Risk Assessment Worksheet Template Petracarbon

Worksheet
Master Category: Assessment Type: Assessment Checklist: Assessor: Date: OHS Tasks Tasks - General
Entity Faculty/Division School/Branch Discipline/Unit Campus Building Room Room Type Item / Activity
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Comply Y N/A
Hazard
Assessment Likelihood Consequence

__________ __________
Animal handling Is there potential for a person to be contaminated or infected from contact with animals? Hazard Description/N ature of Risk How can this hazard/threat cause an incident/adverse event?:
What controls are currently in place?
Risk Assessment Keywords
Comply Y N/A
Hazard

__________ __________
Animal handling Is there potential for a person to receive physical injury from animals? e.g. sea lion capture and Hazard Description/N tagging ature of Risk How can this hazard/threat cause an incident/adverse event?:
Comply Y N/A
Hazard

__________ __________
Caught between moving machinery parts Is there the potential for a person to be caught between moving parts of a machine? e.g. entrapment, Hazard Description/N pinch points, potential crush zones ature of Risk How can this hazard/threat cause an incident/adverse event?:
Comply Y N/A
Hazard

__________ __________
Caught between moving objects Is there the potential for a person to be caught between two moving objects (not machinery parts)? Hazard Description/N ature of Risk How can this hazard/threat cause an incident/adverse event?:
Comply Y N/A
Hazard

__________ __________
Caught on rotating parts Is there potential for a person to be caught on rotating parts? Hazard Description/N ature of Risk How can this hazard/threat cause an incident/adverse event?:
Comply Y N/A
Hazard

__________ __________
Contact with chemicals, fumes or gas Is there the potential for a person to come into contact with chemicals or gas? e.g. fumes from Hazard Description/N chemicals, dry ice, machine oils, Liquid N2 ature of Risk How can this hazard/threat cause an incident/adverse event?:
Comply Y N/A
Hazard

__________ __________
Contact with cold object Is there the potential for a person to come into contact with a cold object? e.g. ice, dry ice, liquid N2, Hazard Description/N frozen materials ature of Risk How can this hazard/threat cause an incident/adverse event?:
Comply Y N/A
Hazard

__________ __________
Contact with electricity or potential for electric shock Is there the potential for a person to come into contact with live electricity or receive an electric shock? Hazard Description/N e.g. Overhead or underground power lines, exposed wires, water near equipment, leads/switch in ature of Risk poor condition How can this hazard/threat cause an incident/adverse event?:
Comply Y N/A
Hazard

__________ __________
Contact with hot object or friction burn Is there the potential for a person to come into contact with an object which is hotter than 50 degrees Hazard Description/N Celsius? e.g. steam, naked flame, laser beams, heating block ature of Risk How can this hazard/threat cause an incident/adverse event?:
Comply Y N/A
Hazard

__________ __________
Contact with insect/ animal Is there potential for bites or stings from contact with an animal or insect? e.g. snake, rat, tick, bee, Hazard Description/N wasp ature of Risk How can this hazard/threat cause an incident/adverse event?:
Comply Y N/A
Hazard

__________ __________
Contact with lightning Is there the potential for a person to be struck by lightening? Hazard Description/N ature of Risk How can this hazard/threat cause an incident/adverse event?:
Comply Y N/A
Hazard

__________ __________
Contact with sharp object Is there the potential for a person to be cut, stabbed or punctured by a sharp object? e.g. knife, sharp Hazard Description/N or pointy edge objects, flying or moving objects ature of Risk How can this hazard/threat cause an incident/adverse event?:
Comply Y N/A
Hazard

__________ __________
Contact with stationary object Is there the potential for a person to run or bump into a stationary object? e.g. knock their hand on a Hazard Description/N wall when pushing a trolley ature of Risk How can this hazard/threat cause an incident/adverse event?:
Comply Y N/A
Hazard

__________ __________
Contact with vibration Is there the potential for a person to be in contact with a vibrating object? e.g. holding onto a vibrating Hazard Description/N item for a period of time ature of Risk How can this hazard/threat cause an incident/adverse event?:
Comply Y N/A
Hazard

