Title Page
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Site conducted
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Document No.
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Job Description
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Date & Time
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Location
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Are there others working with you?
Take 5
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Take 5
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Procedure Flow Chart
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Definitions:
Hazard: any source of potential damage, harm or adverse health effect on somneone or something.
Risk: The possible harm, (injury, illness or death), that may occur when a person is exposed to a hazard
Risk Control: action taken to elliminate health and safety risks, so far as reasonably practicable, and if that is not possible, action taken to minimise the risk, so far as reasonable practicable. Elminating a hazard will also elliminate any risks associated with that hazard.
Hierarchy of Control: the order in which risk control measures are to be considered -
Risk Rating
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Hierarchy of Control:
The aim is to minimise risks to health and safety, by implementing risk control measures in accordance with the Hierarchy of Control.
• Eliminating the hazard. Eliminating a hazard will also eliminate any risks associated with that hazard.
Where elimination of the risk is not possible, the aim is to minimize risks, so far as is reasonably practicable, by implementing one or more of the following:
• Substituting (wholly or partly) the hazard giving rise to the risk with something that gives rise to a lesser risk;
• Isolating the hazard from any person exposed to it;
• Implementing engineering controls.
If a risk then remains, minimizing the remaining risk, so far as is reasonably practicable, by implementing:
• Administrative controls.
If a risk then remains, minimizing the remaining risk, so far as is reasonably practicable, by
• Ensuring the provision and use of suitable Personal Protective Equipment.
Risk Assessment
A - Prior to commencing the job
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Do you understand the required task that has to be completed?
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If you don't understand, contact your supervisor.
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Do you understand the steps involved to complete this task?
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If you don't understand, contact your supervisor.
B - Consider the Work Method to be followed
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Have you identified the steps to be followed to complete the task?
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If you don't understand, contact your supervisor.
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Have you identified and arranged the necessary permits?
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If you don't understand, contact your supervisor.
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Select Permits
- Hot Work Permit
- Confined Space Permit
- Composite Building Panel
- Bio-gas Entry
- HV Switching
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Identified and obtained the tools required to do the job properly?
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If you don't understand, contact your supervisor.
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Have you identified and completed the required isolation's? Considered all energy sources eg. (Electrical, Hydraulic, Pneumatic, Gravity)?
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If you don't understand, contact your supervisor.
C - Identify and address any hazards associated with each
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Mechanical Hazards
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Add Risk
Risk
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Select Hazard Type
- Entanglement
- Crushing
- Cutting
- Shearing
- Friction
- HP Fluids
- Mobile Equipment
- Vibration
- Striking
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What is the likelihood of harm?
- 1 - Very Likely (Could Happen Frequently)
- 2 - Likely (Could Happen Occasionally)
- 3 - Unlikely (Could Happen but Rare)
- 4 - Very Unlikely (Could Happen, probably never will)
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What is the severity?
- 1 - Extreme (Death or permanent disability)
- 2 - Major (Serious bodily injury or serious work related illness)
- 3 - Moderate (Injury or illness requiring casualty treatment)
- 4 - Minor (Injury or illness requiring first aid only, no lost time)
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Using risk matrix what is the Severity x Likelihood
- 1 - ADDRESS RISK IMMEDIATELY
- 2 - ADDRESS RISK IMMEDIATELY
- 3 - ADDRESS RISK IMMEDIATELY
- 4 - ADDRESS RISK AS SOON AS POSSIBLE
- 5 - ADDRESS RISK AS SOON AS POSSIBLE
- 6 - No Action Required
- 7 - No Action Required
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What Controls are Implemented?
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Rate the risk after controls put in place (Comment mandatory for scores of 5 and above)
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Show risk matrix (for reference)
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Electrical Hazards
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Add Risk
Risk
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Select Hazard Type
- Powerlines
- Faulty power leads
- Overloaded Circuits
- Fire
- Exposed circuitry
- Live Work
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What is the likelihood of harm?
