Title Page

  • Date prepared/reviewd

  • Prepared by

Project details from Research Master

  • Full project title

  • Research Master reference number

  • Chief Investigator name

  • Faculty and School

  • Start date

  • Estimated duration (years)

H&S Hazards used

  • Select hazards used in this research project

  • Plant & Equipment – noise, vibration, moving parts (crushing, friction, stab, cut, shear), pressure vessels, lifts/hoists/cranes, sharps

  • List risk assessment numbers e.g. WHS Risk Register

  • List training required by workers on project

  • Manual Handling – repetitive movements, lifting awkwardly, lifting heavy objects

  • List risk assessment numbers e.g. WHS Risk Register

  • List training required by workers on project

  • Work Environment – moving objects, extremes in temperature, isolation, work at height, allergies to animal bedding, dander and fluids, risk of fire/explosion, slippery surfaces/trip hazards

  • List risk assessment numbers e.g. WHS Risk Register

  • List training required by workers on project

  • People – potentially violent or volatile clients/interviewees

  • List risk assessment numbers e.g. WHS Risk Register

  • List training required by workers on project

  • Communicable Diseases – intentional dealing that can lead to exposure to bodily fluids/infectious materials, or animal bites and scratches

  • List risk assessment numbers e.g. WHS Risk Register

  • List training required by workers on project

  • Environmental – emissions to atmosphere, discharge to soil and water bodies (including stormwater run-off), nuisance noise & odour, poor ventilation/air quality

  • List risk assessment numbers e.g. WHS Risk Register

  • List training required by workers on project

  • Electrical – plug-in equipment used in ‘hostile’ work environment, exposed conductors, high voltage equipment

  • List risk assessment numbers e.g. WHS Risk Register

  • List training required by workers on project

  • Radiation (non-ionizing) – including lasers, microwaves or UV light

  • List risk assessment numbers e.g. WHS Risk Register

  • List training required by workers on project

  • Radiation (ionizing) – Ionizing radiation source such as radioactive substance or radionuclide, or irradiating apparatus

  • Note Biosafety approval number

  • List training required by workers on project

  • Pathogens – dealings with pathogenic microorganisms such as bacteria, parasites, fungi or viruses

  • Note Biosafety approval number

  • List training required by workers on project

  • GMOs – dealings with genetically modified organisms

  • Note Biosafety approval number

  • List training required by workers on project

  • High hazard chemicals – carcinogens, mutagens or teratogens

  • Note Biosafety approval number

  • List training required by workers on project

  • Chemical – hazardous substances, dangerous goods, fumes, dust, compressed gas, hazardous waste

  • List risk assessment number e.g. WHS Risk Register

  • List training required by workers on project

Project Description

  • Brief description of project, highlighting any safety hazards (300 characters max)

  • Project Locations e.g. room numbers, off-site location

H&S Consultation

  • List emails of Researchers Consulted

  • List emails of Support Staff consulted

Declaration by chief investigator

  • Risks will be regularly reviewed and identified risk controls implemented

  • Research Safety Plan will be reviewed every 6 months

  • Add signature

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