Title Page
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City of Wagga Wagga Reference ID
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Conducted on
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Personnel performing the task
- S. Dayanand - Coordinator Environmental Health
- G. Lang - Environmental Health Officer
- K. Barraclough - Environmental Health Officer
- K. Allanson - Environmental Health Officer
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Address where the hazard is located
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Lot
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DP
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Property number
Hazards, risks and controls
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Add a hazard
Hazard
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Description of hazard
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Photo of hazard (optional)
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Initial consequence
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Initial likelihood
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Stop
The task cannot commence until risk is eliminated, or reduced using hierarchy of controls. Consultation must occur with workers involved and effective control measures implemented before task may commence. -
Stop
The task cannot commence until risk is eliminated, or reduced using hierarchy of controls. Consultation must occur with workers involved and effective control measures implemented before task may commence. -
Stop
The task cannot commence until risk is eliminated, or reduced using hierarchy of controls. Consultation must occur with workers involved and effective control measures implemented before task may commence. -
Check
Assess suitability of control measures and implement improved measures if possible. If measures cannot be improved, be alert and proceed with caution. -
Initial likelihood
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Stop
The task cannot commence until risk is eliminated, or reduced using hierarchy of controls. Consultation must occur with workers involved and effective control measures implemented before task may commence. -
Stop
The task cannot commence until risk is eliminated, or reduced using hierarchy of controls. Consultation must occur with workers involved and effective control measures implemented before task may commence. -
Check
Assess the suitability of control measures and implement improved measures if possible. If measures cannot be improved, be alert and proceed with caution. -
Check
Assess the suitability of control measures and implement improved measures if possible. If measures cannot be improved, be alert and proceed with caution. -
Initial likelihood
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Stop
The task cannot commence until the risk is eliminated, or reduced using hierarchy of controls. Consultation must occur with workers involved and effective control measures implemented before task may commence. -
Check
Assess the suitability of control measures and implement improved measures if possible. If measures cannot be improved, be alert and proceed with caution. -
Check
Assess the suitability of control measures and implement improved measures if possible. If measures cannot be improved, be alert and proceed with caution. -
Go
Is considered an insignificant risk. The task may commence using normal procedures. -
Initial likelihood
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Check
Assess the suitability of control measures and implement improved measures if possible. If measures cannot be improved, be alert and proceed with caution. -
Check
Assess the suitability of control measures and implement improved measures if possible. If measures cannot be improved, be alert and proceed with caution. -
Go
Is considered an insignificant risk. The task may commence using normal procedures. -
Go
Is considered an insignificant risk. The task may commence using normal procedures. -
Initial risk rating
- 1 - Stop
- 2 - Stop
- 3 - Check
- 4 - Check
- 5 - Go
- 6 - Go
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Identify the hierarchy of control required to control the risk Note - All risks must be reduced to as low as possible before the task can begin
- Elimination
- Substitution
- Engineering/Isolation
- Administration
- PPE
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Describe the control/s required to eliminate the risk
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What substitute is intended to be used to replace the current risk?
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What is the engineering/isolation control? How will this lower the risk?
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Identify the administration controls which will control this risk and how?
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What items of PPE are required to lower the risk?
- Head protection
- Sun hat
- Safety glasses (clear)
- Safety glasses (tinted)
- Face shield
- Respiratory protection
- Hearing protection
- Sunblock
- Insect repellent
- Protective clothing
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If specific PPE is required to control the risk it must be identified in the 'note' section
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Residual consequence
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Residual likelihood
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Stop
The task cannot commence until risk is eliminated, or reduced using hierarchy of controls. Consultation must occur with workers involved and effective control measures implemented before task may commence. -
Stop
The task cannot commence until risk is eliminated, or reduced using hierarchy of controls. Consultation must occur with workers involved and effective control measures implemented before task may commence. -
Stop
The task cannot commence until risk is eliminated, or reduced using hierarchy of controls. Consultation must occur with workers involved and effective control measures implemented before task may commence. -
Check
Assess suitability of control measures and implement improved measures if possible. If measures cannot be improved, be alert and proceed with caution. -
Residual likelihood
-
Stop
The task cannot commence until risk is eliminated, or reduced using hierarchy of controls. Consultation must occur with workers involved and effective control measures implemented before task may commence. -
Stop
The task cannot commence until risk is eliminated, or reduced using hierarchy of controls. Consultation must occur with workers involved and effective control measures implemented before task may commence. -
Check
Assess the suitability of control measures and implement improved measures if possible. If measures cannot be improved, be alert and proceed with caution. -
Check
Assess the suitability of control measures and implement improved measures if possible. If measures cannot be improved, be alert and proceed with caution. -
Residual likelihood
-
Stop
The task cannot commence until the risk is eliminated, or reduced using hierarchy of controls. Consultation must occur with workers involved and effective control measures implemented before task may commence. -
Check
Assess the suitability of control measures and implement improved measures if possible. If measures cannot be improved, be alert and proceed with caution. -
Check
Assess the suitability of control measures and implement improved measures if possible. If measures cannot be improved, be alert and proceed with caution. -
Go
Is considered an insignificant risk. The task may commence using normal procedures. -
Residual likelihood
-
Check
Assess the suitability of control measures and implement improved measures if possible. If measures cannot be improved, be alert and proceed with caution. -
Check
Assess the suitability of control measures and implement improved measures if possible. If measures cannot be improved, be alert and proceed with caution. -
Go
Is considered an insignificant risk. The task may commence using normal procedures. -
Go
Is considered an insignificant risk. The task may commence using normal procedures.