- 1 - Very Likely (Could Happen Frequently)
- 2 - Likely (Could Happen Occasionally)
- 3 - Unlikely (Could Happen but Rare)
- 4 - Very Unlikely (Could Happen, probably never will)
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What is the severity?
- 1 - Extreme (Death or permanent disability)
- 2 - Major (Serious bodily injury or serious work related illness)
- 3 - Moderate (Injury or illness requiring casualty treatment)
- 4 - Minor (Injury or illness requiring first aid only, no lost time)
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Using risk matrix what is the Severity x Likelihood
- 1 - ADDRESS RISK IMMEDIATELY
- 2 - ADDRESS RISK IMMEDIATELY
- 3 - ADDRESS RISK IMMEDIATELY
- 4 - ADDRESS RISK AS SOON AS POSSIBLE
- 5 - ADDRESS RISK AS SOON AS POSSIBLE
- 6 - No Action Required
- 7 - No Action Required
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What Controls are Implemented?
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Rate the risk after controls put in place (Comment mandatory for scores of 5 and above)
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Show risk matrix (for reference)
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Chemical Hazards
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Add Risk
Risk
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Select Hazard Type
- Explode
- Burn
- Inhale
- Absorb
- Inject
- Spill
- Seep
- Disposal
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What is the likelihood of harm?
- 1 - Very Likely (Could Happen Frequently)
- 2 - Likely (Could Happen Occasionally)
- 3 - Unlikely (Could Happen but Rare)
- 4 - Very Unlikely (Could Happen, probably never will)
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What is the severity?
- 1 - Extreme (Death or permanent disability)
- 2 - Major (Serious bodily injury or serious work related illness)
- 3 - Moderate (Injury or illness requiring casualty treatment)
- 4 - Minor (Injury or illness requiring first aid only, no lost time)
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Using risk matrix what is the Severity x Likelihood
- 1 - ADDRESS RISK IMMEDIATELY
- 2 - ADDRESS RISK IMMEDIATELY
- 3 - ADDRESS RISK IMMEDIATELY
- 4 - ADDRESS RISK AS SOON AS POSSIBLE
- 5 - ADDRESS RISK AS SOON AS POSSIBLE
- 6 - No Action Required
- 7 - No Action Required
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What Controls are Implemented?
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Rate the risk after controls put in place (Comment mandatory for scores of 5 and above)
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Show risk matrix (for reference)
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Ergonomic Hazards
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Add Risk
Risk
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Select Hazard Type
- Posture
- Visibility
- Over-reaching
- Lifting
- Bending
- Twisiting
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What is the likelihood of harm?
- 1 - Very Likely (Could Happen Frequently)
- 2 - Likely (Could Happen Occasionally)
- 3 - Unlikely (Could Happen but Rare)
- 4 - Very Unlikely (Could Happen, probably never will)
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What is the severity?
- 1 - Extreme (Death or permanent disability)
- 2 - Major (Serious bodily injury or serious work related illness)
- 3 - Moderate (Injury or illness requiring casualty treatment)
- 4 - Minor (Injury or illness requiring first aid only, no lost time)
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Using risk matrix what is the Severity x Likelihood
- 1 - ADDRESS RISK IMMEDIATELY
- 2 - ADDRESS RISK IMMEDIATELY
- 3 - ADDRESS RISK IMMEDIATELY
- 4 - ADDRESS RISK AS SOON AS POSSIBLE
- 5 - ADDRESS RISK AS SOON AS POSSIBLE
- 6 - No Action Required
- 7 - No Action Required
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What Controls are Implemented?
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Rate the risk after controls put in place (Comment mandatory for scores of 5 and above)
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Show risk matrix (for reference)
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Biological Hazards
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Add Risk
Risk
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Select Hazard Type
- Handling of waste
- Contaminated Materials
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What is the likelihood of harm?
