RA Templates - Tank Cleaning

RISK ASSESSMENT FORM
Conducted By (Date)
Company
Group 1
Task
Pump Room Cleaning (Bottom) in Dry Dock
Approved By (Date)
2. Risk Evaluation
Existing Risk Control
PreInspection
by
supervisor
Risk Level
1. Hazard Identification
Task Step
Hazard
Possible
Accident/III
Health &
Persons-at-risk
Likelihood
Next Review Date
Severity
No.
10/5/2006
Miscommunication
Invalid permit
application
-Highlight in VSCC
meeting
-Ensure valid PTW tank
entry
Lack of oxygen
Asphyxiation
-Sufficient ventilation
-Equip with portable gas
detector (working
condition)
Slip & Fall
Bodily injury
Falling of
person
Bodily injury
-Sufficient lighting ensure

carry torchlight
-Barrication
-PPE (Safety boot) & hand
glove
Lack of
illumination
Bodily injury
Association of Singapore Marine Industries
3. Risk Control
Additional
Action Officer
Risk Control
Follow-up Date)
Measure
3 point contact
Buddy System
Reference
Document for
Reference
Immediate
Supervisor
Page 1 of 3
Preparation
of material
for cleaning
and man
power
-Valid / Tested lifting

equipment
-Qualified rigger and
signaler
-Barricade falling zone
Ensure electrical
equipment in good
condition
Adequate people for jobs
Commence
cleaning
Risk Level
2. Risk Evaluation
Likelihood
Task Step
Hazard
Possible
Accident/ Ill
Health &
Persons-atrisk
Severity
No.
3. Risk Control
Additional
Action Officer
Risk Control
(Follow-up Date)
Measure
NIL
NIL
NIL
NIL
Supervisor
-Barricades
-Falling protector must be
anchor to rigid point
Correct lifting
technique
NIL
Asphyxiation
Bodily injury
Bodily injury
Sufficient ventilation
Barricade all opening
-Sufficient lighting
-Proper co-ordination
5
4
3
1
2
2
M
M
M
NIL
NIL
Supervisor
Skin allergy
Dermatitis
Wear rubber boots and

gloves
NIL
NIL
Fall arrestor
must be
anchor to rigid
point
MSDS from
ship
Oil leak
Pollution
Ensure highlight to VSCC

meeting / valid cleaning
permit LOTO
All connection
to be secured
with safety tag
Supervisor
Falling object
Bodily injury
Electrocution
Fatality
Ergonomic
manual handling
Falling of person
Back injury
Bodily injury
Lack of oxygen
Falling hazards
Slip and Fall
Reference
Document for
Reference
NIL
Supervisor
Page 2 of 3
Bodily injury
Manual
Bodily injury
handling
Struck by object Bodily injury
Completion of
work
Oil spill
Environmental
pollution
Work
completion not
signed off
Poor
coordination
Risk Level
Housekeeping Falling object
Likelihood
2. Risk Evaluation
Severity
No.
Task Step
Hazard
Possible
Accident/ Ill
Health &
Persons-atrisk
3. Risk Control
Additional
Action Officer
Risk Control
(Follow-up Date)
Measure
-Lifting equipment valid

and tested
Correct lifting
technique
Supervisor
-Use proper PPE
NIL
NIL
-Proper coordination and

PPE
-Ensure bags has no leak
and dispose in designated
rubbish box
Ensure proper
endorsement
NIL
NIL
NIL
NIL
NIL
NIL
Reference
Document for
Reference
Page 3 of 3
Company

Conducted By (Date)
Group 2
10 May 2006
Cleaning of Chain Locker
Task
Approved By (Date)
Inspection by
Supervisor
-Permit to work system

-Carry gas meter
-Provide a ladder
-Provide adequate lighting
1.2
2.1
2.2
Transport
equipment to
on board
vessel
Lack of
Oxygen
Falling from
height
Asphyxiation
Fatality
Risk Level
2. Risk Evaluation
Likelihood
1.1
Task Step
Hazard
Possible
Accident/III
Health &
Persons-at-risk
Severity
No.
Next Review Date

