Southey Offshore Safety Document No.

SHS-FCR-006
Management System Baseline Revision No. 0
Risk Assessment Template Date 10/02/2020
Page 1 of 24

Southey Offshore Safety

Management System -
Baseline Risk Assessment
Template

RESPONSIBILITY NAME POSITION SIGNATURE DATE

Compiled by Rainer Kruisinga Divisional Operations Manager 10/02/2020

Reviewed by Anthony Dos Santos Offshore Divisional Director 10/02/2020

LEGEND: L = Likelihood S = Severity IR = Initial Risk Rating RR = Residual Risk

 LIKELIHOOD
LIKELIHOOD

REVISED
SEVERITY

SEVERITY
REVISED
EXISTING/PLANNED

S, H, E
SAFETY HAZARD/ RESPONSIBLE

RR
SPECIFIC ACTIVITY RISKS MITIGATION/RISK REDUCING

IR
ENVIRONMENTAL ASPECT PERSON
MEASURES

1. Working with laptop, PC ▪ Looking at the display screen for ▪ Eye strain and fatigue H 3 3 9 ▪ The display screen must be set 2 1 2 Supervisor
and working from a desk. a long amount of time can cause correctly and not too bright. Safety Officer
eye strain and possibly lead to ▪ Take regular breaks (at least one Employee
eye problems. minute every two hours) and look away
from the screen to lessen the stress
that may be cause by the display
screen.
▪ All working areas must be provided
with adequate lighting.

▪ Incorrect posture and incorrect ▪ Prolonged poor seating H 3 4 12 ▪ The chairs and desks must be 2 2 4 Supervisor
ergonomics posture may cause ergonomically designed. Safety Officer
musculoskeletal problems ▪ The chairs must be set correctly with Employee
such as back pains. the height of the desk.
▪ Train all employees about correct
working postures and ergonomics.
▪ Good office organization and layout to
allow sufficient working space around
each desk.
▪ Conduct safety inspection.

2. Walking in, out and around ▪ Tripping hazards ▪ Tripping and falling can H,S 3 4 12 ▪ All loose cable must be neatly tied up 2 1 4 Supervisor
the workplace. cause injury to employees. and stored out of the walking routes of Safety Officer
all employees. Employee
▪ Housekeeping must be done to make
sure that tripping hazards are removed.
▪ As far as reasonably possible cables
and extensions may not run across
walk ways and where employees walk.
All cables and extensions must be
placed on the sides of the wall.
▪ Cables and extensions running across
walk ways and where employees walk
must be tied down and secured so that
they don’t cause tripping hazards.

LEGEND: L = Likelihood S = Severity IR = Initial Risk Rating RR = Residual Risk

 Southey Offshore Safety Document No. SHS-FCR-006
Management System Baseline Revision No. 0
Risk Assessment Template Date 03/04/2019
Page 2 of 24

LIKELIHOOD
LIKELIHOOD

REVISED
SEVERITY

SEVERITY
REVISED
EXISTING/PLANNED

S, H, E
SAFETY HAZARD/ RESPONSIBLE

RR
SPECIFIC ACTIVITY RISKS MITIGATION/RISK REDUCING

IR
ENVIRONMENTAL ASPECT PERSON
MEASURES

▪ Poor housekeeping ▪ Poor housekeeping can S 3 4 12 ▪ All items and tools used must be stored 2 2 4 Supervisor
cause slippage; tripping in their correct place. All items must Safety Officer
hazards which can cause fall have a storage place and all items must Employee
that injure employees. be stored in their correct place.
▪ Items not stored correctly ▪ All walk ways must be kept clear of all
can fall and cause injury to objects.
employees.

▪ Walking up and down the stairs. ▪ Tripping and falling can S,H 4 4 16 ▪ Keep all staircases free of any items 3 2 6 Supervisor
cause injury to employees. and do not store anything on the Safety Officer
staircases. Employee
▪ All staircases must be kept dry.
▪ Keep your body in its natural position
(straight spine) while walking up or
down the stairs.
▪ Keep your feet parallel and pointing
forward while walking up or down
stairs.
▪ While walking on the stair always keep
three points of contact with the
staircase.
▪ If one leg is injured place the injured
leg on the stairs first and place both
legs on the stairs before moving one.
▪ Do not RUN on the staircase.

3. Painting (Roller or Brush) ▪ Exposure to solvents and ▪ Health effects e.g. skin S,H 2 3 6 ▪ Designate a well-ventilated room for 2 1 2 Supervisor
vapours irritation, irritation of the paint mixing. Safety Officer
eyes, asthma, and ▪ Apply paint in areas with good Employee
dermatitis by skin contact. ventilation or provide artificial
ventilation when necessary.
▪ Use PPE (coveralls, gloves and
respirators as required).

▪ Pollution ▪ Contamination of aquatic E 3 3 9 ▪ Dispose of used PPE, waste paint, 2 1 2 Supervisor

life and the environment. thinner, brushes and rollers as Safety Officer
▪ Killing of animals, plants ‘hazardous waste’. Employee
and fish.

LEGEND: L = Likelihood S = Severity IR = Initial Risk Rating RR = Residual Risk

 Southey Offshore Safety Document No. SHS-FCR-006
Management System Baseline Revision No. 0
Risk Assessment Template Date 03/04/2019
Page 3 of 24

LIKELIHOOD
LIKELIHOOD

REVISED
SEVERITY

SEVERITY
REVISED
EXISTING/PLANNED

S, H, E
SAFETY HAZARD/ RESPONSIBLE

RR
SPECIFIC ACTIVITY RISKS MITIGATION/RISK REDUCING

IR
ENVIRONMENTAL ASPECT PERSON
MEASURES

4. Painting (Spray painting) ▪ Exposure to solvents and ▪ Health effects e.g. skin S,H 2 4 8 ▪ Provide spray guns that minimise paint 2 1 2 Supervisor
vapours irritation, irritation of the mist. Safety Officer
eyes, asthma, and ▪ Where possible erect an enclosure or Employee
dermatitis by skin contact. habitat.
▪ Otherwise erect barriers and notices to
control access.
▪ Always work in a well-ventilated
environment.
▪ Use the correct PPE (Respirator).

▪ Compressed air ▪ High pressure may lead to S,H 4 4 16 ▪ Ensure all hoses are in good condition 3 2 6 Supervisor
hoses bursting or seals to with no cuts or abrasions. Safety Officer
break whilst spray-painting ▪ Ensure all seals, gaskets etc. are in Employee
leading to a possible injury good condition and replace. if in doubt.
▪ Check fittings for tightness and if
compression fittings and clamps are
serviceable.
▪ Ensure whip checks are fitted.

