RISK ASSESSMENT FORM

School / Department & Exact Location Of The Work Performed: Risk Assessment Team (Name/s): Date Conducted: Next Review Date: Project / Work Description: Approved By Supervisor / Reporting Officer: (Name, Date & Signature)

Hazard Identification
1a. S/N 1b Work activity 1c. Hazard 1d. Possible Accident/ Ill health to persons, fire or property loss 2a. Existing Risk Control

Risk Evaluation
2b. Severity 2c. Likelihood 2d. RPN* 3a Additional Risk Control Measures 3b Severity 3c

Risk Control
3d RPN* 3e Follow up by (name) & date

Likelihood

*RPN - Risk Prioritization Number

Risk Control
3f Remarks

Instructions for using the Risk Assessment form

Header

Fill up all sections in the header of the RA form. N with your supervisor/reporting officer on the next review date for the RA. Normally the next review one year ahead. The RA is also reviewe (1) When there are changes in work processes/activities accidents/incidents Note 2: Check y rules about team or individual submission for RA

Column 1b Describe the work activity to be carried out. not fill in names of machines/equipment to be used. activity, but working on a computer is

No Therefore, a compu

Column 1c Identify hazard(s) associated with the activity to be carried out.

hazards include chemical, biological, electrical, mechanical, physical, ergonomics, psychosocial, slip & fall etc.

Column 1d Identify possible accidents/ill health associated with each identified hazard.
possible accidents/ill health include fires, explosions, cuts, burns, frost bites, fractures etc.

Column 2a Indicate risk control measures that are already in place to eliminate or minimise risks.

M control risks may be analysed according to the Hierarchy of Controls: Elimination, Substitution, Engineering Co Administrative Controls and Personal Protective Equipment (PPE). Elimination of the hazard sh priority while PPE should be the last line of defence. Elimination Example: Use water based solvents instead of organic based solvents S Example: Use a less toxic solvent Engineering Controls Example: Use of fume cupboard or gloves boxes A Controls Exampl instructions. Good laboratory practices. Training on proper use of chemicals PPE Example: Use of safety eyewear plus respiratory protection, use of gloves

Column 2b S=Severity Severity or extent of injury or harm caused by the hazards, or as a result of an accident. Choose the most like from a value between 1 and 5, rather than the most extreme. Refer to the Risk Matrix tab f table

Column 2c L=Likelihood Likelihood of an accident, incident or ill health is defined as the probability that the said accident, incident or ill happen. Choose the likelihood from a value between 1 and 5. Consider the records of such events ha the past when deciding on the likelihood. Refer to the Risk Matrix tab for the like

Column 2d RPN=Risk Prioritisation Number Likelihood than 6

RPN=Se All RPNs should n

Column 3a Additional risk control measures are required when the RPN indicated in column 2d exceeds 6. If the less, enter "NA" in the column

Column 3b S=Severity upon introduction of additional control measures

Column 3c

L=Likelihood L may reduce upon introduction of additional control measures

Column 3d

RPN=Risk Prioritisation Number RPN will reduce upon introduction of additional control measures

Column 3e

Enter the name of the person appointed to oversee the implementation of the additional control measures. E up date. Enter any remarks

Column 3f

Note 1: Discuss . Normally the next review date is up to The RA is also reviewed: (2) After any Note 2: Check your Division

Note: Please do Therefore, a computer is not an

Examples of

s, psychosocial, slip & fall etc.

Examples of

ctures etc.

risks. Methods to n, Substitution, Engineering Controls, Elimination of the hazard should take first

Substitution

Administrative Example: Work PPE

Severity is the degree dent. Choose the most likely severity efer to the Risk Matrix tab for the severity

Likelihood of occurance said accident, incident or ill health will e records of such events happening in Risk Matrix tab for the likelihood table

RPN=Severity X All RPNs should not be more

column 2d exceeds 6. If the RPN is 6 or

S may reduce

additional control measures. Enter the follow-

Risk Assessment Matrix

Risk Prioritisation Number = Severity x Likelihood
Severity Table Pt Severity level Workplace Safety
Fatality, single or multiple

