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ZAINORIN ALI

MSc (Occupational Safety & Health Management)


Hazard Identification, Risk Assessment & Risk Control
(HIRARC) Training
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
9. Examination






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.



OBJECTIVES:
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

1. Memberi perhatian terhadap keselamatan dan
kesihatan sendiri dan orang lain
2. Bekerjasama dengan majikan atau orang lain di
dalam perlaksanaan Akta ini
3. Memakai dan mengguna Kelengkapan
Pelindung Diri (PPE)
4. Mematuhi arahan atau langkah keselamatan
dan kesihatan pekerjaan

PENALTI KEPADA PEKERJA:
1. RM 1,000 atau
2. 3 bulan penjara atau
3. kedua-duanya sekali
KEWAJIPAN AM AM PEKERJA
(SEKSYEN 24, AKKP 1994)
1. Mengada dan menyenggara loji dan
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)
HIRARC
3. Mengadakan maklumat, arahan, latihan
dan penyeliaan berkaitan keselamatan dan
kesihatan pekerjaan


i. Maklumat
iii. Latihan
iv. Penyeliaan
ii. Arahan
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
KEWAJIPAN AM MAJIKAN DAN ORANG
YANG BEKERJA SENDIRI (SEKSYEN 15, AKKP 1994)
Continual
improvement
OH&S
policy
Planning
Implementation
and operation
Checking and
corrective action
Management
review
OH&S Management System
HIRARC
HIRARC
OHSAS 18001 MILESTONE CHART
TNB KUALA LUMPUR TOWARDS OHSAS 18001 CERTIFICATION
HIRARC
13
400
Near Misses
80
Property Damage
50
First Aid
Fatal
Property
Damage
3
Lost Day
1
Serious / fatal
CAUSES OF ACCIDENTS
14
UNSAFE ACTS
UNSAFE
CONDITIONS
Substandard /
inadequate procedure
Outdated procedure
Design flaw

Unsafe attitude / behavior
such as negligence
Not wearing proper protective
equipment (PPE)
PERLAKUAN TIDAK SELAMAT : TIDAK MENGGUNAKAN KASUT KESELAMATAN
KEADAAN TIDAK SELAMAT : KAWASAN KERJA TIDAK KEMAS
BERAPAKAH PERLAKUAN TIDAK SELAMAT?
17
MITOS / TANGGAPAN FAKTA
i) MALANG TIDAK BERBAU i) KEMALANGAN BOLEH DIJANGKA
ii) KEMALANGAN ADALAH
DITAKDIRKAN
ii) KEMALANGAN BOLEH
DIELAKKAN
iii) ADA ORANG YANG SENTIASA
BERNASIB MALANG
iii) KESELAMATAN PEKERJA
PERLU DIURUS
iv) KESELAMATAN TIDAK PERLU
DITITIKBERATKAN
iv) BEKERJA SECARA SELAMAT
ADALAH WAJIB
v) TANGGAPAN UMUM BAHAWA
KEMALANGAN ITU PERKARA
BIASA (COMMON SENSE)
v) MENCEGAH ADALAH LEBIH
BAIK DARI MENGUBATI
MITOS DAN FAKTA MENGENAI KEMALANGAN
HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM
Doc No.
Prepared by Revision No :
JOB TITLE Working in Clinic Verified by Date :
No
HAZARD IDENTIFICATION RISK ASSESSMENT RISK CONTROL
Activities / Equipment/
Facilites
R/NR* Hazard Consequences Current Risk Control Likelihood Severity Risk Level Type of Control
Recommended Control
Measures
PIC (Due Date /
Status)
9
Receive & treat patient
R
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
2 2 4 (L) NIL NIL
10
Clearing medical waste
R
10 a) Contact with sharp
object
10.1 a) Sick
10.1 b) Fatality
10.1 a)Competency &
Proper PPE to be worn
2 2 4 (L) NIL NIL
11
Using X-ray machine
R
11 a) Exposure to
radioactive and radiation
11.1 a) Cancer
11.1 b) Fatality
11a) Competency & Proper
PPE to be worn
11b) Safe work distance,
allowable exposure limit &

2 2 4 (L) NIL NIL
12
Release Contamination /
Hospital treated waste
R 12 a) Scheduled waste
12 a) Pollution to
atmosphere, sanitary
sewer, ground water, fresh
water, soil
12a) Competency & Proper
PPE to be worn
2 2 4 (L) NIL 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
Hazard Identification, Risk Assessment & Risk Control
(HIRARC) Form
1 2 3
Guidelines for Hazard
Identification, Risk
Assessment and Risk
Control

