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CLEAN ENERGY RESEARCH CENTRE

2360 East Mall, Vancouver BC, V6T 1Z3

http://www.cerc.ubc.ca
* The form is available on CERC website, under CERC safety.
http://www.cerc.ubc.ca/CERC%20Safety.htm

Simplified HAZOP Worksheet


Experiment:
Equipment:

Brief Description:

Lab #

Researcher:

Supervisor:

What If? *

Consequences

Safeguards

Recommendations

* Consider all possible mechanical or electrical failures, or deviations in temperature, pressure, flow, pH, etc. that may result in potential health and safety
concerns.
CHBE Safety Committee

This form was last revised on: 4/25/2016

Inspection of Equipment and Experiments