▪ Airless spray equipment – ultra ▪ Operators may be seriously S,H 4 4 16 ▪ Only trained personnel to operate 3 2 6 Supervisor
high pressure (UHP) injured if they do not work airless spray-painting equipment. Safety Officer
safely. ▪ When working with airless spray Employee
equipment, switch off and release all
pressure before opening fittings and
equipment.
▪ NEVER place any part of the body
directly in front of the spray nozzle –
the pressure could cause severe injury
when operated.
▪ Do not clean equipment or nozzle until
all pressure has been released and the
machine switched off.
▪ Wear appropriate PPE at all times
when operating Airless equipment.

LEGEND: L = Likelihood S = Severity IR = Initial Risk Rating RR = Residual Risk

 Southey Offshore Safety Document No. SHS-FCR-006
Management System Baseline Revision No. 0
Risk Assessment Template Date 03/04/2019
Page 4 of 24

LIKELIHOOD
LIKELIHOOD

REVISED
SEVERITY

SEVERITY
REVISED
EXISTING/PLANNED

S, H, E
SAFETY HAZARD/ RESPONSIBLE

RR
SPECIFIC ACTIVITY RISKS MITIGATION/RISK REDUCING

IR
ENVIRONMENTAL ASPECT PERSON
MEASURES

▪ Fire / explosion due to ▪ The flammable nature of S,H 4 4 16 ▪ No smoking in the painting area. 3 2 6 Supervisor
flammable nature of paints and the paints and solvents may ▪ To prevent build-up of static electricity Safety Officer
solvents cause injury when they all equipment must be earthed. Employee
catch fire of explode. ▪ Storage area must be well ventilated.
▪ Ensure suitable fire fighting equipment
is readily available nearby and in
proper working order.
▪ Do not spray or paint onto live
electrical equipment.

▪ Paint overspray ▪ Paint settles on skin, goes H,E 3 3 9 ▪ Operators to wear PPE (coveralls) that 2 2 4 Supervisor
into eyes and is inhaled. covers all the skin. Safety Officer
▪ Paint settles on sensitive ▪ Wear eye protection. Employee
surfaces such as vehicles, ▪ Check wind direction and strength to
glass windows. ensure overspray cannot be blown to
▪ Paint is sucked into air affect sensitive surfaces – make use of
conditioners causing air screen, tarpaulins etc.
pollution and blockage of ▪ Keep away from air conditioner inlet
air conditioner ducts and other aircon equipment.
components.

▪ Spray-painting equipment ▪ Poor maintenance and ▪ Operators to ensure equipment is Supervisor

operating procedures may properly cleaned directly after use or Safety Officer
lead to injury and when placing into storage. Employee
equipment malfunction. ▪ No person to temper with any safety
devices such as safety valves etc.
▪ Follow all work procedures and
manufacturers recommendations at all
times. Do not operate if untrained.
▪ Do not modify equipment or replace
with unapproved replacement
components.
▪ Keep check on fittings at all times
during spray-painting operations.
▪ Do not kink or place heavy objects on
hoses – may lead to damage and
equipment failure.

LEGEND: L = Likelihood S = Severity IR = Initial Risk Rating RR = Residual Risk

 Southey Offshore Safety Document No. SHS-FCR-006
Management System Baseline Revision No. 0
Risk Assessment Template Date 03/04/2019
Page 5 of 24

LIKELIHOOD
LIKELIHOOD

REVISED
SEVERITY

SEVERITY
REVISED
EXISTING/PLANNED

S, H, E
SAFETY HAZARD/ RESPONSIBLE

RR
SPECIFIC ACTIVITY RISKS MITIGATION/RISK REDUCING

IR
ENVIRONMENTAL ASPECT PERSON
MEASURES

▪ Spray-painting environment ▪ Operators may become ▪ Operators to be informed and trained Supervisor
injured or have their health of the hazards caused by their work Safety Officer
affected if working in high environment. Employee
risk areas such as confined ▪ All work in confined spaces to comply
spaces, height work etc. with legal requirements and site
specific requirement.
▪ Operators to ensure their safety when
working at heights – use safety
harnesses and work safely on scaffold
provided.
▪ Operators to wear appropriate PPE
when working in areas which may have
toxic gases, hot pipes, hot
environments etc. Ensure PPE is in
good order and inspect daily.
▪ Keep unauthorised personnel away.
▪ Ensure adequate ventilation.

▪ Storage of paints and solvents ▪ Improper storage may lead S,H,E 4 3 12 ▪ Ensure all containers are properly 3 2 6 Supervisor
to spillage, fires and even sealed after use. Safety Officer
an explosive environment ▪ Ensure that all the marking are visible Employee
being created. on the containers and containers are in
a good condition.
▪ No smoking will be allowed in the
storage area.
▪ Ensure that only compatible chemicals
are stored in close proximity to each
other.

▪ Use of paints and solvents ▪ Not using paints and H,S 4 3 12 ▪ Operators to be informed of the health 3 2 6 Supervisor
solvents in a safe manner and safety data of the product to be Safety Officer
may lead to health used (MSDS). Employee
problems or injuries. ▪ No smoking whilst working with paints
and solvents.
▪ Wear all required PPE at all times
whilst working with paint and solvents.
▪ Keep containers closed when not in use

LEGEND: L = Likelihood S = Severity IR = Initial Risk Rating RR = Residual Risk

 Southey Offshore Safety Document No. SHS-FCR-006
Management System Baseline Revision No. 0
Risk Assessment Template Date 03/04/2019
Page 6 of 24

LIKELIHOOD
LIKELIHOOD

REVISED
SEVERITY

SEVERITY
REVISED
EXISTING/PLANNED

S, H, E
SAFETY HAZARD/ RESPONSIBLE

RR
SPECIFIC ACTIVITY RISKS MITIGATION/RISK REDUCING

IR
ENVIRONMENTAL ASPECT PERSON
MEASURES

– replace lids.
▪ Keep paints and solvents away from
hot surfaces, direct sunlight, and heat
sources.
▪ Keep paints and solvent away from hot
surfaces, direct sunlight, and heat
sources.
▪ Do not deface labels on containers.
▪ Destroy containers after use unless
they are to be used as paint pots.
▪ Do not use compressed air to blow
paints, solvent from clothing or the
body.
▪ Do not consume foodstuffs when
working with paint or solvents.
▪ Work only in well ventilated areas.
▪ Do know what first aid measures to
take if affected by paints, solvents.

