DSEAR Risk Assessment Template

• Site/Area/Zone

• Conducted on

  Date

• Prepared by

• Location
  Address

Information

• Substance Name:

• Photo (optional)

  Media

• Category (select all that apply)

  Select Explosive Atmosphere Explosive Extremely Flammable Highly Flammable Flammable Oxidising

  • Explosive Atmosphere
  • Explosive
  • Extremely Flammable
  • Highly Flammable
  • Flammable
  • Oxidising

• Flash point

• Auto ignition temperature

• Lower explosive limit

Usage

• Where is the substance used/generated?

• Amount used/generated (specify units of measurement)?

• Amount stored (if applicable) - specify units

• How is it stored?

• Substance can be:

  Eliminated

  Substituted

  Neither eliminated nor substituted

• Specify replacement

• Measures currently in place

• Photo of measures in place (optional)

  Media

• List potential ignition source/s (Examples could be an electrical spark caused by connection or disconnection of leads to a battery, naked flame e.g. pilot lights, smoking etc)

• Employees at risk

• Relevant operator and/or supervisor training

Risk Assessment

• In order to assess the risk, select the appropriate items below related to this assessment

Bulk storage of flammable liquids

• Bulk storage of flammable liquids?

  Yes

  No

• Existing control measures:

• Severity

  Major fire or plant wrecking explosion with significant injury potential

  Explosion of fire causing plant damage and requiring RIDDOR reporting

  Small localised fire, easily extinguished or contained in plant explosion causing no damage

• Likelihood

  Very Likely - Major fire process inherently hazardous or controls in place simply not good enough

  Likely - If there is an established systems failure

  Unlikely - Good process control

• Risk rating

  High

  Medium

  Low

• Actions

Action Number :

• Details of action

• Responsible person/s

Flammable liquid storage in containers

• Flammable liquid storage in containers?

  Yes

  No

• Existing control measures?

• Severity

  Major fire or plant wrecking explosion with significant injury potential

  Explosion of fire causing plant damage and requiring RIDDOR reporting

  Small localised fire, easily extinguished or contained in plant explosion causing no damage

• Likelihood

  Very Likely - Major fire process inherently hazardous or controls in place simply not good enough

  Likely - If there is an established systems failure

  Unlikely - Good process control

• Risk rating

  High

  Medium

  Low

• Actions

Action Number :

• Details of action

• Responsible person/s

Hand Painting with flammable liquids

• Hand Painting with flammable liquids?

  Yes

  No

• Existing control measures?

• Severity

  Major fire or plant wrecking explosion with significant injury potential

  Explosion of fire causing plant damage and requiring RIDDOR reporting

  Small localised fire, easily extinguished or contained in plant explosion causing no damage

• Likelihood

  Very Likely - Major fire process inherently hazardous or controls in place simply not good enough

  Likely - If there is an established systems failure

  Unlikely - Good process control

• Risk rating

  High

  Medium

  Low

• Actions

Action Number :

• Details of action

• Responsible person/s

Spraying with the flammable liquids

• Spraying with the flammable liquids?

  Yes

  No

• Existing control measures?

• Severity

  Major fire or plant wrecking explosion with significant injury potential

  Explosion of fire causing plant damage and requiring RIDDOR reporting

  Small localised fire, easily extinguished or contained in plant explosion causing no damage

• Likelihood

  Very Likely - Major fire process inherently hazardous or controls in place simply not good enough

  Likely - If there is an established systems failure

  Unlikely - Good process control

• Risk rating

  High

  Medium

  Low

• Actions

Action Number :

• Details of action

• Responsible person/s

Handling of flammable solids

• Handling of flammable solids?

  Yes

  No

• Existing control measures?

• Severity

  Major fire or plant wrecking explosion with significant injury potential

  Explosion of fire causing plant damage and requiring RIDDOR reporting

  Small localised fire, easily extinguished or contained in plant explosion causing no damage

• Likelihood

  Very Likely - Major fire process inherently hazardous or controls in place simply not good enough

  Likely - If there is an established systems failure

  Unlikely - Good process control

• Risk rating

  High

  Medium

  Low

• Actions

Action Number :

• Details of action

• Responsible person/s

Dust collection system

• Dust collection system?

  Yes

  No

• Existing control measures?

• Severity

  Major fire or plant wrecking explosion with significant injury potential

  Explosion of fire causing plant damage and requiring RIDDOR reporting

  Small localised fire, easily extinguished or contained in plant explosion causing no damage

• Likelihood

  Very Likely - Major fire process inherently hazardous or controls in place simply not good enough

  Likely - If there is an established systems failure

  Unlikely - Good process control

• Risk rating

  High

  Medium

  Low

• Actions

Action Number :

• Details of action

• Responsible person/s

Sources of ignition and hot work

• Sources of ignition and hot work?

