Site Name: Team Members:

ENERMECH OGP City:

Chemical Cleaning Risk Assessment Form Last Revision: 120702 Date Completed: Follow Up Date (Residual):

Severity Action Results Severity (Residual)

Hazard
Potential Hazard Hazard
Task or Work Process Potential Hazard Likelihood Recommended Action(s) / Likelihood (Residual) Index
Effects People Assets Environment Reputation Index People Assets Environment Reputation
Controls (Residual)

Improper Possible chemical Medical Minor Minor Effect Minor Impact Happened in the BU or 9 Procedure checked and Medical Minor Minor Effect Minor Impact Heard of in this 6
identification of release. Treatment or 3 Damage 3 3 3 more than once per 3 approved by two parties, Treatment or 3 Damage 3 3 3 industry 2
the piping Restricted Work year in the industry ENM and Client Restricted Work
Prepare Detailed Procedure
systems.
Obtain safe work permit Failure to identify Discharge of Medical Minor Minor Effect Minor Impact Happened at the site 12 All work to be carried out in Medical Minor Minor Effect Minor Impact Heard of in this 6
conflicting work liquid, debris, Treatment or 3 Damage 3 3 3 or more than once per 4 accordance with site permit to Treatment or 3 Damage 3 3 3 industry 2
scopes; Cleaning chemicals into Restricted Work year in the industry work system Restricted Work
of system being another system.
Loading/unloading equipment. Overhead Falling/dropping Lost Time or Moderate Moderate Moderate Happened in the BU or 12 Use certified and trained Lost Time or Moderate Moderate Moderate Heard of in this 8
hazards, shifting equipment. Recordable 4 Damage 4 Effect 4 Impact 4 more than once per 3 personnel. Maintain contact Recordable 4 Damage 4 Effect 4 Impact 4 industry 2
loads, pinch point Personnel year in the industry with operator. Use spotter.
hazards, lifting trapped/caugENM
Truck backs into
Spotting equipment Backing up truck Medical Minor No Effect Minor Impact Heard of in this 6 Certified drivers/driver Medical Minor No Effect Minor Impact Heard of in this 6
equipment; truck
without proper Treatment or 3 Damage 3 1 3 industry 2 assistant, Identify best spot Treatment or 3 Damage 3 1 3 industry 2
runs over
spotter or location Restricted Work for equipment with help of Restricted Work
personnel,
assessment safety personnel
Manual handling of equipment, Slips, trips and Injury to Lost Time or Moderate No Effect Moderate Happened more than 20 Work at appropriate speed. Lost Time or Moderate No Effect Moderate Happened in the BU or 12
hoses, fittings, etc during setup. falls. Lifting personnel. Recordable 4 Damage 4 1 Impact 4 once per year at the 5 Plan rig up. Do not congest Recordable 4 Damage 4 1 Impact 4 more than once per 3
hazards, pinch Damage to site area. Use mechanical lifting year in the industry
points. equipment. aids when possible.
Incorrect use of tools during rig Improper Slipping tools, Lost Time or Moderate Moderate Moderate Happened more than 20 Proper instruction in tool use. Lost Time or Moderate Moderate Moderate Heard of in this 8
up. positions for task.
damage to Recordable 4 Damage 4 Effect 4 Impact 4 once per year at the 5 Proper tools for the job. Use Recordable 4 Damage 4 Effect 4 Impact 4 industry 2
Incorrect tools. equipment. Injury site job planning. Stay out of line
Line of fire to personnel. of fire.
Connect temporary piping to Nominate wrong Contamination of Medical Minor No Effect Minor Impact Heard of in this 6 Work in accordance with Medical Minor No Effect Minor Impact Never heard of in the 3
system. tie-in point. wrong piping. Treatment or 3 Damage 3 1 3 industry 2 checked and approved Treatment or 3 Damage 3 1 3 industry 1
Water and Restricted Work procedure. Restricted Work
chemical spillage.
Perform chemical cleaning. Other personnel Unexpected Medical Minor No Effect Minor Impact Happened in the BU or 9 Work in accordance with Medical Minor No Effect Minor Impact Heard of in this 6
working on release of Treatment or 3 Damage 3 1 3 more than once per 3 checked and approved Treatment or 3 Damage 3 1 3 industry 2
system. pressure/chemical Restricted Work year in the industry procedure. Adhere to permit Restricted Work
s. to work system. Use proper
Perform chemical cleaning. Leak while under Chemical release Medical Minor Minor Effect Minor Impact Happened at the site 12 Verify all connections are Medical Minor Minor Effect Minor Impact Heard of in this 6