Workplace Health
Acute Poisoning, Failure of Major Bodily Functions Infection with No Known Cure Moderate exposure, Reversible injury to Bodily Functions on prolong recovery

Environment
Spills to Outside Campus

Fire Damage
More Than $10 million damages

Downtime Incurred
More than 1 year for full re-instatement

Critical

Permanent Body Injury or Loss of Use for more than 30 days Injury requiring 30 days of hospitalisation and/or medical leave

Infection - outside Campus area

Spills to Outside Building

More Than $1 million More than 3 months for damages full re-instatement

Very Serious
Temporary Body Injury Infection with Known Infection - outside or Loss of Use for more Cure but extensive Building area but within than 10 days but not treatment Campus exceeding 30 days Mild exposure, Injury requiring 10 days Reversible injury to of hospitalisation Bodily Functions with and/or medical leave less than 30 days recovery Temporary Body Infection with Known Injury or Loss of Use for Cure but extensive up to 10 days treatment Injury requiring maximum of 3 days of medical leave only Very Mild exposure, Reversible injury to Bodily Functions with less than 3 days recovery

Spills to Outside Laboratory/Room

More Than $100k damages

More than 1 month for full re-instatement

Serious

Infection - outside Laboratory area but within building Spills to Outside Workplace but within laboratory

More Than $10k damages

More than 5 days for full re-instatement

Marginal

Temporary Body Infection with Known Injury or Loss of Use for Cure but treatment 3 days or less needed Very Mild exposure, Reversible injury to First aid treatment only Bodily Functions with less than 3 days recovery

Infection - outside workplace but within Laboratory

Spills within Workplace only

Less than $5k damages

No significant downtime

Negligible

No or superficial injury

No Exposure

No Infection or infection with no effects within workplace

Likelihood Table Pt 5 4 3 2 1 Likelihood level Frequent Moderate Occasional Remote Unlikely Likelihood of Occurrence / Exposure Criteria Likely to occur many times per year Likely to occur once per year Might occur once in three years Might occur once in five years Might occur once in ten years

Risk level Determination - 5 x 5 Matrix

SEVERITY
Critical (5) 25 Operation not permissible Very Serious (4) 20 Operation not permissible Serious (3) Marginal (2) 10 Review at appropriate time Negligible (1)

Frequent (5)

15 High priority

5 Risk acceptable

Moderate (4)

20 Operation not permissible

16 Operation not permissible

12 High priority

8 Review at appropriate time

4 Risk acceptable

LIKELIHOOD

Occasional (3)

15 High priority

12 High priority

9 Review at appropriate time

6 Risk acceptable

3 Risk acceptable

Remote (2)

10 8 Review at appropriate Review at time appropriate time

6 Risk acceptable

4 Risk acceptable

2 Risk acceptable

Unlikely (1)

5 Risk acceptable

4 Risk acceptable

3 Risk acceptable

2 Risk acceptable

1 Risk acceptable

Review the risk assessment records every year or whenever there are changes in processes, work activities or upon any incident occurrence, whichever is earlier.

Action Table Colour Score Risks Action Operation not Permissible 16 - 25 High Stop operation & review controls. If necessary abort experimentation. High priority remedial action 12 - 15 Warning Proceed with extreme caution with PI present at all times. Implement additional (secondary) controls immediately. Review within 7 days. Emergency control measures shall be in place. Take remedial action at appropriate time 8 -10 Medium Proceed with care. Additional control is advised. Review shall be implemented within 30 days.

Risk acceptable: Residual risk If possible, risk reduction should be further considered, particularly severity. There are no imminent dangers. Frequent review shall be in place especially changes in procedures, materials or environment.