Published by
Department of
Occupational Safety
and Health (DOSH)
2008.
REFERENCE:
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.
Garang Cedera
Gigi Tajam
Gigitan Penyakit
Kuku Tajam Luka dicakar
KENAL PASTI HAZARD AKIBAT
Kutu
Jankitan
Penyakit
Gerakan Liar
Orang awam / Trafik
terganggu
Bau Busuk Pening
KENAL PASTI HAZARD AKIBAT
KENAL PASTI HAZARD AKIBAT
KENAL PASTI HAZARD AKIBAT
HAZARD
IDENTIFICATION
RISK ASSESSMENT
RISK CONTROL
Identify hazard source
or situation
Estimate level of risk and
determine tolerability
Reduce or eliminate
risk
WHAT IS 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
Purpose of Hazard Identification, Risk
Assessment and Risk Control (HIRARC):
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.
Classify work activities
Identify hazards
Likelihood of occurrence,
and
Severity of hazards
Conduct risk assessment, by
calculating or estimating
Decide if risk is tolerable and
apply control measures (if
necessary)
Process of HIRARC

Taking into account all
activities at the
workplace.
Routine and non-routine
activities (incl. emergencies)
Activities at workplace (incl.
contractors and visitors)
Infrastructure, equipment
and materials at the
workplace.
CLASSIFY WORK ACTIVITIES
Physical
area
Stage in
production
line or
process
Not too
big
Not too
small
Defined
task
CLASSIFY WORK ACTIVITIES
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.
Working in Clinic
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
CATEGORIES OF HAZARDS
Example Hazards map : Grocery Store
SPOT THE HAZARD
HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM
Doc No.
Prepared by Revision No :
JOB TITLE Working in Clinic Verified by Date :
No
HAZARD IDENTIFICATION RISK ASSESSMENT RISK CONTROL
Activities / Equipment/
Facilites
R/NR* Hazard Consequences Current Risk Control Likelihood Severity Risk Level Type of Control
Recommended Control
Measures
PIC (Due Date /
Status)
9
Receive & treat patient
R
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
2 2 4 (L) NIL NIL
10
Clearing medical waste
R
10 a) Contact with sharp
object
10.1 a) Sick
10.1 b) Fatality
10.1 a)Competency &
Proper PPE to be worn
2 2 4 (L) NIL NIL
11
Using X-ray machine
R
11 a) Exposure to
radioactive and radiation
11.1 a) Cancer
11.1 b) Fatality
11a) Competency & Proper
PPE to be worn
11b) Safe work distance,
allowable exposure limit &

2 2 4 (L) NIL NIL
12
Release Contamination /
Hospital treated waste
R 12 a) Scheduled waste
12 a) Pollution to
atmosphere, sanitary
sewer, ground water, fresh
water, soil
12a) Competency & Proper
PPE to be worn
2 2 4 (L) NIL 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
Hazard Identification, Risk Assessment & Risk Control
(HIRARC) Form
1 2 3
HAZARD IDENTIFICATION
No Activities /
Equipment/
Faculties
R/NR
*
Hazard

Consequences

1 handling patients,
contaminated
objects, body
secretions, tissue or
fluids
R Infectious Diseases Hepatitis B, Hepatitis
C and Human
Immunodeficiency
Virus (HIV) can be
spread
2
Using X-ray machine
R
Exposure to radioactive
and radiation
Cancer
Fatality
3
Handling patients &
moving objects
R
Heavy lifting and
frequent bending or
twisting when moving
objects or patients
Back injuries
4
Dealing with angry
and stressed patients
and their families.
R
Health care workers are
at risk from violence

Workplace violence
can result in loss of
sleep, fear or
depression, post
traumatic stress
disorder
*R-Routine, NR - Non Routine
HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM
JOB TITLE : Working in Clinic
Human behaviour, capabilities and other
human factors.
Hazard from the vicinity of the workplace.
Hazard from outside workplace.
HAZARD IDENTIFICATION
Human
behaviour,
unsafe acts
Man
Installation,
layout and
design of
equipment

