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Hazard Identification, Risk Assessment & Risk

Control (HIRARC) Training

ZAINORIN ALI
MSc (Occupational Safety & Health
Management)
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
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 AM PEKERJA
(SEKSYEN 24, AKKP 1994)

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

HIRARC
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, AK
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, AKK
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
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


ID Task Name Duration Start Finish
November 11 January 21 April 1 June 11 Au
11/15 12/20 1/24 2/28 4/4 5/9 6/13 7/18 8
1 OHSAS 18001 Milestone 183 days Tue 12/1/09 Thu 8/12/10
2 OHSAS 18001 awareness 5 days Tue 12/1/09 Mon 12/7/09
3 Documentation Development 81 days Tue 12/8/09 Tue 3/30/10
4 HIRARC 21 days Tue 12/8/09 Tue 1/5/10
5 Legal Identification & Evaluation 21 days Tue 12/8/09 Tue 1/5/10
6 Common Documentation 21 days Tue 12/8/09 Tue 1/5/10
7 Review Session I 2 days Wed 1/6/10 Thu 1/7/10
8 Operational Control 21 days Fri 1/8/10 Fri 2/5/10
9 O&T and OSH MP 14 days Mon 2/8/10 Thu 2/25/10
10 ERP Manual 14 days Mon 2/8/10 Thu 2/25/10
11 Review Session II 2 days Fri 2/26/10 Mon 3/1/10
12 Documentation Review Before Implementation 21 days Tue 3/2/10 Tue 3/30/10
13 OHSAS 18001 Implementation 90 days Wed 3/31/10 Tue 8/3/10
14 Environment-Related Training 3 days Wed 3/31/10 Fri 4/2/10
15 Legal Training 1 day Wed 3/31/10 Wed 3/31/10
16 Schedule Waste Training 1 day Thu 4/1/10 Thu 4/1/10
17 Internal Audit Training 1 day Fri 4/2/10 Fri 4/2/10
18 Actual Internal Audit 2 days Wed 8/4/10 Thu 8/5/10
19 Management Review 1 day Fri 8/6/10 Fri 8/6/10
20 SIRIM Audit 5 days Fri 8/6/10 Thu 8/12/10
21 Initial Audit 2 days Fri 8/6/10 Mon 8/9/10
22 Certification Audit 3 days Tue 8/10/10 Thu 8/12/10
CAUSES OF ACCIDENTS

1
Serious /
fatal
3
Lost Day
Fatal
50
First Aid
80 Property
Property Damage Damage

400
Near Misses

13
UNSAFE
UNSAFE ACTS
CONDITIONS
Unsafe attitude / behavior Substandard /
such as negligence inadequate
Not wearing proper procedure
protective equipment (PPE) Outdated
procedure
Design flaw14
PERLAKUAN TIDAK SELAMAT : TIDAK MENGGUNAKAN KASUT KESELAMATAN
KEADAAN TIDAK SELAMAT : KAWASAN KERJA TIDAK KEMAS
BERAPAKAH PERLAKUAN TIDAK SELAMAT?
MITOS DAN FAKTA MENGENAI KEMALANGAN
MITOS / TANGGAPAN FAKTA
i) MALANG TIDAK BERBAU i) KEMALANGAN BOLEH DIJANGKA

ii) KEMALANGAN ADALAH ii) KEMALANGAN BOLEH


DITAKDIRKAN DIELAKKAN
iii) ADA ORANG YANG SENTIASA iii) KESELAMATAN PEKERJA
BERNASIB MALANG PERLU DIURUS
iv) KESELAMATAN TIDAK PERLU iv) BEKERJA SECARA SELAMAT
DITITIKBERATKAN ADALAH WAJIB
v) TANGGAPAN UMUM BAHAWA v) MENCEGAH ADALAH LEBIH
KEMALANGAN ITU PERKARA BAIK DARI MENGUBATI
BIASA (COMMON SENSE)

17
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 10.1 a) Sick 10.1 a)Competency &
sharp 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 11.1 b) Fatality PPE to be worn
radiation 11b) Safe work distance,
allowable exposure limit &

11 R 2 2 4 (L) NIL NIL

12 a) Pollution to 12a) Competency &


atmosphere, sanitary Proper PPE to be worn
sewer, ground water, fresh
water, soil
Release Contamination /
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.
KENAL PASTI HAZARD
Garan Cedera AKIBATBau Busuk Pening
g

