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Hazard Identification, Risk Assessment & Risk Control

(HIRARC) Training

BY
OCCUPATIONAL SAFETY AND HEALTH ENVIRONMENT (OSHE)

TABLE OF CONTENTS

1.
2.
3.
4.
5.
6.
7.
8.

Objective
What is HIRARC?
Purpose of HIRARC
Process of HIRARC
Hazard Identification
Risk Assessment
Risk Control
Practical Workshop

OBJECTIVES:
1. Explore the elements of an effective hazard
identification and control program.
2. Discuss the steps in the hazard
identification and control process.
3. Be able to perform the Hazard
Identification and Risk Assessment Form
by their own with 3 simple steps to ensure
a safe & healthy workplace.

1. Memastikan keselamatan dan kesihatan


pekerja di tempat kerja.
2. Melindungi keselamatan orang lain selain
dari pekerja di tempat kerja tersebut.

3. Menggalakkan persekitaran yang sesuai


(dari segi fisiologi dan psikologi)
4. Membolehkan penggantian secara
berperingkat perundangan berkaitan
dengan Peraturan dan Kod Amalan yang
diluluskan

FALSAFAH
KEWAJIPAN BAGI MEMASTIKAN KESELAMATAN

DAN KESIHATAN DI TEMPAT KERJA TERLETAK


PADA MEREKA YANG MEWUJUDKAN RISIKO
DAN MEREKA YANG BEKERJA DENGAN RISIKO
TERSEBUT

KEWAJIPAN AM MAJIKAN DAN ORANG


YANG BEKERJA SENDIRI (SEKSYEN 15, AKKP 1994)

1.

Mengada dan menyenggara loji dan


sistem kerja selamat

HIRARC

2. Membuat perkiraan untuk menjamin


keselamatan dalam penggunaan,
pengendalian, penanganan (handling),
penyimpanan dan pengangkutan loji dan
bahan

KEWAJIPAN AM MAJIKAN DAN ORANG


YANG BEKERJA SENDIRI (SEKSYEN 15, AKKP 1994)
3.

Mengadakan maklumat, arahan, latihan


dan penyeliaan berkaitan keselamatan dan
kesihatan pekerjaan
i. Maklumat

iii. Latihan

ii. Arahan

iv. Penyeliaan

KEWAJIPAN AM MAJIKAN DAN ORANG


YANG BEKERJA SENDIRI (SEKSYEN 15, AKKP 1994)
4.
5.

Memastikan laluan keluar dan masuk ke


tempat kerja yang selamat
Menyediakan persekitaran kerja yang
selamat dan sihat serta kemudahan
kebajikan pekerja

PENALTI KEPADA MAJIKAN


1. RM 50,000 atau
2. 2 tahun penjara atau
3. kedua-duanya sekali

Occupational
safety and
health
management
system
standards:

OHSAS 18001 Occupational Health &


Safety Management System standard
This standard was established in
1999 (rev. 2007)
Widely used and certifiable
ILO OSH management system standard
This standard was published in 2001
This is a guidance standard
presented to the governments of the
world for adoption

OH&S Management System


Continual
improvement
OH&S
policy

Management
review
Checking and
corrective action

Planning

Implementation
and operation
HIRARC

HIRARC

TNB KUALA LUMPUR TOWARDS OHSAS 18001 CERTIFICATION

HIRARC

OHSAS 18001 MILESTONE CHART

Hazard Identification, Risk Assessment & Risk Control


(HIRARC) Form

HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM

Doc No.

Prepared by
JOB TITLE

Working in Clinic

HAZARD IDENTIFICATION
No

Activities / Equipment/
Facilites

R/NR*

Receive & treat patient

Using X-ray machine

Consequences

Current Risk Control

9.1 a) Exposure to
known & unknown
bacteria, fungal &
viruses

9.1 a) Sick
9.1 b) Fatality

9.1 a) Competency &


Proper PPE to be worn

Likelihood

10.1 a)Competency &


Proper PPE to be worn

RISK CONTROL

Severity

Risk Level

Type of Control

4 (L)

NIL

4 (L)

NIL

4 (L)

NIL

4 (L)