3. Risk Control
Additional
Action Officer
Risk Control
Follow-up Date)
Measure
Reference
Document for
Reference
SMS -PTW
NIL
Supervisor
-Secure the
ladder
-Ladder must
provide by
scaffolder
NIL
Project Manager
Slip, trip and

fall
Bodily injury
-Maintain good
housekeeping
Struck by
industrial
vehicle
Fatality
Only trained forklift

operator to operate the
forklift
Falling object
during lifting
Fatality
Assign trained rigger to do

lifting work.
Follow lifting procedure
Only appointed
forklift operator
to operate
forklift
Lifting
Supervisor
must be
present on site
Supervisor
SMS
Work
instruction
Supervisor
SMS
Work
instruction
Lifting Supervisor
SMS
Lifting
procedure
Page 1 of 3
Risk Level
Struck by
moving
equipment
2. Risk Evaluation
Likelihood
Task Step
Hazard
Possible
Accident/ Ill
Health &
Persons-at-risk
Severity
No.
3. Risk Control
Additional
Action Officer
Risk Control
(Follow-up Date)
Measure
Bodily injury
-Provide handhold for air

winch and pump
-Wear hand gloves
NIL
NIL
Bodily injury
-Ensure that all hose

connections are tightened
properly.
-Provide hose arrestor
-Discharge water to drain
-Wear rubber boot
-Walkway must be free
form slippery hazard
NIL
NIL
2
3
3
3
M
M
NIL
NIL
NIL
NIL
-Down hand (hard)

scrapping
-Avoid standing directly
below loose scale
-Wear goggles and PPE
-Keep clear from lifted mud
bags
-Avoid lifting more than 1
bag
-Provide hand hold for
winch wire rope
-Keep hands away moving
wire rope
Adopt correct lifting
method
Nil
NIL
NIL
NIL
NIL
NIL
NIL
NIL
Set up
equipment
4
4.1
Work Commencement
Pump out
Struck by
water
whipping
hose from
pump
4.2
Clean the
mud
Slippery
surface due
to flooding
Bodily injury
4.3
Scrape the
loose scale
(Rust)
Struck by
object
Foreign particles
in eyes
4.4
Removed
mud and
scale bag
from chain
locker
Struck by
falling objects
PPD
Permanent
Partial Disability
Caught by
moving winch
wire rope
PPD
Permanent
Partial Disability
Manual
handling
Back injury
Reference
Document for
Reference
Page 2 of 3
Hose down
the chain
locker
Electrocution
Fatality
4.6
Re-pump out
water
Struck by
whipping
hose from
pump
Bodily injury
Inspection
done by
owner
Asphyxiation
Fatality
Falling from
height
Fatality
Slip, trip and

fall
Bodily injury
Struck by
industrial
vehicle
Fatality
Falling object
during lifting
Fatality
Transport all
equipment
back to
workshop
Risk Level
4.5
2. Risk Evaluation
Likelihood
Task Step
Hazard
Possible
Accident/ Ill
Health &
Persons-at-risk
Severity
No.
3. Risk Control
Additional
Action Officer
Risk Control
(Follow-up Date)
Measure
All hand lamp and portable

electrical equipment must
be tested by electrician
User must check ensure
that equipment is free from
defect
-Ensure that all hose
connections are tightened
properly.
-Provide hose arrestor
-Discharge water to drain
NIL
NIL
NIL
NIL

-Carry gas meter
-Provide a ladder
NIL
NIL
Project Manager
-Maintain good
housekeeping
Only trained forklift
operator to operate the
forklift
-Secure the
ladder
-Ladder must
provide by
scaffolder
NIL
Assign trained rigger to do

lifting work.
Follow lifting procedure
Only appointed
forklift operator
to operate
forklift
NIL
NIL
Supervisor
NIL
Reference
Document for
Reference
SMS -PTW
SMS
Work
instruction
SMS
Work
instruction
SMS
Lifting
procedure
Page 3 of 3