Gigi Tajam Kutu

Gigitan Jankitan
Penyakit Penyaki

Kuku Luka dicakar


Tajam
Gerakan Orang awam /
Trafik
KENAL PASTI HAZARD
AKIBAT
KENAL PASTI HAZARD
AKIBAT
KENAL PASTI HAZARD
AKIBAT
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
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
CLASSIFY WORK
ACTIVITIES

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 10.1 a) Sick 10.1 a)Competency &
sharp 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 11.1 b) Fatality PPE to be worn
radiation 11b) Safe work distance,
allowable exposure limit &

11 R 2 2 4 (L) NIL NIL

12 a) Pollution to 12a) Competency &


atmosphere, sanitary Proper PPE to be worn
sewer, ground water, fresh
water, soil
Release Contamination /
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/N Hazard Consequences
Equipment/ R*
Faculties
1 handling R Infectious Hepatitis B,
patients, Diseases Hepatitis C and
contaminated Human
objects, body Immunodeficien
secretions, cy Virus (HIV)
tissue or fluids can be spread
2 Using X-ray Exposure to Cancer
machine R radioactive and Fatality
radiation
3 Handling patients Heavy lifting and Back injuries
& moving objects frequent bending
R or twisting when
moving objects or
patients
HAZARD IDENTIFICATION
HAZARD IDENTIFICATION

2 4
Machinery

3 Method
1 Installation,
layout and
design of
Substance
Workplac
s such as The way
Human equipment e
chemicals
behaviour, people carry condition
and gases
unsafe acts out their work i.e. air
use in the
workplace quality,
ventilatio
Man n,
Materia lighting,
ls noise,

5
vibration
etc.

Media

5M
HAZARD IDENTIFICATION TECHNIQUES

1 4

2 5

3 6

7
HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK
CONTROL (HIRARC) FORM JOB TITLE : Working in
Clinic
HAZARD IDENTIFICATION
No Activities / R/N Hazard Consequences
Equipment/ R*
Faculties
1 handling R Infectious Hepatitis B,
patients, Diseases Hepatitis C and
contaminated Human
objects, body Immunodeficien
secretions, cy Virus (HIV)
tissue or fluids can be spread
2 Using X-ray Exposure to Cancer
machine R radioactive and Fatality
radiation
3 Handling patients Heavy lifting and Back injuries
& moving objects frequent bending
R or twisting when
moving objects or
patients
Wo
in rkpla
l
de oss o ce vi
p
ess ion
o
str ress f slee lenc
p e
Using toilet
dis , po , fear can r
ord st esu
er tra or lt
um
ati n d eir
c
y a th
g r nd
a n ts a
it h en

Canc
w ati
li ng d p
e a se
D es s.
str ilie
m

er
Heal
th fa
viole care wo
nce rkers
are a
Using X-ray machine
t r i sk
from
d r a d
v e a n
Slippery floor
o a c t i
ra di
re to
o su
Ex p Trip &
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 10.1 a) Sick 10.1 a)Competency &
sharp 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 11.1 b) Fatality PPE to be worn
radiation 11b) Safe work distance,
allowable exposure limit &

11 R 2 2 4 (L) NIL NIL

12 a) Pollution to 12a) Competency &


atmosphere, sanitary Proper PPE to be worn
sewer, ground water, fresh
water, soil
Release Contamination /
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 Likeliho Sever Risk
od ity Level
Wash hands frequently (proper hand washing 3 3 9 (M)
is the best 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 LIKELIHOOD
and intervention guidelines 3 3
SEVERITY 9 (M)
Most Likely The most likely result of the Numerous fatalities
(5) hazard / Catastrophic (5)
event being realized
Possible (4) Has a good change of occurring and Fatal (4) Approximately one single
is not fatality
unusual (1-5 years)
Conceivable Might be occur at sometime in Serious (3) Non-fatal injury,
(3) future permanent
(5-10 years) disability or > 4 days MC
Remote (2) Has not been known to occur after Minor (2) Disabling but not
many permanent
years (10 yrs) injury or 1-4 days MC
Inconceivable Is practically impossible and has Negligible Minor abrasions, bruises,
(1) never (1) cut,
occurred first aid type injury
RISK ASSESSMENT
LIKELIHOOD
SEVERITY
Risk = Likelihood x Severity
HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK
CONTROL (HIRARC) FORM
RISK ASSESSMENT
Current Risk Control Likeliho Sever Risk
od ity Level
Wash hands frequently (proper hand washing 3 3 9 (M)
is the best 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 LIKELIHOOD
and intervention guidelines 3 3
SEVERITY 9 (M)
Most Likely The most likely result of the Numerous fatalities
(5) hazard / Catastrophic (5)
event being realized
Possible (4) Has a good change of occurring and Fatal (4) Approximately one single
is not fatality
unusual (1-5 years)
Conceivable Might be occur at sometime in Serious (3) Non-fatal injury,
(3) future permanent
(5-10 years) disability or > 4 days MC
Remote (2) Has not been known to occur after Minor (2) Disabling but not
many permanent
years (10 yrs) injury or 1-4 days MC
Inconceivable Is practically impossible and has Negligible Minor abrasions, bruises,
(1) never (1) cut,
occurred first aid type injury
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 10.1 a) Sick 10.1 a)Competency &
sharp 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 11.1 b) Fatality PPE to be worn
radiation 11b) Safe work distance,
allowable exposure limit &