NIL

11 a) Exposure to
11.1 a) Cancer
radioactive and radiation 11.1 b) Fatality

11

12

Hazard

10 a) Contact with sharp 10.1 a) Sick


object
10.1 b) Fatality

10

Date :

RISK ASSESSMENT

Clearing medical waste

Revision No :

Verified by

11a) Competency & Proper


PPE to be worn
11b) Safe work distance,
allowable exposure limit &

Recommended Control
Measures

NIL

3
NIL

NIL

12 a) Pollution to
12a) Competency & Proper
atmosphere, sanitary
PPE to be worn
sewer, ground water, fresh
water, soil

Release Contamination /
Hospital treated waste

12 a) Scheduled waste

NIL

*R-Routine, NR - Non Routine


LIKELIHOOD

SEVERITY

Most Likely (5)

The most likely result of the hazard / event being realised

Catastropic (5)

Numerous fatalities

Possible (4)

Has a good change of occuring and is not unusual (1-5 years)

Fatal (4)

Approximately one single fatality

Conceivable (3)

Might be occur at sometime in future (5-10 years)

Serious (3)

Non-fatal injury, permanent disability or > 4 days MC

Remote (2)

Has not been known to occur after many years (10 yrs)

Minor (2)

Disabling but not permanent injury or 1-4 days MC

Inconceivable (1)

Is practically impossible and has never occurred

Negligible (1)

Minor abrasions, bruises, cut, first aid type injury

RISK = LIKELIHOOD X SEVERITY

15 - 25 : HIGH RISK

5-12 MEDIUM

1 - 4 : LOW RISK

PIC (Due Date /


Status)

REFERENCE:

Guidelines for Hazard


Identification, Risk
Assessment and Risk
Control
Published by
Department of
Occupational Safety
and Health (DOSH)
2008.

DIFINITION:
1. Hazard :

Source or situation with potential for harm in


term of human injury or ill health, damage
to property, damage to the workplace
environment or a combination of these.

2. Hazard Identification :

Process of recognizing that a hazard exists


and defining its characteristics

3. Risk :

Combination of likelihood and consequence


of a specified hazardous event occurring

DIFINITION:
4. Risk Assessment :

Overall process of estimating the magnitude


of Risk and deciding whether or not risk is
tolerable

5. Tolerable Risk :

Risk that have been reduced to a level that


can be accepted by the organization

Eg. A tiger is a source

A cage is the control.

Tiger attack is a hazard. Becoz has potential for harm

Therefore, a tiger in cage is less risk as compared to a tiger out of cage.


Furthermore, a tiger in cage is less dangerous than a tiger out of cage since the
hazard is already controlled.

WHAT IS HIRARC?

HAZARD
IDENTIFICATION

RISK ASSESSMENT

RISK CONTROL

Identify hazard source


or situation
Estimate level of risk and
determine tolerability
Reduce or eliminate
risk

Purpose of Hazard Identification, Risk


Assessment and Risk Control (HIRARC):
Enable organization to identify, evaluate
and control its OSH risk on an ongoing
basis
To reduce accidents at workplaces
HIRARC to cover for all existing and new
processes

METHODOLOGY FOR HIRARC

1. Document review policy, legal document, record


of accident, NCR, audit result, O&M Manual.
2. Site Assessment observation, interview
3. Brainstorming discussion to identify hazard.

Process of HIRARC

Classify work activities

Identify hazards

Conduct risk assessment, by


calculating or estimating
Decide if risk is tolerable and
apply control measures (if
necessary)

Likelihood of occurrence,
and
Severity of hazards

CLASSIFY WORK ACTIVITIES

Routine and non-routine


activities (incl. emergencies)
Activities at workplace (incl.
contractors and visitors)

Taking into account all


Infrastructure, equipment
activities at the
and materials at the
workplace.

workplace.

CLASSIFY WORK ACTIVITIES

Physical
area

Stage in
production
line or
process

Not too
big

Not too
small

Defined
task

Working in Clinic
1. Handling patients, contaminated objects, body secretions, tissue or fluids
2. Using X-ray machine
3. Handling patients & moving objects
4. Dealing with angry and stressed patients and their families.

