Doc Ref No.

: MPF-QHSE-008
Job Safety Analysis /Risk Assessment Form Revision: 03 Rev Date: 21.04.2016
Doc Type: Form Issued Date: 03.05.2016

DATE : LOCATION: AKPO

WORKSITE : SIEM MARLIN CLIENT : TOTALENERGIES FIELD

TASK BEING General Deck Operations, Work at Height, HFL Unspooling PROJECT TITLE :
ASSESSED: (if applicable)
JSA REF NO: JSA-SM-PROJ-0017 JOB SUPERVISOR:

ATTENDEES : ATTENDEES:
SN NAME POSITION COMPANY SIGNATURE SN NAME POSITION COMPANY SIGNATURE

REFERENCE DOCUMENTS: MPL-IMS-QHSE-PRO-03-013 Risk assessment procedure

MPP-IMS- 068 – Business case hazard register

Document No: MPF-QHSE-008 Rev 03 Date 21-04-2016

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 Doc Ref No.: MPF-QHSE-008
Job Safety Analysis /Risk Assessment Form Revision: 03 Rev Date: 21.04.2016
Doc Type: Form Issued Date: 03.05.2016

Examples of Standard Control Measures

Permit to work Lift plan in place Inspection of equipment Mechanical isolation /Electrical isolation
Good barrier management Stop work Authority Certified lifting equipment Effective supervision
Effective communication Toolbox talk Correct tools/ PPE Good housekeeping standards
Detailed work procedure/task plan Material Safety Data Sheet(MSDS) Drop object inspection Competent personnel
Suitable environmental conditions Line of Fire awareness Access control Situational Awareness

Document No: MPF-QHSE-008 Rev 03 Date 21-04-2016

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 Doc Ref No.: MPF-QHSE-008
Job Safety Analysis /Risk Assessment Form Revision: 03 Rev Date: 21.04.2016
Doc Type: Form Issued Date: 03.05.2016

INITIAL RISK RESIDUAL RISK

IMPACT TYPE
LEVEL LEVEL

ENVIRONMENT
SOURCES/CAUSES OF
S/N TASK HAZARD CONSEQUENCES CONTROLS IN PLACE

RISK RATING

RISK RATING
PROBABILTY

PROBABILTY
HAZARD

SCHEDULE

SEVERITY

SEVERITY
PERSON

ASSET
1 Tools and  Cutting  Wrong tools and  Injury 2 1 1 1 3 2 6  TBT, JSA 3 2 6
Equipment  Entanglement equipment selection personnel  Ensure personnel are competent
Preparation  Shearing  Poor task planning  Damage to to use tools
 Flying particles  Poor knowledge of equipment  Before using the tool, the worker
tools and equipment shall inspect it to determine that
 Damaged tools and it is clean, all moving parts
equipment operate freely
 Dedicated storage position
 Incorrect PPE
provided for all task tools and
equipment & keep all tools in
good condition with regular
maintenance
 Appropriate PPE must be worn at
all time.
 All dedicated tools and
equipment to be fully checked
for integrity prior to storage after
use
 No modification or adjustment
to any tools or equipment
permitted without consultation
with supervisor
 Use the right tool for the job
 Operate according to the
Document No: MPF-QHSE-008 Rev 03 Date 21-04-2016

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 Doc Ref No.: MPF-QHSE-008
Job Safety Analysis /Risk Assessment Form Revision: 03 Rev Date: 21.04.2016
Doc Type: Form Issued Date: 03.05.2016

INITIAL RISK RESIDUAL RISK

SOURCES/CAUSES OF IMPACT TYPE
S/N TASK HAZARD CONSEQUENCES LEVEL CONTROLS IN PLACE LEVEL
HAZARD
manufacturer’s instructions
 Never carry a tool by the cord or
hose
 Never “yank” the cord or the
hose to disconnect it from the
receptacle
 Replace all frayed and/or
damaged extension cords. Do
not try to tape cords.
 Keep work area well lit when
operating electric tools
 Ensure that cords and hoses do
not pose as a tripping hazard
 All portable electric tools that
are damaged shall be removed
from use and tagged “Do Not
Use”
 The tool shall never be pointed
at anybody
 Disconnect tools when not using
them, before servicing and
cleaning them, and when
changing accessories such as
blades, bits, and cutters.
 Keep cords and hoses away from
heat, oil, and sharp edges.
 Ensure appropriate guards are in
place
 360 degree look around
 Line of fire awareness

 Slips, trips, & fall’s  Congested deck  Injury to  Toolbox Talk, PTW, Lift plan,
General deck
2  Rigging failure  Loads not rigged personnel 3 1 2 1 3 3 9 Walk through talk through of 3 2 6
Operations
 Crushing correctly  Damage to task.