Conducted By (Date)
Company
Group 3
Task
Sewage Tank Cleaning
Approved By (Date)
Next Review Date
Risk Level
2. Risk Evaluation
Likelihood
Task Step
Hazard
Possible
Accident/III
Health &
Persons-at-risk
Severity
No.
3. Risk Control
Additional
Action Officer
Risk Control
Follow-up Date)
Measure
Highlight during Applied for

VSCC and raise wrong
location or
PTW
permit
NIL
Daily workplan
Checklist
NIL
Arrange
ventilation and
lighting
Lack of
oxygen
Suffocation or
Asphyxiation
Conduct gas check
Fire and
explosion
Fatality
Explosion proof lighting
Minimum one
gas meter
carrier per
work group
NIL
Lack
oxygen
Suffocation or
asphyxiation
Conduct gas check
Check location
to be cleaned
10/05/2006
Minimum one
gas meter
carrier per
work group
Reference
Document for
Reference
Supervisor
NIL
Supervisor
Page 1 of 2
Risk Level
Likelihood
2. Risk Evaluation
Severity
No.
Task Step
Hazard
Possible
Accident/ Ill
Health &
Persons-at-risk
3. Risk Control
Additional
Action Officer
Risk Control
(Follow-up Date)
Measure
Disinfect the
tank with
chemical
Overcome
by
chemical
fumes
Disorientation &
Unconscious
Use supplied airline mask

and refer to MSDS
Use water
based
chemical
Supervisor
Demuck and
dispose
Overcome
by toxic
gas build
up
Unconscious
Use supplied airline mask
Extractor fan
and gas meter
Supervisor
Reference
Document for
Reference
Page 2 of 2

Conducted By (Date)
Company
Group 4
Task
Tank Cleaning of Cargo Oil Tank (bottom) for Hot

Work
Approved By (Date)
Next Review Date
Risk Level
2. Risk Evaluation
Likelihood
Task Step
Hazard
Possible
Accident/III
Health &
Persons-at-risk
Severity
No.
10th May 2006
3. Risk Control
Additional
Action Officer
Risk Control
Follow-up Date)
Measure
Before
Highlight in
VSCC Meeting
Communication May carry out

incompatible
breakdown
work
date/time
All trade supervisor to

attend meeting
Make sure all

trade
supervisors
attend meeting
SRM
Gas free
certificate to be
obtained
Fire &
Explosion
Fatality
Gas monitoring
Conduct
regular gas
monitoring
Safety personnel
Permit-to-Work
for tank entry
Lack of oxygen
Asphyxiation
- Continuous ventilation
- Explosion Proof Lighting
Work group
bring along
Portable Gas
Detector /
torchlight
Supervisor
Reference
Document for
Reference
Page 1 of 4
Work-inProgress
Identify exact
location for
cleaning
Residual oil to
be pumped out
Cleaning of
sludge
manually
Risk Level
Mobilize
equipment and
manpower
Likelihood
2. Risk Evaluation
Severity
No.
Task Step
Hazard
Possible
Accident/ Ill
Health &
Persons-at-risk
3. Risk Control
Additional
Action Officer
Risk Control
(Follow-up Date)
Measure
Struck by
object
Bodily injury
Trained rigger and signaler
Conduct
Supervisor
toolbox briefing
Rash act
Bodily injury
Familiarise inexperienced
worker with work
environment
Buddy system
for new
workers
Supervisor
Fumes &
gas
Dizziness
Permit-to-work for tank

cleaning
Regular gas
monitoring
Safety personnel
Lack of
oxygen
Asphyxiation
Provide adequate forced

ventilation
Carry portable
gas detector
supervisor
Slip & Fall
Bodily injury
Provide adequate lighting
NIL
NIL
Slip & Fall
Bodily injury
Standby
sawdust, oil
dispenser
Supervisor
Gas &
Fumes
Excessive
noise
Dizziness
Regular gas
monitoring
Conduct noise
monitoring
Safety personnel
Noise Induced
Deafness