- 1 - Very Likely (Could Happen Frequently)
- 2 - Likely (Could Happen Occasionally)
- 3 - Unlikely (Could Happen but Rare)
- 4 - Very Unlikely (Could Happen, probably never will)
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What is the severity?
- 1 - Extreme (Death or permanent disability)
- 2 - Major (Serious bodily injury or serious work related illness)
- 3 - Moderate (Injury or illness requiring casualty treatment)
- 4 - Minor (Injury or illness requiring first aid only, no lost time)
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Using risk matrix what is the Severity x Likelihood
- 1 - ADDRESS RISK IMMEDIATELY
- 2 - ADDRESS RISK IMMEDIATELY
- 3 - ADDRESS RISK IMMEDIATELY
- 4 - ADDRESS RISK AS SOON AS POSSIBLE
- 5 - ADDRESS RISK AS SOON AS POSSIBLE
- 6 - No Action Required
- 7 - No Action Required
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What Controls are Implemented?
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Rate the risk after controls put in place (Comment mandatory for scores of 5 and above)
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Show risk matrix (for reference)
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Systems of Work
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Add Risk
Risk
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Select Hazard Type
- Procedures
- Exposure to dust
- Fumes
- Gases
- Vapour
- Temperature Extremes
- Slips, Trips, Falls
- Access
- Falling from Heights
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What is the likelihood of harm?
- 1 - Very Likely (Could Happen Frequently)
- 2 - Likely (Could Happen Occasionally)
- 3 - Unlikely (Could Happen but Rare)
- 4 - Very Unlikely (Could Happen, probably never will)
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What is the severity?
- 1 - Extreme (Death or permanent disability)
- 2 - Major (Serious bodily injury or serious work related illness)
- 3 - Moderate (Injury or illness requiring casualty treatment)
- 4 - Minor (Injury or illness requiring first aid only, no lost time)
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Using risk matrix what is the Severity x Likelihood
- 1 - ADDRESS RISK IMMEDIATELY
- 2 - ADDRESS RISK IMMEDIATELY
- 3 - ADDRESS RISK IMMEDIATELY
- 4 - ADDRESS RISK AS SOON AS POSSIBLE
- 5 - ADDRESS RISK AS SOON AS POSSIBLE
- 6 - No Action Required
- 7 - No Action Required
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What Controls are Implemented?
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Rate the risk after controls put in place (Comment mandatory for scores of 5 and above)
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Show risk matrix (for reference)
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Location Hazards
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Add Risk
Risk
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Select Hazard Type
- Overhead
- Underneath
- Different Levels
- Climatic Conditions
- Excavations
- Surrounding Areas
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What is the likelihood of harm?
- 1 - Very Likely (Could Happen Frequently)
- 2 - Likely (Could Happen Occasionally)
- 3 - Unlikely (Could Happen but Rare)
- 4 - Very Unlikely (Could Happen, probably never will)
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What is the severity?
- 1 - Extreme (Death or permanent disability)
- 2 - Major (Serious bodily injury or serious work related illness)
- 3 - Moderate (Injury or illness requiring casualty treatment)
- 4 - Minor (Injury or illness requiring first aid only, no lost time)
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Using risk matrix what is the Severity x Likelihood
- 1 - ADDRESS RISK IMMEDIATELY
- 2 - ADDRESS RISK IMMEDIATELY
- 3 - ADDRESS RISK IMMEDIATELY
- 4 - ADDRESS RISK AS SOON AS POSSIBLE
- 5 - ADDRESS RISK AS SOON AS POSSIBLE
- 6 - No Action Required
- 7 - No Action Required
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What Controls are Implemented?
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Rate the risk after controls put in place (Comment mandatory for scores of 5 and above)
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Show risk matrix (for reference)
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Regulated Hazards
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Add Risk
Risk
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Select Hazard Type
- Hot Work
- Confined Space
- Working at Heights
- Noise
- Asbestos
- Dangerous Goods
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What is the likelihood of harm?