11 R 2 2 4 (L) NIL NIL

12 a) Pollution to 12a) Competency &


atmosphere, sanitary Proper PPE to be worn
sewer, ground water, fresh
water, soil
Release Contamination /
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 PIC (Due Date /
Control Measures Status)

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


gloves and other
protective equipment
and cleansing agents
NIL NIL
Administrative Train staff on proper Mr. B (30/12/2012)
lifting techniques
Administrative Train staff on diffusing Mr. C (30/12/2012)
situations and
intervention procedures
Hazard Identification, Risk Assessment & Risk
Control (HIRARC)
HIERARCHY OF CONTROL

PPE

Administrative control

Engineering control

Isolation

Substitution

Elimination
HIERARCHY OF CONTROL
HIERARCHY OF CONTROL
HIERARCHY OF CONTROL
HIERARCHY OF CONTROL
HIERARCHY OF CONTROL
HIERARCHY OF CONTROL
HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK
CONTROL (HIRARC) FORM

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

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


gloves and other
protective equipment
and cleansing agents
NIL NIL
Administrative Train staff on proper Mr. B (30/12/2012)
lifting 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 10.1 a) Sick 10.1 a)Competency &
sharp 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 11.1 b) Fatality PPE to be worn
radiation 11b) Safe work distance,
allowable exposure limit &

11 R 2 2 4 (L) NIL NIL

12 a) Pollution to 12a) Competency &


atmosphere, sanitary Proper PPE to be worn
sewer, ground water, fresh
water, soil
Release Contamination /
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


1
HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK
CONTROL (HIRARC) FORM JOB TITLE : Working in
Clinic
HAZARD IDENTIFICATION
No Activities / R/N Hazard Consequences
Equipment/ R*
Faculties
1 handling R Infectious Hepatitis B,
patients, Diseases Hepatitis C and
contaminated Human
objects, body Immunodeficien
secretions, cy Virus (HIV)
tissue or fluids can be spread
2 Using X-ray Exposure to Cancer
machine R radioactive and Fatality
radiation
3 Handling patients Heavy lifting and Back injuries
& moving objects frequent bending
R or twisting when
moving objects or
patients
HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK

2
CONTROL (HIRARC) FORM
RISK ASSESSMENT
Current Risk Control Likeliho Sever Risk
od ity Level
Wash hands frequently (proper hand washing 3 3 9 (M)
is the best 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 LIKELIHOOD
and intervention guidelines 3 3
SEVERITY 9 (M)
Most Likely The most likely result of the Numerous fatalities
(5) hazard / Catastrophic (5)
event being realized
Possible (4) Has a good change of occurring and Fatal (4) Approximately one single
is not fatality
unusual (1-5 years)
Conceivable Might be occur at sometime in Serious (3) Non-fatal injury,
(3) future permanent
(5-10 years) disability or > 4 days MC
Remote (2) Has not been known to occur after Minor (2) Disabling but not
many permanent
years (10 yrs) injury or 1-4 days MC
Inconceivable Is practically impossible and has Negligible Minor abrasions, bruises,
(1) never (1) cut,
occurred first aid type injury
HAZARD IDENTFICATION, RISK ASSESSMENT AND RISK

3
CONTROL (HIRARC) FORM

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

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


gloves and other
protective equipment
and cleansing agents
NIL NIL
Administrative Train staff on proper Mr. B (30/12/2012)
lifting 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
SEKIAN, TERIMA KASIH