VESSEL NAME Assessment date 00/00/00 Review date 00/00/00 RISK ASSESSMENT
Description of activity		Describe an operational or emergency procedure of your vessel.
Assessment methods (Circle options) : Systematic walk around survey, or, Or specify other method: Task analysis & stakeholder consultation, or Independent audit, or Ships safety reportage documentation audit.
Primary considerations (Circle options) : Specify Other: Falls Falling objects Heat or cold Noise Atmosphere Electrical Fire or explosion Cranes or hoists Pressure vessels Confined spaces Manual handling Hazardous materials
Risk assessment and primary control measures: (Use overleaf for full control plan)
	Fatal/Disaster		Critical	Major	Minor	Negligible
Very likely	1		1	2	3	3
Likely	1		2	3	4	4
Unlikely	2		3	4	4	5
Very unlikely	3		3	4	5	5
Control actioned	1= immediately. 2 = within 24hrs. 3 = within 48hrs. 4 = monthly. 5 = as priority.
Position Name Signed Date Ranger Hope © 2008

VESSEL NAME Assessment date 00/00/00 Review date 00/00/00

CONTROL PLANS Choose an operatal procedure undertaken by your vessel.

Risk 1

Control methods (Circle options) :

Elimination - remove

Engineering - substitute, isolate, segregate, redesign,

Administration - procedures, signage, training

Rescue/recovery -PPE’s, procedures, standby

Detail:

Risk 2

Control methods (Circle options) :

Elimination - remove

Engineering - substitute, isolate, segregate, redesign,

Administration - procedures, signage, training

Rescue/recovery -PPE’s, procedures, standby

Detail:

Risk 3

Control methods (Circle options) :

Elimination - remove

Engineering - substitute, isolate, segregate, redesign,

Administration - procedures, signage, training

Rescue/recovery -PPE’s, procedures, standby

Detail:

Position Name Signed Date

Ranger Hope © 2008