  Yes

  No

• Existing control measures?

• Severity

  Major fire or plant wrecking explosion with significant injury potential

  Explosion of fire causing plant damage and requiring RIDDOR reporting

  Small localised fire, easily extinguished or contained in plant explosion causing no damage

• Likelihood

  Very Likely - Major fire process inherently hazardous or controls in place simply not good enough

  Likely - If there is an established systems failure

  Unlikely - Good process control

• Risk rating

  High

  Medium

  Low

• Actions

Action Number :

• Details of action

• Responsible person/s

Gas freeing and inerting

• Gas freeing and inerting?

  Yes

  No

• Existing control measures?

• Severity

  Major fire or plant wrecking explosion with significant injury potential

  Explosion of fire causing plant damage and requiring RIDDOR reporting

  Small localised fire, easily extinguished or contained in plant explosion causing no damage

• Likelihood

  Very Likely - Major fire process inherently hazardous or controls in place simply not good enough

  Likely - If there is an established systems failure

  Unlikely - Good process control

• Risk rating

  High

  Medium

  Low

• Actions

Action Number :

• Details of action

• Responsible person/s

Storage and use of compressed flammable gases

• Storage and use of compressed flammable gases?

  Yes

  No

• Existing control measures?

• Severity

  Major fire or plant wrecking explosion with significant injury potential

  Explosion of fire causing plant damage and requiring RIDDOR reporting

  Small localised fire, easily extinguished or contained in plant explosion causing no damage

• Likelihood

  Very Likely - Major fire process inherently hazardous or controls in place simply not good enough

  Likely - If there is an established systems failure

  Unlikely - Good process control

• Risk rating

  High

  Medium

  Low

• Actions

Action Number :

• Details of action

• Responsible person/s

• All cylinders are dangerous. The following should never occur:
  
  - The use of gas cylinders as rollers to transport heavy sections.
  
  - Never use direct flame for any heating to raise the pressure of the cylinder.
  
  - Never subject any cylinder to a temperature over 45ºC.
  
  - Never recompress one cylinder from another.
  
  - Never attempt to transfer gases from one cylinder to another.
  
  - Never permit oil, grease or paint or similar substance to come into contact with oxygen cylinder valves.
  
  - Never attempt to repair or modify cylinder valves or devices.
  
  - Never allow electric arc welding tools to come near cylinders.
  
  - Do not allow welding sparks and slag to make contact with cylinders.
  
  - Never use anything but the recommended cylinder valve keys and never attempt to increase the leverage of keys.
  
  - If you suspect that a cylinder valve is damaged, do not attempt to obtain gas from it.
  
  USE OF LPG
  
  The use of the LPG gas, once delivered for use in its gaseous as opposed to liquid form will need to be risk assessed but on the assumption that the delivery mains are to LPG ITA Standards the topic is best risk assessed according to the item of plant that the gaseous LPG is serving. This could be anything from profile cutting machines through to hot mill furnaces or simply space heating.
  
  As with most fixed services it is probably the maintenance element where there will be greatest risk.

Dispensing petrol

• Dispensing petrol?

  Yes

  No

• Existing control measures?

• Severity

  Major fire or plant wrecking explosion with significant injury potential

  Explosion of fire causing plant damage and requiring RIDDOR reporting

  Small localised fire, easily extinguished or contained in plant explosion causing no damage

• Likelihood

  Very Likely - Major fire process inherently hazardous or controls in place simply not good enough

  Likely - If there is an established systems failure

  Unlikely - Good process control

• Risk rating

  High

  Medium

  Low

• Actions

Action Number :

• Details of action

• Responsible person/s

Battery Charging

• Battery Charging?

  Yes

  No

• Existing control measures?

• Severity

  Major fire or plant wrecking explosion with significant injury potential

  Explosion of fire causing plant damage and requiring RIDDOR reporting

  Small localised fire, easily extinguished or contained in plant explosion causing no damage

• Likelihood

  Very Likely - Major fire process inherently hazardous or controls in place simply not good enough

  Likely - If there is an established systems failure

  Unlikely - Good process control

• Risk rating

  High

  Medium

  Low

• Actions

Action Number :

• Details of action

• Responsible person/s

Other Actions

• Permits to work acquired?

  Yes

  No

  N/A

• Is Zoning required

  Yes

  No

  N/A

Completion

• Recommendations

• Signature

  Sign