__________ __________
Entangled on moving machinery Is there the potential for a person to be entangled on moving parts of a machine? e.g. hair, jewellery, Hazard Description/N clothing, cleaning aids, gloves ature of Risk How can this hazard/threat cause an incident/adverse event?:
Comply Y N/A
Hazard

__________ __________
Environmental hazards Is there a possibility of generating significant environmental hazards? e.g. energy/water consumption, Hazard Description/N hazardous waste/emissions ature of Risk How can this hazard/threat cause an incident/adverse event?:
Comply Y N/A
Hazard

__________ __________
Explosion / Fire hazards Is there a potential for a person to be injured by an explosion or fire? e.g. ignition of surrounding area, Hazard Description/N using naked flame, gas, vapour, grain silos, chemical incompatibility, shock sensitive chemicals, ature of Risk chemical stability How can this hazard/threat cause an incident/adverse event?:
Comply Y N/A
Hazard

__________ __________
Exposure to biological hazards Is there the potential for a person to be exposed to biological hazards? e.g. human or animal body Hazard Description/N fluids, infectious waste, cultures of micro-organisms ature of Risk How can this hazard/threat cause an incident/adverse event?:
Comply Y N/A
Hazard

__________ __________
Exposure to cold environment Is there the potential for a person to be exposed to a cold environment? e.g. freezer, blast chillers, Hazard Description/N fridge ature of Risk How can this hazard/threat cause an incident/adverse event?:
Comply Y N/A
Hazard

__________ __________
Exposure to confined spaces Is there the potential for a person to be working within a confined space? A confined space is defined Hazard Description/N by AS2865 and is not necessarily a small or restricted space. ature of Risk How can this hazard/threat cause an incident/adverse event?:
Comply Y N/A
Hazard

__________ __________
Exposure to gas (asphyxiants) Is there the potential for a person to be exposed to gas causing oxygen displacement? e.g. diesel Hazard Description/N emissions, liquid N, dry ice ature of Risk How can this hazard/threat cause an incident/adverse event?:
Comply Y N/A
Hazard

__________ __________
Exposure to hot environment Is there the potential for a person to be exposed to hot or humid environments? e.g. harvesting, Hazard Description/N remote areas ature of Risk How can this hazard/threat cause an incident/adverse event?:
Comply Y N/A
Hazard

__________ __________
Exposure to ionising radiation Is there the potential for a person to be exposed to ionising radiation? e.g. sealed sources, Hazard Description/N radionuclides ature of Risk How can this hazard/threat cause an incident/adverse event?:
Comply Y N/A
Hazard

__________ __________
Exposure to mental stress Is there the potential for a person to be exposed to mental stress? e.g. bullying, harassment, verbal Hazard Description/N abuse at events or service centres ature of Risk How can this hazard/threat cause an incident/adverse event?:
Comply Y N/A
Hazard

__________ __________
Exposure to noise Is there the potential for a person to be exposed to noise? e.g. exceed an 8 hour noise equivalent of Hazard Description/N 85dB(A) or peak noise levels of more than 140dB(C) ature of Risk How can this hazard/threat cause an incident/adverse event?:
Comply Y N/A
Hazard

__________ __________
Exposure to non-ionising radiation Is there potential for a person to be exposed to non-ionising radiation? e.g. RF Transmissions, Hazard Description/N working outdoors, UV transilluminator, laser beam ature of Risk How can this hazard/threat cause an incident/adverse event?:
Comply Y N/A
Hazard

__________ __________
Exposure to pressure vessels Is there the potential for a person to be working near a pressure vessel? e.g. autoclave, boiler Hazard Description/N ature of Risk How can this hazard/threat cause an incident/adverse event?:
Comply Y N/A
Hazard

__________ __________
Exposure to violence Is there the potential for a person to be exposed to a violent situation? E.g. at venues or service Hazard Description/N centres or counters ature of Risk How can this hazard/threat cause an incident/adverse event?:
Comply Y N/A
Hazard