ventilation
PPE
Slip & Fall
Bodily injury
Gas &
Fumes
Dizziness

ventilation
Skin
irritation
Dermatitis
Wear rubber gloves &

barrier cream
Standby
sawdust, oil
dispenser
Regular gas
monitoring
Reference
Document for
Reference
Safety Officer
Supervisor
Safety personnel
NIL
Page 2 of 4
10
3. Risk Control
Additional
Action Officer
Risk Control
(Follow-up Date)
Measure
Bodily injury
Gas &
Fumes
Dizziness

ventilation
Skin
irritation
Dermatitis

barrier cream
NIL
Dizziness

ventilation
Regular gas
monitoring
Safety personnel
Slip & Fall
Bodily injury
Standby
sawdust, oil
dispenser
Supervisor
Slip & Fall
Bodily injury
Standby
sawdust, oil
dispenser
Supervisor
Struck by
falling
object
Bodily injury
Proper material handling to

be adopted
Conduct
Supervisor
toolbox briefing
Standby
sawdust, oil
dispenser
Regular gas
monitoring
Reference
Document for
Reference
Supervisor
Slip & Fall
Pack the sludge Gas &

bags
Fumes
Dispose sludge
bags on deck to
sludge bin
Risk Level
Wiping down
the surface
manually
Likelihood
2. Risk Evaluation
Severity
No.
Task Step
Hazard
Possible
Accident/ Ill
Health &
Persons-at-risk
Safety personnel
Page 3 of 4
Remove sludge
to shore
Final inspection
by safety
assessor /
production
supervisor
Risk Level
12
2. Risk Evaluation
Likelihood
11
Task Step
Hazard
Possible
Accident/ Ill
Health &
Persons-at-risk
Severity
No.
3. Risk Control
Additional
Action Officer
Risk Control
(Follow-up Date)
Measure
Struck by
falling
object
Bodily injury
Proper material handling to

be adopted
Conduct
Supervisor
toolbox briefing
Struck by
moving
object
Bodily injury
Using of tag line to control

the swinging load
NIL
NIL
Gas &
Fumes
Dizziness

ventilation
Monitor gas
from bell
mouth & drop
line (change of
condition)
Safety Officer &

Trade Foreman
Reference
Document for
Reference
Page 4 of 4

Conducted By (Date)
Company
Group 5
Task
Cargo Oil Tank Cleaning
Approved By (Date)
2. Risk Evaluation
Mobilisation of
ventilation &
lighting
Struck by
Bodily injury
object
Electrocution Fatality
Trained rigger and

signalman
Qualified electrician
NIL
Maintenance
Cargo Oil Tank

cleaning
Oxygen
Deficiency
Asphyxiation
Sufficient forced
ventilation
Fumes and
gases
Prolong
exposure may
cause dizziness
Sufficient forced
ventilation
Inspected electrical
equipment to be
tagged
-Regular check on
gas every 4 hours
-Must indicate gas
reading in tank
-Every group have a
portable gas meter
Use flexi-hard
trucking to provide
continuous ventilation
Fall from
height
Slip & Fall
Fatality
Hooked on secured
structure
Ensure that safety shoe
is oil resistance
Supervisor
Conduct toolbox
briefing
-Ensure sufficient
lighting inside
-Check the sole of
boots regularly
Bodily injury
Risk Level
Task Step
Hazard
Possible
Accident/III
Health &
Persons-at-risk
Likelihood
Next Review Date
Severity
No.
10/05/06
3. Risk Control
Additional Risk
Action Officer
Control Measure
Follow-up Date)
Reference
Document for
Reference
Supervisor
Supervisor
Supervisor
Page 1 of 2
Risk Level
Likelihood
2. Risk Evaluation
Severity
No.
Task Step
Hazard
Possible
Accident/ Ill
Health &
Persons-at-risk
Explosion
inside tank
Hand lamp might

broken and
cause spark
Ensure to use explosion

proof light
Skin
irritation
Itchiness and
dryness
Hand protection is required
Remove sludge
bags from the
tank
Struck by
falling
objects
Bodily injury
Proper manual handling of

material
Inspection
Slip & Fall
Bodily injury
Arrange more lighting and

ventilation
3. Risk Control
Additional
Action Officer
Risk Control
(Follow-up Date)
Measure
Reference
Document for
Reference
Supervisor
Explosion
proof light is a
must when
cleaning fuel
oil tank
Educate the
workforce on
personal
hygiene
Conduct tool
box briefing
Supervisor
NIL
NIL
Supervisor
Page 2 of 2
Company
Group 6
Task
Slop Tank Cleaning