Machinery

Substances
such as
chemicals
and gases
use in the
workplace
Materials
The way
people carry
out their work
Method
Workplace
condition
i.e. air
quality,
ventilation
, lighting,
noise,
vibration
etc.
Media
HAZARD IDENTIFICATION
5M
1
2
3
4
5
Accident/incident
investigation report
Injury records
Workplace health
program
Result of workplace
inspection/audit
Complaint and
comments
Report from
regulatory bodies
Record of hazardous
substances (CSDS)
HAZARD IDENTIFICATION TECHNIQUES
1
6
3
5
4
2
7
HAZARD IDENTIFICATION
No Activities /
Equipment/
Faculties
R/NR
*
Hazard

Consequences

1 handling patients,
contaminated
objects, body
secretions, tissue or
fluids
R Infectious Diseases Hepatitis B, Hepatitis
C and Human
Immunodeficiency
Virus (HIV) can be
spread
2
Using X-ray machine
R
Exposure to radioactive
and radiation
Cancer
Fatality
3
Handling patients &
moving objects
R
Heavy lifting and
frequent bending or
twisting when moving
objects or patients
Back injuries
4
Dealing with angry
and stressed patients
and their families.
R
Health care workers are
at risk from violence

Workplace violence
can result in loss of
sleep, fear or
depression, post
traumatic stress
disorder
*R-Routine, NR - Non Routine
HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM
JOB TITLE : Working in Clinic
Using X-ray machine
Cancer
Using toilet
Slippery floor
Trip & Fall
HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM
Doc No.
Prepared by Revision No :
JOB TITLE Working in Clinic Verified by Date :
No
HAZARD IDENTIFICATION RISK ASSESSMENT RISK CONTROL
Activities / Equipment/
Facilites
R/NR* Hazard Consequences Current Risk Control Likelihood Severity Risk Level Type of Control
Recommended Control
Measures
PIC (Due Date /
Status)
9
Receive & treat patient
R
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
2 2 4 (L) NIL NIL
10
Clearing medical waste
R
10 a) Contact with sharp
object
10.1 a) Sick
10.1 b) Fatality
10.1 a)Competency &
Proper PPE to be worn
2 2 4 (L) NIL NIL
11
Using X-ray machine
R
11 a) Exposure to
radioactive and radiation
11.1 a) Cancer
11.1 b) Fatality
11a) Competency & Proper
PPE to be worn
11b) Safe work distance,
allowable exposure limit &

2 2 4 (L) NIL NIL
12
Release Contamination /
Hospital treated waste
R 12 a) Scheduled waste
12 a) Pollution to
atmosphere, sanitary
sewer, ground water, fresh
water, soil
12a) Competency & Proper
PPE to be worn
2 2 4 (L) NIL 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
Hazard Identification, Risk Assessment & Risk Control
(HIRARC) Form
1 2 3
RISK ASSESSMENT
Current Risk Control
Likelihood
Severity Risk Level
Wash hands frequently (proper hand washing is the best
way to prevent communicable diseases)
3 3 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)
HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM
LIKELIHOOD SEVERITY
Most Likely (5) The most likely result of the hazard /
event being realized
Catastrophic (5) Numerous fatalities
Possible (4) Has a good change of occurring 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
RISK
1 - 4 : LOW RISK
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
RISK ASSESSMENT
The most likely result of the hazard / event
being realized
Most likely (5)
Has good chance of occurring and is not
unusual (1-5 years)
Possible (4)
Might be occur in future (5-10 years)
Conceivable (3)
Has not be known to occur after many years
(after 10 years)
Remote (2)
Is practically impossible and has never
occurred.
Inconceivable (1)
LIKELIHOOD
Numerous fatality, irrecoverable property
damage and productivity.
Catastrophic (5)
Approximately one single fatality, major
property damages.
Fatal (4)
Non-fatal injury, permanent disability or
LTI > 4 days MC.
Serious (3)
Disabling but not permanent injury or LTI
1-4 days MC
Minor (2)
Minor abrasions, bruises, cut, first aid
type injury.
Negligible (1)
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.
Risk = Likelihood x Severity
RISK ASSESSMENT
Current Risk Control
Likelihood
Severity Risk Level
Wash hands frequently (proper hand washing is the best
way to prevent communicable diseases)
3 3 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)
HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM
LIKELIHOOD SEVERITY
Most Likely (5) The most likely result of the hazard /
event being realized
Catastrophic (5) Numerous fatalities
Possible (4) Has a good change of occurring 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
RISK
1 - 4 : LOW RISK
HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM
Doc No.
Prepared by Revision No :
JOB TITLE Working in Clinic Verified by Date :
No
HAZARD IDENTIFICATION RISK ASSESSMENT RISK CONTROL
Activities / Equipment/
Facilites
R/NR* Hazard Consequences Current Risk Control Likelihood Severity Risk Level Type of Control
Recommended Control
Measures
PIC (Due Date /
Status)
9
Receive & treat patient
R
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
2 2 4 (L) NIL NIL
10
Clearing medical waste
R
10 a) Contact with sharp
object
10.1 a) Sick
10.1 b) Fatality
10.1 a)Competency &
Proper PPE to be worn
2 2 4 (L) NIL NIL
11
Using X-ray machine
R
11 a) Exposure to
radioactive and radiation
11.1 a) Cancer
11.1 b) Fatality
11a) Competency & Proper
PPE to be worn
11b) Safe work distance,
allowable exposure limit &

