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Hazard Identification, Risk Assessment & Risk Control

(HIRARC) Training

BY
OCCUPATIONAL SAFETY AND HEALTH ENVIRONMENT (OSHE)
TABLE OF CONTENTS

1. Objective
2. What is HIRARC?
3. Purpose of HIRARC
4. Process of HIRARC
5. Hazard Identification
6. Risk Assessment
7. Risk Control
8. 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 HIRARC

sistem kerja selamat

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 ii. Arahan

iii. Latihan iv. Penyeliaan


KEWAJIPAN AM MAJIKAN DAN ORANG
YANG BEKERJA SENDIRI (SEKSYEN 15, AKKP 1994)

4. Memastikan laluan keluar dan masuk ke


tempat kerja yang selamat
5. 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
•OHSAS 18001 Occupational Health &
Safety Management System standard
Occupational •This standard was established in
safety and 1999 (rev. 2007)
health •Widely used and certifiable
management •ILO OSH management system standard
system •This standard was published in 2001
standards: •This is a guidance standard
presented to the governments of the
world for adoption
OH&S Management System

Continual
improvement

OH&S
Management policy
review

Checking and Planning


corrective action

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 Revision No :

JOB TITLE Working in Clinic Verified by Date :

HAZARD IDENTIFICATION RISK ASSESSMENT RISK CONTROL

No
Activities / Equipment/ Recommended Control PIC (Due Date /
R/NR* Hazard Consequences Current Risk Control Likelihood Severity Risk Level Type of Control
Facilites Measures Status)

Receive & treat patient 9.1 a) Exposure to 9.1 a) Sick 9.1 a) Competency &
known & unknown 9.1 b) Fatality Proper PPE to be worn
bacteria, fungal &
viruses
9 R 2 2 4 (L) NIL NIL

1 2 3
Clearing medical waste 10 a) Contact with sharp 10.1 a) Sick 10.1 a)Competency &
object 10.1 b) Fatality Proper PPE to be worn

10 R 2 2 4 (L) NIL NIL

Using X-ray machine 11 a) Exposure to 11.1 a) Cancer 11a) Competency & Proper
radioactive and radiation 11.1 b) Fatality PPE to be worn
11b) Safe work distance,
allowable exposure limit &

11 R 2 2 4 (L) NIL NIL

12 a) Pollution to 12a) Competency & Proper


atmosphere, sanitary PPE to be worn
sewer, ground water, fresh
Release Contamination / water, soil
12 R 12 a) Scheduled waste 2 2 4 (L) NIL NIL
Hospital treated waste

*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


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 Tiger attack is a hazard. Becoz has potential for harm

• A cage is the control.

• 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
Identify hazard source
or situation

RISK ASSESSMENT
Estimate level of risk and
determine tolerability

RISK CONTROL 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

• Likelihood of occurrence,
Conduct risk assessment, by
and
calculating or estimating
• Severity of hazards
Decide if risk is tolerable and
apply control measures (if
necessary)
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
workplace.
and materials at the
workplace.
CLASSIFY WORK ACTIVITIES

Stage in
Physical production Not too Not too Defined
area line or big small task
process

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 Revision No :

JOB TITLE Working in Clinic Verified by Date :

HAZARD IDENTIFICATION RISK ASSESSMENT RISK CONTROL

No
Activities / Equipment/ Recommended Control PIC (Due Date /
R/NR* Hazard Consequences Current Risk Control Likelihood Severity Risk Level Type of Control
Facilites Measures Status)

Receive & treat patient 9.1 a) Exposure to 9.1 a) Sick 9.1 a) Competency &
known & unknown 9.1 b) Fatality Proper PPE to be worn
bacteria, fungal &
viruses
9 R 2 2 4 (L) NIL NIL

1 2 3
Clearing medical waste 10 a) Contact with sharp 10.1 a) Sick 10.1 a)Competency &
object 10.1 b) Fatality Proper PPE to be worn

10 R 2 2 4 (L) NIL NIL

Using X-ray machine 11 a) Exposure to 11.1 a) Cancer 11a) Competency & Proper
radioactive and radiation 11.1 b) Fatality PPE to be worn
11b) Safe work distance,
allowable exposure limit &

11 R 2 2 4 (L) NIL NIL

12 a) Pollution to 12a) Competency & Proper


atmosphere, sanitary PPE to be worn
sewer, ground water, fresh
Release Contamination / water, soil
12 R 12 a) Scheduled waste 2 2 4 (L) NIL NIL
Hospital treated waste

*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


HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM
JOB TITLE : Working in Clinic

