn on the helmets, if
applicable. See SMS Ch. 7.9.17.
b. Any hazards assessed through
the JHA and RA will be eliminated
prior the job commencement.
c. Stby personnel will be available
in order to replace anyone
indicating signs of fatigue. Rest
hours will be observed.
d. Team leader to inspect the
surfaces and to warn the rest of
the team members for any hazards
while he passes from the enclosed
space. The team leader will decide
if the team will proceed by doing
an on scene hazard assessment,
and decide whether the job should
be ceased. As a general rule,
stepping on inclined surfaces
such as hoppers and stringers
must be avoided.
e. Team leader to visually inspect
the access means of tank, and to
confirm the proper condition of the
following: (a) permanent attached
ladders, (b) hinged grating
platforms in position and pin
locked (if fitted), (c) open deck
access manholes and openings
(securing and protection means,
such as rails, warning tapes etc.)
Revision No. / Date: 2 / 05.14

Initial risk
evaluation
F

Page 2 of 6

MARAN GAS MARITIME INC.

RA 002

CHAPTER 13

RISK ASSESSMENT FORM

Risk Assessment
Risk Identification

No

Hazard

Risk Analysis
Potential
hazardous event

Lack of communication between vessels

departments.

Equipment
damage/
operational
problem

Inadequate ventilation, increased numbers of

O2, hydrocarbons and toxic gases.

Asphyxiation

Issue No. / Date: 1 / 02.07

Existing control measures

Initial risk
evaluation
F

f. Entry team to familiarize with the

space and the arrangements
within, by reviewing the relevant
tank plan.
Prior work commences, it should
1
be ensured that communication
between all head departments is
established and same channel will
be maintained throughout job
execution. All UHF batteries to be
fully charged.
In case of UHF malfunction or
dead battery:
- Replace the UHF with
another.
- Change the battery in a
gas proof area.
Each team member should carry a
walkie talkie, fully charged and
tested. Person standing in the
entrance should also carry a
walkie talkie.
a. Before entry, thorough
2
examination and atmosphere tests
should be performed in various
heights of the tank/space, in order
to ensure that levels of O2,
hydrocarbons and toxic gases are
within the acceptable entry limits.
b. At least 2 members of the entry
team will carry personal
atmosphere test equipment.
c. The ventilation of the space will
remain turned on until the work
has been completed and the space
has been evacuated.
d. Additional and frequent
atmosphere tests will be performed
by portable equipment in a
predefined period. It should be
noted that the predefined periods
should not exceed the duration of
2 hours.
e. In case of ventilation failure,
Revision No. / Date: 2 / 05.14

Page 3 of 6

MARAN GAS MARITIME INC.

RA 002

CHAPTER 13

RISK ASSESSMENT FORM

Risk Assessment
Risk Identification

No

Hazard

Risk Analysis
Potential
hazardous event

Inadequate illumination

Crew injury

Adverse sea/ weather conditions

Crew injury

Heat and humidity in the enclosed space

Delays,
confusion,
fatigue

Issue No. / Date: 1 / 02.07

Existing control measures

portable atmosphere test

equipment failure or of any
indication of possible gas or lack of
oxygen exists, entry will be ceased
and the team will abandon the
space at once.
f. Requirements for entry in an
enclosed space are defined in the
SMS Chapter 7.9.2. Circular no.
04-2010 gives guidance on the
measures to be followed for each
confined space. The following are
the requirements that need to be
fulfilled before entry in an enclosed
space:
Spaces having a risk factor
above 375:
Inspection: JHA/ RA (Office
approval), Gas free certificate,
Entry permit P-001
Before entry, responsible person to
confirm that the space illumination
is adequate. Each team member
will carry a safe and filly charged
torch with them, in order to
illuminate any obscured parts of
the space that cant be covered by
the main means of illumination.
Test and confirm the lighting
equipment operation condition.
The inspection/ work to be
performed under favorable
weather conditions and minimums
sea motions (pitching/ rolling).
Bridge OOW to monitor weather
reports and sea conditions, in
order to inform team when weather
deterioration if expected. Entry
should be ceased if deemed
necessary.
Dehydration measures should be
taken before entry. In case the
heat and humid conditions of the
space are extreme (40 C), entry
Revision No. / Date: 2 / 05.14

Initial risk
evaluation
F

Page 4 of 6

MARAN GAS MARITIME INC.

RA 002

CHAPTER 13

RISK ASSESSMENT FORM

Risk Assessment
Risk Identification

No

Risk Analysis
Potential
hazardous event

Hazard

Use of tools/ electrical equipment

Crew injury

10

Presence of flammable liquid

Fire/ Crew injury

11

Exposure to hazardous material

Crew injury

Initial risk
evaluation

Existing control measures

should be abandoned.
a. The tools should be lowered in a
proper safe manner (plastic bucket
etc.) in order to avoid the
possibility of being dropped.
b. The good condition of the
equipment will be checked prior
each use.
Tanks/ spaces to dry as much as
possible before entry, by extend
ventilation.
A portable fire extinguisher will be
standby/ready for immediate use.
a. MSDS of the chemicals to be
used, to be reviewed prior the oil
waste collection
b. Adequate ventilation should be
ensured.
c. Relevant PPE will be used in
order to avoid skin contact with oil
residues.

Note F: Frequency, C: Consequence, R: Risk

Notes: (1) This Form should be filed onboard in File M27 & E5.

Risk Treatment
Hazard
No.

Additional Risk Control Measures

Residual risk
evaluation
Responsible

*Action
Timeline

Note F: Frequency, C: Consequence, R: Risk

Contingency plans (to facilitate safe management and recovery of the situation in case of any unplanned occurrences)
Emergency case
Contingency Plans
Personnel Injury
SMS/Ch. 8(A) Emergency Case #12
Fire

SMS/Ch. 8(A) Emergency Case #7

Risk Assessment reviewed/approved by:

Name

Issue No. / Date: 1 / 02.07

Rank / Title

Signature

Revision No. / Date: 2 / 05.14

Date

Page 5 of 6

MARAN GAS MARITIME INC.

RA 002

CHAPTER 13

RISK ASSESSMENT FORM

Please enter below the persons who will be

involved in the job:

Remarks:
*Action timeline : Ensure the close out of the preventive actions prior to commencement of work.
Verification (Master and the Officer in Charge) that all control measure are fully implemented prior work commencing.
Name
Rank / Title
Signature
Date
Office verification reviewed/approved by:
Name

Issue No. / Date: 1 / 02.07

Rank / Title

Signature

Revision No. / Date: 2 / 05.14

Date

Page 6 of 6