2 2 4 (L) NIL NIL
12
Release Contamination /
Hospital treated waste
R 12 a) Scheduled waste
12 a) Pollution to
atmosphere, sanitary
sewer, ground water, fresh
water, soil
12a) Competency & Proper
PPE to be worn
2 2 4 (L) NIL 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
Hazard Identification, Risk Assessment & Risk Control
(HIRARC) Form
1 2 3
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 IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM
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.
Safety
freedom from unacceptable risk of harm
Hazard Identification, Risk Assessment & Risk Control
(HIRARC)
Substitution
PPE
Administrative control
Engineering control
Isolation
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.
HIERARCHY OF CONTROL
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 IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM
SUMMARY
HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM
Doc No.
Prepared by Revision No :
JOB TITLE Working in Clinic Verified by Date :
No
HAZARD IDENTIFICATION RISK ASSESSMENT RISK CONTROL
Activities / Equipment/
Facilites
R/NR* Hazard Consequences Current Risk Control Likelihood Severity Risk Level Type of Control
Recommended Control
Measures
PIC (Due Date /
Status)
9
Receive & treat patient
R
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
2 2 4 (L) NIL NIL
10
Clearing medical waste
R
10 a) Contact with sharp
object
10.1 a) Sick
10.1 b) Fatality
10.1 a)Competency &
Proper PPE to be worn
2 2 4 (L) NIL NIL
11
Using X-ray machine
R
11 a) Exposure to
radioactive and radiation
11.1 a) Cancer
11.1 b) Fatality
11a) Competency & Proper
PPE to be worn
11b) Safe work distance,
allowable exposure limit &

2 2 4 (L) NIL NIL
12
Release Contamination /
Hospital treated waste
R 12 a) Scheduled waste
12 a) Pollution to
atmosphere, sanitary
sewer, ground water, fresh
water, soil
12a) Competency & Proper
PPE to be worn
2 2 4 (L) NIL 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
Hazard Identification, Risk Assessment & Risk Control
(HIRARC) Form
1 2 3
HAZARD IDENTIFICATION
No Activities /
Equipment/
Faculties
R/NR
*
Hazard

Consequences

1 handling patients,
contaminated
objects, body
secretions, tissue or
fluids
R Infectious Diseases Hepatitis B, Hepatitis
C and Human
Immunodeficiency
Virus (HIV) can be
spread
2
Using X-ray machine
R
Exposure to radioactive
and radiation
Cancer
Fatality
3
Handling patients &
moving objects
R
Heavy lifting and
frequent bending or
twisting when moving
objects or patients
Back injuries
4
Dealing with angry
and stressed patients
and their families.
R
Health care workers are
at risk from violence

Workplace violence
can result in loss of
sleep, fear or
depression, post
traumatic stress
disorder
*R-Routine, NR - Non Routine
HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM
JOB TITLE : Working in Clinic
1
RISK ASSESSMENT
Current Risk Control
Likelihood
Severity Risk Level
Wash hands frequently (proper hand washing is the best
way to prevent communicable diseases)
3 3 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)
HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM
LIKELIHOOD SEVERITY
Most Likely (5) The most likely result of the hazard /
event being realized
Catastrophic (5) Numerous fatalities
Possible (4) Has a good change of occurring 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
RISK
1 - 4 : LOW RISK
2
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 IDENTFICATION, RISK ASSESSMENT AND RISK CONTROL (HIRARC) FORM
3
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
SUMMARY

SEKIAN, TERIMA KASIH