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Risk Assesment

This document is a risk assessment report for an unnamed vessel. It details an initial risk assessment of hazards with their likelihood and severity rankings. Any subsequent risk reduction measures taken are also noted, along with follow-up likelihood and severity rankings. The document concludes by noting contingencies discussed and a declaration that the assessment can conclude if assessors find no additional control measures. It is meant to be used with a provided risk matrix and involves discussing the assessment with all personnel involved in the task.

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0% found this document useful (0 votes)
48 views1 page

Risk Assesment

This document is a risk assessment report for an unnamed vessel. It details an initial risk assessment of hazards with their likelihood and severity rankings. Any subsequent risk reduction measures taken are also noted, along with follow-up likelihood and severity rankings. The document concludes by noting contingencies discussed and a declaration that the assessment can conclude if assessors find no additional control measures. It is meant to be used with a provided risk matrix and involves discussing the assessment with all personnel involved in the task.

Uploaded by

shipdesigner088
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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Document Reference : Mideast / FMS

Revision No: 012 / Sept 2022


Section: 3
Company Forms Manual RISK ASSESSMENT REPORT
Vessel: Date: 12-Aug-16
Seq No. Risk Assessment Led By:
Task: Personnel involved in the task:
Initial Risk Assessment Subsequent Risk Reduction/Elimination Measures
Risk Assessment Actions Risk Assessment
Likelihood Severity Risk Rank Required Additional Control Measures Likelihood Severity Risk Rank Action Date Action By
Hazard (1,2,3,4,5) (1,2,3,4,5) (VH, H, M,L) (1,2,3,4,5) (1,2,3,4,5) (VH, H, M,L)
No Hazards Existing control measures
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2
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10
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Office Review Shipboard Assessment Team(Ranks):
Date Comments Signature

List out possible contingencies / unplanned occurrences discussed

Declaration: In the event where assessors determine that there are no additional measures apparent, the team can conclude the assessment by listing only the existing controls.
(Risk assessment must be discussed with all personnel involved in the Task)
NOTE: To be used in conjunction with the RISK MATRIX provided in Mideast / HSE, Section 10.6

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Mideast Form No. 109

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