▪ Paint, solvent impacts on the ▪ Improper use and disposal E 5 4 20 ▪ All waste paints and solvents disposed 5 1 3 Supervisor
environment may lead to pollution and of at recognised dump sites. Safety Officer
degradation of the ▪ No paints or solvents to be poured Employee
environment. down any drains or sewers at any time.
▪ Check that overspray does not impact
negatively on the surrounding area.
▪ Check condition of hoses to ensure that
they do not burst under pressure and
spray the area with product.

▪ Accidental injection of paint ▪ Injury will lead to serious H 5 2 15 ▪ All such injuries must be taken seriously 5 1 5 Supervisor
from airless spray gun complications it not treated and requires a doctor- the doctor must Safety Officer
in time and in the correct be informed of what happened and Employee
manner. state that the injury was caused by fluid
being injected into the body under high
pressure.
▪ Speed is essential; the patient must go
to the doctor immediately.
LEGEND: L = Likelihood S = Severity IR = Initial Risk Rating RR = Residual Risk
 Southey Offshore Safety Document No. SHS-FCR-006
Management System Baseline Revision No. 0
Risk Assessment Template Date 03/04/2019
Page 7 of 24

LIKELIHOOD
LIKELIHOOD

REVISED
SEVERITY

SEVERITY
REVISED
EXISTING/PLANNED

S, H, E
SAFETY HAZARD/ RESPONSIBLE

RR
SPECIFIC ACTIVITY RISKS MITIGATION/RISK REDUCING

IR
ENVIRONMENTAL ASPECT PERSON
MEASURES

5. Abrasive Blasting ▪ Dust generation ▪ Inhalation H 3 3 9 ▪ Use the correct blasting media to 3 1 3 Supervisor
minimise amount of dust created. Safety Officer
▪ Use screens where possible. Employee
▪ Blast in a well-ventilated area or
provide artificial ventilation.
▪ Keep unauthorised personnel away by
having access control to the blasting
area and safety signage displayed.
▪ Use the correct PPE (respiratory
protection equipment).

▪ Removal of hazardous coatings ▪ When inhaled the H 5 4 20 ▪ All safety regulations which deal with Supervisor
and asbestos coated surfaces substances can cause Asbestos, Lead and Hazardous Safety Officer
respiratory problems and Chemicals regulation must be adhered Employee
may even cause cancer. to while working.
▪ Ensure that every person exposed
wears their protective respiratory
equipment.

▪ Noise ▪ Over-exposure will cause H,S 5 3 15 ▪ Hearing protection equipment must be 5 1 5 Supervisor
hearing impairment and worn by every person entering the Safety Officer
possible deafness. zone designated for blasting (blasting Employee
zone).

▪ Extreme temperature ▪ Extremely hot H,S 4 3 12 ▪ Employees must be trained in the safe 4 1 4 Supervisor
temperatures may lead to working procedure so that they know Safety Officer
dehydration and heat to take frequent breaks and drink Employee
stress. water while they are working.
▪ Blast in a ventilated area or make use
of fans, air extractor etc. to move the
hot air away from blasting area.

▪ Extremely cold temperature ▪ PPE and heaters may be used to create

may cause hypothermia a suitable temperature for working.
and frost bite.

LEGEND: L = Likelihood S = Severity IR = Initial Risk Rating RR = Residual Risk

 Southey Offshore Safety Document No. SHS-FCR-006
Management System Baseline Revision No. 0
Risk Assessment Template Date 03/04/2019
Page 8 of 24

LIKELIHOOD
LIKELIHOOD

REVISED
SEVERITY

SEVERITY
REVISED
EXISTING/PLANNED

S, H, E
SAFETY HAZARD/ RESPONSIBLE

RR
SPECIFIC ACTIVITY RISKS MITIGATION/RISK REDUCING

IR
ENVIRONMENTAL ASPECT PERSON
MEASURES

▪ Airborne hazardous chemical ▪ Exposure may cause health H,S 4 4 16 ▪ Find out what HCS may be present. 4 1 4 Supervisor
substances (HCS) problems to all the ▪ Remove or minimise the HCS. Safety Officer
personnel that are being ▪ Provide suitable PPE if the Employee
exposed. Occupational Exposure Limit (OEL) is
above recommended levels.
▪ Train personnel on safe working
procedure.

▪ Ergonomics ▪ Incorrect working methods H 3 3 9 ▪ Train employees on agronomical stress. 3 1 3 Supervisor

and positions may cause ▪ Ensure workers are reasonably Safety Officer
injury comfortable and provide aids to help Employee
out such as trestles, more space
around the work area, lifting
equipment etc.

▪ Poor visibility ▪ Personnel may be injured S,H 4 3 12 ▪ Provide extractor fans to get rid of 4 1 4 Supervisor
due to not being able to excessive airborne dust during blasting Safety Officer
move around safely due to operations. Employee
the poor visibility. ▪ Ensure blaster can move safely in his
area by removing tripping hazards.
▪ Provide light to increase visibility.

▪ Tripping hazards ▪ May injure personnel S 3 5 15 ▪ Clear area by having good 3 2 6 Supervisor
working in that area housekeeping. Safety Officer
▪ Fall prevention and fall protection Employee
equipment must be used when
necessary.

▪ Working in Confined spaces & ▪ Person may be trapped. S,H 5 5 25 ▪ Oxygen levels to be monitored while 4 1 4 Supervisor
Restricted movement areas ▪ Lack of oxygen may cause personnel are working in the confined Safety Officer
asphyxiation. space. Employee
▪ Training of personnel about the safe
working procedure in confined spaces.

▪ Compressed air ▪ High pressure may lead to S 4 4 16 ▪ Ensure all hoses are in good condition 3 2 6 Supervisor
hoses bursting or seals to with no cuts or abrasions Safety Officer
break whilst blasting ▪ Ensure all seals, gaskets etc. are in Employee

LEGEND: L = Likelihood S = Severity IR = Initial Risk Rating RR = Residual Risk

 Southey Offshore Safety Document No. SHS-FCR-006
Management System Baseline Revision No. 0
Risk Assessment Template Date 03/04/2019
Page 9 of 24

LIKELIHOOD
LIKELIHOOD

REVISED
SEVERITY

SEVERITY
REVISED
EXISTING/PLANNED

S, H, E
SAFETY HAZARD/ RESPONSIBLE

RR
SPECIFIC ACTIVITY RISKS MITIGATION/RISK REDUCING

IR
ENVIRONMENTAL ASPECT PERSON
MEASURES

leading to a possible injury good condition and replace if in doubt

▪ Check fittings for tightness and if
compression fittings and clamps are
serviceable
▪ Ensure correct PPE is used at all times.