pressure. on personnel / Treatment or 3 Damage 3 3 3 or more than once per 4 tigENM before starting pump. Treatment or 3 Damage 3 3 3 industry 2
process Restricted Work year in the industry Perform pressure test of Restricted Work
equipment / system before starting
Heating fluid and piping during Hot surfaces, hot Thermal burns to Lost Time or No Damage No Effect Moderate Heard of in this 8 Use proper signage and flag Lost Time or No Damage No Effect Moderate Never heard of in the 4
circulation. fluids. personnel. Recordable 4 1 1 Impact 4 industry 2 off area. Use temporary Recordable 4 1 1 Impact 4 industry 1
insulation where necessary.
Use PPE and alert workers to
Addition of degreasing Splashes, spills Increase in Lost Time or No Damage Moderate Moderate Happened in the BU or 12 Use proper PPE (Rubber Lost Time or No Damage Moderate Moderate Heard of in this 8
chemicals to circulation loop. and sudden pressure in the Recordable 4 1 Effect 4 Impact 4 more than once per 3 gloves, monogoggles, and Recordable 4 1 Effect 4 Impact 4 industry 2
releases of heat. system. Chemical year in the industry chemical resistive suit.) Use
spill, chemical proper chemical addition
Addition of liquid citric acid, Splashes, spills. Chemical spill, Lost Time or No Damage Moderate Moderate Happened in the BU or 12 Use proper PPE (Rubber Lost Time or No Damage Moderate Moderate Heard of in this 8
corrosion inhibitor or aqua chemical burn on Recordable 4 1 Effect 4 Impact 4 more than once per 3 gloves, monogoggles, and Recordable 4 1 Effect 4 Impact 4 industry 2
ammonia to circulation loop. personnel. year in the industry chemical resistive suit.) Use
proper chemical addition
Addition of sodium nitrate to Gas release. Noxious gas Medical No Damage No Effect Minor Impact Heard of in this 6 Test system with calibrated Medical No Damage No Effect Minor Impact Never heard of in the 3
system. affects personnel. Treatment or 3 1 1 3 industry 2 pH meter for proper pH Treatment or 3 1 1 3 industry 1
Restricted Work before adding sodium nitrate Restricted Work
to system.
Draining chemical solution from Splashes, spills. Mixing tank Medical No Damage Minor Effect Minor Impact Happened at the site 12 Plan draining procedure. Medical No Damage Minor Effect Minor Impact Heard of in this 6
piping/equipment. overflows and Treatment or 3 1 3 3 or more than once per 4 Control rate and have proper Treatment or 3 1 3 3 industry 2
releases chemical Restricted Work year in the industry equipment in place to handle Restricted Work
and water. waste.
Circulating system. Pump stops. Mixing tank Medical No Damage Minor Effect Minor Impact Heard of in this 6 Close tank valves prior to Medical No Damage Minor Effect Minor Impact Never heard of in the 3
overflows and Treatment or 3 1 3 3 industry 2 stopping pump. Personnel to Treatment or 3 1 3 3 industry 1
releases chemical Restricted Work constantly monitor equipment. Restricted Work
and water.
Blowing down drains and Splashing Splash in the face, Lost Time or No Damage No Effect Moderate Happened at the site 16 Wear proper PPE and use Lost Time or No Damage No Effect Moderate Heard of in this 8
collection samples. chemical and on skin. Recordable 4 1 1 Impact 4 or more than once per 4 good sampling techniques. Recordable 4 1 1 Impact 4 industry 2
water. year in the industry

Testing waste effluent Splashing water Splash in the face, Lost Time or No Damage No Effect Moderate Happened at the site 16 Wear proper PPE and use Lost Time or No Damage No Effect Moderate Heard of in this 8
and chemicals. on skin. Recordable 4 1 1 Impact 4 or more than once per 4 good sampling techniques. Recordable 4 1 1 Impact 4 industry 2
year in the industry

Manual handling during Pinch points, Injury to Lost Time or Moderate No Effect Moderate Happened at the site 16 Plan all lifts. Only use trained Lost Time or Moderate No Effect Moderate Heard of in this 8
demobilization and loading. dropping personnel, Recordable Damage Impact or more than once per lifting personnel. Use Recordable Damage Impact industry
equipment. Slips, damage to 4 4 1 4 year in the industry 4 mechanical lifting aids when 4 4 1 4 2
trips and falls. property or possible.
equipment

F-SHE-1434-AF Page 1 of 1 HSSE Dept.