HAZARD IDENTIFICATION
No Activities / R/NR Hazard Consequences
Equipment/ Faculties *
1 handling patients, R Infectious Diseases Hepatitis B, Hepatitis C
contaminated objects, and Human
body secretions, tissue Immunodeficiency
or fluids Virus (HIV) can be
spread
2 Using X-ray machine Exposure to radioactive Cancer
R
and radiation Fatality
3 Handling patients & Heavy lifting and frequent Back injuries
moving objects R bending or twisting when
moving objects or patients
4 Dealing with angry and Health care workers are at Workplace violence can
stressed patients and risk from violence result in loss of sleep,
R
their families. fear or depression, post
traumatic stress disorder
*R-Routine, NR - Non Routine
HAZARD IDENTIFICATION

Human behaviour, capabilities and other


human factors.

Hazard from the vicinity of the workplace.

Hazard from outside workplace.


HAZARD IDENTIFICATION

2 4
Machinery

3 Method
1 •Installation,
layout and
design of
•Substances
such as •Workplace
•Human equipment •The way condition
chemicals people carry
behaviour, and gases i.e. air
unsafe acts out their work quality,
use in the
workplace ventilation
, lighting,
Man noise,
vibration
Materials etc.

5
Media

5M
HAZARD IDENTIFICATION TECHNIQUES

1 Accident/incident
investigation report 4 Injury records

2 Workplace health
program
5 Result of workplace
inspection/audit

3 Complaint and
comments 6 Report from
regulatory bodies

7 Record of hazardous
substances (CSDS)
HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM
JOB TITLE : Working in Clinic

HAZARD IDENTIFICATION
No Activities / R/NR Hazard Consequences
Equipment/ Faculties *
1 handling patients, R Infectious Diseases Hepatitis B, Hepatitis C
contaminated objects, and Human
body secretions, tissue Immunodeficiency
or fluids Virus (HIV) can be
spread
2 Using X-ray machine Exposure to radioactive Cancer
R
and radiation Fatality
3 Handling patients & Heavy lifting and frequent Back injuries
moving objects R bending or twisting when
moving objects or patients
4 Dealing with angry and Health care workers are at Workplace violence can
stressed patients and risk from violence result in loss of sleep,
R
their families. fear or depression, post
traumatic stress disorder
*R-Routine, NR - Non Routine
Hazard Identification, Risk Assessment & Risk Control
(HIRARC) Form
HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM
Doc No.

Prepared by Revision No :

JOB TITLE Working in Clinic Verified by Date :

HAZARD IDENTIFICATION RISK ASSESSMENT RISK CONTROL

No
Activities / Equipment/ Recommended Control PIC (Due Date /
R/NR* Hazard Consequences Current Risk Control Likelihood Severity Risk Level Type of Control
Facilites Measures Status)

Receive & treat patient 9.1 a) Exposure to 9.1 a) Sick 9.1 a) Competency &
known & unknown 9.1 b) Fatality Proper PPE to be worn
bacteria, fungal &
viruses
9 R 2 2 4 (L) NIL NIL

1 2 3
Clearing medical waste 10 a) Contact with sharp 10.1 a) Sick 10.1 a)Competency &
object 10.1 b) Fatality Proper PPE to be worn

10 R 2 2 4 (L) NIL NIL

Using X-ray machine 11 a) Exposure to 11.1 a) Cancer 11a) Competency & Proper
radioactive and radiation 11.1 b) Fatality PPE to be worn
11b) Safe work distance,
allowable exposure limit &

11 R 2 2 4 (L) NIL NIL

12 a) Pollution to 12a) Competency & Proper


atmosphere, sanitary PPE to be worn
sewer, ground water, fresh
Release Contamination / water, soil
12 R 12 a) Scheduled waste 2 2 4 (L) NIL NIL
Hospital treated waste

*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


HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM
RISK ASSESSMENT
Current Risk Control Likelihood Severity Risk Level
Wash hands frequently (proper hand washing is the best 3 3 9 (M)
way to prevent communicable diseases)
Competency & Proper PPE to be worn
Safe work distance, allowable exposure limit 2 2 4 (L)

Use proper lifting technique 3 3 9 (M)


Follow policies and intervention guidelines 3 3 9 (M)
LIKELIHOOD SEVERITY
Most Likely (5) The most likely result of the hazard / Catastrophic (5) Numerous fatalities
event being realized
Possible (4) Has a good change of occurring and is not Fatal (4) Approximately one single fatality
unusual (1-5 years)
Conceivable (3) Might be occur at sometime in future Serious (3) Non-fatal injury, permanent
(5-10 years) disability or > 4 days MC
Remote (2) Has not been known to occur after many Minor (2) Disabling but not permanent
years (10 yrs) injury or 1-4 days MC
Inconceivable (1) Is practically impossible and has never Negligible (1) Minor abrasions, bruises, cut,
occurred first aid type injury