- 1 - Very Likely (Could Happen Frequently)
- 2 - Likely (Could Happen Occasionally)
- 3 - Unlikely (Could Happen but Rare)
- 4 - Very Unlikely (Could Happen, probably never will)
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What is the severity?
- 1 - Extreme (Death or permanent disability)
- 2 - Major (Serious bodily injury or serious work related illness)
- 3 - Moderate (Injury or illness requiring casualty treatment)
- 4 - Minor (Injury or illness requiring first aid only, no lost time)
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Using risk matrix what is the Severity x Likelihood
- 1 - ADDRESS RISK IMMEDIATELY
- 2 - ADDRESS RISK IMMEDIATELY
- 3 - ADDRESS RISK IMMEDIATELY
- 4 - ADDRESS RISK AS SOON AS POSSIBLE
- 5 - ADDRESS RISK AS SOON AS POSSIBLE
- 6 - No Action Required
- 7 - No Action Required
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What Controls are Implemented?
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Rate the risk after controls put in place (Comment mandatory for scores of 5 and above)
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Show risk matrix (for reference)
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Radiation Hazards
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Add Risk
Risk
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Select Hazard Type
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What is the likelihood of harm?
- 1 - Very Likely (Could Happen Frequently)
- 2 - Likely (Could Happen Occasionally)
- 3 - Unlikely (Could Happen but Rare)
- 4 - Very Unlikely (Could Happen, probably never will)
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What is the severity?
- 1 - Extreme (Death or permanent disability)
- 2 - Major (Serious bodily injury or serious work related illness)
- 3 - Moderate (Injury or illness requiring casualty treatment)
- 4 - Minor (Injury or illness requiring first aid only, no lost time)
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Using risk matrix what is the Severity x Likelihood
- 1 - ADDRESS RISK IMMEDIATELY
- 2 - ADDRESS RISK IMMEDIATELY
- 3 - ADDRESS RISK IMMEDIATELY
- 4 - ADDRESS RISK AS SOON AS POSSIBLE
- 5 - ADDRESS RISK AS SOON AS POSSIBLE
- 6 - No Action Required
- 7 - No Action Required
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What Controls are Implemented?
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Rate the risk after controls put in place (Comment mandatory for scores of 5 and above)
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Show risk matrix (for reference)
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Other Hazards
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Add Risk
Risk
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Select Hazard Type
- Interconnected Plant
- Disabled Safety Systems
- Partial Isolation
- Urgency
- Equipment Identification
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What is the likelihood of harm?
- 1 - Very Likely (Could Happen Frequently)
- 2 - Likely (Could Happen Occasionally)
- 3 - Unlikely (Could Happen but Rare)
- 4 - Very Unlikely (Could Happen, probably never will)
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What is the severity?
- 1 - Extreme (Death or permanent disability)
- 2 - Major (Serious bodily injury or serious work related illness)
- 3 - Moderate (Injury or illness requiring casualty treatment)
- 4 - Minor (Injury or illness requiring first aid only, no lost time)
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Using risk matrix what is the Severity x Likelihood
- 1 - ADDRESS RISK IMMEDIATELY
- 2 - ADDRESS RISK IMMEDIATELY
- 3 - ADDRESS RISK IMMEDIATELY
- 4 - ADDRESS RISK AS SOON AS POSSIBLE
- 5 - ADDRESS RISK AS SOON AS POSSIBLE
- 6 - No Action Required
- 7 - No Action Required
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What Controls are Implemented?
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Rate the risk after controls put in place (Comment mandatory for scores of 5 and above)
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Show risk matrix (for reference)
E- Safely Complete the Task
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Implement the controls and complete the task safely
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If the task cannot be performed safely, do NOT start, contact your supervisor.
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Sign off on completed risk assessment