Silica Task Risk Assessment

• Contractor

• Contractor Logo

  Media

• Trade Package/ Activity

• Site conducted

• Conducted on

  Date

• Prepared by

• Location
  Address

Overview

• Description of procedure, task or worksite being assessed

Risk Matrix and Hierarchy of Controls

• Risk Matrix Reference:

• Hierarchy of Controls Reference:

Hazard Register

Hazard - Silica

• Description of hazard

Risk Rating for the likelihood of person breathing in Silica Dust from task

• Consequences

  Fatality

  Major Injuries

  Minor Injuries

  Negligible Injuries

• Likelihood

  Very Likely

  Likely

  Unlikely

  Highly Unlikely

• Risk Rating (refer risk matrix above)

  High

  Medium

  Low

• Comments/ observations

Controls

• Step 1 - Can the release of Silica dust be controlled with continuous water plus 1 additional control

  Yes

  No

• Why can it not be controlled this way?

• What control has been selected?

• Step 2 - Can the release of Silica dust be controlled by at least 2 of the following methods - dust suppression + one other control or On tool vacuum plus one other control?

  Yes

  No

  N/A

• Why can it not be controlled this way?

• What control has been selected

• Step 3 - Can the release of Silica dust be controlled in one of the following ways - Wet dust suppression method OR on tool Vacuum OR Fully enclosed operator cabin with high efficiency filtration system

  Yes

  No

  N/A

• Why can it not be controlled this way?

  Yes

  No

  N/A

• What Control measure has been selected?

• Step 4 - If the Silica release cannot be controlled by Steps 1-3, it must be controlled by items listed on the Silica Chart on the title page. Will these controls be used? Please specify what they are. NOTE: PPE is compulsory in the form of P2 masks or better

  Yes

  No

  N/A

• Specify controls to be used

• Explanation of controls

• Control photo if applicable

  Media

Residual Risk Rating for the likelihood of person breathing in Silica Dust from task

• Consequences

  Fatality

  Major Injuries

  Minor Injuries

  Negligible Injuries

• Likelihood

  Very Likely

  Likely

  Unlikely

  Highly Unlikely

• Risk Rating (refer risk matrix above)

  High

  Medium

  Low

• Comments/ observations

Completion

• Recommendations

• Signature

  Sign