SVPHM General Risk Assessment (draft)

• General Risk Assessment No.

• What is being assessed?

• Prepared by:

Assessment Details

• Risk assessment conducted by: (HSR's, employees, managers, etc.)

• Risk assessment commenced on:

  Date

• Site completing Risk Assessment

• Fitzroy

• Location

• East Melbourne

• Location

• Kew

• Location

• Offsite / other

• Location

Hazards identified (tick all that may be applicable)

• Radiation

• Noise

• Poor ventilation

• Electricity / Generator failure

• Poor maintenance

• Instability

• Fire / explosion

• Equipment design

• Hazardous substance

• Flammable contaminants

• Moisture

• Height

• Equipment damage

• Gas / vapours / fumes / dust

• Poor instructions / training

• Entanglement

• Building damage

• Insufficient guarding

• Inappropriate behaviour

• Incorrect use

• Electricity

• Inappropriate task

• No emergency stops

• Environmental conditions

• Vibration

• Building design

• Potential roll over

• No procedure / instruction

• Not licensed

• Layout of plant

• Pressurised content

• Awkward shaped object

• Time delays

• Loss of load

• Insufficient support

• Inadvertent operation

• Weight of object

• Temperature

• Poor communication

• Inappropriate lighting

• Poor housekeeping

• Micro organism / biological contaminant

• Slip / trip / fall

• Collapse of parts

• Inappropriate storage

• Unsuitable accessories

• Fragmentation

• Poor signage

• Workplace layout

• Lack of / poor visibility

• Poor ergonomics

• Water failure

• Failure to operate

• Inadequate security

• Inadequate procedures

• Structural damage

• Location of controls

• Unsuitable equipment

• Competency of operator

• Access / egress

• Other

• Other identified hazards:

Potential injury / consequences (tick all that may be applicable)

• Crushing

• Blister

• Amputation

• Hearing loss

• Radiation exposure

• Fracture

• Friction

• Sharps injury

• Burns / scold

• Respiratory irritation

• Bruise

• Abrasion

• Electrocution

• Sprain / strain

• Puncture / stabbing

• Allergy

• Stress

• Dislocation

• Asphyxiation

• Biological contamination

• Graze

• Inhalation

• Entrapment

• Shearing / tearing

• Cutting / laceration

Risk Assessment

• All hazards identified must be assessed for risk

• Risk Consequences Guide:
  MINIMAL = Harm, injuries, ailments not requiring immediate medical treatment, near miss.
  MINOR = Minor harm or injury where treatment or first aid is required.
  MEDIUM = Serious harm / injury or illness causing hospitalisation or multiple medical treatments.
  MAJOR = Life threatening injury or illness causing hospitalisation.
  SERIOUS = Death or life threatening injuries.

• Likelihood Guide:
  FREQUENTLY = Likely to occur most weeks or months
  LIKELY = Probably occur several times a year
  POSSIBLE = May happen every one to two years
  UNLIKELY = May happen every two to five years
  RARE = May happen less than once every five years

• Hazards identified

Hazard

• Hazard

• Consequences

  Minimal

  Minor

  Medium

  Major

  Serious

• Likelihood

  Frequently

  Likely

  Possible

  Unlikely

  Rare

• Current controls:

Control

• Current control

• Are current controls adequate to manage the risk.?

  Yes

  No

  N/A

• What are the control options required to be implemented?

Control option

• Control option

• Person responsible for implementing control

• Date when control to be implemented by

  Date

PPE options

• Is Personal Protective Equipment (PPE) or clothing required?

  yes

  no

• Tick relevant boxes below

• Respirator mask

• Gloves

• Glasses / goggles

• Clothing

• Other

• Other PPE required

Actions required / implemented

• Tick the relevant boxes below

• Above controls implemented

• No further action required

• Develop Emergency Procedures

• What emergency procedures are required?

• Emergency procedures implemented.

• Ongoing Monitoring

• What is required to be monitored?

• Training required

• What training is required?

• Seek expert help

• Who is required to assist / help?

• Manufacturers Controls Implemented

• Further controls required?

• What further controls are required?

Controls

• Control

• Assessment is completed and all reasonable action have been implemented. All required actions have been taken:

  Yes

  No

  N/A

• Name

  Sign

• Position

• Date risk assessment completed

  Date

• This risk assessment should be reviewed on:

  Date