Job Safety & Environment Analysis

Job Safety & Environment Analysis

Activity/ Task: ______________________________________________________ Location:__________________________________________________

Conducted by: In Consultation with:________________________________ Date Conducted:

Reviewed by: Comments: _________________________________________Date Reviewed:

Reason for this risk assessmentrefer 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

Other (specify) –      

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

     

Other (specify) –      

 

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

CONSEQUENCE

LIKELIHOOD

Negligible

Minor

Medium

Major

Severe

Almost Certain

9
Medium

15
High

18
High

23
Critical

25
Critical

Likely

7
Low

12
Medium

17
High

20
High

24
Critical

Possible

4
Low

10
Medium

13
Medium

19
High

22
High

Unlikely

2
Very low

5
Low

11
Medium

14
Medium

21
High

Rare

1
Very low

3
Very low

6
Low

8
Low

16
Medium

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

 

 

 

 

 

 

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.

Name

Signature

Role

Date