Form No 6201

RISK ASSESSMENT Revision 0

Date 10/23/2020
Page 1 of 4
OFFICE FOLLOW UP
Where no safe working procedure exists, a risk assessment is carried out, reviewed and approved by SHEQ department. Final approval for commencement of work
is subject to implementation of mitigation measures. RAS Number: 3.1
Vessel Name Last Review Date: 23.10.2020
Description of job ENCLOSED SPACE ENTRY Content Revision No: 0
Risk Assesment Team Content Revision Date: 23.10.2020
Rank/Name Sign Rank/ Name sign
Leader MASTER Y.RESAT AKKUS
Participant CHF OFF/M.Acar
Participant 3RD OFF/ ORHAN BERKE BERK
Participant BOSUN MEHMET KARAKUS If any contractor name Sign
Participant PUMPMAN ALİ HAYDAR ER
Participant

RESPONSIBLE

COMPLETED
Participant

DEAD LINE
Risk Evaluation Residual Risk
Exsisting Controls with Referance Aditional Controls
No HAZARD Potential Consequences S L R ( input if risk value > 7) S L R
1- Before initial entry is alowed into
enclosed space,the atmosphere should be
tested with oxygen analyser to check that
air contains %20.9 oxygen (SHIP
OPERATION SAFETY MANUAL12.2.8 Criteria
for Tank Entry.
2-Care should be taken to obtain
measurement from represantative cross
section of the confined space by sampling
various depth as many openning points as
practible.

CHF OFF
Short or long term health effect, 3-Atmosphere tests should always be made ISM FORM 3602 enclose space entry permit
1 Lack of oxygen in enclosed sapce Fatality continious and during any interruption or 5 2 10 strictly followed 4 1 4
break in the work. SHIP OPERATION
SAFETY MANUAL 12.2.3.8 Lack Of Oxygen.

1-Checks for Toxic Gases should be made

prior the entering any enclosed spaces,
2-if last
cargo is toxic, use relevant toxic gas

CHF OFF
detection tube, 3-if
Short or long term health effect, cargo is veg&animal oil check CO value ISM FORM 3602 enclose space entry permit
2 Toxic gas
Fatality (CHEMICAL TANKER MANUAL sweeping
5 2 10 strictly followed
4 1 4
4.5.6)
 1-A responsible person should designated
to stand by the entrance to the space.
2-The system
of communication between the person at
the entrance and those entering the space
been agreed and tested.
3-Team must agreed to
upon a reporting interval of not exceed 5

CHF OFF
minutes.
3 Inadequate communications Personal injury, Fatality 4-Emergency signal must be agreed and 5 1 5 NO 4 1 4
undrestood by all crew involving this task.

1-Gas detecor equipments must be

calibarated and certificated in last 12
months.
2-Test and adjust the dedectors as per
manufacturer instruction before use.

CHF OFF
3-Do not use defective equipment.
4 Improper Gas Detection Equipment Personal injury, Fatality 4-Be sure that detector alarms are 5 1 5 NO 3 1 3
correctly setted.(SHIP OPERATION SAFETY
MANUAL chptr 5)

1-Adequate illumination must be provided

before enterance of tanks. 2-Only
approved safety lighting or intrinsically safe

CHF OFF
equipment should also be used.
5 Poor illumination Personal injury 3 2 6 NO 3 2 6

1-Ventilation should be stopped for about

10 minutes before the pre-entry
atmosphere tests are taken.
2-Effective ventilation will be maintained
continiously while the confined space
occupied. 3-enclosed

CHF OFF
Spaces with Fixed Mechanical sapce entry permit becomes invalid if
6 Ventilation and Compartments which Short or long term health effect, ventilation of the space is interrupted. 5 1 5 NO 3 1 3
Fatality
may become Hazardous for Entry
 1-All Crew involved in the operation should
be fully briefed about the responsibilities
and duties by the Resposible Officer . SHIP
OPERATION SAFETY MANUAL 12.2.2 Pre-
Planning. 2-Only Trained personel who
can use portable detectros, know rescue
from enclosed space&emergecny

CHF OFF
evacuataion, usage of BA set should be
7 Unfamiliared,newly joined crew Personal injury, Fatality allowed to enter into confined space. 5 1 5 NO 3 1 3

A rescue team must be identified and be

available to enter the compartment. the
members of the team must be fully
conversant with the use of the breathing
apparatus and resuscitation equipment,
and must be trained in the use of safety

CHF OFF
harness, stretchers and associated
Person in danger inside the Short or long term health effect. equipment, and in extracting injured
8 compartment
Fatality
5 1 5 NO 3 1 3
personnel from difficult spaces.