Conducted By (Date)
Approved By (Date)
2. Risk Evaluation
Risk Level
Task Step
Hazard
Possible
Accident/III
Health &
Persons-at-risk
Likelihood
Next Review Date
Severity
No.
10/05/06
3. Risk Control
Additional
Action Officer
Risk Control
Follow-up Date)
Measure
Gas free
certificate to be
obtained
Permit-to-Work
for tank entry
Fire &
Explosion
Fatality
Gas monitoring
Conduct regular Safety personnel

gas monitoring
Lack of
oxygen
Asphyxiation
- Explosion Proof Lighting
Mobilize
equipment and
manpower
Struck by
object
Bodily injury
Trained rigger and

signaler
Work group
bring along
Portable Gas
Detector /
torchlight
Conduct
toolbox briefing
Rash act
Bodily injury
Buddy system
Supervisor
for new workers
Fumes &
gas
Dizziness
Familiarise inexperienced
worker with work
environment
Permit-to-work for tank
cleaning
Regular gas
monitoring
Safety personnel
Lack of
oxygen
Asphyxiation

ventilation
Carry portable
gas detector
supervisor
Slip & Fall
Bodily injury
NIL
NIL
Identify exact
location for
cleaning
Reference
Document for
Reference
Supervisor
Supervisor
Page 1 of 3
Cleaning of
sludge
manually
Wiping down
the surface
manually
Risk Level
Residual oil to
be pumped out
Likelihood
2. Risk Evaluation
Severity
No.
Task Step
Hazard
Possible
Accident/III
Health &
Persons-at-risk
3. Risk Control
Additional
Action Officer
Risk Control
Follow-up Date)
Measure
Slip & Fall
Bodily injury
Standby
sawdust, oil
dispenser
Supervisor
Gas &
Fumes
Excessive
noise
Dizziness
Regular gas
monitoring
Conduct noise
monitoring
Safety personnel
Noise Induced
Deafness

ventilation
PPE
Slip & Fall
Bodily injury
Gas &
Fumes
Dizziness

ventilation
Skin
irritation
Dermatitis

barrier cream
NIL
Slip & Fall
Bodily injury
Gas &
Fumes
Dizziness

ventilation
Standby
sawdust, oil
dispenser
Regular gas
monitoring
Skin
irritation
Dermatitis

barrier cream
Standby
sawdust, oil
dispenser
Regular gas
monitoring
Reference
Document for
Reference
Safety Officer
Supervisor
Safety personnel
Supervisor
Safety personnel
NIL
Page 2 of 3
Dizziness

ventilation
Regular gas
monitoring
Safety personnel
Slip & Fall
Bodily injury
Standby
sawdust, oil
dispenser
Supervisor
Dispose sludge Slip & Fall

bags on deck to
sludge bin
Bodily injury
Standby
sawdust, oil
dispenser
Supervisor
Struck by
falling
object
Bodily injury
Proper material handling

to be adopted
Conduct
toolbox briefing
Supervisor
Risk Level
Pack the sludge Gas &

bags
Fumes
Likelihood
2. Risk Evaluation
Severity
No.
Task Step
Hazard
Possible
Accident/III
Health &
Persons-at-risk
3. Risk Control
Additional
Action Officer
Risk Control
Follow-up Date)
Measure
Reference
Document for
Reference
Page 3 of 3