▪ Electricity / Electrical Equipment ▪ Personnel may become S 5 3 15 ▪ All electronic equipment used must be 3 2 6 Supervisor
electrocuted if they come inspected by a competent person. Safety Officer
into contact with poorly ▪ Faulty equipment must be repaired by Employee
insulated or damaged a competent person.
electrical equipment, ▪ No equipment may be altered or
especially in damp or tempered with.
electrically conductive
areas and surfaces.

6. Use of Portable Electrical ▪ Improper selection of portable ▪ Damage to the equipment. S,H 4 3 12 ▪ Ensure the equipment is suited to the 3 2 6 Supervisor
Equipment electrical equipment ▪ Electrocution of operators. task in hand – machines must not Safety Officer
▪ Financial and time loss due labour unnecessarily or become over- Employee
to the job taking longer heated.
because the equipment ▪ Ensure attachments used on power
cannot deliver the required tools are compatible with the machine
service level and efficiency. e.g. grinding discs or circular saw
blades are capable of running at the
no-load RPM of the machine they are
attached to.
▪ Use the power tool according to the
manufacturer’s instructions and
recommendations.
▪ Check that the power cords and
extension cords are capable of handling
the current capacities of the equipment
attached to them. If the power cable
becomes too hot, replace with larger
capacity cable.
▪ Do not use cutting discs for grinding
work when using grinders.
▪ Do not use portable electrical
equipment in a flammable

LEGEND: L = Likelihood S = Severity IR = Initial Risk Rating RR = Residual Risk

 Southey Offshore Safety Document No. SHS-FCR-006
Management System Baseline Revision No. 0
Risk Assessment Template Date 03/04/2019
Page 10 of 24

LIKELIHOOD
LIKELIHOOD

REVISED
SEVERITY

SEVERITY
REVISED
EXISTING/PLANNED

S, H, E
SAFETY HAZARD/ RESPONSIBLE

RR
SPECIFIC ACTIVITY RISKS MITIGATION/RISK REDUCING

IR
ENVIRONMENTAL ASPECT PERSON
MEASURES

environment – may lead to a fire or

possible explosion.
▪ Do not cut asbestos products with
power tools.

▪ Improper handling and use of ▪ Cause damage to the H,S 4 4 16 ▪ Always operate or use portable 3 2 6 Supervisor
portable electrical equipment equipment. electrical equipment according to the Safety Officer
▪ Operators may be manufacturer’s instructions and Employee
electrocuted or injured. recommendations.
▪ Cause downtime due to ▪ Check that the tool is in good condition
unnecessary and frequent before and during operations.
repairs. ▪ Always wear the required PPE before
operating.
▪ Do not allow the machine to labour or
become too hot during use. Check the
operating time limits of the machine
and do not exceed those limits.
▪ Dress accordingly – beware of long hair
and sleeves which may get caught in
the machines moving parts.
▪ Do not use any power tools without the
necessary guards or safety devices
fitted. Make use of auxiliary handles if
supplied for better support and grip.
▪ Do not use cutting discs for grinding
work.
▪ Check whether certain cutting discs are
allowed to be used on a specific site.
▪ Always use portable electrical
equipment through an earth leakage
detection unit. Test unit before doing
work on the site.
▪ Switch off unused machine and remove
power cable from power source.
▪ Do not use portable electrical
equipment in a flammable
environment – may lead to a fire or
possible explosion.

LEGEND: L = Likelihood S = Severity IR = Initial Risk Rating RR = Residual Risk

 Southey Offshore Safety Document No. SHS-FCR-006
Management System Baseline Revision No. 0
Risk Assessment Template Date 03/04/2019
Page 11 of 24

LIKELIHOOD
LIKELIHOOD

REVISED
SEVERITY

SEVERITY
REVISED
EXISTING/PLANNED

S, H, E
SAFETY HAZARD/ RESPONSIBLE

RR
SPECIFIC ACTIVITY RISKS MITIGATION/RISK REDUCING

IR
ENVIRONMENTAL ASPECT PERSON
MEASURES

▪ Do not abuse power cable – keep away

from heat, oils and sharp edges.
▪ Do not carry tool by the power cable.
▪ Secure the work piece to be worked
on.
▪ Do not clamp hand held portable
electrical equipment in a vice – leads to
injury and damage to machine.
▪ Keep power cables away from rotating
or working parts.
▪ Check direction of rotation – sparks
and dust to be directed away from the
body.
▪ When mounting tools and attachments
onto the machine, adhere to
manufacturer’s instructions.
▪ Wait for the machine to stop after
switching it off before putting it away –
blades, discs may become damaged
when put down while moving.

▪ Improperly and inadequately ▪ Cause damage to the H,S 4 4 16 ▪ Repairs must only be performed by a 3 1 3 Supervisor
maintained portable electrical equipment. competent person – no quick fixes or Safety Officer
equipment and attachments ▪ Operators may be modifications allowed. Employee
electrocuted or injured. ▪ Disconnect the machine before
▪ Cause downtime due to working on it.
unnecessary and frequent ▪ Inspect the machine or equipment
repairs. regularly for damage, broken parts etc.
▪ Keep the machine clean and away from
hot surfaces, dusty and wet conditions.
▪ Ensure handles, grips are clean and
free from oils, greases etc.
▪ Ensure plugs are correctly fitted with
correct polarity and cables properly
captured in the plug top.
▪ Replace any damaged, cut or joined
power cables or extension cables.
▪ Keep tools, bits etc. sharp and clean.

LEGEND: L = Likelihood S = Severity IR = Initial Risk Rating RR = Residual Risk

 Southey Offshore Safety Document No. SHS-FCR-006
Management System Baseline Revision No. 0
Risk Assessment Template Date 03/04/2019
Page 12 of 24

LIKELIHOOD
LIKELIHOOD

REVISED
SEVERITY

SEVERITY
REVISED
EXISTING/PLANNED

S, H, E
SAFETY HAZARD/ RESPONSIBLE

RR
SPECIFIC ACTIVITY RISKS MITIGATION/RISK REDUCING

IR
ENVIRONMENTAL ASPECT PERSON
MEASURES

▪ Check that the switch is in good order

do not bypass at any time.
▪ Check for excessive sparks or smoke
emanating from the machine or
become hot – sign of impending failure
– replace or repair by competent
person.
▪ Check for excessive movement in
shafts and bearings and repair.
▪ Check that no rotating parts can
become a hindrance or hazard during
use.
▪ Document all portable electrical
equipment on a register and have them
inspected by a competent person.