__________ __________
Fall from heights Is there the potential for a person to fall from a height (greater than 2 metres)? Hazard Description/N ature of Risk How can this hazard/threat cause an incident/adverse event?:
Comply Y N/A
Hazard

__________ __________
Other Are there any other hazards associated with this item/activity? Hazard Description/N ature of Risk How can this hazard/threat cause an incident/adverse event?:
Comply Y N/A
Hazard

__________ __________
Overstress - manual handling and ergonomics Is there the potential for a person to be exposed to ergonomic injury? e.g. poor lighting, insufficient Hazard Description/N space, seating design, animal handling ature of Risk How can this hazard/threat cause an incident/adverse event?:
Comply Y N/A
Hazard

__________ __________
Overstress - manual handling and ergonomics Is there the potential for a person to be exposed to manual handling injury through reaching, bending, Hazard Description/N twisting, lifting, pulling, pushing or repetitive motions? ature of Risk How can this hazard/threat cause an incident/adverse event?:
Comply Y N/A
Hazard

__________ __________
Slips, trips or falls Is there the potential for a person to slip, trip or fall? e.g. slippery, uneven or cluttered work surfaces, Hazard Description/N plant location, lack of safe guards such as rails ature of Risk How can this hazard/threat cause an incident/adverse event?:
Comply Y N/A
Hazard

__________ __________
Struck by falling objects Is there the potential for a person to be struck by an object falling from above? e.g. item falling from Hazard Description/N racking, item falling from a hi lift vehicle to the ground below ature of Risk How can this hazard/threat cause an incident/adverse event?:
Comply Y N/A
Hazard

__________ __________
Struck by moving object Is there the potential for a person to be struck by a moving object? (This excludes vehicles) Hazard Description/N ature of Risk How can this hazard/threat cause an incident/adverse event?:
Comply Y N/A
Hazard

__________ __________
Struck by vehicle Is there the potential for a person to be struck by a vehicle? e.g. a car, a truck, a tug, a forklift Hazard Description/N ature of Risk How can this hazard/threat cause an incident/adverse event?:

Risk Assessment Worksheet Template Petracarbon

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Risk Assessment Worksheet Template Petracarbon

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Worksheet

Assessment Likelihood Consequence

What controls are currently in place?

Risk Assessment Keywords

Assessment Likelihood Consequence

What controls are currently in place?

Risk Assessment Keywords

Assessment Likelihood Consequence

What controls are currently in place?

Risk Assessment Keywords

Assessment Likelihood Consequence

What controls are currently in place?

Risk Assessment Keywords

Assessment Likelihood Consequence

What controls are currently in place?

Risk Assessment Keywords

Assessment Likelihood Consequence

What controls are currently in place?

Risk Assessment Keywords

Assessment Likelihood Consequence

What controls are currently in place?

Risk Assessment Keywords

Assessment Likelihood Consequence

What controls are currently in place?

Risk Assessment Keywords

Assessment Likelihood Consequence

What controls are currently in place?

Risk Assessment Keywords

Assessment Likelihood Consequence

What controls are currently in place?

Risk Assessment Keywords

Assessment Likelihood Consequence

What controls are currently in place?

Risk Assessment Keywords

Assessment Likelihood Consequence

What controls are currently in place?

Risk Assessment Keywords

Assessment Likelihood Consequence

What controls are currently in place?

Risk Assessment Keywords

Assessment Likelihood Consequence

What controls are currently in place?

Risk Assessment Keywords

Assessment Likelihood Consequence

What controls are currently in place?

Risk Assessment Keywords

Assessment Likelihood Consequence

What controls are currently in place?

Risk Assessment Keywords

Assessment Likelihood Consequence

What controls are currently in place?

Risk Assessment Keywords

Assessment Likelihood Consequence

What controls are currently in place?

Risk Assessment Keywords

Assessment Likelihood Consequence

What controls are currently in place?

Risk Assessment Keywords

Assessment Likelihood Consequence

What controls are currently in place?

Risk Assessment Keywords

Assessment Likelihood Consequence

What controls are currently in place?

Risk Assessment Keywords