CATEGORIES OF HAZARDS
Category

Examples

PHYSICAL

noise, radiation, ventilation, heat stress,


lighting, electrical

CHEMICAL

pesticides, solvents and heavy metals

BIOLOGICAL

dangerous creatures, virus, bacteria and


parasite
ERGONOMIC
human and machine interface, work
position or work posture
PSYCHOSOCIAL work stress, employees interaction
within organisation, long hours work,
shift work

Example Hazards map : Grocery Store

SPOT THE HAZARD

Hazard Identification, Risk Assessment & Risk Control


(HIRARC) Form

HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM

Doc No.

Prepared by
JOB TITLE

Working in Clinic

HAZARD IDENTIFICATION
No

Activities / Equipment/
Facilites

R/NR*

Receive & treat patient

Using X-ray machine

Consequences

Current Risk Control

9.1 a) Exposure to
known & unknown
bacteria, fungal &
viruses

9.1 a) Sick
9.1 b) Fatality

9.1 a) Competency &


Proper PPE to be worn

Likelihood

10.1 a)Competency &


Proper PPE to be worn

RISK CONTROL

Severity

Risk Level

Type of Control

4 (L)

NIL

4 (L)

NIL

4 (L)

NIL

4 (L)

NIL

11 a) Exposure to
11.1 a) Cancer
radioactive and radiation 11.1 b) Fatality

11

12

Hazard

10 a) Contact with sharp 10.1 a) Sick


object
10.1 b) Fatality

10

Date :

RISK ASSESSMENT

Clearing medical waste

Revision No :

Verified by

11a) Competency & Proper


PPE to be worn
11b) Safe work distance,
allowable exposure limit &

Recommended Control
Measures

NIL

3
NIL

NIL

12 a) Pollution to
12a) Competency & Proper
atmosphere, sanitary
PPE to be worn
sewer, ground water, fresh
water, soil

Release Contamination /
Hospital treated waste

12 a) Scheduled waste

NIL

*R-Routine, NR - Non Routine


LIKELIHOOD

SEVERITY

Most Likely (5)

The most likely result of the hazard / event being realised

Catastropic (5)

Numerous fatalities

Possible (4)

Has a good change of occuring and is not unusual (1-5 years)

Fatal (4)

Approximately one single fatality

Conceivable (3)

Might be occur at sometime in future (5-10 years)

Serious (3)

Non-fatal injury, permanent disability or > 4 days MC

Remote (2)

Has not been known to occur after many years (10 yrs)

Minor (2)

Disabling but not permanent injury or 1-4 days MC

Inconceivable (1)

Is practically impossible and has never occurred

Negligible (1)

Minor abrasions, bruises, cut, first aid type injury

RISK = LIKELIHOOD X SEVERITY

15 - 25 : HIGH RISK

5-12 MEDIUM

1 - 4 : LOW RISK

PIC (Due Date /


Status)

HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM


JOB TITLE : Working in Clinic

HAZARD IDENTIFICATION
No

Activities /
Equipment/ Faculties

R/NR
*

handling patients,
contaminated objects,
body secretions, tissue
or fluids

Using X-ray machine

Handling patients &


moving objects

Dealing with angry and


stressed patients and
their families.

*R-Routine, NR - Non Routine

R
R

Hazard
Infectious Diseases

Consequences

Hepatitis B, Hepatitis C
and Human
Immunodeficiency
Virus (HIV) can be
spread
Exposure to radioactive Cancer
and radiation
Fatality
Heavy lifting and frequent Back injuries
bending or twisting when
moving objects or patients
Health care workers are at Workplace violence can
risk from violence
result in loss of sleep,
fear or depression, post
traumatic stress disorder

HAZARD IDENTIFICATION

Human behaviour, capabilities and other


human factors.
Hazard from the vicinity of the workplace.

Hazard from outside workplace.

HAZARD IDENTIFICATION

2
Machinery

1
Human
behaviour,
unsafe acts

Man

Installation,
layout and
design of
equipment

3
Substances
such as
chemicals
and gases
use in the
workplace

Method
The way
people carry
out their work

Materials

Workplace
condition
i.e. air
quality,
ventilation
, lighting,
noise,
vibration
etc.