RISK = LIKELIHOOD X SEVERITY 15 - 25 : HIGH RISK 5-12 : MEDIUM 1 - 4 : LOW RISK


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

• The most likely result of the hazard / event


Most likely (5) being realized

• Has good chance of occurring and is not


Possible (4) unusual (1-5 years)

• Might be occur in future (5-10 years)


Conceivable (3)
• Has not be known to occur after many years
Remote (2) (after 10 years)

• Is practically impossible and has never


Inconceivable (1) occurred.
SEVERITY

• Numerous fatality, irrecoverable property


Catastrophic (5) damage and productivity.

• Approximately one single fatality, major


Fatal (4) property damages.

• Non-fatal injury, permanent disability or


Serious (3) LTI > 4 days MC.

• Disabling but not permanent injury or LTI


Minor (2) 1-4 days MC

• Minor abrasions, bruises, cut, first aid


Negligible (1) type injury.
Risk = Likelihood x Severity

HIGH (15-25) MEDIUM (5-12) LOW (1-4)

• Requires • Requires a planned • Acceptable and


immediate action approach to further reduction
to control the control the hazard may not be
hazard. Action and applies necessary.
must be temporary
documented on measure if
the risk required. Action
assessment form must be
including date for documented on
completion. the risk
assessment form
including date of
completion.
HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM
RISK ASSESSMENT
Current Risk Control Likelihood Severity Risk Level
Wash hands frequently (proper hand washing is the best 3 3 9 (M)
way to prevent communicable diseases)
Competency & Proper PPE to be worn
Safe work distance, allowable exposure limit 2 2 4 (L)

Use proper lifting technique 3 3 9 (M)


Follow policies and intervention guidelines 3 3 9 (M)
LIKELIHOOD SEVERITY
Most Likely (5) The most likely result of the hazard / Catastrophic (5) Numerous fatalities
event being realized
Possible (4) Has a good change of occurring and is not Fatal (4) Approximately one single fatality
unusual (1-5 years)
Conceivable (3) Might be occur at sometime in future Serious (3) Non-fatal injury, permanent
(5-10 years) disability or > 4 days MC
Remote (2) Has not been known to occur after many Minor (2) Disabling but not permanent
years (10 yrs) injury or 1-4 days MC
Inconceivable (1) Is practically impossible and has never Negligible (1) Minor abrasions, bruises, cut,
occurred first aid type injury

RISK = LIKELIHOOD X SEVERITY 15 - 25 : HIGH RISK 5-12 : MEDIUM 1 - 4 : LOW RISK


RISK
Hazard Identification, Risk Assessment & Risk Control
(HIRARC) Form
HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM
Doc No.

Prepared by Revision No :

JOB TITLE Working in Clinic Verified by Date :

HAZARD IDENTIFICATION RISK ASSESSMENT RISK CONTROL

No
Activities / Equipment/ Recommended Control PIC (Due Date /
R/NR* Hazard Consequences Current Risk Control Likelihood Severity Risk Level Type of Control
Facilites Measures Status)

Receive & treat patient 9.1 a) Exposure to 9.1 a) Sick 9.1 a) Competency &
known & unknown 9.1 b) Fatality Proper PPE to be worn
bacteria, fungal &
viruses
9 R 2 2 4 (L) NIL NIL

1 2 3
Clearing medical waste 10 a) Contact with sharp 10.1 a) Sick 10.1 a)Competency &
object 10.1 b) Fatality Proper PPE to be worn

10 R 2 2 4 (L) NIL NIL

Using X-ray machine 11 a) Exposure to 11.1 a) Cancer 11a) Competency & Proper
radioactive and radiation 11.1 b) Fatality PPE to be worn
11b) Safe work distance,
allowable exposure limit &

11 R 2 2 4 (L) NIL NIL

12 a) Pollution to 12a) Competency & Proper


atmosphere, sanitary PPE to be worn
sewer, ground water, fresh
Release Contamination / water, soil
12 R 12 a) Scheduled waste 2 2 4 (L) NIL NIL
Hospital treated waste

*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


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

RISK CONTROL
Type of Control Recommended Control PIC (Due Date / Status)
Measures