Conducted By (Date)
Company
Group 7
Task
Water Ballast Tank Cleaning
Approved By (Date)
10/05/06
Next Review Date
Hazard
3. Risk Control
Additional
Action Officer
Risk Control
Follow-up Date)
Measure
Highlight
VSCC Meet
-Language barrier
-Competency
problem
Miscommunica
tion leading to
incompatible
works
Minimum supervisory
level must attend VSCC
Supervisor
trained in
SSSC should
attend
PJM
Provide
ventilation &
lighting
Lack of oxygen
Asphyxiation
Provide portable gas

detector
Regular gas
monitoring
Safety personnel
Slip & Fall
Bodily injury
Use butterworth opening

to lay out lighting instead
of manhole
Designate safe Supervisor

access
Must hang at
strategic
location near
work site
Closely
monitor
compliance
Risk Level
Likelihood
Task Step
Severity
Possible
Accident/III
Health &
Persons-atrisk
2. Risk Evaluation
No.
Display entry
permit at
location
-Display at wrong
location
-No display
Incompatible
work
Chargehand and
supervisor level to
display permit
Display entry
tag correctly
Failed to display
tag
Missing person
unaccounted
-Ensure all person

deposit tag upon entry
-Team leader to ensure
all tags are displayed
Reference
Document for
Reference
Supervisor
Supervisor
Page 1 of 2
Carry gas
meter
Bringing of
tools and
equipment
Cleaning
operation
Inspection
Bodily injury
-Do not know how

to use
-Defective gas
meter
Risk Level
Check
Falling hazard
access ladder
Likelihood
Possible
Accident/ Ill
Health &
Persons-atrisk
2. Risk Evaluation
Severity
No.
Task Step
Hazard
- Use torchlight and

clipping hammer
- Provide alternative
access if found
unsafe
-Group leader to ensure

gas meter is working
3. Risk Control
Additional
Action Officer
Risk Control
(Follow-up Date)
Measure
NIL
NIL
Supervisor
Faulty equipment
Bodily injury
Pre-use inspection
NIL
NIL
Defective tool
Bodily injury
Replace damage tool

immediately
NIL
NIL
-Lack of Oxygen
Asphyxiation
Bodily injury
Falling from height
Fatality
Anchor safety belt
Provided gas
meter training
Maintain proper
housekeeping
NIL
Safety
Tripping hazard
-Sufficient ventilation
-Portable gas detector
Sufficient lighting
NIL
Slip & Fall
Bodily injury
Clear all left over

material
NIL
NIL
Reference
Document for
Reference
Supervisor
Page 2 of 2

Conducted By (Date)
Company
Group 8
Task
Fuel Oil Bunker Tank Cleaning
Approved By (Date)
2. Risk Evaluation
Open manhole Fall from

in way of Fuel
height
Oil Bunker Tank
Fumes and
gases
Barricade the opening

-U Stand
-Erect barricade staging
Follow the Safe Work
Procedure
Arrange
ventilation
Highlight in the
VSCC meeting
and apply entry
permit
Identify the job

location
Fatality
Asphyxiation
Risk Level
Task Step
Hazard
Possible
Accident/III
Health &
Persons-at-risk
Likelihood
Next Review Date
Severity
No.
10/05/06
3. Risk Control
Additional
Action Officer
Risk Control
Follow-up Date)
Measure
NIL
NIL
NIL
NIL
Struck by
falling
objects
Permit
application
not correct
(Location /
date)
Bodily injury
Trained rigger & signaler
NIL
NIL
NA
-Gas free
NIL
NIL
Falling
from height
-Lack of
oxygen
-Fumes /
gas
Bodily injury
-Arrange adequate lighting

Proper access
Adequate ventilation
Conduct
Supervisor
toolbox briefing
Arrange
Supervisor
additional gas
meter
Asphyxiation
Reference
Document for
Reference
Page 1 of 2
- Adequate lighting
- Barricade the opening
- Portable gas detector
Falling
from height
-Fumes
and gases
-Lack of
Oxygen
Bodily injury
Asphyxiation
Risk Level
Start cleaning
step by step
Likelihood
2. Risk Evaluation
Severity
No.
Task Step
Hazard
Possible
Accident/ Ill
Health &
Persons-at-risk
3. Risk Control
Additional
Action Officer
Risk Control
(Follow-up Date)
Measure
Closer
supervision
Conduct
regular gas
monitoring
Supervisor
Safety personnel
Remove sludge
bags from the
tank
Struck by
falling
objects
Bodily injury

material
Conduct tool
box briefing
Supervisor
Inspection
Slip & Fall
Bodily injury
Arrange more lighting and

ventilation
NIL
NIL
Reference
Document for
Reference
Page 2 of 2

Conducted By (Date)
Company
Group 9
Task
Procedure to clean the Wing Ballast Tank for

