RA01 Form
On board Risk Assessment Form Revision: FF000001000000
Page: 1 of 3
Date: FF000007 August 2019
(a) This form is intended for assessing risks onboard and suggesting new areas to be taken into consideration to the Company's Risk assessment;
(b) Refer to FH-01-05 Procedure for Risk Assessment.
Vessel: Date: Assessment series No.: Place:
Shipboard operation: Auto Pilot Steering Defective
Please specify risk of Risk Assessment Checklist (please tick) Specify all personnel involved in operation rank Signature Acceptable (1-6)
area-operation
(please tick) 1 Hazard Description P 1 may be acceptable;
Bridge P 2 Consequence Description P 2 however, review task to
see if risk can be reduced
Engine P 3 Controls In Place P 3 further
Deck 4 Risk Evaluation P 4
Cargo 5 Additional Control Actions P 5 Tolerable (7-14)
Galley 6 Risk Evaluation after additional control cctions P 6
Task should only proceed
7 Action Plan P 7 with appropriate
management authorisation
8 Feedback to Company 8 after consultation with
specialist personnel and
assessment team
R (risk rating) = C (consequence rating) X L (likelihood rating)
RISK MATRIX Likelihood Levels (L) Consequence Levels (C)
5 (1) Remote = once in lifetime Intolerable (15-25)
to safety: to environment:
4 (2) Occasional = might occur evey 10-20 years (1) Negligible = minor injury not requiring first aid (1) Negligible = < 10 ltrs
Likelihood
Task must not proceed;
3 (3) Likely = might occur evey 1-10 years (2) Minor = Minor injury requiring first aid treatment on board (2) Minor = 10-100 ltrs
It should be redefined or
2 (4) Probable = might occur once a year (3) Significant = Injury requiring hospitalization (3) Significant = 100-1,000 ltrs further control measures
put in place to reduce risk;
1 (5) Certain = might occur every six months (4) Critical = Single death or permanent disability (4) Critical = 1,000 - 10,000ltrs The controls should be re-
assessed for adequacy
1 2 3 4 5 (5) Catastrophic = Multiple deaths (5) Catastrophic = > 10,000 ltrs prior to ask
commencement.
Consequence
RA01 Form
On board Risk Assessment Form Revision: FF000001000000
Page: 2 of 3
Date: FF000007 August 2019
Please fill the blank cells considering the rating guidelines of likelihood (L) and consequence (C) which most applies to the hazard under assessment.
Action Plan
After multiplying likelihood and consequence rating, the risk level will be calculated using the Risk matrix provided, by marking the relevant coloured square area.
1 2 3 4 5 6 7 8
Please tick,
in case you
Reference No.
Responsible person
Additional Control Actions Risk Evaluation consider
Consequence Description Risk Evaluation
(input in case of risk above after Additional
further
(4)
onboard
to Control Actions assessment
Hazard description Controls in Place (R= L x C) 6, Timeline in office is in
Safety Risk Evaluation = more than (R= L x C) need for
and Environment 6) specific
hazad:
L C R L C R
Contingency sequence prepared and
risk assessmentd. Engage in manual
steering , NFU, and Emergency
steering should be tested as
appropriate and other navigation
Follow guidelines for vessel
equipments. Give the Engine Room
manoeuvring capabilities.
Collision. adequate notice with regard to any
Specific weather reports to be
Grounding. requirements. Monitor the position of Prior and
1 Navigating in poor visibility 2 4 8 obtained in advance. SOPEP 1 4 4 Master
Oil Spill the vessel continuously with the help during transit
Equipment in placed. Ship
Injuries . of parallel indexing, ARPA, ECDIS
masters medical guid
etc. • Always keep the Master
.
informed about the current situation
and action plans. • Post extra look out
when visibility impaired by weather
such as rain, fog, haze, smoke, etc.
Contingency sequence prepared and
risk assessment for variable change
of wind and current direction.
Engage to Hand steering , NFU, and
Emergency steering should be tested
as appropriate.and other navigation
equipments • Always keep the Master Summon for additional
Collision. informed about the current situation assistance to the bridge. •
Grounding. and action plans. Specific weather reports to be Prior and
2 Navigating in Deteriorating weather 2 4 8 1 4 4 Master
Oil Spill. • Give the Engine Room adequate obtained in advance. during transit
Injuries due to impact notice with regard to any SOPEP Equipment in placed.
requirements. Ship masters medical guide
• Reduce the vessel’s speed to a safe
speed for navigation Master and
OOW to comply with the sea
checklist for both deck & engine
dept.Ensure constant and adequate
Master supervision.
RA01 Form
On board Risk Assessment Form Revision: FF000001000000
Page: 3 of 3
Date: FF000007 August 2019
Contingency sequence prepared and
risk assessment • Comply with
COLREGs at all times
• Give the Engine Room adequate
notice with regard to any
requirements.
• Reduce the vessel’s speed to a safe
speed for navigation.
• Coordinate with the VTS as
Collision. • Use all available resources
well as with the other ships in
Grounding. including all aids to navigation and
2 Navigating in congested area 2 4 8 the vicinity using the VHF. 3 2 6 Master
Prior and during transit
Oil Spill. cross verify with the chart (use
SOPEP Equipment in placed.
Injuries largest scale chart for that area) to
Ship masters medical guid
check depths, distances, bearings
etc. Summon for additional
assistance to the bridge. Ensure
constant and adequate Master
supervision.
Master and OOW to comply with the
sea checklist for both deck & engine
dept. Engage to Hand steering , NFU,
and Emergency steering should be
tested as appropriate.and other • Post additional lookouts and
navigational equipments • • Give the shall at all times maintain a
Collision. Engine Room adequate notice with proper look-out. Coordinate
Prior and
Grounding. regard to any requirements.. Use all with the VTS as well as with
3 Transitting Fairway Channel. 2 4 8 1 4 4 Master during
Oil Spill. available navigation aid such as the other ships in the vicinity
transit
Injuries Radar, Search Light, VHF, using the VHF. SOPEP
Binoculars, etc.Monitor the position of Equipment in placed. Ship
the vessel continuously with the help masters medical guid
of parallel indexing, ARPA, ECDIS
etc.
Ensure constant and adequate
Master supervision.
