VESSEL NAME Assessment date 00/00/00 Review date 00/00/00 RISK ASSESSMENT
Description of activity		Describe here the particulars of the operation on you vessel.
Assessment methods (Circle options) : Specify Other: Systematic walk around survey. Task analysis & stakeholder consultation. Independent audit. 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:Grade the risk level of the hazards you identified above using this matrix. Risk level = Severity of consequence + likelihood + time of exposure
	Fatal/Disaster		Critical	Major	Minor	Negligible
Very likely	1		1	2	3	3
Likely	1		2	3	4	4
Unlikely	2		3	4	4	4
Very unlikely	3		3	4	5	5
Control neeeded	1= immediately. 2 = within 24hrs. 3 = within 48hrs. 4 = monthly. 5 = low priority.
Position Name Signed Date