RISK ASSESSMENT: EQUIPMENT: SEH-RA-002

RA No.: Date: Click here to enter a date. Version No.:

SECTION 1: GENERAL INFORMATION
Campus location: Bldg. / level / room College: School / Discipline / Facility:

Technical / Research Officer in charge Supervisor: Area / Facility manager:

of the equipment:

Equipment name: Add image

Copy image here

Manufacturer / Supplier details:

Model number

Serial number

RMIT Asset number

Author: Technical Team OHS SEH College

Form No.: SEH-RA-002
Version: 002 Date: 15/01/2018 Page 1 of 7
 RISK ASSESSMENT: EQUIPMENT: SEH-RA-002
Are there any licensing / permit requirements? Does the equipment contain Hazardous Is a current Manual available?
☐ Yes Provide details: materials e.g. asbestos? ☐ Yes
☐ No ☐ Yes Provide details: ☐ No
☐ No
Are special services required? Where will the equipment normally be located?
☐ Power > 10Amp, 240V (e.g. 15Amp, 3 Phase) Bldg./level/room:
☐ Water
☐ Compressed Air ☐ Other Provide details:
☐ Reticulated gases
☐ Fume or dust extraction hood / equipment
☐ Other Provide details:

End of Life: Equipment disposal requirements.

Additional requirements for the use of this equipment Details of additional requirements
☐ Specialised Training ☐ Restricted area / users
☐ Documented Safe Work ☐ Usage log book
Instruction (SWI) ☐ Other (provide details)
☐ Maintenance / service contract

Additional First Aid and emergency requirements Details of additional requirements

☐ Safety Shower / Eyewash Facility

☐ Specialised Spill kits
☐ Special first aid requirements
☐ Specialised PPE (e.g. face mask or respirator)
☐ Other (provide details)

Author: Technical Team OHS SEH College

Form No.: SEH-RA-002
Version: 002 Date: 15/01/2018 Page 2 of 7
 RISK ASSESSMENT: EQUIPMENT: SEH-RA-002

SECTION 2. RISK SCORE MATRIX

RISK SCORE AND RATING

FACTOR CLASSIFICATION Value

Consequence: C
a. Catastrophe; numerous fatalities; major disruption of activities 100 Extreme Risk
This equipment must not be
CONSEQUENCE b. Disaster; multiple fatalities 50 >500 used. An alternative must be
Most probable c. Very serious; fatality 25 found.
result of the d. Serious; permanent disability 15
potential accident. e. Moderate; serious but non-permanent disability 5
High Risk
f. Minor; minor cuts, bruises, burns (first aid treatment required) 1 Further controls must be
300 – 499 implemented in order to reduce
Exposure: E the risk score.
Requires management approval.
a. Continuously (or many times daily) 10
EXPOSURE b. Frequently (approximately once daily) 6
Substantial Risk
The frequency of c. Occasionally (from once per week to once per month) 3 Further controls must be
exposure to the 100 – 299 considered in order to reduce the
d. Infrequent (from once per month to once per year) 2
hazard. risk score. Requires management
e. Rarely (once every 2 - 4 years) 1 approval.
f. Very rarely (once every 5 years or more) 0.5 Medium Risk
Probability: P Requires management .
50 - 99 oversight and approval.
PROBABILITY a. Almost certain or expected result 10
Likelihood that the b. Quite possible / not unusual 6
consequence will
occur once the c. Would be an unusual sequence or coincidence 3
individual is d. Would be a remotely possible coincidence 1 Low Risk
exposed to the 10 - 49 Manage by routine
e. Has never happened after many years of exposure, but is conceivable 0.5 procedures. Caution must be
hazard. observed.
f. Practically impossible sequence (has never happened) 0.1

RISK SCORE
CALCULATIONS: CONSEQUENCE (C) X EXPOSURE (E) X PROBABILITY = RISK SCORE
(P)

Author: Technical Team OHS SEH College

Form No.: SEH-RA-002
Version: 002 Date: 15/01/2018 Page 3 of 7
 RISK ASSESSMENT: EQUIPMENT: SEH-RA-002