Document No: MPF-QHSE-008 Rev 03 Date 21-04-2016

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 Doc Ref No.: MPF-QHSE-008
Job Safety Analysis /Risk Assessment Form Revision: 03 Rev Date: 21.04.2016
Doc Type: Form Issued Date: 03.05.2016

INITIAL RISK RESIDUAL RISK

SOURCES/CAUSES OF IMPACT TYPE
S/N TASK HAZARD CONSEQUENCES LEVEL CONTROLS IN PLACE LEVEL
HAZARD
 Correct PPE
 Non-Essential Personnel off the
Main Deck
 Effective Tagline Management
 Clear Communication with other
Riggers/Deck Foreman/Crane
Driver
 All loads checked Prior to lifting
 Effective Supervision
 Incompetent personnel
 Check SWL of Lift
 Incorrect hand and
 Banksman Stand back Hands Off
body position
 Barriers & Signs erected
 Pinch points  Unclear
Communication  Good Housekeeping
 Cuts  Certified rigging equipment.
 Non-essential
 Dropped objects personnel on deck  Ensure all personnel have clear
equipment
 Swinging loads  Manual lifting space and escape routes
 Vessel motion  Complicated  Good manual handling technique
 Crane failure lift/movement on deck  Un familiar/non routine tasks
 Poor housekeeping need to have separate JSA & TBT
 Sea state  Personnel to ask questions if not
happy with task
 Unfamiliar with task
 Any person can stop the job until
they are satisfied it is being
carried out correctly/safely
 Keep away from swinging load
caused by vessel movements
 Supervisors to monitor weather
conditions
 Pre rigging and equipment
checks
 Visual checks by crane op
Document No: MPF-QHSE-008 Rev 03 Date 21-04-2016

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 Doc Ref No.: MPF-QHSE-008
Job Safety Analysis /Risk Assessment Form Revision: 03 Rev Date: 21.04.2016
Doc Type: Form Issued Date: 03.05.2016

INITIAL RISK RESIDUAL RISK

SOURCES/CAUSES OF IMPACT TYPE
S/N TASK HAZARD CONSEQUENCES LEVEL CONTROLS IN PLACE LEVEL
HAZARD
 Taglines if appropriate
 Correct training, information,
instruction, supervision.
 360 degree look around
Line of fire awareness

 TBT, PTW and JSA

 Appropriate fall protection
equipment
Working outside  Correct PPE
guardrails  Clear and effective
communications
Ineffective  Effective supervision
supervision
 Competent personnel
Unstable Platform  Radios or designated person
to watch
Loose tools and
 Good Housekeeping
equipment
 Barriers in place
Falling from height Faulty or damaged fall  Rescue plan in Place and
Working at Dropped Objects arrest/prevention Injury to discussed prior to working
4 1 1 1 3 4 12 3 3 9
Height equipment Personnel. at height operation
3 Sea state and vessel  PFD if appropriate
instability  Vessel stability and
environmental conditions to
Slips trips and fall be suitable
Incorrect PPE  Lanyards to be used on
tools
Unsuitable weather
 Pre user checks on all
conditions
equipment e.g harnesses,
ladders, lanyards etc
360° awareness

Document No: MPF-QHSE-008 Rev 03 Date 21-04-2016

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 Doc Ref No.: MPF-QHSE-008
Job Safety Analysis /Risk Assessment Form Revision: 03 Rev Date: 21.04.2016
Doc Type: Form Issued Date: 03.05.2016

INITIAL RISK RESIDUAL RISK

SOURCES/CAUSES OF IMPACT TYPE
S/N TASK HAZARD CONSEQUENCES LEVEL CONTROLS IN PLACE LEVEL
HAZARD
 TBT, JSA
 Lack of pinch points  Pinch points awareness
awareness  Correct PPE
 Rigging failure  Effective hand and body
placement
 Equipment failure
 Certified rigging
 Incorrect PPE
 Pre-use inspection of rigging
 Pinch point  Congested deck  Barrier off deck area
 Dropped object  Incompetent personnel  Essential personnel only
 Uncontrol/swinging  Competent personnel
 Incorrect hand and  Injury personnel
load  Good tagline management if
body position  Damage to
4 Install HFL chutes  Manual handling 5 1 2 1 3 5 15 taglines required 2 3 6
 Ineffective equipment
 Slip trip & fall  Good manual handling technique
Communication
 Collision  Effective communication
 Manual lifting
 Man overboard  Effective housekeeping
 Complicated
 Personnel awareness of escape
lift/movement on deck
routes
 Poor housekeeping  360 degree awareness
 Vessel motion  line of fire awareness
 Working over the side  Over the side PTW
PFD to be worn