7. Compressors and ▪ Poor air quality ▪ Poor air quality affects the S 3 3 9 ▪ Compressor must be maintained in a 3 1 3 Supervisor
compressed air health of workers. good working order with both engine Safety Officer
▪ Poor air quality affects the and air-end smoke free and oil free. Employee
quality of the cleaned ▪ Compressor air-end filter must be in
surface and corrosion. good order with no significant oil blow
▪ by – check oil at discharge valve.
▪ Only air breathing equipment and
filters recognized as the industry
standard to be utilized – no air for
human use must be supplied to
operator without such filters and
equipment fitted.
▪ Air breathing equipment to be kept in
good order and filters to be examined
and replaced at the manufactures
recommended service intervals.
▪ Compressors to be placed in such a
way that no significant exhaust fumes
are able to be drawn into the air-end
inlet- filters do not remove carbon
monoxide.
▪ Do not operate diesel or petrol driven

LEGEND: L = Likelihood S = Severity IR = Initial Risk Rating RR = Residual Risk

 Southey Offshore Safety Document No. SHS-FCR-006
Management System Baseline Revision No. 0
Risk Assessment Template Date 03/04/2019
Page 13 of 24

LIKELIHOOD
LIKELIHOOD

REVISED
SEVERITY

SEVERITY
REVISED
EXISTING/PLANNED

S, H, E
SAFETY HAZARD/ RESPONSIBLE

RR
SPECIFIC ACTIVITY RISKS MITIGATION/RISK REDUCING

IR
ENVIRONMENTAL ASPECT PERSON
MEASURES

compressors in a poor ventilated area

such as confined spaces.
▪ Clean filters of all condensation at
regular intervals.

▪ Exhaust fumes ▪ Cause carbon monoxide S,H 4 2 8 ▪ Do not operate diesel or petrol driven 4 1 4 Supervisor
emissions to affect compressors in a poor ventilated area Safety Officer
operators and other such as confined spaces. Employee
personnel working in that ▪ Ensure that the compressor is placed
area. that the exhaust fumes are not drawn
into the inlet system of the air end –
check wind direction and airflow
around the machine.
▪ Ensure that the exhaust fumes do not
enter any air conditioner inlet ducts or
systems – keep away from offices etc.

▪ Working in toxic / flammable ▪ Toxins S,H 5 3 15 ▪ Ensure that hazardous and toxic 5 1 5 Supervisor
environments ▪ Explosion chemicals cannot be drawn into the air- Safety Officer
end inlet system. When necessary Employee
move compressor away and use longer
air hoses.
▪ In a flammable environment (gasses),
ensure that the compressor has been
fitted with spark arrest exhaust system
and air inlet shutoff valves.
▪ Ensure that there is adequate
ventilation around the machine so that
the fumes released do not form a toxic
work area.
▪ Ensure that explosive gasses are not
drawn into the air inlet system as they
may ignite and cause an explosion.

▪ Working in poor ventilated ▪ Build-up of toxic gasses. S,H 4 4 16 ▪ Keep compressor out of poor 3 2 6 Supervisor
areas ▪ Interfere with the cooling of ventilated area and confined spaces. Safety Officer
the machine. ▪ Check wind direction and place Employee
▪ Dust conditions may compressor in such a way that the wind

LEGEND: L = Likelihood S = Severity IR = Initial Risk Rating RR = Residual Risk

 Southey Offshore Safety Document No. SHS-FCR-006
Management System Baseline Revision No. 0
Risk Assessment Template Date 03/04/2019
Page 14 of 24

LIKELIHOOD
LIKELIHOOD

REVISED
SEVERITY

SEVERITY
REVISED
EXISTING/PLANNED

S, H, E
SAFETY HAZARD/ RESPONSIBLE

RR
SPECIFIC ACTIVITY RISKS MITIGATION/RISK REDUCING

IR
ENVIRONMENTAL ASPECT PERSON
MEASURES

damage or block filters and is blowing away from the machine.

radiators / oil coolers, ▪ Keep machine out of the dust created
leading to overheating and by blasting or spray-painting and wet
poor air supply. the ground around the machine if it’s
placed in a dusty area.
▪ Keep machine away from any heat
source or if not possible provide
artificial cooling.

▪ Inadequate maintenance of ▪ Damage to machinery S 4 3 12 ▪ Inspect the conditions of the machine 3 2 6 Supervisor
machinery ▪ Injury to personnel at the start of each shift and prior each Safety Officer
use. Employee
▪ Check the condition of all fittings and
hoses.
▪ Ensure that all fitting are fitted
correctly and are secure.
▪ Check that all safety equipment is
functional.
▪ Ensure all protective covers; guards,
whip checks etc. are in place before the
machine is used.

▪ Poorly operated equipment and ▪ Damage to machinery S,H 4 4 16 ▪ All machine and equipment operators 4 1 4 Supervisor
human error ▪ Injury to personnel must be trained and competent in the Safety Officer
use of that specific machine. Employee
▪ Never allow unauthorised or
untrained/inexperienced personnel to
operate the machine.
▪ Operator to conduct safety inspection
on the machine before work
commences.
▪ Rotate operators to reduce fatigue.
▪ Operator to follow the proper
procedure and the manufacturer’s
recommendations.
▪ No horseplay while operating machines
and equipment.
▪ Toolbox talks to be conducted before

LEGEND: L = Likelihood S = Severity IR = Initial Risk Rating RR = Residual Risk

 Southey Offshore Safety Document No. SHS-FCR-006
Management System Baseline Revision No. 0
Risk Assessment Template Date 03/04/2019
Page 15 of 24

LIKELIHOOD
LIKELIHOOD

REVISED
SEVERITY

SEVERITY
REVISED
EXISTING/PLANNED

S, H, E
SAFETY HAZARD/ RESPONSIBLE

RR
SPECIFIC ACTIVITY RISKS MITIGATION/RISK REDUCING

IR
ENVIRONMENTAL ASPECT PERSON
MEASURES

each shift where that day’s work will be

discussed and planned.
▪ Operator to always wear the required
PPE.
▪ Operator to be aware of the
surrounding and personnel working
around them.