SECTION 3: IDENTIFY THE HAZARDS

(select either ‘Yes’ or ‘No’ for all hazards) Yes No
HAZARDOUS SUBSTANCES / DANGEROUS GOODS: Does the equipment require the use of chemicals for normal operation? ☐ ☐
1
If yes, individually list each chemical in Sections 4 and 5.
2 GASES: Does the equipment require the use of gases for normal operation? ☐ ☐
If yes, individually list each type of gas in Sections 4 and 5.
3 MISTS, FUMES, DUSTS: Does the equipment generate mists, fumes, or hazardous dusts? ☐ ☐
4 SPILLS / CONTAINMENT: Does the equipment house chemical supply or waste containers of large capacity (>20 Litres)? ☐ ☐
5 HIGH or LOW TEMPERATURES: Does the equipment operate at temperature above 40oC or below 0oC? ☐ ☐
6 RADIATION: Does the equipment involve ionising or non-ionising radiation? Refer note 2 below ☐ ☐
7 LASERS: Does the equipment involve lasers? Refer note 2 below ☐ ☐
8 PRESSURE or VACUUM: Does the equipment operate under high pressure or low vacuum? ☐ ☐
9 ELECTRICAL: Is the equipment connected to mains power? ☐ ☐
10 ENVIRONMENT: Are there uneven / slippery work surfaces or obstructions around the equipment that could lead to slips / trips? ☐ ☐
MANUAL HANDLING / ERGONOMICS: Is heavy lifting, vibrations, repetitive actions, awkward or sustained postures involved when using ☐ ☐
11
the equipment?
12 MECHANICAL: Can hair, clothing or body parts become entangled or fingers pinched / crushed when operating the equipment? ☐ ☐
13 NOISE: Is the equipment likely to produce noise at hazardous or uncomfortable levels? ☐ ☐
14 TRAFFIC: Does the equipment involve vehicles (including UAV’s) operating in areas where pedestrians could be struck? ☐ ☐

15 WORKING AT HEIGHTS: Are you required to work above floor level to access the equipment, either for operation or servicing? ☐ ☐

16 WORKING IN ISOLATION: Will the equipment be operated in isolated areas or after hours? ☐ ☐

17 OFF SITE LOCATIONS: Is the equipment portable and intended for use off-site (i.e. at non-RMIT premises)? ☐ ☐

OTHER: Does the equipment involve any other hazards not listed above?
If yes, individually list each hazard below and assess risks in Sections 4 and 5
18 ☐ ☐
19
20
Notes: 1. Consult the Risk Assessment Instructions and guidelines document (SEH-RA-001) for more information on identifying hazards.
2. If radiation sources or lasers are present, you must contact the RSO or LSO and complete the relevant Radiation or Laser Risk Assessment form.
Author: Technical Team OHS SEH College
Form No.: SEH-RA-002
Version: 002 Date: 15/01/2018 Page 4 of 7
 RISK ASSESSMENT: EQUIPMENT: SEH-RA-002
SECTION 4: RISK ASSESSMENT
Initial Risk Score and Rating (without any controls)
Hazards (Refer to risk score matrix in Section 2)
(from Section 3)
Associated Risks
Hazard Brief description (resulting in damage, injury or illness) Rating
number Score (low, medium etc)
C E P (C x E x P)

Note: Add more rows if required.

Author: Technical Team OHS SEH College

Form No.: SEH-RA-002
Version: 002 Date: 15/01/2018 Page 5 of 7
 RISK ASSESSMENT: EQUIPMENT: SEH-RA-002

SECTION 5: RISK CONTROL PLAN

 Select the appropriate risk control type and control description for each hazard listed in Hierarchy of Control
Section 4.
Notes: Apply the Hierarchy of Controls (opposite) to reduce the level of risk. E = Elimination Most Effective
Select the most effective controls in preference to least effective ones as much as S = Substitution
practicable. I = Isolation
A combination of control measures may be used to reduce risk. En = Engineering
 Once controls have been selected, determine the residual risk rating by again referencing A = Administration/ Training
the Risk Score Matrix in Section 2.
PPE = Personal Protective Equipment
Least Effective
Note: Any Residual Risk scores equal or greater than 50 (ie Rating of medium or higher)
must be signed off by the Area Manager before the equipment can be operated.

Hazard Risk control measures required to reduce the risk Residual Risk Score (after controls) Residual Risk Person
(from Section 4) (Refer to risk score matrix in Section 2) Rating responsible for
(low, implementing
Select risk Details of risk controls Score
control(s) C E P medium etc) controls
(provide a brief description) (CxExP)
☐Elimination
☐Substitution
☐Isolation
☐Engineering
☐Administration
☐PPE
☐Elimination
☐Substitution
☐Isolation
☐Engineering
☐Administration
☐PPE
☐Elimination
☐Substitution
☐Isolation
☐Engineering
☐Administration
☐PPE
Note: Add more rows as required.

Author: Technical Team OHS SEH College

Form No.: SEH-RA-002
Version: 002 Date: 15/01/2018 Page 6 of 7
 RISK ASSESSMENT: EQUIPMENT: SEH-RA-002

SECTION 6: APPROVAL
Position Name Signature Date
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Technical / Research Officer
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Supervisor
Area / Facility Manager (required if residual risk Click here to enter a date.
scores for any hazard in Section 5 is 50 or
above)

SECTION 7: REVIEW
Risk assessment should be reviewed if any changes to the activity are made or otherwise every 3 years from date of approval (new version number required).

Position Name Signature Date

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Author: Technical Team OHS SEH College

Form No.: SEH-RA-002
Version: 002 Date: 15/01/2018 Page 7 of 7