1-Tool box meeting to be carried out. 2-

All crew shall know to use and obey min

CHF OFF
SHIP OPERATION SAFETY MANUAL 2.20
9 Not wearing proper PPE Personal injury PPE Matrix criteria. 3 2 6 NO 2 2 4

1-Rescue and resuscitator equipment must

be ready for immediate use by the
entrance to the space. SHIP OPERATION
SAFETY MANUAL 12.2.15 Emergency

CHF OFF
Procedures. 2-All
Rescue and resuscitator equipment crews involved in the operation should be
10 not ready Personal injury
trained in the actions to be taken in the
2 2 4 NO 2 2 4
event of an emergency.

All equipment which will be used at the

confined space for operation must be

CHF OFF
approved type
11 Unapproved type equipment Personal injury, Fatality 5 1 5 NO 2 1 2

Safe working practices to be strictly

CHF OFF
followed. Ensure that boiler suit, gloves,
12 Slip-Trip-Fall Personal injury, Fatality safety boots, helmet worn. 3 2 6 4
NO 2 2

Is there safe working procedure defined in the SMS YES NO

Shipboard Operations Office Use
IF NO Commence of work is subject to RAS and company approval
 Yes Yes
1-7 Accaptable, review the whether the risk factor can be
Acceptable reduced by implementing further risk control Requirement No Comments Requirement No Comments

Contact with
8-12
The risk facor should be reduced by implementing further SHEQ&TECH Contact with Fleet
Required risk mitigation risk control before commence task or job Manager Manager

13-25
Not accaptable required Contact with Fleet Contact with General
risk mitigation Do not start or continue to work Manager Manager
Final review and controls carried out for all above identified / completed mitigation measures

DATE TIME RANK NAME&SIGNATURE

 RISK ASSESSMENT

CONTIGENCY PLAN

‘Contingency Plans’ should be determained to minimize the impact of unplanned occurrences/ failure of co
discuss and record results in this section

From Shipboard Contigency

Emergency Manual
3.26 RESCUES FROM AN ENCLOSED SPACE
Referance Chapter
33 rescue fm enclosed space
Referance Emergency Check List

Additioanal Comments
 Form No : 6201
:
Revision
:
ENT :
Date :
Page: : 2 of 4

occurrences/ failure of control measures. Team Members should

 Form No : 6201
Revision :0
RISK ASSESSMENT
Date : 23.10.2020
Page : 3 of 4

TABLE 1

Consequences Likelihood
1 2 3 4 5

SHIPBOARD Very Unlikely

SHIPBOARD PEOPLE SHIPBOARD ENVIROMENT PROPERITY/COMMERCIAL/REPUT
ATION Unlikely Occational Likely Certain
Severity

( practicaly not
possible)

USD 1000, Customer

Complaint ,
FAC: First Aid Case Nil to Sea: Contained onboard
Off hire <2 hrs
1 1 2 3 4 5
> USD 1000 < USD 5000, Off Hire< 4
Sheen on Sea: Evidence of loss
RWC-MTC : Medical Treatments Hours,
to sea
Case slight damage
2 2 4 6 8 10
> USD 5000 < USD 10000, Off hire
> 4 hours,
cargo contamination, moderate
LTI :Loss Time Injury Les than 1m3 to Sea
damage,
3 No Media Interest 3 6 9 12 15
> USD 10000 < USD 100000,
PTD or PPD : P&I or H&M claim,
Permanent Total / Partial Disability 1 to 5 m3 to Sea off hire > one day,
Heard by Local Media
4 4 8 12 16 20
> USD 100000,
P&I or H&M claim,
off hire > one week,
Fatality: Injury resulting in death More than 5 m3 to Sea
Heard by National and/or
5 International Media 5 10 15 20 25