▪ Poorly placed compressors ▪ May cause obstruction. S,H 4 2 8 ▪ Place compressor away from 4 1 4 Supervisor
▪ Moving the compressor ▪ If improperly moved may emergency exits and routes. The Safety Officer
cause damage to machine compressor must be placed where it Employee
or injury to personnel. will not interfere with personnel as
they walk past.
▪ Ensure enough space around the
machine for refuelling and
maintenance purposes.
▪ Place machine as level as possible and
ensure it does not roll or move when
placed on sloping/uneven ground
▪ Lift and tie up the towing/drawbar to
prevent a tripping hazard or damage by
passing vehicles.
▪ Keep tyres properly inflated and do not
tow on flat tyres.
▪ Ensure that the towing vehicle has
enough power to tow the machine.
▪ Tow at a slow speed as most machines
are not fitted with braking system
except with a hand brake that is used
when the machine is not moving.
▪ Over pressure / under pressure ▪ Can cause injury to S 4 3 12 ▪ Ensure that the equipment connected 3 1 3 Supervisor
operator. to the compressor does not draw more Safety Officer
▪ Can cause damage to than the compressor can deliver. Employee
machine. ▪ Do not allow the machine to run above
its recommended working pressure
may cause damage to the machine.
▪ Ensure all hoses have whip checks
secured to them.

LEGEND: L = Likelihood S = Severity IR = Initial Risk Rating RR = Residual Risk

 Southey Offshore Safety Document No. SHS-FCR-006
Management System Baseline Revision No. 0
Risk Assessment Template Date 03/04/2019
Page 16 of 24

LIKELIHOOD
LIKELIHOOD

REVISED
SEVERITY

SEVERITY
REVISED
EXISTING/PLANNED

S, H, E
SAFETY HAZARD/ RESPONSIBLE

RR
SPECIFIC ACTIVITY RISKS MITIGATION/RISK REDUCING

IR
ENVIRONMENTAL ASPECT PERSON
MEASURES

8. Welding ▪ Portable electrical appliances ▪ Electrocution from portable S 3 3 9 ▪ All welding sets / portable equipment 3 1 3 Supervisor
electrical appliances to be tested to current legislation. Safety Officer
▪ All personnel to be trained on the Employee
dangers.
▪ All equipment to be maintained
regularly.
▪ Equipment only to be operated by
trained and competent personnel.

▪ Hot welding material and ▪ Burns S 4 3 12 ▪ All personnel to be trained on the 3 2 6 Supervisor
welding wire. ▪ Fire dangers of hot works and fire. Safety Officer
▪ All personnel to be provided with Employee
correct PPE (burning gauntlets, fire
resistant coveralls).
▪ Fire watch or a working fire
extinguisher must be within six (6)
meters of where welding is taking
place.
▪ Conduct a fire risk assessment before
welding process starts.
▪ Remove or protect equipment and
material that may burn.

▪ Welding flash ▪ Damage to the eyes S,H 5 3 15 ▪ All welders must be provided with 4 1 4 Supervisor
welding helmets with anti-flash glass. Safety Officer
▪ Personnel in close proximity to welding Employee
process must wear appropriate eye
protection.

▪ Flying fragments ▪ Damage to eyes S 5 2 10 ▪ Welders and personnel working in close 4 1 4 Supervisor
proximity must be provided with shock Safety Officer
resistant eye protection (welding Employee
glasses, face shield or impact resistant
goggles).

LEGEND: L = Likelihood S = Severity IR = Initial Risk Rating RR = Residual Risk

 Southey Offshore Safety Document No. SHS-FCR-006
Management System Baseline Revision No. 0
Risk Assessment Template Date 03/04/2019
Page 17 of 24

LIKELIHOOD
LIKELIHOOD

REVISED
SEVERITY

SEVERITY
REVISED
EXISTING/PLANNED

S, H, E
SAFETY HAZARD/ RESPONSIBLE

RR
SPECIFIC ACTIVITY RISKS MITIGATION/RISK REDUCING

IR
ENVIRONMENTAL ASPECT PERSON
MEASURES

▪ Handling and turning steel ▪ Can injure the personnel S 3 3 9 ▪ All personnel conducting lifting or 2 2 4 Supervisor
during welding process (crash or impact injury) slinging operations must trained and Safety Officer
competent in crane operations and Employee
slinging techniques.
▪ All overhead cranes and lifting
equipment (including manual lifting
equipment) must be maintained and
tested as required by the
manufacturer.
9. Access and Egress for NDT ▪ Unauthorised entry ▪ Falling from elevated S 4 3 12 ▪ Hold onto handrails when ascending, 4 2 8 Supervisor
Operations ▪ Stairs & ladders position descending. Safety Officer
▪ Scaffolds ▪ Falling over superfluous ▪ Keep walkways free of obstructions Employee
▪ Narrow passages material on walkways ▪ Good communication with all relevant
▪ Confined spaces ▪ Injuries to personnel. parties.
▪ Project delays – time loss. ▪ Discuss risk assessment at Toolbox Talk
▪ Asphyxiation with all employees.
▪ Correct PPE to be worn – overalls,
safety shoes, ear plugs, safety
spectacles, hard hats (when required),
leather gloves, respirators (when
required)
▪ Gas free area – as per permit
requirements.
10. Adjacent Work to the NDT ▪ Overhead cranes ▪ Damage to equipment. S, H 3 3 9 ▪ Siren to warn of moving load. 3 2 6 Supervisor
Operations ▪ Dropped objects ▪ Injuries to personnel. ▪ Keep clear from under the load. Safety Officer
▪ Gas ▪ Damage to material. ▪ Correct PPE to be worn – overalls, Employee
▪ Grinding sparks ▪ Project delays – time loss. safety shoes, ear plugs, safety
▪ Welding fumes spectacles, hard hats, leather gloves,
▪ Suspended loads respirators (when required)
▪ Barriers, signs and warning lights to be
in place and patrolled at safe distance
from work activity during radiography.
▪ Competent, licensed & trained
personnel for all operations involved in
adjacent work.
▪ Good communications with all relevant

LEGEND: L = Likelihood S = Severity IR = Initial Risk Rating RR = Residual Risk

 Southey Offshore Safety Document No. SHS-FCR-006
Management System Baseline Revision No. 0
Risk Assessment Template Date 03/04/2019
Page 18 of 24

