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WORKPLACE RISK ASSESSMENT

Date: 26/04/2016 Task/Plant Description: Dry Ash System


Site: Department/Section: Boilers
HAZARD POTENTIAL CONSEQUENCES INITIAL CONTROL MEASURE IMPLEMENTED REVISED
(follow steps in the task or (Possible effects of hazard exposure and RISK (Use hierarchy of control and record control measure RISK
Hazard ID checklist) how these occur) SCORE required for each hazard to reduce risk.) SCORE
Slip, trip and falls First aid injury 12 Degrease work area, wear PPE 8

Hot surface Burn 5 Make sure surface is cooled and not hot 1

Ergonomics Cramps, Aches 8 Regular breaks, stretching, work with care 2

Noise Hearing loss 17 Use hearing protection, regular break 2

Mech Hazards Flying debris, objects (from grinding) 8 Safety glasses & face shield, screens, warnings 5

WORK GROUP SIGN OFF (all hazards identified and control measures implemented):
Name: Sign: Name: Sign:
Name: Sign: Name: Sign:
Name: Sign: Name: Sign:
Name: Sign: Name: Sign:
Name: Sign: Name: Sign:

FOLLOW UP ACTIONS: RESPONSIBILITY OF: COMPLETION


DATE:

SAFF 010 – Workplace Risk Assessment : Page 1 of 2


What is the MAXIMUM REASONABLE CONSEQUENCE? What is the PROBABILITY of that consequence? What is the RISK?
PROBABILITY
5. Could kill or permanently disable. Damage/Loss>$10m. A ALMOST CERTAIN – to happen. A B C D E
Major environmental impact.
B LIKELY – to happen at some point.
4. Serious injury/disease (major LTI). Damage/loss 5 25 24 22 19 15

CONSEQUENCE
$1m – $10m. Environmental prosecution. C MODERATE – possible, heard of so it might 25-20
3. Medical Treatment. Lost Time Injury. Damage/loss happen. HIGH 4 23 21 18 14 10
$100k – $1m. Reportable Environmental impact. 11-19
D UNLIKELY – not likely to happen. MEDIUM 3 20 17 13 9 6
2. First aid injury. Damage/loss $10k – $100k.
Temporary environmental impact (minor spill). 1-10
E RARE – practically impossible. LOW 2 16 12 8 5 3
1 No injury or disease. Damage /loss < $10k. No
environmental impact.
1 11 7 4 2 1

ASSESSOR/S:
Name: Signature: Name: Signature:
Name: Signature: Name: Signature:

TEAM LEADER REVIEW:


Name: Signature: Date:

APPROVED BY:
Name: Signature: Date:

Reassessment Date: COPY TO: Safety & Environment as appropriate

SAFF 010 – Workplace Risk Assessment : Page 2 of 2