Media

5M

HAZARD IDENTIFICATION TECHNIQUES

Accident/incident
investigation report

Workplace health
program

Result of workplace
inspection/audit

Complaint and
comments

Report from
regulatory bodies

Injury records

Record of hazardous
substances (CSDS)

HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM


JOB TITLE : Working in Clinic

HAZARD IDENTIFICATION
No

Activities /
Equipment/ Faculties

R/NR
*

handling patients,
contaminated objects,
body secretions, tissue
or fluids

Using X-ray machine

Handling patients &


moving objects

Dealing with angry and


stressed patients and
their families.

*R-Routine, NR - Non Routine

R
R

Hazard
Infectious Diseases

Consequences

Hepatitis B, Hepatitis C
and Human
Immunodeficiency
Virus (HIV) can be
spread
Exposure to radioactive Cancer
and radiation
Fatality
Heavy lifting and frequent Back injuries
bending or twisting when
moving objects or patients
Health care workers are at Workplace violence can
risk from violence
result in loss of sleep,
fear or depression, post
traumatic stress disorder

Hazard Identification, Risk Assessment & Risk Control


(HIRARC) Form

HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM

Doc No.

Prepared by
JOB TITLE

Working in Clinic

HAZARD IDENTIFICATION
No

Activities / Equipment/
Facilites

R/NR*

Receive & treat patient

Using X-ray machine

Consequences

Current Risk Control

9.1 a) Exposure to
known & unknown
bacteria, fungal &
viruses

9.1 a) Sick
9.1 b) Fatality

9.1 a) Competency &


Proper PPE to be worn

Likelihood

10.1 a)Competency &


Proper PPE to be worn

RISK CONTROL

Severity

Risk Level

Type of Control

4 (L)

NIL

4 (L)

NIL

4 (L)

NIL

4 (L)

NIL

11 a) Exposure to
11.1 a) Cancer
radioactive and radiation 11.1 b) Fatality

11

12

Hazard

10 a) Contact with sharp 10.1 a) Sick


object
10.1 b) Fatality

10

Date :

RISK ASSESSMENT

Clearing medical waste

Revision No :

Verified by

11a) Competency & Proper


PPE to be worn
11b) Safe work distance,
allowable exposure limit &

Recommended Control
Measures

NIL

3
NIL

NIL

12 a) Pollution to
12a) Competency & Proper
atmosphere, sanitary
PPE to be worn
sewer, ground water, fresh
water, soil

Release Contamination /
Hospital treated waste

12 a) Scheduled waste

NIL

*R-Routine, NR - Non Routine


LIKELIHOOD

SEVERITY

Most Likely (5)

The most likely result of the hazard / event being realised

Catastropic (5)

Numerous fatalities

Possible (4)

Has a good change of occuring and is not unusual (1-5 years)

Fatal (4)

Approximately one single fatality

Conceivable (3)

Might be occur at sometime in future (5-10 years)

Serious (3)

Non-fatal injury, permanent disability or > 4 days MC

Remote (2)

Has not been known to occur after many years (10 yrs)

Minor (2)

Disabling but not permanent injury or 1-4 days MC

Inconceivable (1)

Is practically impossible and has never occurred

Negligible (1)

Minor abrasions, bruises, cut, first aid type injury

RISK = LIKELIHOOD X SEVERITY

15 - 25 : HIGH RISK

5-12 MEDIUM

1 - 4 : LOW RISK

PIC (Due Date /


Status)

HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM


RISK ASSESSMENT
Likelihood

Severity

Risk Level

9 (M)

4 (L)

Use proper lifting technique

9 (M)

Follow policies and intervention guidelines

9 (M)

Current Risk Control


Wash hands frequently (proper hand washing is the best
way to prevent communicable diseases)
Competency & Proper PPE to be worn
Safe work distance, allowable exposure limit

LIKELIHOOD
Most Likely (5)
The most likely result of the hazard /
event being realized
Possible (4)
Has a good change of occurring and is not
unusual (1-5 years)
Conceivable (3) Might be occur at sometime in future
(5-10 years)
Remote (2)
Has not been known to occur after many
years (10 yrs)
Inconceivable (1) Is practically impossible and has never
occurred
RISK = LIKELIHOOD X SEVERITY

15 - 25 : HIGH RISK

Catastrophic (5)

SEVERITY
Numerous fatalities

Fatal (4)

