2 Plant Risk Assessment (to be completed after Plant Hazard Checklist has been completed)

• PLANT RISK ASSESSMENT

• Audit Title / Plant Name

• Plant Number

• Conducted on

  Date

Part A - ASSESSMENT SUMMARY

• Date Risk Assessment Date Completed

  Date

• Plant Description/Name (Assessment Title):

• Plant No.

• Please take photo of plant

  Media

• Which of the following is this assessment?

  Concept

  New/Initial/Commissioning

  Alteration

  Re-Location

  Assessment Due for Review

• Location (where plant is stored)

• RISK ASSESSMENT TEAM

• Name

• Position

• Signature

  Sign

• Date

  Date

• RISK ASSESSMENT TEAM

• Name

• Position

• Signature

  Sign

• Date

  Date

• RISK ASSESSMENT TEAM

• Name

• Position

• Signature

  Sign

• Date

  Date

• Department Manager:

  Sign

• Select date

  Date

• WHS Representative (HSR)

  Sign

• Select date

  Date

Part B - HAZARD IDENTIFICATION

• Can this piece of plant or process be eliminated entirely?

  YES

  NO

  Not Applicable

• List identified hazards from the Plant Hazard Checklist and detail measures taken or that need to be taken to address the hazards

• Code Reference from Plant Hazard Checklist (e.g. B3 or H7)

• Identified Hazard (expanded explanation)

• Existing Controls in Place

• Likelihood

  Almost Certain

  Likely

  Possible

  Unlikely

  Rare

• Consequence

  Insignificant

  Minor

  Moderate

  Major

  Casastrophic

• Risk Rating (please select the one applicable which match up Likelihood and Consequnce)

  extreme Risk

  High Risk

  Moderate Risk

  Low Risk

• Proposed Additional Controls (List those relevant to this hazard)

• Likelihood

  Almost Certain

  Likely

  Possible

  Unlikely

  Rare

• Consequence

  Insignificant

  Minor

  Moderate

  Major

  Casastrophic

• Residual Risk (once controls are in place or implemented)

  extreme Risk

  High Risk

  Moderate Risk

  Low Risk

• Person Responsible

• Enter date for control to be completed by

  Date

• List identified hazards from the Plant Hazard Checklist and detail measures taken or that need to be taken to address the hazards

• Code Reference from Plant Hazard Checklist (e.g. B3 or H7)

• Identified Hazard (expanded explanation)

• Existing Controls in Place

• Likelihood

  Almost Certain

  Likely

  Possible

  Unlikely

  Rare

• Consequence

  Insignificant

  Minor

  Moderate

  Major

  Casastrophic

• Risk Rating (please select the one applicable which match up Likelihood and Consequnce)

  extreme Risk

  High Risk

  Moderate Risk

  Low Risk

• Proposed Additional Controls (List those relevant to this hazard)

• Likelihood

  Almost Certain

  Likely

  Possible

  Unlikely

  Rare

• Consequence

  Insignificant

  Minor

  Moderate

  Major

  Casastrophic

• Residual Risk (once controls are in place or implemented)

  extreme Risk

  High Risk

  Moderate Risk

  Low Risk

• Person Responsible

• Enter date for control to be completed by

  Date

• List identified hazards from the Plant Hazard Checklist and detail measures taken or that need to be taken to address the hazards

• Code Reference from Plant Hazard Checklist (e.g. B3 or H7)

• Identified Hazard (expanded explanation)

• Existing Controls in Place

• Likelihood

  Almost Certain

  Likely

  Possible

  Unlikely

  Rare

• Consequence

  Insignificant

  Minor

  Moderate

  Major

  Casastrophic

• Risk Rating (please select the one applicable which match up Likelihood and Consequnce)

  extreme Risk

  High Risk

  Moderate Risk

  Low Risk

• Proposed Additional Controls (List those relevant to this hazard)

• Likelihood

  Almost Certain

  Likely

  Possible

  Unlikely

  Rare

• Consequence

  Insignificant

  Minor

  Moderate

  Major

  Casastrophic

• Residual Risk (once controls are in place or implemented)

  extreme Risk

  High Risk

  Moderate Risk

  Low Risk

• Person Responsible

• Enter date for control to be completed by

  Date

• List identified hazards from the Plant Hazard Checklist and detail measures taken or that need to be taken to address the hazards

• Code Reference from Plant Hazard Checklist (e.g. B3 or H7)

• Identified Hazard (expanded explanation)

• Existing Controls in Place

• Likelihood

  Almost Certain

  Likely

  Possible

  Unlikely

  Rare

• Consequence

  Insignificant

  Minor

  Moderate

  Major

  Casastrophic

• Risk Rating (please select the one applicable which match up Likelihood and Consequnce)

  extreme Risk

  High Risk

  Moderate Risk

  Low Risk

• Proposed Additional Controls (List those relevant to this hazard)

• Likelihood

  Almost Certain

  Likely

  Possible

  Unlikely

  Rare

• Consequence

  Insignificant

  Minor

  Moderate

  Major

  Casastrophic

• Residual Risk (once controls are in place or implemented)

  extreme Risk

  High Risk

  Moderate Risk

  Low Risk

• Person Responsible

• Enter date for control to be completed by

  Date

• List identified hazards from the Plant Hazard Checklist and detail measures taken or that need to be taken to address the hazards

• Code Reference from Plant Hazard Checklist (e.g. B3 or H7)

• Identified Hazard (expanded explanation)

• Existing Controls in Place

• Likelihood

  Almost Certain

  Likely

  Possible

  Unlikely

  Rare

• Consequence

  Insignificant

  Minor

  Moderate

  Major

  Casastrophic

• Risk Rating (please select the one applicable which match up Likelihood and Consequnce)

  extreme Risk

  High Risk

  Moderate Risk

  Low Risk

• Proposed Additional Controls (List those relevant to this hazard)

• Likelihood

  Almost Certain

  Likely

  Possible

  Unlikely

  Rare

• Consequence

  Insignificant

  Minor

  Moderate

  Major

  Casastrophic

• Residual Risk (once controls are in place or implemented)

  extreme Risk

  High Risk

  Moderate Risk

  Low Risk

• Person Responsible

• Enter date for control to be completed by

  Date

• List identified hazards from the Plant Hazard Checklist and detail measures taken or that need to be taken to address the hazards

• Code Reference from Plant Hazard Checklist (e.g. B3 or H7)

• Identified Hazard (expanded explanation)

• Existing Controls in Place

• Likelihood

  Almost Certain

  Likely

  Possible

  Unlikely

  Rare

• Consequence

  Insignificant

  Minor

  Moderate

  Major

  Casastrophic

• Risk Rating (please select the one applicable which match up Likelihood and Consequnce)

  extreme Risk

  High Risk

  Moderate Risk

  Low Risk

• Proposed Additional Controls (List those relevant to this hazard)

• Likelihood

  Almost Certain

  Likely

  Possible

  Unlikely

  Rare

• Consequence

  Insignificant

  Minor

  Moderate

  Major

  Casastrophic

• Residual Risk (once controls are in place or implemented)

  extreme Risk

  High Risk

  Moderate Risk

  Low Risk

• Person Responsible

• Enter due date for control to be implemented by

  Date