Tankers
Approved By (Date)
Next Review Date
Risk Level
2. Risk Evaluation
Likelihood
Task Step
Hazard
Possible
Accident/III
Health &
Persons-at-risk
Severity
No.
10/05/06
3. Risk Control
Additional
Action Officer
Risk Control
Follow-up Date)
Measure
Check proper
ventilations,
lighting and
required gas
check in tanks.
Falling,
tripping
hazard
from main
deck to
tank
bottom.
Bodily injuries
- Barricades around
manhole.
- Cable stands, or cable
hangers on deck
- Supervisors ensure
proper housekeeping
NIL
NIL
Permit-to-work
application of
tank entry.
(Only
documentation)
NIL
NIL
NIL
NIL
NIL
NIL
NIL
NIL
Entry into Wing

Ballast Tanks.
Falling and
tripping
hazard
Bodily injuries
Maintain steady descend

of ladder
Supervisor and
group leader
Lack of
oxygen
Fatality
Maintain adequate
ventilation & provide
portable gas detector
Proper
supervision of
work and
movement.
Prolong
ventilation in
tank
Reference
Document for
Reference
Supervisors
Page 1 of 2
QC and owner
representatives
inspection
Return of entry
and cleaning
permit. (Only
documentation)
Risk Level
Commence of
cleaning
Likelihood
2. Risk Evaluation
Severity
No.
Task Step
Hazard
Possible
Accident/ Ill
Health &
Persons-at-risk
3. Risk Control
Additional
Action Officer
Risk Control
(Follow-up Date)
Measure
Bodily injuries
Falling
objects,
such as
rusty
scales.
Tripping & Bodily injury
Slipping
hazard
Dropping of Bodily injuries
rusty
scales
Avoid standing directly

below loose scales
Tool box
briefing for
workers
Supervisor and
group leader
PPE
NIL
NIL
Proper job co-ordination for 3

locations
Tool box
briefing for
workers
Supervisor and
group leader
Tripping
hazard
Final house-keeping prior

inspection
NIL
NIL
Dropping of Bodily injury

rusty
scales
Proper job co-ordination for 3

locations
NIL
NIL
NIL
NIL
NIL
NIL
NIL
NIL
Bodily injury
NIL
NIL
Reference
Document for
Reference
Page 2 of 2

Conducted By (Date)
Company
Group 10
Task
Fuel Oil Tank Cleaning (bottom area)
Approved By (Date)
Prep. of
equipment
-Winch
-Pumps
-Chemicals
-Rags
-Bum bags
-Scrapper
-Scoop
Transport
equipment to
worksite using
forklift
2. Risk Evaluation
Risk Level
Task Step
Hazard
Possible
Accident/III
Health &
Persons-at-risk
Likelihood
Next Review Date
Severity
No.
10/05/06
3. Risk Control
Additional
Action Officer
Risk Control
Follow-up Date)
Measure
Pinch point
Hand, leg injury

(caught in
between)
Keep hands away form

pinch points
NIL
NIL
Chemical
splash into
eye
Handling of
chemicals
Eye irritation
Safety goggles (PPE) must

be worn while handling
NIL
NIL
Skin dermatitis
Rubber glove to be use

only
NIL
NIL
Speeding
Collision with
structure or hit
passer by
Driver must be trained

and observed speed limit
in the yard
Sent operator
for defensive
driving
Head of Dept
Toppling of
unsecured
equipment/
uneven
ground
Damage of
Equipment
All equipment are secure in 2

a metal cage
NIL
NIL
Reference
Document for
Reference
Page 1 of 3
Bodily injury
Using of tag line to control

