Job Safety & Environment Analysis
Activity/ Task: ______________________________________________________ Location:__________________________________________________
Conducted by: In Consultation with:________________________________ Date Conducted:
Reviewed by: Comments: _________________________________________Date Reviewed:
Reason for this risk assessment– refer to the Procedure for WHS Risk Management
☐Workplace Change
☐Work task / activity
☐New building/ facility
☐Procure new plant
☐Commission new plant
☐ Decommission plant
☐ New chemical or storage
☐ Maintenance activity
☐ Lease or contract
☐ Staff work travel
☐ Remote or lone working
☐ Public event
☐ Student excursion
☐ Student off-site activity
☐ Student work placement
RISK ASSESSMENT SUMMARY
Plant / vehicles / substances involved
licenses / permits
☐ Driver’s licence
☐ High Risk Work License
☐ Plant operators license
☐ Work at heights
☐ Confined space entry permit
☐ Hot work / permit to work
☐ Other –
What are the top 5 risks for this activity / task?
1.
2.
3.
4.
5.
What are the top 5 safety controls?
1.
2.
3.
4.
5.
Required Protective Clothing and PPE
Other documents needed to manage the risks
☐
☐
☐
☐
e.g. Procedure / SOP / work instruction, safety data sheet (SDS), inspection checklists, health declarations etc
☐
☐
☐
☐
Arrangements for First Aid and Emergencies
HAZARD CHECKLIST
RISK ASSESSMENT MATRIX
Environment
☐ Weather
☐ Hot or cold conditions
☐ Air quality
☐ Noise
☐ UV exposure
☐ Slip/trip hazards
☐ Drowning
Substances
☐ Hazardous chemicals
☐ Explosives
☐ Flammable substances
☐ Toxic substances/ pesticides
☐ Inhalable / respirable dust
☐ Exhaust or other fumes
Physical
☐ Pressure
☐ Stored energy – mechanical
☐ Stored energy – electrical
☐ Stored energy – chemical
☐ Confined spaces
☐ Fall from height
☐ Manual tasks / ergonomic
Electrical
☐ Overhead power lines
☐ Underground power lines
☐ Arc welding
☐ Power tools / leads
☐ Electrical work
☐ Portable power generators
☐ Wet environments
Psychological and Social
☐ Stress
☐ Fatigue
☐ Violence / aggression
☐ Drugs and alcohol
☐ Isolation
☐ Bullying and/or harassment
☐ Communication barriers
Biological
☐ Animal or insect bite
☐ Riding or handling
☐ Zoonosis
☐ Infectious agents
☐ Needle-stick / sharps
☐ Bodily fluids
☐ Contaminated waste
Mechanical
☐ Traffic
☐ Driving
☐ Forklifts, Cranes etc.
☐ Rotating / moving parts
☐ Crushing
☐ Shearing, cutting, stabbing
☐ Vibration
Environmental
☐ Air emissions
☐ Release to stormwater
☐ Chemical spill
☐ Soil/groundwater contamination
☐ Asbestos
☐ Radioactive waste
☐ Waste disposal
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CONSEQUENCE |
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|
LIKELIHOOD |
Negligible |
Minor |
Medium |
Major |
Severe |
|
Almost Certain |
9 |
15 |
18 |
23 |
25 |
|
Likely |
7 |
12 |
17 |
20 |
24 |
|
Possible |
4 |
10 |
13 |
19 |
22 |
|
Unlikely |
2 |
5 |
11 |
14 |
21 |
|
Rare |
1 |
3 |
6 |
8 |
16 |
|
Likelihood description |
|
|
Almost certain |
Expected to occur in most circumstances. |
|
Likely |
Can be expected to occur several times in the life of the particular work practice. |
|
Possible |
Might occur occasionally in the life of the particular work practice. |
|
Unlikely |
Not likely to occur, but could happen at some time. |
|
Rare |
May happen but only in exceptional circumstances. |
|
Consequence description |
|
|
Severe |
Fatality and/or severe injury resulting in amputation or life support. |
|
Major |
Hospital admission, and / or long periods off work and/or permanent impairment. |
|
Medium |
Injury/illness requiring minor medical treatment, short duration lost time. |
|
Minor |
First Aid treatment only. No lost time. |
|
Negligible |
Does not require first aid. Minor discomfort. |
Risk Assessment
| Activity / Situation / Location | Hazards |
Risk Score |
Controls |
New Score |
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Acknowledgement by Teachers / Other Staff
I have read and understood and/or been instructed in this risk management assessment and will implement all the requirements.
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Name |
Signature |
Role |
Date |