 Lack of pinch points  TBT, JSA

 Pinch point awareness  Pinch points awareness
 Dropped object  Rigging failure  Correct PPE
Pick up first end  Uncontrol/swinging  Equipment failure  Injury personnel  Effective hand and body
and commence load  Incorrect PPE  Damage to placement
5 3 1 2 3 3 3 9 2 3 6
spooling off HFL  Manual handling equipment  Certified rigging
 Congested deck
 Pre-use inspection of rigging
 Slip trip & fall  Incompetent personnel  Barrier off deck area
Collision  Incorrect hand and  Essential personnel only
body position  Competent personnel

Document No: MPF-QHSE-008 Rev 03 Date 21-04-2016

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 Doc Ref No.: MPF-QHSE-008
Job Safety Analysis /Risk Assessment Form Revision: 03 Rev Date: 21.04.2016
Doc Type: Form Issued Date: 03.05.2016

INITIAL RISK RESIDUAL RISK

IMPACT TYPE
SOURCES/CAUSES OF LEVEL LEVEL
S/N TASK HAZARD CONSEQUENCES CONTROLS IN PLACE
HAZARD  Good tagline management if
taglines required
 Ineffective
 Good manual handling technique
Communication
 Effective communication
 Manual lifting
 Effective housekeeping
 Complicated  Personnel awareness of escape
lift/movement on deck routes
 Poor housekeeping  360 degree awareness
 Vessel motion  line of fire awareness


 Lack of pinch points  TBT, JSA

awareness  Pinch points awareness
 Rigging failure  Correct PPE
 Equipment failure  Effective hand and body
 Pinch point
 Incorrect PPE placement
 Dropped object
 Certified rigging
 Uncontrol/swinging  Congested deck
Spooling HFL and  Pre-use inspection of rigging
overboarding Cobra load  Incompetent personnel  Barrier off deck area
head over aft  Manual handling  Incorrect hand and  Essential personnel only
 Injury
chute.  Slip trip & fall body position  Competent personnel
personnel
Continue spooling  Collision  Ineffective  Good tagline management if
6  Damage to 3 1 2 3 3 3 9 2 3 6
out and route HFL  Exceeeding Communication taglines required
equipment
back inboard over minimum bend  Manual lifting  Good manual handling technique
fwd chute radius of the HFL  Effective communication
 Complicated
 Excessive load lift/movement on deck  Effective housekeeping
transferred to the  Effective co-ordination to be
 Poor housekeeping
carousel maintained between crane,
 Vessel motion tensioner and carousel. No load
 Ineffective co- to be taken by carousel.
ordination of crane,  Personnel awareness of escape
tensioner and carousel routes
operations  360 degree awareness

Document No: MPF-QHSE-008 Rev 03 Date 21-04-2016

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 Doc Ref No.: MPF-QHSE-008
Job Safety Analysis /Risk Assessment Form Revision: 03 Rev Date: 21.04.2016
Doc Type: Form Issued Date: 03.05.2016