LIKELIHOOD
LIKELIHOOD

REVISED
SEVERITY

SEVERITY
REVISED
EXISTING/PLANNED

S, H, E
SAFETY HAZARD/ RESPONSIBLE

RR
SPECIFIC ACTIVITY RISKS MITIGATION/RISK REDUCING

IR
ENVIRONMENTAL ASPECT PERSON
MEASURES

parties.
▪ Discuss risk assessment at Toolbox Talk
with all employees.
11. Confined Spaces ▪ Fumes & Gases ▪ Injuries to personnel. S, H 5 5 25 ▪ Competent, licensed and trained 5 2 10 Supervisor
▪ O2 deficiency ▪ Project delays – time loss. personnel. Safety Officer
▪ Congestion ▪ Pinch points, caught ▪ Good communication with all relevant Employee
between parties.
▪ Asphyxiation ▪ Discuss risk assessment at Toolbox Talk
with all employees.
▪ Permit to work to be obtained before
entering confined spaces.
▪ Breathing apparatus systems, where
applicable.
▪ Guards at entry of confined spaces –
regular checks on personnel in
confined space.
▪ Lifelines and communication systems
(walkie-talkies) – buddy system.
▪ Keep work area clear of unnecessary
personnel and equipment.
▪ Correct PPE to be worn – overalls,
safety shoes, ear plugs, safety
spectacles, hard hats, leather gloves.
▪ Gas free area – as per permit
requirements.

12. Working at Height ▪ Heights. ▪ Falling from elevated S 5 5 25 ▪ Competent, licensed and trained 5 2 10 Supervisor
▪ Dropped or falling objects. position. personnel. Safety Officer
▪ Struck by or caught between. ▪ Injuries to personnel. ▪ Good communication with all relevant Employee
▪ Falling from scaffolding. ▪ Project delays – time loss. parties.
▪ Pit/tank below. ▪ Damage to equipment. ▪ Ensure safe access via scaffold or
ladder.
▪ Safety harness to be worn above 1.5m.
▪ All loose items to be secured at height.
▪ Correct PPE to be worn – overalls,
safety shoes, ear plugs, safety
spectacles, hard hats, leather gloves,
respirators (when required), and safety
LEGEND: L = Likelihood S = Severity IR = Initial Risk Rating RR = Residual Risk
 Southey Offshore Safety Document No. SHS-FCR-006
Management System Baseline Revision No. 0
Risk Assessment Template Date 03/04/2019
Page 19 of 24

LIKELIHOOD
LIKELIHOOD

REVISED
SEVERITY

SEVERITY
REVISED
EXISTING/PLANNED

S, H, E
SAFETY HAZARD/ RESPONSIBLE

RR
SPECIFIC ACTIVITY RISKS MITIGATION/RISK REDUCING

IR
ENVIRONMENTAL ASPECT PERSON
MEASURES

harness.
▪ Discuss risk assessment at Toolbox Talk
with all employees.
▪ Scaffold to be checked for tagging.
▪ Staggered work area to ensure
operators not working above or below
each other.

13. Manual Materials Handling ▪ Excessively heavy materials. ▪ Knicks and cuts. S, H 1 5 5 ▪ Competent and trained personnel. 1 2 2 Supervisor
▪ Unsafe materials. ▪ Pinch points. ▪ Tandem lifting – ask for assistance. Safety Officer
▪ Unsafe stacking and packing. ▪ Injuries to personnel. ▪ MSDS read and understood. Employee
▪ Unstable load. ▪ Damage to materials. ▪ Adhere to stacking and storing
▪ Incorrect material identification. ▪ Damage to equipment. requirements of company (3:1 ratio).
▪ Struck by or caught ▪ Good communication with all relevant
between. parties.
▪ Damage to vehicles. ▪ Discuss risk assessment at Toolbox Talk
with all employees.
▪ Chocks and blocks to be used when
load can roll.
▪ Strapping to be secured and checked
prior to movement.
14. Storage of Materials ▪ Unsafe stacking and packing. ▪ Slip, trip, fall. S 1 5 5 ▪ Ensure painted surfaces are clean, dry 1 2 2 Supervisor
▪ Unstable loads. ▪ Injury to employees. and free of contamination. Safety Officer
▪ Unsafe stacking structures. ▪ Project delays – time loss. ▪ All loose items to be secured. Employee
▪ Excessively heavy materials ▪ Struck by or caught ▪ Discuss risk assessment at Toolbox Talk
placed on top of lighter between. with all employees.
materials. ▪ Damage to materials, ▪ Correct PPE to be worn – overalls,
property. safety shoes, ear plugs, safety
spectacles, hard hats, gloves,
respirators (when required)
▪ Chock and block all round-shaped
items.
▪ Adhere to stacking and storage
requirements (3:1 ratio)

LEGEND: L = Likelihood S = Severity IR = Initial Risk Rating RR = Residual Risk

 Southey Offshore Safety Document No. SHS-FCR-006
Management System Baseline Revision No. 0
Risk Assessment Template Date 03/04/2019
Page 20 of 24

LIKELIHOOD
LIKELIHOOD

REVISED
SEVERITY

SEVERITY
REVISED
EXISTING/PLANNED

S, H, E
SAFETY HAZARD/ RESPONSIBLE

RR
SPECIFIC ACTIVITY RISKS MITIGATION/RISK REDUCING

IR
ENVIRONMENTAL ASPECT PERSON
MEASURES

15. Ultrasonic Testing ▪ Heights ▪ Falling from elevated S 4 3 12 ▪ Competent, licensed & trained 4 2 8 Supervisor
▪ Confined spaces positions personnel. Safety Officer
▪ Injuries to personnel. ▪ Good communication with all relevant Employee
▪ Project delays – time loss. parties.
▪ Asphyxiation ▪ Discuss risk assessment at Toolbox Talk
▪ Knicks & cuts with all employees.
▪ Slip, trip, fall ▪ Ensure safe access via scaffold or
▪ Pinch points ladder.
▪ Damage to equipment. ▪ Safety harness to be worn above 1.5m.
▪ All loose items to be secured at height.
▪ Correct PPE to be worn – overalls,
safety shoes, ear plugs, safety
spectacles, hard hats, leather gloves,
respirators (when required)

