Slide Hirarc - Oshe CHAPTER4
Slide Hirarc - Oshe CHAPTER4
(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:
Continual
improvement
OH&S
Management policy
review
Implementation
and operation
HIRARC
HIRARC
TNB KUALA LUMPUR TOWARDS OHSAS 18001 CERTIFICATION
Prepared by Revision No :
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
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 &
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
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
HAZARD
IDENTIFICATION
Identify hazard source
or situation
RISK ASSESSMENT
Estimate level of risk and
determine tolerability
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
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
Prepared by Revision No :
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
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 &
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
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
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 :
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
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 &
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
Prepared by Revision No :
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
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 &
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 CONTROL
Type of Control Recommended Control PIC (Due Date / Status)
Measures
Safety
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
2. SUBSTITUTION
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
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
Prepared by Revision No :
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
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 &
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
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
3
Type of Control
RISK CONTROL
Recommended Control
Measures
PIC (Due Date / Status)