S:\oed\Health & Safety\ Blank Forms & Checklists\Risk Assessment Form
RISK ASSESSMENT FORM
Follow HS01 Guidance Document when completing this Form
For Health and Safety Use
Assessment No
Sea49
Revision No
0
1.0 Assessment Type (tick box)
NEW
REVIEW
2.1 Subject of Assessment
Load Tests
2.2 Who is doing the Work
RSU Deck Ratings and UKORS personnel
2.3 Cruise Number(s) / Location of Work
RRS Discovery , RRS Charles Darwin
2.4 Brief Description of Activity
Load Testing of Terminations and Calibration of Load Cells
2.5 Main Equipment Used
Winch system, Wire/Cable, Load cell, Test weights
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3.0 Hazard Category(ies) – select all hazards that are applicable
H01
Use of workshop type machinery
H02
Possible entanglement in moving machinery
H25
Electric shock
H03
Use of hand held/portable power tools
H26
Fire from ignition sources (including static electricity)
H04
Use of hand/foot operated machine tools
H27
Explosion
H05
Use of hand tools
H28
Contact with molten metals
H06
Handling of glass
H29
Use of hydraulic/pneumatic systems
H07
Operation of crane/overhead gantry
H30
Use of compressed gases
H08
Loads being transported overhead
H31
Compressed air
H09
Falls of objects from heights
H32
Work in extremes of temperature
H10
Operation of forklift trucks
H33
Frostbite/Scalding/Burns
H11
Manoeuvring of heavy loads
H34
Vibration
H12
Stacking/storing
H35
High noise levels
H13
Operation of vehicles
H36
Low light levels
H14
Vehicles hitting people
H37
Fumes
H15
Manual handling
H38
Lack of ventilation
H16
Work with Display Screen Equipment
H39
Work over/near water, liquids
H17
Office Workstation (computers/printers/ furniture)
H40
Environmental pollution
H18
Repetitive movements
H41
Deck operations
H19
Slips/trips/falls of person on same level
H42
Carrying equipment up gangway
H20
Falls of persons from heights
H43
Use of small boats
H21
Collapse of structure
H44
Use of divers
H22
Sharp objects
H45
Working with ship rails lowered
H23
Inexperienced staff involvement
H46
Near by operations
H24
Violence
H47
Any other foreseeable hazards not already covered
4.0 Special Hazards
SH01
Use of hazardous chemical substances*1
SH04
Work in confined spaces*2
SH02
Work on any machinery in motion*2
SH05
Work on live electrical equipment*2
SH03
Hot work (welding/brazing/flame cutting) *2
SH06
Lone/remote working/Out of hours*3
*1
*3
Separate COSHH Assessment is required
Separate Lone Working Checklist is required
*2
Permit to Work System/Work Safety Instruction is required
5.0 Risk Groups (tick who might be affected by your activities, other than those who are doing the work)
RG01
RG02
RG03
RG04
RG05
RG11
Cleaners
Maintenance staff
Security
Contractors
Other members of staff
RG06
RG07
RG08
RG09
RG10
Members of the public
Students
Ship borne personnel
Pregnant women
Staff with disabilities
Others (give details):
PLEASE IDENTIFY THE CONTROLS MEASURES TO BE PUT IN PLACE IN THE TABLE OVERLEAF
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STAFF WITH MEDICAL OR PHYSICAL CONDITIONS SHOULD ALWAYS DISCUSS THE CONTENTS OF THIS ASSESSMENT AND ANY ADDITIONAL
PRECAUTIONS WITH LINE MANAGER OR PROJECT LEADER BEFORE PROCEEDING WITH THE WORK
6.0 Assess the Level of Risk
Haz
No.
Description of activities
relating to the hazards
identified
(a)
Hazard
Consequence
3 Major
2 Serious
1 Slight
(b)
Likelihood
3 High
2 Medium
1 Low
Risk Rating
= (a) x (b)
H02
H07
To perform a aloadtest the gantry
may have to be brought in a
suitable position and as the winch
and gantry are powered by
hydraulics and controlled manually
via consoles in winchcab. Possible
errors by driver could cause
hydraulic leaks, package damage.
H15
Test weights may have to be moved
– heavy items to be moved.
H41
To rig up the load test a number of
operations are necessary: Putting
deck studs in – shackling a test
weight. If any of these operations
are not correctly done a failyure of
the assembly results and may cause
The cable/wire to spring back and
injure a bystander
H47
During a load test there is a risk of
cable parting.
2
2
3
2
2
3
3
M
H
2
2
2
H
L
Competent winch operators must carry out prestart inspections.
Only competent persons to drive winch gantry.
Persons on deck to have correct PPE; Hard Hat –
safety boots, working clothes
M
6.3 Further Action
Necessary
High
Medium
Low
6.1 Controls to be Implemented
High (6 & 9)
Medium (4)
Low (1 to 3)
H M
Starting up winch, too much loose
wire could cause compensator ram
to operate violently with risk of
crushing.
6.2
Revised
Risk Level
Persons must be trained in manual handling. All
persons involved to wear correct PPE. Heavy
lifts to be mechanical assisted or 2 persons
together. All good lifting practices to be
observed.
H
Only trained personnel to rig a test. Item used
have to be in test and rated for the correct load.
During the test Care has to be taken!
H
This risk is to be minimised by having the
cable/wire tested regularly and inspecting it
before use.
M
(Comments)
L
L
L
L
L
L
Refer to Draft CTD
Termination Load Test
Procedure
Refer to Draft CTD
Termination Load Test
Procedure
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6.0 Assess the Level of Risk
Haz
No.
Description of activities
relating to the hazards
identified
(a)
Hazard
Consequence
3 Major
2 Serious
1 Slight
(b)
Likelihood
3 High
2 Medium
1 Low
Risk Rating
= (a) x (b)
H47
3
2
High
Medium
Low
6.1 Controls to be Implemented
High (6 & 9)
Medium (4)
Low (1 to 3)
H M
In case of a load test for a newly
made termination. The risk exists
that the termination might not be
correcta and may fail or slip.
6.2
Revised
Risk Level
H
H
L
Terminations shall only be performed by trained
personnel and according to Termination
procedures.
M
6.3 Further Action
Necessary
(Comments)
L
L
A Certificate of Test, signed by the competent
person conducting the test, and a witness shall
sign the form. The Certificate of Test shall be in
a format approved by current lifting regulations.
TAB TO THE END OF TABLE TO INSERT NEW ROWS
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7.0 Attachments
7.1 COSHH Assessments (tick box)
Names of Chemicals/Trade Names (Manufacturer)
Not Required
Attached
7.2 Work Safety Instructions/ Permits to Work (tick box)
Not Required
Attached
Titles/Permits to Work Number
Draft CTD Termination Load Test Procedure
7.3 Lone Working Checklist (tick box)
Titles
Not Required
Attached
8.0 Assessor Details (original assessor)
Name of Assessor
Signature
Kim Tanneberger
Date
Name of Line Manager
Signature
Date
Line Manager’s Signature
Date
21/07/04
9.0 Assessment Review
Name of Reviewer
Date of Review
Reviewers Comments
10.0 Declaration: I have read, understood and will follow the safety precautions in this assessment and associated documents
(To be completed by all workers involved)
Name
Signature
Date
Name
Signature
Copies of completed Risk Assessments plus attachments should be sent to the Divisional Safety Officer.
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Date