INITIAL RISK RESIDUAL RISK

SOURCES/CAUSES OF IMPACT TYPE
S/N TASK HAZARD CONSEQUENCES LEVEL CONTROLS IN PLACE LEVEL
HAZARD  Line of fire awareness

 TBT, JSA
 Lack of pinch points  Pinch points awareness
awareness  Correct PPE
 Rigging failure  Effective hand and body
placement
 Equipment failure
 Certified rigging
 Pinch point  Incorrect PPE
 Pre-use inspection of rigging
 Dropped object  Congested deck  Barrier off deck area
 Uncontrol/swinging  Incompetent personnel  Essential personnel only
Make up load
 Incorrect hand and  Competent personnel
connection of first  Manual handling body position  Good tagline management if
end Cobra head to  Slip trip & fall
 Ineffective  Injury personnel taglines required
HFLDF  Collision Communication  Good manual handling technique
 Damage to
7  Exceeeding  Manual lifting 3 1 2 3 3 3 9  Effective communication 2 3 6
Pick up second end equipment
minimum bend  Effective housekeeping
Cobra head from  Complicated
radius of the HFL  Effective co-ordination to be
carousel with crane lift/movement on deck
and connect to  Excessive load maintained between crane,
transferred to the  Poor housekeeping tensioner and carousel. No load
HFLDF
carousel  Vessel motion to be taken by carousel.
 Fall from height  Ineffective co-  WAH PTW
ordination of crane,  Safety harnesses to be used
tensioner and carousel  Use Safe working platform
operations  Personnel awareness of escape
 Working at height routes
 360 degree awareness
 Line of fire awareness

Document No: MPF-QHSE-008 Rev 03 Date 21-04-2016

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 Doc Ref No.: MPF-QHSE-008
Job Safety Analysis /Risk Assessment Form Revision: 03 Rev Date: 21.04.2016
Doc Type: Form Issued Date: 03.05.2016

PROBABILITY

1 Very Unlikely 2 Unlikely 3 Possible 4 Likely 5 Very Likely

To the best To the best To the best To the best To the best
knowledge of the knowledge of the knowledge of the knowledge of knowledge of the
risk assessment risk assessment risk assessment the risk risk assessment
team the hazard team the hazard team the hazard assessment team the hazard
has not occurred has occurred occurs annually team the is predicted to
within industry & within industry at within the offshore hazard occur at least
Project Schedule (S) circumstances least once but it is industry and/or MPL regularly occurs once during
Description People (P) Environment (E) Asset (A)
when it could not likely that the and the conditions more than once course of the
occur cannot be conditions needed needed for a year within work unless
foreseen for this for recurrence will recurrence may the offshore changes are
task. manifest occur if additional industry and/or made
themselves. factors are present MPL and is
likely to occur
during the task

1 Less than $100,000

Within site boundary. No significant
None Insignificant damage to Schedule impacted up to 1 hour 1 2 3 4 5
Negligible environmental impact
asset/ equipment
More than $100,000, less
First aid
2 Within site boundary. Short term than $1,000,000 Limited Schedule impacted more than 1
injury/Medical 2 4 6 8 10
Moderate environmental impact. damage to asset/ hour but less than 12 hours.
treatment case
equipment
Outside the site boundary. Localised More than $1,000,000, less
Restricted work
3 pollution giving rise to significant than $2,000,000 Significant Schedule impacted more than 12
case/days away 3 6 9 12 15
Significant environmental impact but unlikely to damage to asset or hours but less than 48 hours
from work case
last beyond 1 month. equipment
More than $2,000,000 less
Major injury Significant environmental impact
than $5,000,000. Damage
resulting in beyond the site boundary unlikely to
4 extending to several Schedule impacted more than 48
disability and/or last beyond 12 months. 4 8 12 16 20
Severe areas/significant impairment hours but less than 7 days.
long days away Recovery/rehabilitation requires
of asset / equipment
from work case external assistance
integrity
Massive & uncontrolled release with
Over $5,000,000 Extensive
5 significant environmental impact
Single/Multiple damage to asset/equipment Schedule impacted 7 days and
extending well beyond site boundary. 5 10 15 20 25
Catastrophic Fatalities (multiple fires/explosions) or more
Chronic pollution resulting in damage
loss of assets
lasting more than 12 months.

Document No: MPF-QHSE-008 Rev 03 Date 21-04-2016

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 Doc Ref No.: MPF-QHSE-008
Job Safety Analysis /Risk Assessment Form Revision: 03 Rev Date: 21.04.2016
Doc Type: Form Issued Date: 03.05.2016

Risks rating scale

S/N Weights /ratings Risks rating levels EXPLANATION

1. 1–6 LOW RISKS These are tolerable risks with appropriate control measures in place. The control measures are monitored on routine
basis
2. 8 – 12 MEDIUM RISKS Greater residual risk than Low but remains tolerable with full & effective implementation of control measures. Must
be monitored through with adequate supervision
3. 15 – 25 HIGH RISKS Intolerable if the risks involve hazards to personnel or environment. Must be mitigated further or the work cancelled.
May be tolerable if it only involves hazards to equipment, schedule or facility availability. This must be approved by
the relevant Line Manager and/or Client and documented prior to the work going ahead.

Document No: MPF-QHSE-008 Rev 03 Date 21-04-2016

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