Approximately one single fatality

Serious (3)

Non-fatal injury, permanent


disability or > 4 days MC
Disabling but not permanent
injury or 1-4 days MC
Minor abrasions, bruises, cut,
first aid type injury

Minor (2)
Negligible (1)

5-12 : MEDIUM
RISK

1 - 4 : LOW RISK

RISK ASSESSMENT

RISK

Likelihood x Severity
Likelihood is an event likely to occur within specific
time period or in specified circumstance,

Severity is outcome from an event such as severity of


injury or health to people

LIKELIHOOD

Most likely (5)

The most likely result of the hazard / event


being realized

Possible (4)

Has good chance of occurring and is not


unusual (1-5 years)

Conceivable (3)

Might be occur in future (5-10 years)

Remote (2)

Has not be known to occur after many years


(after 10 years)

Inconceivable (1)

Is practically impossible and has never


occurred.

SEVERITY
Catastrophic (5)

Numerous fatality, irrecoverable property


damage and productivity.

Fatal (4)

Approximately one single fatality, major


property damages.

Serious (3)

Non-fatal injury, permanent disability or


LTI > 4 days MC.

Minor (2)

Disabling but not permanent injury or LTI


1-4 days MC

Negligible (1)

Minor abrasions, bruises, cut, first aid


type injury.

Risk = Likelihood x Severity


HIGH (15-25)
Requires
immediate action
to control the
hazard. Action
must be
documented on
the risk
assessment form
including date for
completion.

MEDIUM (5-12)
Requires a planned
approach to
control the hazard
and applies
temporary
measure if
required. Action
must be
documented on
the risk
assessment form
including date of
completion.

LOW (1-4)
Acceptable and
further reduction
may not be
necessary.

HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM


RISK ASSESSMENT
Likelihood

Severity

Risk Level

9 (M)

4 (L)

Use proper lifting technique

9 (M)

Follow policies and intervention guidelines

9 (M)

Current Risk Control


Wash hands frequently (proper hand washing is the best
way to prevent communicable diseases)
Competency & Proper PPE to be worn
Safe work distance, allowable exposure limit

LIKELIHOOD
Most Likely (5)
The most likely result of the hazard /
event being realized
Possible (4)
Has a good change of occurring and is not
unusual (1-5 years)
Conceivable (3) Might be occur at sometime in future
(5-10 years)
Remote (2)
Has not been known to occur after many
years (10 yrs)
Inconceivable (1) Is practically impossible and has never
occurred
RISK = LIKELIHOOD X SEVERITY

15 - 25 : HIGH RISK

Catastrophic (5)

SEVERITY
Numerous fatalities

Fatal (4)

Approximately one single fatality

Serious (3)

Non-fatal injury, permanent


disability or > 4 days MC
Disabling but not permanent
injury or 1-4 days MC
Minor abrasions, bruises, cut,
first aid type injury

Minor (2)
Negligible (1)

5-12 : MEDIUM
RISK

1 - 4 : LOW RISK

Hazard Identification, Risk Assessment & Risk Control


(HIRARC) Form

HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM

Doc No.

Prepared by
JOB TITLE

Working in Clinic

HAZARD IDENTIFICATION
No

Activities / Equipment/
Facilites

R/NR*

Receive & treat patient

Using X-ray machine

Consequences

Current Risk Control

9.1 a) Exposure to
known & unknown
bacteria, fungal &
viruses

9.1 a) Sick
9.1 b) Fatality

9.1 a) Competency &


Proper PPE to be worn

Likelihood

10.1 a)Competency &


Proper PPE to be worn

RISK CONTROL

Severity

Risk Level

Type of Control

4 (L)

NIL

4 (L)

NIL

4 (L)

NIL

4 (L)

NIL

11 a) Exposure to
11.1 a) Cancer
radioactive and radiation 11.1 b) Fatality

11

12

Hazard

10 a) Contact with sharp 10.1 a) Sick


object
10.1 b) Fatality

10

Date :

RISK ASSESSMENT

Clearing medical waste

Revision No :

