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船舶操作风险辨识表Shipoperationriskidentification填写部门Department/船舶Vessel：共TotalPage，页次Page序号No.操作活动Operationactivity涉及人员Involvedperson涉及设备Involvedequipment风险描述Riskdescription控制措施（建议）Controlmeasure(advise)填表人Preparer：负责人Superintendent/船长master：日期Date：船舶操作风险评估表Shipoperationriskassessment填写部门Department/船舶Vessel：共TotalPage，页次Page序号No.操作活动Operationactivity风险描述Riskdescription控制措施Controlmeasure可能性Likelihood后果Consequence风险RiskR=LXC风险等级Risklevel声明：由于本表未出现/出现3级或4级风险，经本人评定仅有的风险等级属于轻微风险/低风险/中度风险/高风险，故不需要/需要重新进行风险评估（删掉不适用者）。Statement：DuetoNotFound/FoundLevel3orLevel4inthisform,theRisklevelbelongtoVerylowrisk/Lowrisk/Moderaterisk/Extremeriskduringmyassessmentthistime.Therefore,theriskassessmentshould/notshouldbecarryout(Deletenotappropriate).编制Preparer：批准Approved：日期Date：对上一次风险评估的复查结果：Reviewresultforlastriskassessment：复查人Review:复查日期Dateofreview：船舶操作风险清单Shipoperationrisklist填写部门Department/船舶Vessel：共TotalPage，页次Page序号No.操作活动Operationactivity风险描述Riskdescription风险等级Risklevel控制措施Controlmeasure编制Preparer：审核Verify：批准Approved：日期Date：