Basic Info

How many lasers are located in this department?

Detail each laser here Seismic Visualas YAG III. 1064 50mj 4ns Class 4

Add a photo of each laser and a photo of any relevant labels.


1.MANAGEMENT OF 'BEAM' RISK. 1.1 Risk to all persons within the treatment room from injury to eye or skin

Key or other security control

Designation of a controlled area

Adequate training and information

Written safety information

New student/staff supervised

PPE (eyewear)

Maintenance / service arrangements

Reflections minimised

Consultation / test patch

Manufacturer / supplier information available

Client ID procedure in place

1.MANAGEMENT OF 'BEAM' RISK 1.2 Risk to persons outside the room

Doors closed

Address double-door gaps


Door portholes

Ventilation gaps

1.MANAGEMENT OF 'BEAM' RISK 1.3 Risk to all persons entering the room while the laser is in use

Area restricted

Doors locked

Warning signs / notices

Information provided to other staff

Laser beam to point away from entrances


2.MANAGEMENT OF 'NON-BEAM' RISKS 2.1 Electrical Hazards

Service / Maintenance

Electrical Safety e.g. Portable Appliance Test


Flammable materials / chemicals minimised

Firefighting equipment available

General arrangements

2.MANAGEMENT OF 'NON-BEAM' RISKS 2.3 Working Environment

Trailing cables eliminated

Area well lit

Good ventilation

Adequate working area

Area kept clean

Floor in suitable condition

2.MANAGEMENT OF 'NON-BEAM' RISKS 2.4 Prosecution under health and safety statutes or civil action

Appropriate insurance in place

Comply with relevant legislation

Appropriate documentation in place

3.Risk Assessment Review

Review the effectiveness of controls and action where necessary

Select date

Add signature
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.