Verified by

11a) Competency & Proper


PPE to be worn
11b) Safe work distance,
allowable exposure limit &

Recommended Control
Measures

NIL

3
NIL

NIL

12 a) Pollution to
12a) Competency & Proper
atmosphere, sanitary
PPE to be worn
sewer, ground water, fresh
water, soil

Release Contamination /
Hospital treated waste

12 a) Scheduled waste

NIL

*R-Routine, NR - Non Routine


LIKELIHOOD

SEVERITY

Most Likely (5)

The most likely result of the hazard / event being realised

Catastropic (5)

Numerous fatalities

Possible (4)

Has a good change of occuring and is not unusual (1-5 years)

Fatal (4)

Approximately one single fatality

Conceivable (3)

Might be occur at sometime in future (5-10 years)

Serious (3)

Non-fatal injury, permanent disability or > 4 days MC

Remote (2)

Has not been known to occur after many years (10 yrs)

Minor (2)

Disabling but not permanent injury or 1-4 days MC

Inconceivable (1)

Is practically impossible and has never occurred

Negligible (1)

Minor abrasions, bruises, cut, first aid type injury

RISK = LIKELIHOOD X SEVERITY

15 - 25 : HIGH RISK

5-12 MEDIUM

1 - 4 : LOW RISK

PIC (Due Date /


Status)

HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM

RISK CONTROL
Type of Control

Recommended Control
Measures

PIC (Due Date / Status)

Administrative

Ensure availability of gloves


and other protective
equipment and cleansing
agents

Mr. A (30/12/2012)

NIL

NIL

Administrative

Train staff on proper lifting


techniques

Mr. B (30/12/2012)

Administrative

Train staff on diffusing


situations and intervention
procedures

Mr. C (30/12/2012)

Hazard Identification, Risk Assessment & Risk Control

(HIRARC)

Safety

freedom from unacceptable risk of harm

Tolerable Risk
Risk that has been reduce to a level that can be accepted by the
organisation having regard to its legal obligations and its own OH&S
policy.

HIERARCHY OF CONTROL

PPE
Administrative control
Engineering control
Isolation
Substitution
Elimination

HIERARCHY OF CONTROL
1. ELIMINATION
Remove hazard from workplace
Get rid the hazardous job, tools, process,
equipment, machines or substances

HIERARCHY OF CONTROL
2. SUBSTITUTION
Doing the same work in less hazardous way.
Replace of substances with a less hazardous
substances.

HIERARCHY OF CONTROL
3. ISOLATION
Keep hazard away from workers
Install guard, barrier
Lockout system
Safe clearance

HIERARCHY OF CONTROL
4. ENGINEERING CONTROL

Modification
Redesign
Local exhaust ventilation

HIERARCHY OF CONTROL
5. ADMINISTRATIVE CONTROL
Implement policies, procedures and training.

Signages
Supervision
Inspection

HIERARCHY OF CONTROL
6. PPE
Safety helmet, mask, safety shoe, apron, rubber mat,
gloves, ear muff etc.

HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM

RISK CONTROL
Type of Control

Recommended Control
Measures

PIC (Due Date / Status)

Administrative

Ensure availability of gloves


and other protective
equipment and cleansing
agents

Mr. A (30/12/2012)

NIL

NIL

Administrative

Train staff on proper lifting


techniques

Mr. B (30/12/2012)

Administrative

Train staff on diffusing


situations and intervention
procedures

Mr. C (30/12/2012)

SUMMARY

Hazard Identification, Risk Assessment & Risk Control


(HIRARC) Form

HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM

Doc No.

Prepared by
JOB TITLE

Working in Clinic

HAZARD IDENTIFICATION
No

Activities / Equipment/
Facilites

R/NR*

Receive & treat patient

Using X-ray machine

Consequences

Current Risk Control

9.1 a) Exposure to
known & unknown
bacteria, fungal &
viruses

9.1 a) Sick
9.1 b) Fatality

9.1 a) Competency &


Proper PPE to be worn

Likelihood

10.1 a)Competency &


Proper PPE to be worn

RISK CONTROL

Severity

Risk Level

Type of Control

4 (L)

NIL

4 (L)

NIL

4 (L)

NIL

4 (L)

NIL

11 a) Exposure to
11.1 a) Cancer
radioactive and radiation 11.1 b) Fatality

11

12

Hazard

10 a) Contact with sharp 10.1 a) Sick


object
10.1 b) Fatality

10

Date :

