Chemical Risk Assessment - TWB

• Chemical Name

• Manufacturer / Supplier

• Department

• Prepared by

• Conducted on

  Date
• Location
  Address

• Date of assessment

  Date

• Completed by

• People involved in assessment

Chemical Summary

• Manufacturer / Supplier

• Chemical name

• Are we currently using this Chemical? If no, notify Engineering

  Yes

  No

  Unknown

• Take photo of the chemical

  Media

• Is there a current SDS on the Chemical Register (must be under 5 years old to be current)

  YES

  No

• Date of MSDS

  Date

• Is the chemical classified as Hazardous or a Dangerous Goods?

  YES

  No

  Unknown

• Dangerous Code

  Select Class 1 Explosives Class 2.1 Flammable gases Class 2.2 Non flammable and non toxic gases Class 2.3 Toxic gas Class 3 Flammable liquids Class 4.1 Flammable solids Class 4.2 Spontaneously combustible Class 4.3 Dangerous when wet Class 5.1 Oxidising substances Class 5.2 Organic peroxides Class 6.1 Toxic substances Class 6.2 Infectious substance Class 7 Radioactive materials Class 8 Corrosive substance Class 9 Miscellaneous substance

  • Class 1 Explosives
  • Class 2.1 Flammable gases
  • Class 2.2 Non flammable and non toxic gases
  • Class 2.3 Toxic gas
  • Class 3 Flammable liquids
  • Class 4.1 Flammable solids
  • Class 4.2 Spontaneously combustible
  • Class 4.3 Dangerous when wet
  • Class 5.1 Oxidising substances
  • Class 5.2 Organic peroxides
  • Class 6.1 Toxic substances
  • Class 6.2 Infectious substance
  • Class 7 Radioactive materials
  • Class 8 Corrosive substance
  • Class 9 Miscellaneous substance

• Check SDS or click here to check the Chemical on Safe Work Australia's site.
  http://hsis.safeworkaustralia.gov.au/HazardousSubstance

• Has a previous Risk Assessment been completed?

  Yes

  No

  Unknown

• Date of Risk Assessment.

  Date

• What is the risk rated in the assessment 0=Very Low to 5=Very High (use this information in your new assessment)

• If the Chemical is a Hazardous or a Dangerous Goods, view the SDS and Chemical label and decide whether there is a risk to staff. In reviewing the risk consider the questions asked below and whether the suggested safety measures (from label and MSDS) are being followed. 0=Very Low to 5=Very High

• If the score is 4 or below at this stage no further assessment is required until review of the Chemical in 5 years or it is believed the risk level changes through inspections, incidents, internal reports or internal audits. If you are unsure what risk level to apply continue with the full risk assessment. Add any comments regarding your assessment here.

Chemical Use

• What is the chemical used for?

• What control measures have we put in place when using this Chemical

  None - none required

  None - but we should have

  Some - but we should do more

  Everything we need to

• What department uses the Chemical

  .

• Engineering

• Housekeeping

• Food & Beverage

• Purchasing

• Administration

• Where is the Chemical stored?

  .

• Housekeeping

• Engineering

• Loading Dock

• Kitchen

• Where is Chemical used

  .

• Chemical is used - All Areas

• Chemical is used - Rooms / Public Areas

• Chemical is used - Night Cleaner

• Chemical is used - Workshop

• Chemical is used - Gardens

• Chemical is used - Pool / Spa

• Chemical is used - Beverage Store

• Chemical is used - Bar

• Chemical is used - Executive Lounge

• Chemical is used - Main Kitchen

• Chemical is used - Kitchens

• Chemical is used - BBQ's / Gas Heaters

• Chemical is used - Forklift

• Chemical is used - Generator

• What is the maximum quantity held on site (in litres)(if over 50 litres, use 50 and detail amount)

• Enter amount if over 50 litres

• What is the length of time the Chemical is used with out a break (in minutes)(if over 60 minutes, use maximum and enter amount)

• Enter amount if over 60 mintues

• How often over a month period is the Chemical used (in days)

Does the chemical have health hazards?

• Has this Chemical resulted in any internal injury reports or internal hazard reports

  Yes

  No

  Unknown

• Acute (Immediate) effects

  .

• Eye and skin irritant / Corrosion

• Central Nervous System

• Toxic by inhalation (breathing in)

• Toxic by skin exposure

• Toxic by ingestion (swallowing)

• Other (please detail below)

• Other

• Chronic (Delayed) effects

  .

• Skin / Inhalation effects

• Liver/Kidney effects

• Brain/Nerve effects

• Respiratory effects

• Reproductive System effects

• Carcinogenic (can cause cancer)

• Other (please detail below)

• Other

Does the Chemical have exposure controls or personal protection equipment requirements

• Does the Chemical have exposure standard (ref to the SDS)(exposure standards are a limit as to the quantity of Chemical one can be exposed to)

  Yes

  No

• Does the Chemical require health monitoring?

  Yes

  No

• What PPE is required for the use of the Chemical

  .

• Safety Glasses / goggles

• Safety foot wear

• Face shield

• Overalls

• PVC Apron

• Respirator

• Detail the type of filter required

  Type A Organic gases

  Type B Inorganic gases

  Type E Acid gases

  Type K Ammonia

  Type P3 Particulates

• Gloves

• Detail the type of gloves required

  PVC

  Nitrile Chemical Glove

  Latex

  Other - detail

• Hearing protection

• Is the PPE required being warn? Yes - all the time / Yes - Some, all the time / Some, some of the time / No

  Yes - All

  Yes - Some, all the time

  Yes - Some, some of the time

  No

Conclusions

• What is the Risk Score out of 55. If the risk score is above 15, suggest reviewing why before making your assessment on the risk and conclusions.

• After completed the above and taking into account the risk score what is your risk rating 0=Very Low to 5=Very High

• What are the conclusions about the risk?

  1 Risk are not significant

  2 Risk are significant but effectively controlled

  3 Risks are significant and not adequately controlled

  4 Uncertain about risks

• If a conclusion of 1 or 2, you have finished the risk assessment. Send to Loss Prevention Manager.<br>If a conclusion of 3 or 4, answer the next question.

  .

• What are you going to do in order to reduce the risk

  .

• Review current control measures

• Put in place new control measures

• Undertake exposure limits (test the air/Chemical levels when the Chemical is being used)

• Training required

• Undertake risk assessment on a yearly basis

• Eliminate / Substitute the Chemical with a acceptable risk

• Seek external advise

• Please sign your name

  Sign