Administrative Ensure availability of gloves Mr. A (30/12/2012)


and other protective
equipment and cleansing
agents
NIL NIL
Administrative Train staff on proper lifting Mr. B (30/12/2012)
techniques
Administrative Train staff on diffusing Mr. C (30/12/2012)
situations and intervention
procedures
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 PIC (Due Date / Status)
Measures

Administrative Ensure availability of gloves Mr. A (30/12/2012)


and other protective
equipment and cleansing
agents
NIL NIL
Administrative Train staff on proper lifting Mr. B (30/12/2012)
techniques
Administrative Train staff on diffusing Mr. C (30/12/2012)
situations and intervention
procedures
SUMMARY
Hazard Identification, Risk Assessment & Risk Control
(HIRARC) Form
HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM
Doc No.

Prepared by Revision No :

JOB TITLE Working in Clinic Verified by Date :

HAZARD IDENTIFICATION RISK ASSESSMENT RISK CONTROL

No
Activities / Equipment/ Recommended Control PIC (Due Date /
R/NR* Hazard Consequences Current Risk Control Likelihood Severity Risk Level Type of Control
Facilites Measures Status)

Receive & treat patient 9.1 a) Exposure to 9.1 a) Sick 9.1 a) Competency &
known & unknown 9.1 b) Fatality Proper PPE to be worn
bacteria, fungal &
viruses
9 R 2 2 4 (L) NIL NIL

1 2 3
Clearing medical waste 10 a) Contact with sharp 10.1 a) Sick 10.1 a)Competency &
object 10.1 b) Fatality Proper PPE to be worn

10 R 2 2 4 (L) NIL NIL

Using X-ray machine 11 a) Exposure to 11.1 a) Cancer 11a) Competency & Proper
radioactive and radiation 11.1 b) Fatality PPE to be worn
11b) Safe work distance,
allowable exposure limit &

11 R 2 2 4 (L) NIL NIL

12 a) Pollution to 12a) Competency & Proper


atmosphere, sanitary PPE to be worn
sewer, ground water, fresh
Release Contamination / water, soil
12 R 12 a) Scheduled waste 2 2 4 (L) NIL NIL
Hospital treated waste

*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


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

1No Activities / R/NR


JOB TITLE : Working in Clinic

HAZARD IDENTIFICATION
Hazard Consequences
Equipment/ Faculties *
1 handling patients, R Infectious Diseases Hepatitis B, Hepatitis C
contaminated objects, and Human
body secretions, tissue Immunodeficiency
or fluids Virus (HIV) can be
spread
2 Using X-ray machine Exposure to radioactive Cancer
R
and radiation Fatality
3 Handling patients & Heavy lifting and frequent Back injuries
moving objects R bending or twisting when
moving objects or patients
4 Dealing with angry and Health care workers are at Workplace violence can
stressed patients and risk from violence result in loss of sleep,
R
their families. fear or depression, post
traumatic stress disorder
*R-Routine, NR - Non Routine
HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM

2 Current Risk Control


RISK ASSESSMENT

Wash hands frequently (proper hand washing is the best


way to prevent communicable diseases)
Likelihood
3
Severity
3
Risk Level
9 (M)

Competency & Proper PPE to be worn


Safe work distance, allowable exposure limit 2 2 4 (L)

Use proper lifting technique 3 3 9 (M)


Follow policies and intervention guidelines 3 3 9 (M)
LIKELIHOOD SEVERITY
Most Likely (5) The most likely result of the hazard / Catastrophic (5) Numerous fatalities
event being realized
Possible (4) Has a good change of occurring and is not Fatal (4) Approximately one single fatality
unusual (1-5 years)
Conceivable (3) Might be occur at sometime in future Serious (3) Non-fatal injury, permanent
(5-10 years) disability or > 4 days MC
Remote (2) Has not been known to occur after many Minor (2) Disabling but not permanent
years (10 yrs) injury or 1-4 days MC
Inconceivable (1) Is practically impossible and has never Negligible (1) Minor abrasions, bruises, cut,
occurred first aid type injury

RISK = LIKELIHOOD X SEVERITY 15 - 25 : HIGH RISK 5-12 : MEDIUM 1 - 4 : LOW RISK


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

3
Type of Control
RISK CONTROL
Recommended Control
Measures
PIC (Due Date / Status)

Administrative Ensure availability of gloves Mr. A (30/12/2012)


and other protective
equipment and cleansing
agents
NIL NIL
Administrative Train staff on proper lifting Mr. B (30/12/2012)
techniques
Administrative Train staff on diffusing Mr. C (30/12/2012)
situations and intervention
procedures
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

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