RISK ASSESSMENT

Clearing medical waste

Revision No :

Verified by

11a) Competency & Proper


PPE to be worn
11b) Safe work distance,
allowable exposure limit &

Recommended Control
Measures

NIL

3
NIL

NIL

12 a) Pollution to
12a) Competency & Proper
atmosphere, sanitary
PPE to be worn
sewer, ground water, fresh
water, soil

Release Contamination /
Hospital treated waste

12 a) Scheduled waste

NIL

*R-Routine, NR - Non Routine


LIKELIHOOD

SEVERITY

Most Likely (5)

The most likely result of the hazard / event being realised

Catastropic (5)

Numerous fatalities

Possible (4)

Has a good change of occuring and is not unusual (1-5 years)

Fatal (4)

Approximately one single fatality

Conceivable (3)

Might be occur at sometime in future (5-10 years)

Serious (3)

Non-fatal injury, permanent disability or > 4 days MC

Remote (2)

Has not been known to occur after many years (10 yrs)

Minor (2)

Disabling but not permanent injury or 1-4 days MC

Inconceivable (1)

Is practically impossible and has never occurred

Negligible (1)

Minor abrasions, bruises, cut, first aid type injury

RISK = LIKELIHOOD X SEVERITY

15 - 25 : HIGH RISK

5-12 MEDIUM

1 - 4 : LOW RISK

PIC (Due Date /


Status)

HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM

JOB TITLE : Working in Clinic

HAZARD IDENTIFICATION

No

Activities /
Equipment/ Faculties

R/NR
*

handling patients,
contaminated objects,
body secretions, tissue
or fluids

Using X-ray machine

Handling patients &


moving objects

Dealing with angry and


stressed patients and
their families.

*R-Routine, NR - Non Routine

R
R

Hazard
Infectious Diseases

Consequences

Hepatitis B, Hepatitis C
and Human
Immunodeficiency
Virus (HIV) can be
spread
Exposure to radioactive Cancer
and radiation
Fatality
Heavy lifting and frequent Back injuries
bending or twisting when
moving objects or patients
Health care workers are at Workplace violence can
risk from violence
result in loss of sleep,
fear or depression, post
traumatic stress disorder

HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM

RISK ASSESSMENT
Likelihood

Severity

Risk Level

9 (M)

4 (L)

Use proper lifting technique

9 (M)

Follow policies and intervention guidelines

9 (M)

Current Risk Control


Wash hands frequently (proper hand washing is the best
way to prevent communicable diseases)
Competency & Proper PPE to be worn
Safe work distance, allowable exposure limit

LIKELIHOOD
Most Likely (5)
The most likely result of the hazard /
event being realized
Possible (4)
Has a good change of occurring and is not
unusual (1-5 years)
Conceivable (3) Might be occur at sometime in future
(5-10 years)
Remote (2)
Has not been known to occur after many
years (10 yrs)
Inconceivable (1) Is practically impossible and has never
occurred
RISK = LIKELIHOOD X SEVERITY

15 - 25 : HIGH RISK

Catastrophic (5)

SEVERITY
Numerous fatalities

Fatal (4)

Approximately one single fatality

Serious (3)

Non-fatal injury, permanent


disability or > 4 days MC
Disabling but not permanent
injury or 1-4 days MC
Minor abrasions, bruises, cut,
first aid type injury

Minor (2)
Negligible (1)

5-12 : MEDIUM
RISK

1 - 4 : LOW RISK

HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM

RISK CONTROL

Type of Control

Recommended Control
Measures

PIC (Due Date / Status)

Administrative

Ensure availability of gloves


and other protective
equipment and cleansing
agents

Mr. A (30/12/2012)

NIL

NIL

Administrative

Train staff on proper lifting


techniques

Mr. B (30/12/2012)

Administrative

Train staff on diffusing


situations and intervention
procedures

Mr. C (30/12/2012)

SUMMARY
Set a Process to review OHS Hazards & Risk
Output/ results can be used to review :
Standard Operating Procedures (SOP)
Training Materials
Internal Audit
Management Review/ Continuous
Improvement
Justification for Budget allocations