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OHS MANAGEMENT GUIDELINE
RMIT SGGuideline Number: 3.1Appendix A
Title: Risk Assessment
Issue Date: 6-01-06
Risk Assessment Team (include name and position):
1.
2.
3.
4.
Date:
5.
6.
7.
8
Portfolio:
School:
/
/
Type of hazard (please tick and refer to relevant procedure if appropriate):
Chemical (RMIT-xx-00x)
Electrical (RMIT-xx-00x)
Work Environment (noise (RMIT-xx-
Mechanical (plant/ equipment RMIT-xx-00x)
Biological
Radiation (RMIT-xx-00x)
Manual handling (RMIT-xx-00x)
Vibration
Other
00x), slip/ trip/ falls, temperature etc)
Description of Hazard (include reason for assessment):
Location of Hazard:
Risk Assessment (rate the consequence, exposure and probability associated with the hazard):
FACTOR
1. CONSEQUENCE
Most probable result
of the potential
accident.
CLASSIFICATION
a.
b.
c.
d.
e.
f.
Catastrophe; numerous fatalities; major disruption of activities
Disaster; multiple fatalities;
Very serious; Fatality;
Serious; serious injury (amputation, permanent disability);
Important; disabling injury;
Noticeable; minor cuts, bruises, bumps; minor damage
RATING
100
50
25
15
5
1
2. EXPOSURE
Hazard exposure occurs:
The frequency of
exposure to the
hazard.
a.
b.
c.
d.
e.
f.
Continuously (or many times daily)
Frequently (approximately once daily)
Occasionally (from once per week to once per month)
Infrequent (from once per month to once per year)
Rarely (it has been known to occur)
Very rarely (not known to have occurred)
10
6
3
2
1
0.5
3. PROBABILITY
Complete accident sequence:
Likelihood that the
consequence will
occur once the
individual is exposed
to the hazard.
a.
b.
c.
d.
e.
f.
Almost certain likely or expected result; 1 in 10 chance
Quite possible/not unusual; 1 in 10 to 1 in 100 chance
Would be an unusual sequence or coincidence; 1 in 100 to 1 in 1000 chance
Would be a remotely possible coincidence 1 in 1000 to 1 in 10,000 chance
Has never happened after many years of exposure, but is conceivably possible; 1 in 10 000 to 1 in
100,000
Practically impossible sequence (has never happened) 1 in 100,000 chance or lower
10
6
3
1
0.5
0.1
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OHS MANAGEMENT GUIDELINE
CONSEQUENCE
EXPOSURE
X
Risk Score:
PROBABILITY
X
RISK SCORE
=
RISK SCORE
DEFINITION
ACTION
500
300- 499
150- 299
Very high risk
High risk
Substantial risk
60- 149
Moderate risk
10- 59
Low risk
Immediate action required. HIGH PRIORITY.
Management attention needed. Hazards must be considered as NOT adequately controlled.
Management attention needed. Hazards must be considered as NOT adequately controlled.
Hazard must be examined against current standards to determine whether the hazard is adequately/
not adequately controlled.
Manage by routine procedures.
Risk Control Identification (to determine appropriate risk control measures(s) sequentially go through the
hierarchy of controls):
Practicability Test
Hierarchy of Risk Controls
Yes
No
Comment
1. Eliminate
Is it possible to eliminate the hazard?
2. Reduce
Is it possible to reduce the level of risk posed by the hazard by
(priority order):
 Substitution (using less hazardous alternatives)
 Isolation (separating the operator from the risk)
 Engineering controls (re-designing plant or equipment).
3. Administration
Is it possible to reduce the level of risk posed by the hazard by
changing operating procedures, training, supervision, providing
information etc
4. Personal Protection
Is it possible to reduce the level or risk posed by the hazard by
wearing personal protective equipment and clothing?
Risk Control Action Plan (include short term and long term risk control measures):
Recommended Risk Control to be Implemented
Responsibility
Timeline
Completed
(date/ initials)
Revised Risk Score (re-score the hazard risk score once recommended risk control measure(s) are implemented):
CONSEQUENCE
Risk Score:
EXPOSURE
X
PROBABILITY
X
RISK SCORE
=
Hard copies of this document are uncontrolled copies
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Appendix A.doc
OHS MANAGEMENT GUIDELINE
RISK SCORE
DEFINITION
ACTION
500
300- 499
150- 299
Very high risk
High risk
Substantial risk
60- 149
Moderate risk
10- 59
Low risk
Immediate action required. HIGH PRIORITY.
Management attention needed. Hazards must be considered as NOT adequately controlled.
Management attention needed. Hazards must be considered as NOT adequately controlled.
Hazard must be examined against current standards to determine whether the hazard is adequately/
not adequately controlled.
Manage by routine procedures.
Signed:
Manager:
Employee:
HSR:
Hard copies of this document are uncontrolled copies
\\Its-gn-blg57\shared\People and Culture\OH &S\ Guidelines\Hazard Management\Risk Assessment Form RMIT-SG-3.1
Appendix A.doc