1-6

Warning

RISK ASSESSMENT FORM

School / Department & Exact Location Of The Work Performed: (Example: SPMS -PAP - Lab A) Risk Assessment Team (Name/s): Johnny (Team Leader), Alice, Roland, Kenny Date Conducted: 11th March 2012 Next Review Date: 10th March 2013 Project / Work Description: Working with Femtosecond Laser Systems Approved By Supervisor / Reporting Officer: (Name, Date & Signature) Prof Tan (Project Supervisor), 16th March 2012

Hazard Identification
1a. S/N 1b Work activity 1c. Hazard 1d. Possible Accident/ Ill health to persons, fire or property loss 2a. Existing Risk Control

Risk Evaluation
2b. Severity 2c. Likelihood 2d. RPN* 3a Additional Risk Control Measures 3b Severity 3c

Risk Control
3d RPN*

Likelihood

1 Operation of Femtosecond Laser Systems

Physical Hazard

Severe Eye Injuries

Beam blocks and beam dumps used to blocked off laser beams. Only authorised users are allowed to operate the system. Users are equipped with laser goggles

6 NA

NA

NA

NA

Electrical Hazard

Electrocution due to high Warning signs are voltage displayed beside system to warn users of high voltage

12 Regular servicing and maintenance of laser system by vendor Only authorised users are allow to operate the system

*RPN - Risk Prioritization Number

Systems

Control
3e Follow up by (name) & date 3f Remarks

NA

NA

(Johnny) 13th March 2012

NA

RISK ASSESSMENT FORM

School / Department & Exact Location Of The Work Performed: (Example: SPMS -CBC - Lab K) Risk Assessment Team (Name/s): Benny Date Conducted: 11th March 2012 Next Review Date: 10th March 2013

Hazard Identification
1a. S/N 1b Work activity 1c. Hazard 1d. Possible Accident/ Ill health to persons, fire or property loss 2a. Existing Risk Control

Risk Evaluation
2b. Severity

1 Weighing chemicals for the synthesis work

Irritant Chemicals

Irritation when come in contact with skin and eyes

Handle under fumehood. Put on required PPE - safety glasses, lab coat, long pants, gloves, covered shoes.

2 Prepare glassware and add chemical into chemical reactor

Glass breakage due Cuts on skin/eye due to to overpressure flying particles (chemical reaction)

Inspect glassware before use. Put on required PPE - safety glasses, lab coat, long pants, gloves, covered shoes.

*RPN - Risk Prioritization Number

RISK ASSESSMENT FORM

Project / Work Description: Chemical works Approved By Supervisor / Reporting Officer: (Name, Date & Signature) Prof Xiao (Project Supervisor), 16th March 2012

Risk Evaluation
2c. Likelihood 2d. RPN* 3a Additional Risk Control Measures 3b Severity 3c

Risk Control
3d RPN* 3e Follow up by (name) & date 3f Remarks

Likelihood

NA

NA

NA

NA

NA

NA

9 Install pressure control / relief valves Supervisor to brief group to pull down fumehood sash

(Benny) Ongoing

NA

RISK ASSESSMENT FORM

School / Department & Exact Location Of The Work Performed: (Example: Office) Risk Assessment Team (Name/s): Joey Date Conducted: 11th March 2012 Next Review Date: 10th March 2013

Hazard Identification
1a. S/N 1b Work activity 1c. Hazard 1d. Possible Accident/ Ill health to persons, fire or property loss 2a. Existing Risk Control

Risk Evaluation
2b. Severity

Sorting of documents / Use of paper

Contact with sharp edges (from paper edges and bent plaster dividers

Cuts and lacerations to hand and fingers

Handle files and 1 documents with care, avoiding fingers running along the edge of papers. Discard bend plastic folders.

Punching holes for document to Strike by moving parts or caught be filed

Fingers may get injured (crush) during punching

between moving parts

Proper usage of hole punch Do not overload paper for punching Maintenance of hole puncher

Ergonomic hazard (repetive similar action)

Muscular starins

Staff to adopt 3 good ergonomice practice e.g. table height. Job rotations; avoid prolong repetitive punching operation. Brief staff on proper usage of hole punch.

*RPN - Risk Prioritization Number

RISK ASSESSMENT FORM

Project / Work Description: General Office Activities Approved By Supervisor / Reporting Officer: (Name, Date & Signature) Mr Lim (Manager), 16th March 2012

Risk Evaluation
2c. Likelihood 2d. RPN* 3a Additional Risk Control Measures 3b Severity 3c

Risk Control
3d RPN* 3e Follow up by (name) & date 3f Remarks

Likelihood

Provide finger cots 1 to staff to lift paper

Office Staff (April 2012)

NA

NA

NA

NA

NA

NA

NA

NA

NA

NA

NA

NA

NA