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Project Risk Assessment

Department of Physics, Ryerson University - v2013


Review Physics safety responsibilities, program information, and resources at www.physics.ryerson.ca/safety.
Student/Researcher Name:
Role:
Graduate Student ___
Undergraduate RA ___

Date:
PDF ___
Thesis Student ___

Volunteer ___
Other ______________________

Supervisor(s):
Project Name:
Project Description (brief):

Ethical Reviews
Animal Subjects?
If yes, Ryerson Animal Control Committee (ACC) approval is required.
Human Subjects?
If yes, Ryerson Ethics Board (REB) approval is required.

YES / NO
YES / NO

Potential Hazards
Biological Agents
Chemical Agents
Compressed Gases
Lasers (> Class 3a)
Machinery
Shop Equipment
Press, Drills, Saws, etc.
Machinery with exposed moving parts.
Radiation (Ionizing)
Isotopes
X-ray
Temperature Extreme High or Low
Voltage (High)

YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO
YES / NO

If you answered YES to any potential hazards, you will need to take additional training courses (Biosafety, Laser Safety,
Radiation Safety, X-Ray Safety, etc.), and/or review standard operating procedure (SOP) with your supervisor.
Other Potential Hazards (list):

Describe/list standard operating procedures and personal protective equipment, applicable to project.
Examples:
1. High Temperature Tube Furnace - Furnace SOP/instructions available
Insulating gloves to be worn when adding/extracting samples. Tube not to be over-pressurized.
2. Class 4 Laser Laser operation SOP available
Eye protection and skin protection to be worn at all times. Beam stops to be used. Ventilation required during cutting.

List any special precautions required if working alone:


Examples:

Buddy system to be used if working after hours.


Office/lab door to be locked when working after hours.

Working Off-Campus
Location(s):
Purpose:
Briefly list any safety training/requirements for non-Ryerson institutions:
(Note, some training requirements may be redundant but are required for purposes of liability.)

Safety Awareness Training:

EHS Orientation completed (within 3 years) ____


WHMIS Training completed (within 3 years) ____
OHS Orientation completed (within 3 years) ____

I hereby acknowledge my role and responsibilities as defined under Ryerson Universitys Environmental Health and Safety
Management System (www.ryerson.ca/ehss), and I agree to adhere to the responsibilities outlined for all employees,
including but not limited to, participation in requisite training, adherence to safe work practices, and reporting of
accidents, serious incidents, and potentially hazardous conditions to my supervisor.
Student/Researcher Signature:

Date:

Supervisor Signature:

Date:

Retain a copy for your records and submit a copy to Department Safety Officer.
For additional information, see http://www.physics.ryerson.ca/safety

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