16. Magnetic Particle Testing ▪ Heights ▪ Falling from elevated S 4 3 12 ▪ Competent, licensed & trained 4 2 8 Supervisor
▪ Confined spaces positions personnel. Safety Officer
▪ Hazardous chemicals ▪ Injuries to personnel. ▪ Good communication with all relevant Employee
▪ Electricity ▪ Project delays – time loss. parties.
▪ Asphyxiation ▪ Discuss risk assessment at Toolbox Talk
▪ Knicks & cuts with all employees.
▪ Slip, trip, fall ▪ Ensure safe access via scaffold or
▪ Pinch points ladder.
▪ Damage to equipment. ▪ Safety harness to be worn above 1.5m.
▪ Electrocution ▪ All loose items to be secured at height.
▪ Correct PPE to be worn – overalls,
safety shoes, ear plugs, safety
spectacles, hard hats, leather gloves,
respirators (when required)

LEGEND: L = Likelihood S = Severity IR = Initial Risk Rating RR = Residual Risk

 Southey Offshore Safety Document No. SHS-FCR-006
Management System Baseline Revision No. 0
Risk Assessment Template Date 03/04/2019
Page 21 of 24

LIKELIHOOD
LIKELIHOOD

REVISED
SEVERITY

SEVERITY
REVISED
EXISTING/PLANNED

S, H, E
SAFETY HAZARD/ RESPONSIBLE

RR
SPECIFIC ACTIVITY RISKS MITIGATION/RISK REDUCING

IR
ENVIRONMENTAL ASPECT PERSON
MEASURES

17. Liquid Penetrating Testing ▪ Heights ▪ Falling from elevated S,H,E 4 3 12 ▪ Competent, licensed & trained 4 2 4 Supervisor
▪ Confined spaces positions personnel. Safety Officer
▪ Hazardous chemicals ▪ Injuries to personnel. ▪ Good communication with all relevant Employee
▪ Project delays – time loss. parties.
▪ Asphyxiation ▪ Discuss risk assessment at Toolbox Talk
▪ Knicks & cuts with all employees.
▪ Slip, trip, fall ▪ Ensure safe access via scaffold or
▪ Pinch points ladder.
▪ Damage to equipment. ▪ Safety harness to be worn above 1.5m.
▪ Spillages ▪ All loose items to be secured at height.
▪ Correct PPE to be worn – overalls,
safety shoes, ear plugs, safety
spectacles, hard hats, leather gloves,
respirators (when required)
▪ Clean up all spillages
▪ Contain spillages in drip pans.

LEGEND: L = Likelihood S = Severity IR = Initial Risk Rating RR = Residual Risk

 Document No. SHS-FCR-006
Southey Offshore Safety
Revision No. 0
Management System Baseline Date 03/04/2019
Risk Assessment Template Page 22 of 24

ACTUAL / POTENTIAL CONSEQUENCES PROBABILITY RATING

Hazard
Descriptive 1 2 3 4 5
Severity
Words Personal Illness/Injury Environmental (Any incident that….)
Category Very Very
Unlikely Possible Likely
Unlikely Likely

Negligible injury or health implications, Presents limited harm to the environment and
1 Negligible no absence from work requires minor corrective action. 1 2 3 4 5

Minor injury requiring first aid

Presents limited harm to the environment and
2 Slight treatment or headache, nausea,
requires general expertise or resources for correction. 2 4 6 8 10
dizziness, mild rashes.

Potentially harms or adversely affects employees and

Injury leading to a lost time accident or
3 Moderate persistent dermatitis, or acne.
the environment at our site. Requires general 3 6 9 12 15
expertise or resources for correction.

Potentially harms or adversely affects employees and

Serious injury, Poisoning, sensitisation
4 High or dangerous infection
the environment at our facility. Requires specialised 4 8 12 16 20
expertise or resources for correction.

Potentially harms or adversely affects the general

Fatality(s), terminal lung diseases or public and has the potential for widespread public
5 Very High permanent debility. concern of Southey Offshore operations. Can have 5 10 15 20 25
serious economic liability on the business.

1-6 MAY BE ACCEPTABLE: however, review task to see if risk can be reduced further

TASK SHOULD ONLY PROCEED with appropriate management authorisation after consultation with specialist personnel and assessment team. Where possible, the task should be redefined to take
8 - 12
account of hazards involved or the risk should be reduced further prior to task commencement.

TASK MUST NOT PROCEED. Almost inevitable that an incident would result. It should be redefined or further control measures put in place to reduce risk. The controls should be re-assessed for
15 – 25
adequacy prior to task commencement.

LEGEND: L = Likelihood S = Severity IR = Initial Risk Rating RR = Residual Risk

 Document No. SHS-FCR-006
Southey Offshore Safety
Revision No. 0
Management System Baseline Date 03/04/2019
Risk Assessment Template Page 23 of 24

Branch Manager / Supervisor is responsible for review, implementation and monitoring

This risk assessment has been prepared on the known work scope but must be confirmed on site by the Supervisor and where applicable, the designated customer
representative, by walking the site, to confirm that all hazards have been correctly identified and the appropriate control measures specified are in place.
Personnel are required to wear all relevant PPE for tasks being performed.

All work to be carried out under the PERMIT TO WORK system, where applicable.

WHERE THE ACTIVITY, HAZARDS OR RISKS CHANGE, SUPERVISOR MUST STOP THE JOB, REVISE THIS RISK ASSESSMENT AND DISCUSS WILL RELEVANT EMPLOYEES

Team involved in the preparing of the risk assessment

1. 2. 3. 4.

5. 6. 7. 8.

PREPARED BY: POSITION: SIGNATURE: DATE:

CHECKED BY: POSITION: SIGNATURE: DATE:

CUSTOMER: POSITION: SIGNATURE: DATE:

WHERE APPLICABLE, CLIENT APPROVAL OF THIS RISK ASSESSMENT IS A REQUIREMENT PRIOR TO WORK COMMENCING

LEGEND: L = Likelihood S = Severity IR = Initial Risk Rating RR = Residual Risk

 Document No. SHS-FCR-006
Southey Offshore Safety
Revision No. 0
Management System Baseline Date 03/04/2019
Risk Assessment Template Page 24 of 24

Risk Assessment Register

Risk associated with the work and the safety precautions/ controls in place were conveyed to me during the initial safety meeting prior to commencement of work.

No Employee name Signature Date No Employee name Signature Date

1 16

2 17

3 18

4 19

5 20

6 21

7 22

8 23

9 24

10 25

11 26

12 27

13 28

14 29

15 30

LEGEND: L = Likelihood S = Severity IR = Initial Risk Rating RR = Residual Risk