the swinging load
NIL
Fatality
- Trained rigger &

signalman to carry out
operations only
- Use valid lifting
equipment
- Inspection of electrical
equipment at store
- 110V supply to be used
Additional men Head of Dept &

deploy to guide Lifting supervisor
& control traffic
movement
Electrical
equipment to
be tagged after
inspection
Use correct
rating of whip
arrestor
Setting up
equipment
-Ventilation
-Lighting
-Compress air
hose
connection
Struck by
moving
object
Struck by
dropped
object
Risk Level
Lifting of
equipment to
ship by crane
Likelihood
2. Risk Evaluation
Severity
No.
Task Step
Hazard
Possible
Accident/ Ill
Health &
Persons-at-risk
3. Risk Control
Additional
Action Officer
Risk Control
(Follow-up Date)
Measure
NIL
Maintenance
personnel
Electric
shock
Shock to worker
& Numbness
Struck by
compress
air hoses
when
connecting
Trip & fall
due to
slippery
floor
Lack of
oxygen
Bodily injury
- Whip arrestor to be used

to prevent back lash
- Shut off air manifold
before disconnecting
Bodily injury
Rubber boot to be worn
NIL
NIL
Asphyxiation
- Adequate ventilation
- Portable gas detector
Safety personnel
Fire hazard
due to substandard
lighting
Fatal
Use only explosion proof

lightings
Regular gas
monitoring of
confined space
NIL
Reference
Document for
Reference
Immediate
Supervisor
NIL
Page 2 of 3
6
7
Start cleaning
-Pump out
-Scooping
Remove sludge
bags from the
tank
Inspection
Slip & Fall
Bodily injury
Fumes &
Gases
Asphyxiation
Falling
object
Bodily injury
Slip & Fall
Bodily injury
Adequate lighting &

barricade openings
Provide adequate
ventilation
NIL

material
Safety personnel
Regular gas
monitoring of
confined space
Conduct
Supervisor
toolbox briefing
Provide sufficient lighting

and ventilation
NIL
NIL
NIL
Page 3 of 3

RA Templates - Tank Cleaning

Încărcat de

Informații document

Titlu original

Drepturi de autor

Formate disponibile

Partajați acest document

Partajați sau inserați document

Opțiuni de partajare

Vi se pare util acest document?

Este necorespunzător acest conținut?

Drepturi de autor:

Formate disponibile

RA Templates - Tank Cleaning

Încărcat de

Drepturi de autor:

Formate disponibile

RISK ASSESSMENT FORM

Pump Room Cleaning (Bottom) in Dry Dock

Next Review Date

Slip & Fall

-Sufficient lighting ensure

Association of Singapore Marine Industries

-Valid / Tested lifting

Wear rubber boots and

Ensure highlight to VSCC

Association of Singapore Marine Industries

Association of Singapore Marine Industries

Housekeeping Falling object

-Lifting equipment valid

-Use proper PPE

-Proper coordination and

RISK ASSESSMENT FORM

-Permit to work system

Next Review Date

Slip, trip and

Only trained forklift

Assign trained rigger to do

-Provide handhold for air

-Ensure that all hose

-Down hand (hard)

Slip, trip and

All hand lamp and portable

-Permit to work system

Assign trained rigger to do

RISK ASSESSMENT FORM

Sewage Tank Cleaning

Next Review Date

Highlight during Applied for

Conduct gas check

Explosion proof lighting

Conduct gas check

Association of Singapore Marine Industries

Use supplied airline mask

Use supplied airline mask

Association of Singapore Marine Industries

RISK ASSESSMENT FORM

Tank Cleaning of Cargo Oil Tank (bottom) for Hot

Next Review Date

10th May 2006

Communication May carry out

All trade supervisor to

Make sure all

Association of Singapore Marine Industries

Trained rigger and signaler

Permit-to-work for tank

Provide adequate forced

Slip & Fall

Provide adequate lighting

Slip & Fall

Provide adequate lighting

Provide adequate forced

Slip & Fall

Provide adequate lighting

Provide adequate forced

Wear rubber gloves &

Association of Singapore Marine Industries

Provide adequate lighting

Provide adequate forced

Wear rubber gloves &